Thinking with and Against the Social Determinants of Health: The Latin American Social Medicine (Collective Health) Critique from Jaime Breilh
Thinking with and Against the Social Determinants of Health: The Latin American Social Medicine (Collective Health) Critique from Jaime Breilh
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DOI：
10.1177/00207314221122657
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发表时间：
2022-09-01
影响因子：
3.4
通讯作者：
Holmes, Seth M.
中科院分区：
文献类型：
--
作者：
Harvey, Michael;Pinones-Rivera, Carlos;Holmes, Seth M.
在过去的三十年里，健康的社会决定因素的概念在英语国家的公共卫生中越来越被接受和主流化。此外，它已被广泛采用到不同的地理，社会文化和语言环境。通过认识到社会条件在影响健康不平等方面的作用，这一概念挑战了对健康的狭隘的行为和还原生物学理解。尽管如此，学者和活动家批评健康的社会决定因素的概念是不完整的，甚至歪曲了健康不平等的真实性质。可以说，这些批评在拉丁美洲社会医学和集体健康传统工作者中得到了最彻底的发展，他们在健康的社会决定因素出现之前几十年就提出了“健康的社会决定”范式和跨文化概念。我们借鉴Jaime Breilh的主要作品，重点是最近出版的书，关键流行病学和人民的健康，（1）提供健康范式的社会决定及其跨文化方法的广泛概述和（2）澄清这些想法和更广泛的集体健康运动如何挑战健康概念的社会决定因素内的假设。
The concept of the social determinants of health has become increasingly accepted and mainstream in anglophone public health over the past three decades. Moreover, it has been widely adopted into diverse geographic, sociocultural, and linguistic contexts. By recognizing the role of social conditions in influencing health inequalities, the concept challenges narrow behavioral and reductive biological understandings of health. Despite this, scholars and activists have critiqued the concept of the social determinants of health for being incomplete and even misrepresenting the true nature of health inequities. Arguably, these critiques have been most thoroughly developed among those working in the Latin American social medicine and collective health traditions who formulated the "social determination of health" paradigm and the concept of interculturality decades prior to the advent of the social determinants of health. We draw on Jaime Breilh's main works, with a focus on the recently published book, Critical Epidemiology and the People's Health, to (1) provide a broad overview of the social determination of health paradigm and its approach to interculturality and (2) clarify how these ideas and the broader collective health movement challenge assumptions within the social determinants of health concept.