Nousak Samantha
Center for Public Policy and Health, Kent State University, Kent, Ohio, USA.
Sociol Health Illn. 2025 Jan;47(1):e13875. doi: 10.1111/1467-9566.13875.
Fundamental Cause Theory (FCT) offers a unique middle range and longitudinal understanding of the lasting social causational relationships between certain social conditions and disease/death. In this research note, I argue that FCT should extend its outcome measures beyond physical disease and death into holistic health. I briefly review how FCT is evaluated, explore the proposed extension and discuss some operational and conceptual challenges using mental illness and positive mental health outcomes as exemplars. I conclude by discussing the benefits of extending FCT for 1) the theory's own validity, 2) social health inequalities research more broadly, and 3) public health policy.
基本病因理论(FCT)对特定社会状况与疾病/死亡之间持久的社会因果关系提供了一种独特的中观层面和纵向理解。在本研究报告中,我认为基本病因理论应将其结果衡量指标从身体疾病和死亡扩展到整体健康。我简要回顾了基本病因理论是如何被评估的,探讨了提议的扩展内容,并以精神疾病和积极心理健康结果为例讨论了一些操作和概念上的挑战。最后,我讨论了扩展基本病因理论在以下三个方面的益处:1)该理论自身的有效性;2)更广泛的社会健康不平等研究;3)公共卫生政策。