Department of Medicine, Section of General Internal Medicine, University of Chicago, 5841 South Maryland Avenue, MC 2007, Chicago, IL, 60637, USA.
Departments of Sociology and Comparative Human Development, University of Chicago, 5841 South Maryland Avenue, Chicago, IL, 60637, USA.
J Urban Health. 2017 Dec;94(6):757-763. doi: 10.1007/s11524-017-0210-x.
Intimate connections among race, place, and poverty are increasingly featured in the health disparities literature. However, few models exist that can guide our understanding of these interconnections. We build on the Chicago School of Sociology's contributions in urban research and one of its contemporary elaborations, often described as the "neighborhood effects approach," to propose a three-axis model of health inequity. This model, in alignment with Chicago School theory, postulates a dynamic and adaptive relationship between spatial context and health inequity. Compositional axes of race and poverty form the foundation of the model. These compositional axes then intersect with a third axis of place to compose the built and social environment planes. We develop this model to provide conceptual guidance for clinical, policy, and public health researchers who aim to examine how these three features, taken together, have important implications for urban health.
种族、地点和贫困之间的密切联系在健康差异文献中越来越受到关注。然而，目前几乎没有模型可以指导我们理解这些相互关系。我们借鉴了芝加哥社会学派在城市研究中的贡献及其当代的一个阐述，通常被描述为“邻里效应方法”，提出了一个健康不平等的三轴模型。该模型与芝加哥学派理论一致，假设空间背景与健康不平等之间存在动态和适应性的关系。种族和贫困的构成轴构成了该模型的基础。然后，这些构成轴与地点的第三个轴相交，构成了建筑和社会环境平面。我们开发这个模型是为了为临床、政策和公共卫生研究人员提供概念指导，他们旨在研究这三个特征结合在一起对城市健康有哪些重要影响。
