Beyond traditional paradigms in disparities research

Michael Christopher Gibbons, Malcolm Brock, Anthony J. Alberg, Thomas Glass, Thomas A. Laveist, Stephen Baylin, David Levine, Claude Fox

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Recently several researchers have hypothesized pathways that attempt to explain how the sociobehavioral environment is related to health and health disparities (Acheson, 1998; Adler & Ostrove, 1999; Baum, Garofalo, & Yali, 1999; Birch, 1999; Capitman, Bhalotra, Calderon-Rosado, & Gibbons, 2003; Fuhrer et al., 2002; Macintyre, 1997; Macintyre, Ellaway, & Cummins, 2002; Williams, 1999). Historically these conceptual frameworks have formed a solid foundation upon which science has been built. Upon review of these frameworks, it is possible to make at least three general observations. The first is the lack of depth to which they integrate our present understanding of the biology of disease, particularly at the cellular and molecular levels. With the exception of those pathways based on stress (neuroimmunological) mechanisms, the published frameworks in the behavioral sciences and epidemiological literature largely lack clearly stated, causal biologic connections to observed health outcomes (Acheson; Adler & Ostrove; Evans & Stoddart, 1990; LaLonde, 1981; Macintyre; Williams). On the other hand, the biologically oriented formulations poorly account for socioenvironmental and behavioral effect modifiers that may affect the pathogenesis of disease and the development of health disparities (Burger & Gimelfarb, 1999; Meyer & Breitner, 1998; Phillips & Belknap, 2002; Sharma, 1998).

Original languageEnglish
Title of host publicationeHealth Solutions for Healthcare Disparities
PublisherSpringer New York
Pages129-144
Number of pages16
ISBN (Print)9780387728148
DOIs
StatePublished - Dec 1 2008
Externally publishedYes

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ASJC Scopus subject areas

  • Medicine(all)

Cite this

Gibbons, M. C., Brock, M., Alberg, A. J., Glass, T., Laveist, T. A., Baylin, S., ... Fox, C. (2008). Beyond traditional paradigms in disparities research. In eHealth Solutions for Healthcare Disparities (pp. 129-144). Springer New York. https://doi.org/10.1007/978-0-387-72815-5_12

Beyond traditional paradigms in disparities research. / Gibbons, Michael Christopher; Brock, Malcolm; Alberg, Anthony J.; Glass, Thomas; Laveist, Thomas A.; Baylin, Stephen; Levine, David; Fox, Claude.

eHealth Solutions for Healthcare Disparities. Springer New York, 2008. p. 129-144.

Research output: Chapter in Book/Report/Conference proceedingChapter

Gibbons, MC, Brock, M, Alberg, AJ, Glass, T, Laveist, TA, Baylin, S, Levine, D & Fox, C 2008, Beyond traditional paradigms in disparities research. in eHealth Solutions for Healthcare Disparities. Springer New York, pp. 129-144. https://doi.org/10.1007/978-0-387-72815-5_12
Gibbons MC, Brock M, Alberg AJ, Glass T, Laveist TA, Baylin S et al. Beyond traditional paradigms in disparities research. In eHealth Solutions for Healthcare Disparities. Springer New York. 2008. p. 129-144 https://doi.org/10.1007/978-0-387-72815-5_12
Gibbons, Michael Christopher ; Brock, Malcolm ; Alberg, Anthony J. ; Glass, Thomas ; Laveist, Thomas A. ; Baylin, Stephen ; Levine, David ; Fox, Claude. / Beyond traditional paradigms in disparities research. eHealth Solutions for Healthcare Disparities. Springer New York, 2008. pp. 129-144
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