1 Department of Economics, University of Manitoba, Winnipeg, Manitoba, Canada.
2 Department of Molecular Genetics, University of Toronto, Toronto, Ontario, Canada.
Int J Health Serv. 2018 Jan;48(1):166-188. doi: 10.1177/0020731417742258.
The connection between genes and health outcomes is significantly moderated by social factors. Health inequalities result from the differential accumulation of exposures and resource access rooted in class-based circumstances. In the neoliberal era in the United States, changed physical and socioeconomic conditions facing the poorer members of society have been characterized as traumatogenic (capable of producing a wound or injury). This paper will argue that research that points to the transgenerational influence of environmental impacts on health suggests 2 important reconsiderations of the link between the economy and health. First, an understanding of the health of any society requires an understanding not only of current but also past environmental conditions and the economy that produces those conditions. Second, it suggests that the way in which economic policy is analyzed needs to be reconsidered to incorporate the transgenerational impacts of environmental conditions produced by those policies.
基因与健康结果之间的关系受到社会因素的显著调节。健康不平等是由于阶级环境中暴露和资源获取的差异积累造成的。在美国新自由主义时代，社会中较贫困成员面临的物质和社会经济条件发生了变化，这些变化被认为具有创伤性（能够造成创伤或伤害）。本文认为，指出环境影响对健康具有跨代影响的研究表明，需要重新考虑经济与健康之间的联系有两个重要方面。首先，要了解任何社会的健康状况，不仅需要了解当前的环境条件和产生这些条件的经济，还需要了解过去的环境条件和经济。其次，这表明需要重新考虑经济政策的分析方式，以纳入这些政策所产生的环境条件的跨代影响。
