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Theory of fundamental causes
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Theory of fundamental causes : ウィキペディア英語版
Theory of fundamental causes
In 1995, Jo C. Phelan and Bruce G. Link developed the theory of fundamental causes. This theory seeks to outline why the association between socioeconomic status (SES) and health disparities has persisted over time, particularly when diseases and conditions previously thought to cause morbidity and mortality among low SES individuals have resolved. 〔Phelan, JC, Link BG, and Tehranifar, P. (2010). Social conditions as fundamental causes of health inequalities: Theory, evidence, and policy implications. ''Journal of Health and Social Behavior''. 51, S28-S40.〕 The theory states that an ongoing association exists between SES and health status because SES “embodies an array of resources, such as money, knowledge, prestige, power, and beneficial social connections that protect health no matter what mechanisms are relevant at any given time.” In other words, despite advances in screening techniques, vaccinations, or any other piece of health technology or knowledge, the underlying fact is that those from low SES communities lack resources to protect and/or improve their health.
== Key Components ==
According to Link and Phelan, a fundamental social cause of health inequalities has four key components:
# The cause influences multiple disease outcomes
# The cause affects disease outcomes through multiple risk factors.
# The cause involves access to resources that can assist in avoiding health risks or to minimize the sequelae of disease once it occurs.
# “The association between a fundamental cause and health is reproduced over time via the replacement of intervening mechanisms” 〔
By these criteria, SES is a fundamental cause for healthcare disparities.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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