Department of Public Health Sciences, University of California, Davis, Davis, United States.
Center for Animal Disease Modeling and Surveillance (CADMS), Department of Veterinary Medicine, University of California, Davis, Davis, United States.
Elife. 2022 Jul 7;11:e76461. doi: 10.7554/eLife.76461.
The National Institute on Minority Health and Health Disparities (NIMHD) has developed a framework to guide and orient research into health disparities and minority health. The framework depicts different domains of influence (such as biological and behavioral) and different levels of influence (such as individual and interpersonal). Here, influenced by the "One Health" approach, we propose adding two new levels of influence - interspecies and planetary to this framework to reflect the interconnected nature of human, animal, and environmental health. Extending the framework in this way will help researchers to create new avenues of inquiry and encourage multidisciplinary collaborations. We then use the One Health approach to discuss how the COVID-19 pandemic has exacerbated health disparities, and show how the expanded framework can be applied to research into health disparities related to antimicrobial resistance and obesity.
美国国家少数民族健康与健康差异研究所（NIMHD）制定了一个框架，以指导和确定健康差异和少数民族健康方面的研究。该框架描绘了不同的影响领域（如生物和行为）和不同层次的影响（如个人和人际）。在这里，受“同一健康”方法的影响，我们建议在该框架中增加两个新的影响层次——种间和行星，以反映人类、动物和环境健康的相互联系性质。以这种方式扩展框架将帮助研究人员开辟新的研究途径，并鼓励多学科合作。然后，我们使用同一健康方法讨论了 COVID-19 大流行如何加剧了健康差异，并展示了如何将扩展后的框架应用于与抗生素耐药性和肥胖相关的健康差异研究。
