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Keeping It Political and Powerful: Defining the Structural Determinants of Health.
Heller, Jonathan C; Givens, Marjory L; Johnson, Sheri P; Kindig, David A.
Afiliação
  • Heller JC; These authors contributed equally to this work.
  • Givens ML; Population Health Institute, University of Wisconsin.
  • Johnson SP; National Collaborating Centre for Determinants of Health, Saint Francis Xavier University.
  • Kindig DA; These authors contributed equally to this work.
Milbank Q ; 102(2): 351-366, 2024 Jun.
Article em En | MEDLINE | ID: mdl-38363858
ABSTRACT
Policy Points The structural determinants of health are 1) the written and unwritten rules that create, maintain, or eliminate durable and hierarchical patterns of advantage among socially constructed groups in the conditions that affect health, and 2) the manifestation of power relations in that people and groups with more power based on current social structures work-implicitly and explicitly-to maintain their advantage by reinforcing or modifying these rules. This theoretically grounded definition of structural determinants can support a shared analysis of the root causes of health inequities and an embrace of public health's role in shifting power relations and engaging politically, especially in its policy work. Shifting the balance of power relations between socially constructed groups differentiates interventions in the structural determinants of health from those in the social determinants of health.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Limite: Humans País/Região como assunto: America do norte Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Limite: Humans País/Região como assunto: America do norte Idioma: En Ano de publicação: 2024 Tipo de documento: Article