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Ann Glob Health ; 86(1): 114, 2020 09 03.
Artigo em Inglês | MEDLINE | ID: mdl-32944511


Solidarity in the general sense means unity or agreement of feeling or action, especially among individuals with a common interest; or mutual support within a group. There are different ways of standing in solidarity in different kinds of literatures. One of the most important ways is to advocate. Advocacy is a win-win strategy and a process of supporting and enabling people to express their views and concerns. In the end, I think sharing different types of solidarity can be one of the drivers that stimulate the solidarity itself, and I call on everyone to contribute to this sharing. I hope that this solidarity, which began in the world with the beginning of COVID-19, will not end with its end and will last forever because our world needs coexistence. This may be the only gift to the world from COVID-19.

Infecções por Coronavirus , Saúde Global , Cooperação Internacional , Pandemias , Pneumonia Viral , Justiça Social , Betacoronavirus , Comportamento Cooperativo , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Saúde Global/ética , Saúde Global/tendências , Humanos , Pandemias/ética , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Justiça Social/ética , Justiça Social/tendências , Responsabilidade Social
OMICS ; 24(11): 645-648, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32986539


Health futures are not preordained, nor are they entirely predictable by extrapolation from the past. This is particularly relevant in an era of unprecedented uncertainties converging from the COVID-19 pandemic, multiple zoonotic outbreaks for the past two decades, and the climate crisis currently unfolding. Moreover, the Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services cautioned in 2019 that around one million animal and plant species are threatened with extinction. Human existence and medical innovations are closely intertwined with preservation and sustainability of biodiversity. COVID-19 is a "dry run" for future ecological crises in the 21st century. We need new frames and ways of conceptualizing planetary health, biodiversity futures, and their principled governance post-COVID-19. In this article, I propose "One Nature" as a critically informed planetary health governance frame, and outline its key conceptual pillars. One Nature aims to transcend the socially constructed binaries between humans versus nature, humans versus nonhuman animals or inanimate objects in nature, among other false binaries, and thus, envisions nature as an overlapping, interdependent, and co-constitutive continuum among life forms and ecosystems. One Nature also recognizes animal sentience and agency of nonhuman animals. In doing so, the One Nature governance frame places a firm emphasis on the internal levers of social change and the human values essential to cultivate collective action to curb unchecked extraction of nature that placed human societies in harm's way for future health crises. One Nature is a governance frame and reflexive value system that can be transformative to correct the astigmatism we have long suffered, from the ways in which we have conceived, enacted on, and extracted the natural systems over the centuries. All in all, One Nature supports planetary health and biodiversity through a new vocabulary and post-anthropocentric critical governance lens, and shall help formulate progressive policies to prevent zoonotic outbreaks and future ecological crises.

Infecções por Coronavirus/epidemiologia , Assistência à Saúde/tendências , Saúde Global/tendências , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Telemedicina/tendências , Zoonoses/prevenção & controle , Animais , Betacoronavirus/patogenicidade , Biodiversidade , Infecções por Coronavirus/transmissão , Infecções por Coronavirus/virologia , Ecossistema , Saúde Global/ética , Humanos , Pneumonia Viral/transmissão , Pneumonia Viral/virologia , Política , Justiça Social/tendências , Teoria Social , Terminologia como Assunto
Health Syst Reform ; 5(4): 322-333, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31684816


Collective financing, in the form of either public domestic revenues or pooled donor funding, at the country level is necessary to finance common goods for health, which are population-based functions or interventions that contribute to health and have the characteristics of public goods. Financing of common goods for health is an important part of policy efforts to move towards Universal Health Coverage (UHC). This paper builds from country experiences and budget documents to provide an evidence-based argument about how government and donor financing can be reorganized to enable more efficient delivery of common goods for health. Issues related to fragmentation of financing-within the health sector, across sectors, and across levels of government-emerge as key constraints. Effectively addressing fragmentation issues requires: (i) pooling funding and consolidating governance structures to repackage functions across programs; (ii) aligning budgets with efficient delivery strategies to enable intersectoral approaches and related accountability structures; and (iii) coordinating and incentivizing investments across levels of government. This policy response is both technical in nature and also highly political as it requires realigning budgets and organizational structures.

