Transdisciplinary research strategies for understanding socially patterned disease: the Asthma Coalition on Community, Environment, and Social Stress (ACCESS) project as a case study

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2008

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Ciência & Saúde Coletiva



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Bronchial asthma

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Rosalind J. Wright et al., « Transdisciplinary research strategies for understanding socially patterned disease: the Asthma Coalition on Community, Environment, and Social Stress (ACCESS) project as a case study », Ciência & Saúde Coletiva, ID : 10670/1.bd3a98...


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As we have seen a global increase inasthma in the past three decades it has also becomeclear that it is a socially patterned disease,based on demographic and socioeconomic indicatorsclustered by areas of residence. This trend isnot readily explained by traditional genetic paradigmsor physical environmental exposures whenconsidered alone. This has led to consideration ofthe interplay among physical and psychosocial environmentalhazards and the molecular and geneticdeterminants of risk (i.e., biomedical framing)within the broader socioenvironmental contextincluding socioeconomic position as an upstream“cause of the causes” (i.e., ecological framing).Transdisciplinary research strategies or programsthat embrace this complexity through ashared conceptual framework that integrates diversediscipline-specific theories, models, measures,and analytical methods into ongoing asthma researchmay contribute most significantly towardfurthering our understanding of socially patterneddisease. This paper provides an overview of a multilevel,multimethod longitudinal study, the AsthmaCoalition on Community, Environment andSocial Stress (ACCESS), as a case study to exemplifyboth the opportunities and challenges oftransdisciplinary research on urban asthma expressionin the United States.

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