[健康的社会决定,复杂性,殖民性和长期]
1Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Cadernos de saude publica
|February 12, 2025
概括
这篇文章探讨了健康的时间,殖民性和社会决定因素如何交叉,强调全球南方的观点. 整合长期历史分析可以提高公众健康的理解,超越欧洲中心的框架.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 脱殖民研究 脱殖民研究
背景情况:
- 健康的社会决定是一个关键的概念,但时间在公共卫生中的作用仍然未被充分探索.
- 现有的框架往往反映了北美和欧洲中心的偏见,忽视了全球南方的贡献.
研究的目的:
- 连接关于健康,殖民和时间作为认识论基础的社会决定的关键知识.
- 通过纳入非权思想,更新关于健康社会决定因素的辩论.
- 探索公共卫生与长期历史分析和脱殖民思想的交叉点.
主要方法:
- 重新审视健康的社会决定的历史基础.
- 分析了阿尔梅达·菲尔霍 (Naomar de Almeida Filho) 和杰米·布雷尔 (Jaime Breilh) 的贡献.
- 融合了费尔南德·布劳德尔的长期概念和伊曼纽尔·瓦勒斯坦的世界体系.
- 应用去殖民思想及其殖民性的概念.
主要成果:
- 时间是跨学科公共卫生工作中至关重要的,但却未被充分考虑的因素.
- 殖民主义通过产生不平等和影响流行病学概念来显著塑造健康.
- 费尔南德·布劳德尔对多重时间性的概念和去殖民时期的反思提供了对健康的有价值的见解.
结论:
- 从认识论上将时间整合到流行病学反思中,可以揭示历史上的擦除.
- 脱殖民主义的观点和长期的历史分析对于更复杂地理解健康决定因素至关重要.
- 在健康研究中,需要进一步探索布劳德尔的longue durée,沃勒斯坦的世界体系和非殖民思想.
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