Physical Therapy Program, Department of Physical Medicine and Rehabilitation, Anschutz Medical Campus, University of Colorado, Aurora, Colorado, USA.
Center of Innovation to Accelerate Discovery and Practice Transformation, VA Healthcare System, Durham, North Carolina, USA.
Phys Ther. 2022 Jan 1;102(1). doi: 10.1093/ptj/pzab244.
Health starts where we live, learn, work, and play. Population health represents a unifying paradigm for understanding systematic variations in health and related factors, informing integrated action, and reducing health disparities. The pathways connecting social, environmental, and structural factors and various health outcomes have been illuminated by the emergence of epigenetic and epigenomic research, further bolstering the value of population health perspectives in supporting clinical practice, community-based programs, and societal policies. The purpose of this perspective is to consider the placement of epigenetic and epigenomic insights within a population health framework to strengthen the physical therapy profession's understanding of variations in health, inform integrated action, and further justify our role in reducing health-related disparities.
健康始于我们生活、学习、工作和娱乐的地方。人群健康代表了一种统一的范式，用于理解健康和相关因素的系统差异，为综合行动提供信息，并减少健康差距。社会、环境和结构因素与各种健康结果之间的联系途径，已被表观遗传学和表观基因组学研究的出现所阐明，这进一步增强了人群健康观点在支持临床实践、基于社区的计划和社会政策方面的价值。本观点的目的是考虑将表观遗传学和表观基因组学的见解置于人群健康框架内，以加强物理治疗专业对健康差异的理解，为综合行动提供信息，并进一步证明我们在减少与健康相关的差距方面的作用。
