Journal of Bioethical Inquiry

, Volume 13, Issue 2, pp 193–202

Socio-Genomics and Structural Competency

Symposium: Structural Competency

DOI: 10.1007/s11673-016-9716-2

Cite this article as:
Conley, D. & Malaspina, D. Bioethical Inquiry (2016) 13: 193. doi:10.1007/s11673-016-9716-2


Adverse developmental exposures and pathologies of the social environment make vastly greater contributions to the leading health burdens in society than currently known genotypic information. Yet, while patients now commonly bring information on single alleles to the attention of their healthcare team, the former conditions are only rarely considered with respect to future health outcomes. This manuscript aims to integrate social environmental influences in genetic predictive models of disease risk. Healthcare providers must be educated to better understand genetic risks for complex diseases and the specific health consequences of societal adversities, to facilitate patient education, disease prevention, and the optimal care in order to achieve positive health outcomes for those with early trauma or other social disadvantage.


Epigenetic Genotype Environment Health Structural competency Medical education Social genomics 

Copyright information

© Journal of Bioethical Inquiry Pty Ltd. 2016

Authors and Affiliations

  1. 1.Department of SociologyPrinceton University; and the National Bureau of Economic ResearchPrincetonUSA
  2. 2.Departments of Psychiatry and Child and Adolescent PsychiatryNYU Langone Medical CenterNew YorkUSA

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