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Trends in U.S. Population Health: The Central Role of Policies, Politics, and Profits.
Montez, Jennifer Karas; Hayward, Mark D; Zajacova, Anna.
Afiliación
  • Montez JK; Syracuse University, Syracuse, NY, USA.
  • Hayward MD; University of Texas at Austin, Austin, TX, USA.
  • Zajacova A; University of Western Ontario, London, ON, USA.
J Health Soc Behav ; 62(3): 286-301, 2021 09.
Article en En | MEDLINE | ID: mdl-34528482
Recent trends in U.S. health have been mixed, with improvements among some groups and geographic areas alongside declines among others. Medical sociologists have contributed to the understanding of those disparate trends, although important questions remain. In this article, we review trends since the 1980s in key indicators of U.S. health and weigh evidence from the last decade on their causes. To better understand contemporary trends in health, we propose that commonly used conceptual frameworks, such as social determinants of health, should be strengthened by prominently incorporating commercial, political-economic, and legal determinants. We illustrate how these structural determinants can provide new insights into health trends, using disparate health trajectories across U.S. states as an example. We conclude with suggestions for future research: focusing on structural causes of health trends and inequalities, expanding interdisciplinary perspectives, and integrating methods better equipped to handle the complexity of causal processes driving health trends and inequalities.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Política / Salud Poblacional Aspecto: Determinantes_sociais_saude / Equity_inequality Límite: Humans Idioma: En Revista: J Health Soc Behav Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Política / Salud Poblacional Aspecto: Determinantes_sociais_saude / Equity_inequality Límite: Humans Idioma: En Revista: J Health Soc Behav Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos