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Related Experiment Videos

Social inclusion/exclusion: dancing the dialectic.

Ronald Labonte1

  • 1Department of Community Health and Epidemiology, University of Saskatchewan, Saskatoon, Canada. ronald.labonte@usask.ca

Health Promotion International
|February 21, 2004
PubMed
Summary

The study examines the shift from community to social concepts in health, like social inclusion and exclusion. It cautions that while useful for addressing inequalities, these concepts require critical examination before adoption.

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Area of Science:

  • Public Health
  • Sociology
  • Health Policy

Background:

  • Shift from 'community' concepts (e.g., empowerment) to 'social' concepts (e.g., social capital, cohesion) in health discourse.
  • Re-labeling phenomena may be a strategy to highlight economic and power inequalities stemming from unregulated markets.
  • Social concepts offer advantages over community concepts by focusing attention on broader political systems.

Purpose of the Study:

  • To critically examine the concepts of social inclusion and social exclusion in health.
  • To assess the risks and utility of adopting these newer social constructs.
  • To encourage careful questioning of the premises underlying social inclusion and exclusion frameworks.

Main Methods:

  • Conceptual analysis of health terminology.
  • Review of the evolution of social and community concepts in health research and policy.
  • Critical examination of the theoretical underpinnings of social inclusion/exclusion.

Main Results:

  • Social inclusion and exclusion represent a conceptual advancement over social capital and cohesion.
  • There are inherent risks in adopting these concepts without critical scrutiny.
  • The utility of social inclusion/exclusion is significant, especially given rising inequalities.

Conclusions:

  • The concepts of social inclusion and social exclusion, while sophisticated, require careful consideration of their foundational assumptions.
  • Adopting these concepts necessitates understanding how they address systemic exclusion.
  • Critical engagement with social inclusion and exclusion is vital for effectively tackling growing inequalities.

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