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Biological Basis of Determinants of Health

Bibliographic Data

ID11035254
AuthorsWalter M Bortz (0000-0002-0936-4164, Walter M. Bortz. MD, is with the Stanford University School of Medicine, Portola Valley, Calif., corresponding author)
Year2005
Volume95
Issue3
Pages389-392
Publication date2005-03-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2003.033324
PMID15727964
PMCIDPMC1449189
OpenAlexW2134002702
LanguageEN
References cited22

Clinical medicine and health policy planning find common cause as they seek to define the determinants of health. There is substantial recent interest in the social ecology in which health is embedded. However, biology is where these contributing environmental factors are translated. I provide a new conceptual framework for the biological determinants of health. The old public health rubric of host, agent, and environment as the features that define the root elements of health is an impoverished scheme, because it does not represent our new appreciation of genetic and aging contributions to phenotypic health. I propose genes, external agency, internal agency, and aging as more operationally helpful determinants that effectively describe the biological experience of the organism. This scheme has the advantage of differentiating those agencies that are practically approachable, and therefore deserving of increased attention and investment, and those that are currently intractable

Agency (philosophy) · Bioinformatics · Biology · Biomedicine · Environmental health · Organism · Public health · Rubric · Social determinants of health · Social science · Sociology · Genetics · Genetics, Aging, and Longevity in Model Organisms · Health, Environment, Cognitive Aging · Medicine · Nutrition, Genetics, and Disease · Psychology · Health Policy

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Highly citedNo

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