Orçamentos/estatística & dados numéricos , Eficiência Organizacional/normas , Financiamento da Assistência à Saúde , Alocação de Recursos/normas , Humanos , Alocação de Recursos/ética , Alocação de Recursos/tendências , Justiça Social/tendências , Organização Mundial da Saúde
Nurs Leadersh (Tor Ont) ; 32(2): 31-45, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31613212


The rapid integration of artificial intelligence (AI) into healthcare delivery has not only provided a glimpse into an enhanced digital future but also raised significant concerns about the social and ethical implications of this evolution. Nursing leaders have a critical role to play in advocating for the just and effective use of AI health solutions. To fulfill this responsibility, nurses need information on the widespread reach of AI and, perhaps more importantly, how the development, deployment and evaluation of these technologies can be influenced.

Inteligência Artificial/normas , Defesa do Paciente , Segurança do Paciente/normas , Qualidade da Assistência à Saúde/normas , Justiça Social/normas , Inteligência Artificial/tendências , Canadá , Assistência à Saúde/métodos , Assistência à Saúde/normas , Assistência à Saúde/tendências , Humanos , Qualidade da Assistência à Saúde/tendências , Justiça Social/tendências , Sociedades/tendências
Res Q Exerc Sport ; 90(4): 440-451, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31188074


Although there has been forward movement in identifying and addressing diverse learning needs, social justice education is not a significant part of the current standards for beginning teachers or K-12 students in the U.S. Throughout our standards-based history, social justice has been more of a hidden curriculum. To attain the 50 Million Strong by 2029 goal, it is vital to acknowledge that physical education is a social justice issue. Without consideration of the historical, political, and social contexts that permeate and frame physical education, along with the social identities and lived experiences of our future teachers and students, it is unlikely that this goal will be sustained. While concerns have been voiced relative to the standards-based teaching movement, in a country that espouses standards-based education, a first step in moving any educational reform forward is to formalize its inclusion in the national standards that serve to guide our discipline. A philosophical shift may be what is needed for change to occur regarding social justice education in an attempt to enhance the learning opportunities for all students. A forward step in creating this change is to address the research and pedagogical practices of our current physical education teacher education and K-12 programs, along with the physical education standards and policies at the national and state levels. We specifically articulate connections between social justice education and four key, interconnected research areas related to (a) occupational socialization, (b) curriculum, instruction, and assessment, (c) technology, and (d) professional development.

Educação Física e Treinamento/tendências , Pesquisa/tendências , Justiça Social/tendências , Currículo , Tecnologia Educacional , Previsões , Humanos , Política Pública , Socialização , Desenvolvimento de Pessoal , Capacitação de Professores , Estados Unidos
Soc Sci Med ; 226: 176-181, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30856606


While numerous environmental justice (EJ) studies have found socially disadvantaged groups such as racial/ethnic minorities and low-income individuals to be disproportionately affected by environmental hazards, previous EJ research has not examined whether disabled individuals are disproportionately exposed to natural hazards. Our article addresses this gap by conducting the first distributive EJ study of the relationship between flooding caused by Hurricane Harvey and locations of people with disabilities in Harris County, the most populous county in Texas that was severely impacted by this disaster. Our objective is to determine whether the areal extent of flooding at the neighborhood (census tract) level is disproportionately distributed with respect to people with any disability and with specific types of disabilities, after controlling for relevant socio-demographic factors. Our study integrates cartographic information from Harvey's Inundation Footprint developed by the U.S. Federal Emergency Management Agency with data on disability and socio-demographic characteristics from the 2012-2016 American Community Survey. Statistical analyses are based on bivariate correlations and multivariate generalized estimating equations, a modeling technique appropriate for clustered data. Results indicate that the areal extent of Harvey-induced flooding is significantly greater in neighborhoods with a higher proportion of disabled residents, after controlling for race/ethnicity, socioeconomic factors, and clustering. Disabled individuals with cognitive and ambulatory difficulties are more likely to reside in neighborhoods with a higher proportion of flooded area, compared to those facing other types of difficulties. These results represent an important starting point for more detailed investigation on the disproportionate impacts associated with Hurricane Harvey for people with disabilities. Our findings also highlight the growing need to consider individuals with physical and mental disabilities in future EJ research, as well as planning and management of natural disasters.

