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An ecological framework for population health and well-being
Nicolaas P Pronk1, Colin Woodard2, Frederick J Zimmerman3
1HealthPartners Institute, Minneapolis, MN, USA; Department of Health Policy and Management, University of Minnesota, Minneapolis, MN, USA; Healthy Living for Pandemic Event Protection (HL - PIVOT) Network, Chicago, IL, USA.
Progress in Cardiovascular Diseases
|March 28, 2025
Summary
This study presents an ecological framework to understand complex social and structural determinants of population health. It highlights how cultural norms, social capital, and power dynamics influence health and well-being outcomes.
Area of Science:
- Public Health
- Sociology
- Health Systems Research
Background:
- Social and structural determinants significantly impact population health and well-being.
- These determinants involve complex, interdependent, and multilevel interactions.
- Existing frameworks may not fully capture the dynamic nature of these factors.
Purpose of the Study:
- To introduce an evidence-informed ecological framework for understanding population health drivers.
- To organize feedback mechanisms contributing to health and well-being.
- To support prevention and management strategies for health issues.
Main Methods:
- Development of an ecological framework integrating multiple factors.
- Identification of key drivers and feedback mechanisms.
- Inclusion of social capital and power dynamics as critical components.
Main Results:
- The framework organizes complex social and structural drivers of health.
- It emphasizes the role of social capital and healthy power dynamics.
- Dominant cultural norms are identified as overarching drivers influencing infrastructure and behavior.
Conclusions:
- The proposed ecological framework offers a comprehensive approach to population health.
- It provides a tool for explanatory and exploratory analysis of health determinants.
- Understanding cultural norms, social capital, and power dynamics is crucial for improving population health and well-being.
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