Department of Psychology and Center for Family Research.
Am Psychol. 2020 Dec;75(9):1231-1241. doi: 10.1037/amp0000757.
Decades of research highlight the connections between stressful life experiences-particularly those experienced in childhood-and physical health across the lifespan. In recent years, studies at the intersection of social and biomedical science have provided intriguing insights into the biological mechanisms that might explain how chronic and acute stressors give rise to health problems, sometimes decades later in life. To date, efforts to understand these connections have relied on a handful of study designs, and these studies have revealed important observations about how stressful experiences are thought to shape health. At the same time, these study designs have some drawbacks that limit the conclusions that can be drawn about the role of the social world for health. This article provides an overview of research on social determinants of health and includes a discussion of conceptual and methodological directions for the field to consider. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
几十年来的研究强调了生活压力经历(尤其是童年时期经历的压力)与整个生命周期身体健康之间的联系。近年来,社会科学和生物医学科学交叉领域的研究为解释慢性和急性压力源如何导致健康问题提供了有趣的见解,有时甚至在生命的几十年后才会出现这些问题。迄今为止,为了理解这些联系,人们依赖于少数几种研究设计,这些研究揭示了关于压力经历如何影响健康的重要观察结果。与此同时,这些研究设计也存在一些局限性,限制了可以得出关于社会环境对健康的作用的结论。本文概述了健康的社会决定因素研究,并讨论了该领域需要考虑的概念和方法方向。