重新政治化世卫组织的健康框架的社会决定因素
Canan Karatekin1, Bria Gresham1, Andrew J Barnes2
1Institute of Child Development, University of Minnesota, 51 E. River Road, Minneapolis, MN 55416, USA.
Health promotion international
|September 25, 2024
概括
世界卫生组织关于健康社会决定因素的框架需要重新政治化,以包括权力动态. 扩展的研究应该集中在塑造卫生公平结构性决定因素的代理人上.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 研究 健康 公平 研究
- 政治科学与健康 政策科学与健康
背景情况:
- 世界卫生组织 (WHO) 关于健康和健康不平等的社会和结构性决定因素 (SSDHHI) 框架提高了认识,但缺乏关于政治和权力的深度.
- 这个框架随着时间的推移而去政治化,转向下游,个人化因素来定义社会决定因素.
- 关于健康的法律,商业和政治决定因素的新兴研究仍未充分融入更广泛的SSDHHI框架.
研究的目的:
- 倡导重新政治化和扩大世卫组织的SSDHHI框架.
- 在塑造健康的结构性决定因素时,纳入具有力量的代理及其机制.
- 提供结构性决定因素的详细概念化以及评估研究的指导方针.
主要方法:
- 概念分析和框架开发.
- 关于基于上游/下游重点和包括功率动态的研究评估指南的建议.
- 鼓励对代理人,权力和结构决定因素之间的相互作用进行研究.
主要成果:
- 确定需要将政治和权力动态整合到SSDHHI框架中.
- 提出了一个评估健康结构决定因素研究的框架.
- 强调研究法律和政策之外的广泛经济和社会政治体系的重要性.
结论:
- 重新政治化和扩展SSDHHI框架对于解决健康不平等至关重要.
- 未来的研究应该专注于代理人,力量机制和系统结构决定因素.
- 这种方法可以为推动结构变革的倡导提供信息,并促进人权获得健康.
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