Social Determinants: Taking the Social Context of Asthma Seriously

Overview

Journal Pediatrics

Specialty Pediatrics

Date 2009 Feb 18

PMID 19221161

Citations 132

Authors

David R Williams

Michelle Sternthal

Rosalind J Wright

Affiliations

Soon will be listed here.

Abstract

Although asthma has emerged as a major contributor to disease and disability among US children, the burden of this disease is unevenly distributed within the population. This article provides a brief overview of social-status variables that predict variations in asthma risks and social exposures, such as stress and violence, that are emerging as important risk factors. The central focus of the article is on the distal social variables that have given rise to unhealthy residential environments in which the risk factors for asthma and other diseases are clustered. Effective initiatives for the prevention and treatment of childhood asthma need to address these nonmedical determinants of the prevalence of asthma.

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