Yıl 2019, Cilt 1 , Sayı 3, Sayfalar 174 - 188 2019-12-15

Abstract

The word syndemics is used to express the aggregation of two or more disease clusters or epidemics in a population within social and environmental context and explain the unexpected increases in burden of diseases. Our knowledge about social, cultural and economic determinants of health and diseases is not new and has an old history. The thing which is new regarding syndemics is the interaction of social conditions with epidemics which exacerbate the prognosis and burden of disease more than expected.

The dynamics of this occurrence is different than epidemics, pandemics and comorbidity and needs to be clarified. However, despite the presence of several efforts to explain the role of psychosocial and structural variables on such interactions, there is no satisfactory formulation regarding the causality mechanisms of syndemics. First syndemics was defined among AIDS patients and high-risk groups of HIV/AIDS infections. Within a short time it was understood that syndemic interactions could occur between several communicable or non-communicable diseases and health problems. Tuberculosis among communicable diseases, and depression, diabetes and obesity among noncommunicable diseases are well known examples. There are studies and publications regarding the syndemic characteristics of sudden infant deaths (SID/SUID), anemia and childhood developmental problems. Results of the studies published in recent two decades indicate the existence of several syndemics which are significant threats to public health. “Syndemic care”, a holistic medicine approach instead of single-disease oriented therapies is needed for struggling these problems. Such an approach shows the necessity and importance of social sciences during the medical education.

