健康的社会决定因素在轴性脊柱炎疾病结局中的作用：一篇叙述性综述。

IF 9.2 1区医学 Q1 IMMUNOLOGY

Autoimmunity reviews Pub Date : 2025-02-06 DOI:10.1016/j.autrev.2025.103762

Dafne Capelusnik , Annelies Boonen , Sofia Ramiro , Elena Nikiphorou

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引用次数: 0

摘要

本综述对影响轴性脊柱炎（axSpA）预后的各种健康社会决定因素的文献进行了叙述性探索。通过使用PROGRESS-Plus框架（居住地、种族、职业、性别/性别、宗教、教育、社会经济地位、社会资本、年龄），本综述讨论了如何研究这些因素及其对axSpA疾病结局的影响。研究结果表明，各种患者层面的因素（如女性、蓝领工作、低教育水平）和国家层面的因素（如低收入国家）与非洲国家较差的健康结果有关。这些见解强调了在管理axSpA患者时采取多方面和整体方法的重要性，该方法还考虑到健康的社会决定因素。这项工作还确定了该领域未满足的需求，包括在考虑axSpA次优结果的驱动因素时，超越生物因素思考的重要性。

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The role of social determinants of health on disease outcomes in axial spondyloarthritis: A narrative review

This review provides a narrative exploration of the literature on various social determinants of health that influence outcomes in axial Spondyloarthritis (axSpA). By using the PROGRESS-Plus framework (place of residence, race, occupation, gender/sex, religion, education, socioeconomic status, social capital, age), this review discusses how these factors have been studied and their impact on disease outcomes in axSpA. The findings suggest that various patient-level factors (e.g. female sex, blue-collar jobs, low educational level) and country-level factors (e.g. low-income countries) associate with worse health outcomes in axSpA. These insights highlight the importance of adopting a multifaceted and holistic approach, that also considers social determinants of health, when managing patients with axSpA. This work also identifies unmet needs in this area including the importance of thinking beyond just biological factors, when considering drivers of suboptimal outcomes in axSpA.

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来源期刊

Autoimmunity reviews 医学-免疫学

CiteScore

24.70

自引率

4.40%

发文量

164

审稿时长

21 days

期刊介绍： Autoimmunity Reviews is a publication that features up-to-date, structured reviews on various topics in the field of autoimmunity. These reviews are written by renowned experts and include demonstrative illustrations and tables. Each article will have a clear "take-home" message for readers. The selection of articles is primarily done by the Editors-in-Chief, based on recommendations from the international Editorial Board. The topics covered in the articles span all areas of autoimmunology, aiming to bridge the gap between basic and clinical sciences. In terms of content, the contributions in basic sciences delve into the pathophysiology and mechanisms of autoimmune disorders, as well as genomics and proteomics. On the other hand, clinical contributions focus on diseases related to autoimmunity, novel therapies, and clinical associations. Autoimmunity Reviews is internationally recognized, and its articles are indexed and abstracted in prestigious databases such as PubMed/Medline, Science Citation Index Expanded, Biosciences Information Services, and Chemical Abstracts.