健康的社会决定因素
公共卫生
卫生公平
社会文化进化
上游(联网)
种族主义
医疗保健
医学
经济增长
发展经济学
社会学
环境卫生
经济
护理部
计算机网络
人类学
计算机科学
性别研究
作者
Shivani Agarwal,Alisha N. Wade,Jean Claude Mbanya,Chittaranjan S. Yajnik,Thomas Nicolaï,Leonard E. Egede,Jennifer A. Campbell,Rebekah J. Walker,Louise Maple-Brown,Sian Graham
出处
期刊:The Lancet
[Elsevier]
日期:2023-07-01
卷期号:402 (10397): 235-249
被引量:12
标识
DOI:10.1016/s0140-6736(23)00909-1
摘要
Diabetes is pervasive, exponentially growing in prevalence, and outpacing most diseases globally. In this Series paper, we use new theoretical frameworks and a narrative review of existing literature to show how structural inequity (structural racism and geographical inequity) has accelerated rates of diabetes disease, morbidity, and mortality globally. We discuss how structural inequity leads to large, fixed differences in key, upstream social determinants of health, which influence downstream social determinants of health and resultant diabetes outcomes in a cascade of widening inequity. We review categories of social determinants of health with known effects on diabetes outcomes, including public awareness and policy, economic development, access to high-quality care, innovations in diabetes management, and sociocultural norms. We also provide regional perspectives, grounded in our theoretical framework, to highlight prominent, real-world challenges.
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