Pessoas com Deficiência/estatística & dados numéricos , Inundações/estatística & dados numéricos , Mapeamento Geográfico , Tempestades Ciclônicas/estatística & dados numéricos , Disparidades nos Níveis de Saúde , Humanos , Justiça Social/tendências , Texas
Am J Orthopsychiatry ; 89(4): 442-448, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30047743


As our American Orthopsychiatric Association (AOA) transforms into a Global Alliance for Behavioral Health and Social Justice (GABHSJ), early childhood development (ECD), and, particularly, inclusive early childhood development (IECD) persists as a prime pathway toward enhancing behavioral health and social justice. As we systematically and intentionally include consideration of the rights and needs of young children with disabilities and their families in our research, practice, and policy, a twin-track (TT) approach that simultaneously considers universal factors alongside disability-specific factors can enhance our conceptualization of problems and solutions. In the context of the sustainable development goals (SDGs) of the UN 2030 Agenda for Sustainable Development and its commitment to "leave no one behind," behavioral health and social justice enhancements derive from "mainstreaming" disability matters into diverse universal policies and programs. Elaborated in the triple-twin-track approach is a call for balancing child-centeredness, family focus, and community concerns as well as integrating the special and deepening knowledge of infants and young children with extant social policy and practice. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Desenvolvimento Infantil , Crianças com Deficiência , Saúde Mental , Justiça Social/tendências , Criança , Pré-Escolar , Família/psicologia , Humanos , Lactente , Psiquiatria
J Psychosom Res ; 111: 15-21, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-29935749


OBJECTIVE: Organizational justice refers to perceived fairness at the workplace. Individual perceptions of injustice have been linked to reduced mental and physical health. However, perceptions of injustice also exist at the aggregate level of departments, reflecting a shared perception, denoted as justice climate. There is evidence that this shared perception independently predicts individual distress levels (e.g., anxiety, depression), which might negatively affect somatic symptom perception and reporting. Hence, the objective of this study was to examine whether individual perceptions of poor justice as well as a poor justice climate are related to elevated somatic complaints. In addition, this study examined if justice climate moderates the relationship between individual-level justice perceptions and somatic symptom reporting. METHODS: Cross-sectional data from a large industrial manufacturing company was used, involving 1,102 employees in 31 departments. A validated scale covering interactional and procedural justice assessed individual-level organizational justice. A 19-item symptom checklist measured somatic complaints. Multilevel analyses estimated individual-level associations (within-department effects) with somatic complaints, department-level associations (between-department effects), and the cross-level interaction of both. RESULTS: Individual-level justice perceptions were negatively associated with somatic complaints. Collective justice climate was likewise significantly associated with somatic complaints. There was no indication for a moderation effect of justice climate. CONCLUSION: A poor justice climate correlated positively with individual somatic complaints while controlling for individual perceptions, i.e., above and beyond individual justice perceptions. These findings may imply that interventions targeting department-level perceptions of justice may have the potential to reduce individual somatic complaints beyond the effects of individual-level interventions.

Sintomas Inexplicáveis , Cultura Organizacional , Justiça Social/psicologia , Adulto , Estudos de Coortes , Estudos Transversais , Depressão/diagnóstico , Depressão/epidemiologia , Depressão/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Justiça Social/tendências
Rev. bras. enferm ; 71(supl.1): 700-703, 2018.
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-898460


ABSTRACT Inequalities are the result of the different positions held by individuals in different social spaces, and are related to the distribution of power and property. Health advocacy is a strategy to reduce such inequalities, especially those considered unfair and unnecessary, aiming to fully promote the right to health. This study aims to discuss the contribution of nursing in the field of health advocacy, which includes the right of everyone to a healthy life as one of the strategies for the reorientation of the Brazilian healthcare model.

RESUMEN Las desigualdades son el resultado de las distintas posiciones ocupadas por los individuos en distintos espacios sociales; y son relacionadas a la repartición de poder y de propiedad. La defensa de la salud es una estrategia para la reducción de tales desigualdades, principalmente, las consideradas injustas y desnecesarias. Con el objetivo del alcance pleno del derecho a la salud, el presente estudio pretende discutir la contribución de la Enfermería en el campo de la defensa de la salud, en el cual se incluye el derecho de todos a una vida saludable, como una de las estrategias para reorientación del modelo asistencial en Brasil.

RESUMO As desigualdades são resultado das distintas posições ocupadas pelos indivíduos em diferentes espaços sociais; e são relacionadas à repartição de poder e propriedade. A advocacia em saúde é uma estratégia para a redução de tais desigualdades, principalmente as consideradas injustas e desnecessárias, com vistas ao alcance pleno do direito à saúde. O presente estudo pretende discutir a contribuição da Enfermagem no campo da advocacia em saúde, no qual se inclui o direito de todos a uma vida saudável, como uma das estratégias para reorientação do modelo assistencial no Brasil.

