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If you go to a minority-serving VA hospital
如果你到少数裔退伍军人的医院去就诊
you are less likely to get this diagnostic test
你很少被要求做这种检查
Why do black men have a shorter life expectancy
为什么黑人男性的寿命
than white men?
比白人男性的寿命短
And why is this backwards in prison?
为什么监狱中的情况却恰恰相反?
Why are black women diagnosed with breast cancer
为什么黑人女性确诊了乳腺癌之后
less likely than white women
5年存活期的可能性
to survive 5 years after diagnosis?
比白人女性低?
Why is it that even though Hispanic women
为什么尽管西班牙裔女性
are 40% less likely than white women
比白人女性得乳腺癌的比例
to develop breast cancer
低40%
breast cancer is still the leading cause of cancer death
但乳腺癌仍然是
among Hispanic women?
造成西班牙裔女性死亡的首要原因?
You know, these are biological reasons
这些是由于生物因素引起的
or the social or environmental factors involved here
还是社会及环境因素引起的?
Why is it that people from low-income neighborhoods
为什么低收入社区
are less likely to get angiography?
拥有血管造影设备的可能性较低?
Irrespective of race also
这个问题也不要考虑人种
So here we got a model
我们这里有一个模型
We've got squish in the bottom here
最下面有一栏
So what's on this oval
看看中间椭圆框中有什么
So we have individual level variable
我们看到这里有个人因素变量
So building a socioecological model
创建一个社会生态模型
I don't know if...
我不太清楚
how many people here are familiar with socioecological models
你们有多少人熟悉社会生态模型
But so you have individuals
但这里必须考虑个人变量
their behavior, their genetics
个人的行为 他们的基因
their environment that leads to how they sleep
他们的环境都会对他们如何睡眠产生影响
but this person is embedded in a social context
但这个人是生活在社会背景下的个体
So these are all factors
所以这些因素
that affect the variables on the individual level
都会对个体变量产生影响
Their religion, their culture
他们的宗教信仰 他们的文化
their neighborhood, their social networks
他们所在地社区 他们的社会人际关系
And I use, particularly highlighted work and school
我特别强调了工作和学校
family and home
家族和家庭的影响
that not only bridge the individual to the social level
因为这些因素不仅是个体和社会之间的桥梁
but also interact with each other
而且这些因素之间还存在互动
