Globalization and social determinants of health: The role of the global marketplace (part 2 of 3).

Globalization and social determinants of health: The role of the global marketplace (part 2 of 3).
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DOI:
10.1186/1744-8603-3-6
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发表时间:
2007-06-19
影响因子:
10.8
通讯作者:
Schrecker T
Schrecker T
中科院分区:
医学2区
文献类型:
--
作者:
Labonté R;Schrecker T

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全球化是研究健康的社会决定因素(SDH)的关键背景:广义地说,SDH是人们生活和工作的条件,影响他们过上健康生活的机会。在这三部分系列的第一篇文章中,我们描述了为世界卫生组织健康的社会决定因素委员会的全球化知识网络开展的系列工作的起源,以及委员会对健康公平的具体关注。我们确定并捍卫了全球化的定义,该定义将跨国经济一体化的驱动因素和影响放在首位,并在研究全球化对SDH的影响及其分布时解决了一些重要的概念和方法问题,强调需要采取反映该主题复杂性的跨学科方法。在这第二篇文章中,我们确定并描述了几个经常相互作用的路径集群,这些路径导致从全球化到SDH的变化,这些路径与健康公平相关。这些问题包括:贸易自由化;生产和劳动力市场的全球重组;债务危机和经济结构调整;金融自由化;城市环境;有形环境的影响;以及全球市场改变的保健系统。
Globalization is a key context for the study of social determinants of health (SDH): broadly stated, SDH are the conditions in which people live and work, and that affect their opportunities to lead healthy lives. In the first article in this three part series, we described the origins of the series in work conducted for the Globalization Knowledge Network of the World Health Organization's Commission on Social Determinants of Health and in the Commission's specific concern with health equity. We identified and defended a definition of globalization that gives primacy to the drivers and effects of transnational economic integration, and addressed a number of important conceptual and methodological issues in studying globalization's effects on SDH and their distribution, emphasizing the need for transdisciplinary approaches that reflect the complexity of the topic. In this second article, we identify and describe several, often interacting clusters of pathways leading from globalization to changes in SDH that are relevant to health equity. These involve: trade liberalization; the global reorganization of production and labour markets; debt crises and economic restructuring; financial liberalization; urban settings; influences that operate by way of the physical environment; and health systems changed by the global marketplace.
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发表时间: 2004-01-01
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