Syndemics, syndemic care, public health
  • Anderson, R., Grigsby, A., Freedland, K., De Groot, M., McGill, J.B., Clouse, R.E., Lustman, P.J. (2002). Anxiety and poor glysemic control: A meta-analytic review of the literature. The International Journal of Psychiatry in Medicine, 32,235-247.
  • Bardenheier, B.H., Pavkov, M.E., Winston, C.A., Klosovsky, A., Yen, C., Benoit, S., Gravenstein, S., Posey, D.L., Phares, C.R. (2019). Prevalence of Tuberculosis Disease Among Adult US-Bound Refugees with Chronic Kidney Disease. Journal of Immigrant and Minority Health, 21, 1275-1281.
  • Bartick, M., Tomori, C. (2019). Sudden infant death and social justice: A syndemics approach. Maternal & Child Nutrition, 15,12652.
  • National Cancer Institute. (2007). Greater than the sum: Systems thinking in tobacco control. Tobacco Control Monograph, 06,6085.
  • Chachra, V., Arora, V. (2014). Study on prevalence of diabetes mellitus in patients with TB under DOTS strategy. The Indian Journal of Tuberculosis, 61,65-71.
  • Deuschle, M. (2013). Effects of antidepressants on glucose metabolism and diabetes mellitus type 2 in adults. Current Opinion in Psychiatry, 26,60-65.
  • Diderichsena, F., Andersena, I. (2019). The syndemics of diabetes and depression in Brazil – An epidemiological analysis, Population Health, 7.
  • Editorial. (2014). Diabetes and tuberculosis-a wake-up call. Lancet Diabetes Endocrinol, 2,677. https://www.thelancet.com/action/showPdf?pii=S2213-8587%2814%2970192-5
  • Gonzalez, I.S., Peyrot, M., McCarl, L.A., Collins, E.M., Serpa, L., Mimiaga, M.J., Safren, S.A. (2008). Depression and diabetes treatment nonadherence: A meta-analysis. Diabetes Care, 31,2398-2403.
  • Hays, J. N. (2000). The burdens of disease: Epidemics and human response in western history. Rutgers University Press.
  • Jeon, C. Y., Murray, M. B. (2008). Diabetes mellitus increases the risk of active tuberculosis: a systematic review of 13 observational studies. PLoS medicine, 5,152.
  • Kivimäki, M., Batty, G., Jokela, M., Ebmeier, K.P., Vahtera, J., Virtanen, M., Brunner, E.J., Tabak, A.G., Witte, D.R., Kumari, M., Singh-Manoux, A., Hamer, M. (2011). Antidepressant medication use and risk of hyperglycemia and diabetes mellitus: A noncausal association? Biol Psychiatry, 70,978–984.
  • Knol, M.J., Twisk, J.W., Beekman, A.T., Heine, R.J., Snoek, F.J., Pouwer, F. (2006). Depression as a risk factor for the onset of type 2 diabetes mellitus: A meta-analysis. Diabetologica, 49,837-845.
  • Leone, T., Coast, E., Narayanan, S., De-Graft Aikins, A. (2012). Diabetes and depression comorbidity and socio-economic status in low and middle income countries (LMICs): A mapping of the evidence. Global Health, 8,39.
  • Lerman, S. (2018). The syndemogenesis of depression: Concepts and examples. Medicine Anthropology Theory, 5,56–85.
  • Mendenhall, E. (2012). Syndemic suffering: Social distress, depression, and diabetes among Mexican immigrant women. Walnut Creek, CA: Left Coast Press Inc.
  • Mendelhall, E. (2015). Beyond comorbidity: A critical perspective of syndemic depression and diabetes in cross-cultural contexts. Medical Anthropology Quarterly, 30.462-478.
  • Mendenhall, E., Kohrt, B.A., Norris, S.A., Ndetei, D., Prabhakaran, D. (2017). Non-communicable disease syndemics: poverty, depression, and diabetes among low-income populations. The Lancet. 389,951-963.
  • Milstein, B. (2001). Introduction to the syndemics prevention network. Atlanta: Centers for Disease Control and Prevention.
  • Moulton, C.D., Pickup, J.C., Ismail, K. (2019). The link between depression and diabetes: the research for shared mechanisms. Lancet Diabetes Endocrinol, 3,461-471.
  • Pearson, F., Huangfu, P., McNally, R., Pearce, M., Unwin, N., Critchley, J.A. (2019). Tuberculosis and diabetes: bidirectional association in a UK primary care data set. J Epidemiol Community Health, 73,142-147.
  • Prentice, A., Jebb, S. (2006). TV and inactivity are separate contributors to metabolic risk factors in children . PLoS Medicine, 3,2197-2198.
  • Schmitz, N., Garepy, G., Smith, K.J., Clyde, M., Malla, A., Boyer, R., Strychar, I., Lesage, A., Wang, J. (2014) Recurrent subtreshold depression in type 2 diabetes: an important risk factor for poor health outcomes. Diabetes Care, 37,970-978.
  • Singer, M. (1994). AIDS and the Health Crisis of the US Urban Poor: The Perspective of Critical Medical Anthropology. Social Science and Medicine, 39,931–948.
  • Singer, M. (1996). A Dose of drugs, a touch of violence, a case of AIDS: Conceptualizing the SAVA Syndemic. Free Inquiry in Creative Sociology, 24,99-l 10.
  • Singer, M., Snipes, C. (1992). Generations of suffering: experiences of a treatment program for substance abuse during pregnancy. Journal of Health Care for the Poor and Underserved, 3, 222-34.
  • Swinburn, B.A., Kraak, V.I., Allender, S., Atkins, V.J., Baker, P.I., Bogard, J.R., Brinsden, H., Calvillo, A., De Schutter, O., Devarajan, R., Ezzati, M., Friel, S., Goenka, S., Hammond, R.A., Hastings, G.A., Hawkes, C., Herrero, M., Hovmand, P.S., Howden, M., Jaacks, L.M., Kapetanaki, A.B., Kasman, M., Kuhnlein, H.V., Kumanyika, S.K., Larijani, B., Lobstein, T., Long, M.W., Matsudo, V.K.R., Mills, S.D.H., Morgan, G., Morshed, A., Nece, P.M., Pan, A., Patterson, D.W., Sacks, G., Shekar, M., Simmons, G.L., Smit, W., Tootee, A., Vandevijvere, S., Waterlander, W.E., Wolfenden, L., Dietz, W.H. (2019). The Global Syndemic of Obesity, Undernutrition, and Climate Change: The Lancet Commission report. The Lancet, 393,791-846. http://dx.doi.org/10.1016/S0140-6736(18)32822-8
  • Talbot, F., Nouwen, A. (2000). A review of the relationship between depression and diabetes in adults: is there a link? Diabetes Care, 23,1556-1562.
  • Tran, T., Biggs, B., Holton, S., Nguyen, H., Hanieh, S., Fisher, J. (2019). Co-morbid anaemia and stunting among children of pre-school age in low- and middle-income countries: A syndemic. Public Health Nutrition. 22, 35-43.
  • Tsai A.C. (2018). Syndemics: A theory in search of data or data in search of a theory? Social Science & Medicine, 206, 117–122.
  • Tsai, A.C., Mendenhall, E, Trostle J.A., Kawachi, I. (2017). Co-occurring epidemics, syndemics, and population health. The Lancet. 389,978-982.
  • Tsai A.C., Venkataramani A.S. (2016). Syndemics and health disparities: A methodological note. AIDS Behav. 20, 423–430.
  • Von Grebmer K, Bernstein J, Hossain N, Brown T, Prasai N, Yohannes Y. (2017). 2017 Global Hunger Index: The inequalities of hunger. International Food Policy Research Institute.
  • Weaver, L.J., Mendenhall, E. (2014). Applying syndemics and chronicity: Interpretations from studies of poverty, depression, and diabetes. Medical Anthropology, 33, 92–108.
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Orcid: 0000-0002-9994-5033
Yazar: Osman HAYRAN (Sorumlu Yazar)
Kurum: ISTANBUL MEDIPOL UNIVERSITY
Ülke: Turkey


Yazar: Ömer ATAÇ
Kurum: ISTANBUL MEDIPOL UNIVERSITY
Ülke: Turkey


Tarihler

Yayımlanma Tarihi : 15 Aralık 2019

APA Hayran, O , Ataç, Ö . (2019). Syndemics or Synergistic Epidemics . Journal of Health Systems and Policies , 1 (3) , 174-188 . Retrieved from https://dergipark.org.tr/tr/pub/jhesp/issue/50952/642042