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- Title
Exposure, Susceptibility, and Recovery: A Framework for Examining the Intersection of the Social and Physical Environments and Infectious Disease Risk.
- Authors
Noppert, Grace A; Hegde, Sonia T; Kubale, John T
- Abstract
Despite well-documented evidence that structurally disadvantaged populations are disproportionately affected by infectious diseases, our understanding of the pathways that connect structural disadvantage to the burden of infectious diseases is limited. We propose a conceptual framework to facilitate more rigorous examination and testing of hypothesized mechanisms through which social and environmental factors shape the burden of infectious diseases and lead to persistent inequities. Drawing upon the principles laid out by Link and Phelan in their landmark paper on social conditions (J Health Soc Behav. 1995;(spec no.):80–94), we offer an explication of potential pathways through which structural disadvantage (e.g. racism, sexism, and economic deprivation) operates to produce infectious disease inequities. Specifically, we describe how the social environment affects an individual's risk of infectious disease by 1) increasing exposure to infectious pathogens and 2) increasing susceptibility to infection. This framework will facilitate both the systematic examination of the ways in which structural disadvantage shapes the burden of infectious disease and the design of interventions that can disrupt these pathways.
- Subjects
RACISM; COMMUNICABLE diseases; SEXISM; CONVALESCENCE; CONCEPTUAL structures; SOCIAL context; RISK assessment; SOCIOECONOMIC factors; DISEASE susceptibility; VECTOR-borne diseases; INFECTIOUS disease transmission; HEALTH equity; DISEASE risk factors
- Publication
American Journal of Epidemiology, 2023, Vol 192, Issue 3, p475
- ISSN
0002-9262
- Publication type
Article
- DOI
10.1093/aje/kwac186