Addressing global health challenges: a comprehensive framework for determinants of health.

IF 2.7 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Injury Control and Safety Promotion Pub Date : 2025-12-01 Epub Date: 2025-10-01 DOI:10.1080/17457300.2025.2566336

Sakshi Gupta, Neeraja Lugani Sethi

{"title":"Addressing global health challenges: a comprehensive framework for determinants of health.","authors":"Sakshi Gupta, Neeraja Lugani Sethi","doi":"10.1080/17457300.2025.2566336","DOIUrl":null,"url":null,"abstract":"<p><p>World Health Organization's (WHO) Healthy Cities Programme (HCP), initiated in 1984, addresses the global health challenges arising from urbanization and globalization within its six regions. In 2021, the Government of India (GOI) recommended to develop 500 Health Cities by 2030, aligning with WHO's HCP. The programme emphasizes addressing social, political, environmental and economic health determinants for policy interventions, guided by existing models of determinants of health (MoDH). However, these models exhibit gaps in capturing determinants in an evolving globalized world. This research conducts content analysis of the proceedings of ten WHO-led Global (GCHP) and international conferences on health promotion (ICHP) to identify the existing and emerging determinants. The integrative literature review of MoDH revealed limitations in addressing emerging legal, technological, and commercial determinants, and spatial scales, thereby informing the development of an updated framework for determinants of health for effective decision-making amidst dynamic global health landscapes.</p>","PeriodicalId":47014,"journal":{"name":"International Journal of Injury Control and Safety Promotion","volume":" ","pages":"580-591"},"PeriodicalIF":2.7000,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Injury Control and Safety Promotion","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/17457300.2025.2566336","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/10/1 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

World Health Organization's (WHO) Healthy Cities Programme (HCP), initiated in 1984, addresses the global health challenges arising from urbanization and globalization within its six regions. In 2021, the Government of India (GOI) recommended to develop 500 Health Cities by 2030, aligning with WHO's HCP. The programme emphasizes addressing social, political, environmental and economic health determinants for policy interventions, guided by existing models of determinants of health (MoDH). However, these models exhibit gaps in capturing determinants in an evolving globalized world. This research conducts content analysis of the proceedings of ten WHO-led Global (GCHP) and international conferences on health promotion (ICHP) to identify the existing and emerging determinants. The integrative literature review of MoDH revealed limitations in addressing emerging legal, technological, and commercial determinants, and spatial scales, thereby informing the development of an updated framework for determinants of health for effective decision-making amidst dynamic global health landscapes.

查看原文本刊更多论文

应对全球卫生挑战：健康决定因素综合框架。

世界卫生组织（卫生组织）的健康城市方案于1984年发起，在其六个区域内处理城市化和全球化带来的全球健康挑战。2021年，印度政府建议按照世卫组织的卫生规划，到2030年建设500个卫生城市。该方案强调在现有健康决定因素模型的指导下，处理政策干预的社会、政治、环境和经济健康决定因素。然而，在不断发展的全球化世界中，这些模型在捕捉决定因素方面存在差距。本研究对世卫组织主导的十次全球健康促进会议和国际健康促进会议的会议记录进行了内容分析，以确定现有的和新出现的决定因素。MoDH的综合文献综述揭示了在处理新出现的法律、技术和商业决定因素以及空间尺度方面的局限性，从而为在动态的全球卫生格局中制定有效决策的健康决定因素更新框架提供了信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Injury Control and Safety Promotion PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.40

自引率

13.00%

发文量

期刊介绍： International Journal of Injury Control and Safety Promotion (formerly Injury Control and Safety Promotion) publishes articles concerning all phases of injury control, including prevention, acute care and rehabilitation. Specifically, this journal will publish articles that for each type of injury: •describe the problem •analyse the causes and risk factors •discuss the design and evaluation of solutions •describe the implementation of effective programs and policies The journal encompasses all causes of fatal and non-fatal injury, including injuries related to: •transport •school and work •home and leisure activities •sport •violence and assault