Under-resourced clinics with more challenging patients may underlie poor chronic disease outcomes of minorities

2009 ◽  
Keyword(s):  
Chronic Disease ◽  
Disease Outcomes

Adverse Childhood Experiences as “Upstream” Determinants of Lifestyle-Related Chronic Disease: A Scoping Perspective

2021 ◽  
pp. 155982762110012
Author(s):  
Garry Egger ◽  
Andrew Binns ◽  
Bob Morgan ◽  
John Stevens
Keyword(s):  
Chronic Disease ◽  
Adverse Childhood Experiences ◽  
Health Problems ◽  
Lifestyle Medicine ◽  
Childhood Experiences ◽  
Disease Outcomes ◽  
Adverse Childhood ◽  
Chronic Disorders ◽  
Distal Disease ◽  
Upstream Determinants

We have previously proposed a list of determinants (causes) of modern lifestyle-related chronic disorders, which provides a structure for the emerging discipline of lifestyle medicine. This consists of lifestyle factors with a common immune biomarker ( metaflammation) that interact in a systems fashion linked with chronic disease outcomes. We considered this to be a work in progress and later added 3 psychosocial determinants into the causal mix: meaninglessness, alienation, and loss of culture and identity (MAL). Here, we propose adverse childhood experiences (ACEs) as deeper, or even more distal, disease drivers that may act directly or indirectly through MAL to influence later chronic disease. The links with metaflammation and the need for recognition of these embedded scars in the management of lifestyle-related health problems is discussed.

scholarly journals The Influence of Socioeconomic Status Over the Lifespan on Chronic Disease Outcomes

2006 ◽  
Vol 163 (suppl_11) ◽  
pp. S65-S65
Author(s):  
R E Clavers ◽  
D M Nondahl ◽  
K J Cruickshanks ◽  
B E K Klein ◽  
R Klein ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Chronic Disease ◽  
Disease Outcomes

Association of Team Structure and Chronic Disease Outcomes: Biomarker Evidence from U.S. Primary Care Clinics

2021 ◽  
Vol 56 (S2) ◽  
pp. 69-69
Author(s):  
Maximilian Pany ◽  
Lucy Chen ◽  
Bethany Sheridan ◽  
Robert Huckman
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Team Structure ◽  
Primary Care Clinics ◽  
Disease Outcomes
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