An ecological framework for population health and well-being

IF 7.6 2区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

Progress in cardiovascular diseases Pub Date : 2025-05-01 DOI:10.1016/j.pcad.2025.03.013

Nicolaas P. Pronk , Colin Woodard , Frederick J. Zimmerman , Ross Arena

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Abstract

Social structures have become focal points in considering how to address the circumstances and conditions under which people live their lives. Yet, the many interactions among multiple factors that make up social and structural determinants are complex, interdependent, interactive, dynamic, and multilevel. This paper introduces an evidence-informed ecological framework that organizes drivers and feedback mechanisms collectively representing a generative force towards population health and well-being. The proposed ecological framework supports explanatory and exploratory considerations for prevention and management of population health and well-being issues. The framework explicitly includes a recognition that successful health and well-being outcomes are often dependent on the presence of social capital and healthy power dynamics.

Dominant cultural norm is positioned as an overarching driver in this framework because it shapes the political realities and power dynamics responsible for infrastructure as well as the habits and behaviors of people at both the individual and social levels.

查看原文本刊更多论文

人口健康和福祉的生态框架。

社会结构已成为考虑如何处理人们生活的环境和条件的焦点。然而，构成社会和结构决定因素的多种因素之间的许多相互作用是复杂的、相互依存的、相互作用的、动态的和多层次的。本文介绍了一个以证据为依据的生态框架，该框架组织了驱动因素和反馈机制，共同代表了人口健康和福祉的生成力量。拟议的生态框架支持对预防和管理人口健康和福祉问题的解释性和探索性考虑。该框架明确承认，成功的健康和福祉成果往往取决于社会资本的存在和健康的权力动态。在这个框架中，主导文化规范被定位为首要驱动力，因为它塑造了负责基础设施的政治现实和权力动态，以及个人和社会层面上人们的习惯和行为。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Progress in cardiovascular diseases 医学-心血管系统

CiteScore

10.90

自引率

6.60%

发文量

审稿时长

7 days

期刊介绍： Progress in Cardiovascular Diseases provides comprehensive coverage of a single topic related to heart and circulatory disorders in each issue. Some issues include special articles, definitive reviews that capture the state of the art in the management of particular clinical problems in cardiology.