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接触结构、流动性、环境影响与行为:社会力量对传染病动态和疾病生态学的重要性。

Contact structure, mobility, environmental impact and behaviour: the importance of social forces to infectious disease dynamics and disease ecology.

作者信息

Arthur Ronan F, Gurley Emily S, Salje Henrik, Bloomfield Laura S P, Jones James H

机构信息

Emmett Interdisciplinary Program in Environment and Resources, Stanford University, Stanford, CA 94305, USA

Department of Epidemiology, Johns Hopkins University, Baltimore, MD 21205, USA.

出版信息

Philos Trans R Soc Lond B Biol Sci. 2017 May 5;372(1719). doi: 10.1098/rstb.2016.0454.

Abstract

Human factors, including contact structure, movement, impact on the environment and patterns of behaviour, can have significant influence on the emergence of novel infectious diseases and the transmission and amplification of established ones. As anthropogenic climate change alters natural systems and global economic forces drive land-use and land-cover change, it becomes increasingly important to understand both the ecological and social factors that impact infectious disease outcomes for human populations. While the field of disease ecology explicitly studies the ecological aspects of infectious disease transmission, the effects of the social context on zoonotic pathogen spillover and subsequent human-to-human transmission are comparatively neglected in the literature. The social sciences encompass a variety of disciplines and frameworks for understanding infectious diseases; however, here we focus on four primary areas of social systems that quantitatively and qualitatively contribute to infectious diseases as social-ecological systems. These areas are social mixing and structure, space and mobility, geography and environmental impact, and behaviour and behaviour change. Incorporation of these social factors requires empirical studies for parametrization, phenomena characterization and integrated theoretical modelling of social-ecological interactions. The social-ecological system that dictates infectious disease dynamics is a complex system rich in interacting variables with dynamically significant heterogeneous properties. Future discussions about infectious disease spillover and transmission in human populations need to address the social context that affects particular disease systems by identifying and measuring qualitatively important drivers.This article is part of the themed issue 'Opening the black box: re-examining the ecology and evolution of parasite transmission'.

摘要

人为因素,包括接触结构、移动、对环境的影响以及行为模式等,可能对新型传染病的出现以及既有传染病的传播和扩散产生重大影响。随着人为气候变化改变自然系统,全球经济力量推动土地利用和土地覆盖变化,了解影响人类传染病结果的生态和社会因素变得越发重要。虽然疾病生态学领域明确研究传染病传播的生态方面,但社会背景对人畜共患病原体溢出及随后人际传播的影响在文献中相对被忽视。社会科学包含各种理解传染病的学科和框架;然而,在此我们聚焦于社会系统的四个主要领域,这些领域作为社会生态系统在数量和质量上对传染病产生影响。这些领域是社会混合与结构、空间与流动性、地理与环境影响以及行为与行为变化。纳入这些社会因素需要进行实证研究,以便对社会生态相互作用进行参数化、现象表征和综合理论建模。决定传染病动态的社会生态系统是一个复杂系统,富含具有动态显著异质性特征的相互作用变量。未来关于人类传染病溢出和传播的讨论需要通过识别和衡量定性重要驱动因素来探讨影响特定疾病系统的社会背景。本文是主题为“打开黑匣子:重新审视寄生虫传播的生态学和进化”的特刊的一部分。

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