Am J Epidemiol. 2023 Jul 7;192(7):1047-1051. doi: 10.1093/aje/kwad044.
In a recent article in the Journal, Noppert et al. (Am J Epidemiol. 2023;192(3):475-482) articulated in detail the mechanisms connecting high-level "fundamental social causes" of health inequity to inequitable infectious disease outcomes, including infection, severe disease, and death. In this commentary, we argue that while intensive focus on intervening mechanisms is welcome and necessary, it cannot occur in isolation from examination of the way that fundamental social causes-including racism, socioeconomic inequity, and social stigma-sustain infection inequities even when intervening mechanisms are addressed. We build on the taxonomy of intervening mechanisms laid out by Noppert et al. to create a road map for strengthening the connection between fundamental cause theory and infectious disease epidemiology and discuss its implications for future research and intervention.
在最近发表于《美国流行病学杂志》（Am J Epidemiol. 2023;192(3):475-482）的一篇文章中，Noppert 等人详细阐述了将健康不平等的高级“根本社会原因”与不平等的传染病结果（包括感染、重病和死亡）联系起来的机制。在这篇评论中，我们认为，尽管集中精力研究干预机制是受欢迎且必要的，但如果不检查根本社会原因（包括种族主义、社会经济不平等和社会耻辱）如何在干预机制得到解决的情况下维持感染不平等，这种研究就不能孤立进行。我们借鉴了 Noppert 等人提出的干预机制分类法，为加强根本原因理论与传染病流行病学之间的联系制定了路线图，并讨论了其对未来研究和干预的意义。