Humanos , Defesa do Paciente/tendências , Modelos Teóricos , Cuidados de Enfermagem/métodos , Justiça Social/tendências , Brasil
Am Psychol ; 72(9): 935-946, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29283643


Throughout the history of the United States, there have been many social movements that have resulted in an array of historic societal outcomes-ranging from the end of racial segregation to women's voting rights to the legalization of same-sex marriages. Despite the positive outcomes derived from political activism, many psychologists have struggled with how to advocate for social justice while maintaining their professional responsibilities and ethical boundaries. The current article reviews the historical ways that psychologists have participated in political movements-from the use of psychological research in landmark U.S. Supreme Court cases to psychologist-led pushes for policy changes in psychology, medicine, and other mental health related fields. Next, a critical review provides some of the major controversies or dilemmas regarding psychology, social justice, and political participation-including (a) ethical concerns and professional boundaries, (b) the utility of political neutrality in psychology, (c) psychologists' balance and self-care, (d) psychologists' lack of advocacy training, and (e) beliefs concerning the role of social justice advocacy in psychology. Finally, the article concludes with a discussion of the concept "psychologist-activist"-highlighting the many ways that psychologists across various subfields and institutions can combat oppression on individual, interpersonal, group, and institutional levels. (PsycINFO Database Record

Ativismo Político , Psicologia Social/história , Justiça Social , História do Século XXI , Humanos , Ativismo Político/tendências , Justiça Social/história , Justiça Social/tendências , Marginalização Social/história , Marginalização Social/psicologia
Rev. esp. drogodepend ; 42(4): 66-78, oct.-dic. 2017. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-170213


Es conocida la importancia que tiene el lugar donde nacemos y crecemos, el modo en que nos relacionamos y nuestras condiciones de vida en nuestra salud. La salud y el bienestar de las personas y de las comunidades dependen de las circunstancias sociales, ambientales, económicas, políticas, culturales, educativas y geográficas y sanitarias del lugar donde viven. La distribución desigual de estos factores genera desigualdades en salud que pueden ser evitadas. Al ser compleja la interacción de todos estos factores con nuestra biología, a la hora de planificar intervenciones que mejoren la salud colectiva se necesita no solamente centrarse en intervenciones individuales posibilistas sino en priorizar intervenciones complejas, multinivel, que actúen sobre "las causas de las causas" y que tengan un amplio impacto para mejorar bienestar colectivo, producir más equidad y generar justicia social

The relationship between our health and the place where we are born, live and grow up and the social conditions we live in is well known. The health and wellbeing of people and communities are deeply connected to their social, environmental, economic, political, educational, geographical and health care circumstances. Uneven distribution of these factors can generate health inequalities that could be avoided. The interaction of all of these factors with our biology is complex. Planning community and health promotion interventions needs to prioritize complex multilevel interventions on "the causes of the causes" rather than just focusing on reductionist individual interventions. The first interventions could have a broader impact to improve collective wellbeing, and to generate equity and social justice

Humanos , Determinantes Sociais da Saúde/tendências , Centros Comunitários de Saúde/organização & administração , Seguridade Social/tendências , Promoção da Saúde/organização & administração , Disparidades nos Níveis de Saúde , Diretrizes para o Planejamento em Saúde , Justiça Social/tendências , Epigênese Genética
Am J Bioeth ; 17(10): 3-14, 2017 10.
Artigo em Inglês | MEDLINE | ID: mdl-29020562


We identify the ways the policies of leading international bioethics journals limit the participation of researchers working in the resource-constrained settings of low- and middle-income countries (LMICs) in the development of the field of bioethics. Lack of access to essential scholarly resources makes it extremely difficult, if not impossible, for many LMIC bioethicists to learn from, meaningfully engage in, and further contribute to the global bioethics discourse. Underrepresentation of LMIC perspectives in leading journals sustains the hegemony of Western bioethics, limits the presentation of diverse moral visions of life, health, and medicine, and undermines aspirations to create a truly "global" bioethics. Limited attention to this problem indicates a lack of empathy and moral imagination on the part of bioethicists in high-income countries, raises questions about the ethics of bioethics, and highlights the urgent need to find ways to remedy this social injustice.

Bioética/tendências , Comércio , Publicações Periódicas como Assunto/ética , Justiça Social/tendências , Países em Desenvolvimento , Humanos , Políticas