評論
打印
If you go to a minority-serving VA hospital
如果你到少數裔退伍軍人的醫院去就診
you are less likely to get this diagnostic test
你很少被要求做這種檢查
Why do black men have a shorter life expectancy
為什么黑人男性的壽命
than white men?
比白人男性的壽命短
And why is this backwards in prison?
為什么監獄中的情況卻恰恰相反?
Why are black women diagnosed with breast cancer
為什么黑人女性確診了乳腺癌之后
less likely than white women
5年存活期的可能性
to survive 5 years after diagnosis?
比白人女性低?
Why is it that even though Hispanic women
為什么盡管西班牙裔女性
are 40% less likely than white women
比白人女性得乳腺癌的比例
to develop breast cancer
低40%
breast cancer is still the leading cause of cancer death
但乳腺癌仍然是
among Hispanic women?
造成西班牙裔女性死亡的首要原因?
You know, these are biological reasons
這些是由于生物因素引起的
or the social or environmental factors involved here
還是社會及環境因素引起的?
Why is it that people from low-income neighborhoods
為什么低收入社區
are less likely to get angiography?
擁有血管造影設備的可能性較低?
Irrespective of race also
這個問題也不要考慮人種
So here we got a model
我們這里有一個模型
We've got squish in the bottom here
最下面有一欄
So what's on this oval
看看中間橢圓框中有什么
So we have individual level variable
我們看到這里有個人因素變量
So building a socioecological model
創建一個社會生態模型
I don't know if...
我不太清楚
how many people here are familiar with socioecological models
你們有多少人熟悉社會生態模型
But so you have individuals
但這里必須考慮個人變量
their behavior, their genetics
個人的行為 他們的基因
their environment that leads to how they sleep
他們的環境都會對他們如何睡眠產生影響
but this person is embedded in a social context
但這個人是生活在社會背景下的個體
So these are all factors
所以這些因素
that affect the variables on the individual level
都會對個體變量產生影響
Their religion, their culture
他們的宗教信仰 他們的文化
their neighborhood, their social networks
他們所在地社區 他們的社會人際關系
And I use, particularly highlighted work and school
我特別強調了工作和學校
family and home
家族和家庭的影響
that not only bridge the individual to the social level
因為這些因素不僅是個體和社會之間的橋梁
but also interact with each other
而且這些因素之間還存在互動
