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

Abstract:

:As we have seen a global increase in asthma in the past three decades it has also become clear that it is a socially patterned disease, based on demographic and socioeconomic indicators clustered by areas of residence. This trend is not readily explained by traditional genetic paradigms or physical environmental exposures when considered alone. This has led to consideration of the interplay among physical and psychosocial environmental hazards and the molecular and genetic determinants of risk (i.e., biomedical framing) within the broader socioenvironmental context including socioeconomic position as an upstream "cause of the causes" (i.e., ecological framing). Transdisciplinary research strategies or programs that embrace this complexity through a shared conceptual framework that integrates diverse discipline-specific theories, models, measures, and analytical methods into ongoing asthma research may contribute most significantly toward furthering our understanding of socially patterned disease. This paper provides an overview of a multilevel, multimethod longitudinal study, the Asthma Coalition on Community, Environment and Social Stress (ACCESS), as a case study to exemplify both the opportunities and challenges of transdisciplinary research on urban asthma expression in the United States.

journal_name

Cien Saude Colet

journal_title

Ciencia & saude coletiva

authors

Wright RJ,Suglia SF,Levy J,Fortun K,Shields A,Subramanian S,Wright R

doi

10.1590/s1413-81232008000600008

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

1729-42

issue

6

eissn

1413-8123

issn

1678-4561

pii

S1413-81232008000600008

journal_volume

13

pub_type

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