{"title":"Corporate Efforts to Adopt and Distort the Social Determinants of Health Framework.","authors":"David U Himmelstein, Steffie Woolhandler","doi":"10.1177/27551938231162573","DOIUrl":"https://doi.org/10.1177/27551938231162573","url":null,"abstract":"<p><p>Over the past two centuries, progressive scholars have highlighted the health-harming effects of oppressive living and working conditions. Early studies delineated the roots of inequities in these social determinants of health in capitalist exploitation. Analyses in the 1970s and 1980s that adopted the social determinants of health framework emphasized the deleterious effects of poverty but rarely explored its origins in capitalist exploitation. Recently, major U.S. corporations have adopted and distorted the social determinants of health framework, implementing trivial interventions that serve as rhetorical cover for their myriad health-harming behaviors, and the Trump administration cited social determinants to justify imposing work requirements for persons seeking health insurance through Medicaid. Progressives should raise the alarm against the use of social determinants of health rhetoric to bolster corporate power and undermine health.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":"53 3","pages":"249-252"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10092848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Courtney L McNamara, Virginia Kotzias, Clare Bambra, Ronald Labonté, David Stuckler
{"title":"Have COVID-19 Stimulus Packages Mitigated the Negative Health Impacts of Pandemic-Related Job Losses? A Systematic Review of Global Evidence from the First Year of the Pandemic.","authors":"Courtney L McNamara, Virginia Kotzias, Clare Bambra, Ronald Labonté, David Stuckler","doi":"10.1177/27551938231176374","DOIUrl":"10.1177/27551938231176374","url":null,"abstract":"<p><p>Social protection can buffer the negative impacts of unemployment on health. Have stimulus packages introduced during the COVID-19 pandemic mitigated potential harms to health from unemployment? We performed a systematic review of the health effects of job loss during the first year of the pandemic. We searched three electronic databases and identified 49 studies for inclusion. Three United States-based studies found that stimulus programs mitigated the impact of job loss on food security and mental health. Furloughs additionally appeared to reduce negative impacts when they were paid. However, despite the implementation of large-scale stimulus packages to reduce economic harms, we observed a clear pattern that job losses were nevertheless significantly associated with negative impacts, particularly on mental health, quality of life, and food security. We also observe suggestive evidence that COVID-related job loss was associated with child maltreatment, worsening dental health, and poor chronic disease outcomes. Overall, although we did find evidence that income-support policies appeared to help protect people from the negative health consequences of pandemic-related job loss, they were not sufficient to fully offset the threats to health. Future research should ascertain how to ensure adequate access to and generosity of social protection programs during epidemics and economic downturns.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":"53 3","pages":"311-322"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5d/25/10.1177_27551938231176374.PMC10243096.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9725931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Corrigendum to: \"Association Between Urban Regeneration and Healthcare-Seeking Behavior of Affected Residents: A Natural Experiment in two Multi-Ethnic Deprived Housing Areas in Denmark\".","authors":"","doi":"10.1177/27551938231184924","DOIUrl":"https://doi.org/10.1177/27551938231184924","url":null,"abstract":"","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938231184924"},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9718841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dependency Theory: An Evaluation of the Period-Based Changes in the Utilization of Maternal Health Care and Neonatal Mortality in Tanzania Between 1991 and 2016.","authors":"Neema Langa","doi":"10.1177/27551938231156033","DOIUrl":"10.1177/27551938231156033","url":null,"abstract":"<p><p>While efforts have been made to increase maternal health care (MHC) utilization and decrease neonatal mortality in Tanzania, much remains to be known about the effect of dependency (particularly on reproductive policy changes) on the use of MHC and neonatal health over time among varying socioeconomic groups. This study applied dependency theory to cross-sectional secondary data (collected by the Tanzania Demographic Health Surveys between 1991 and 2016) to investigate period-based changes in MHC and neonatal mortalities in Tanzania. Results from the data analysis found that while neonatal mortalities were decreasing in Tanzania (from 1991 to 2016), the odds of neonatal mortality were still greater in 2016. Also, a decline in the recommended skilled delivery assistance and 4 + antenatal care visits occurred in the data period. A significant increase in socioeconomic inequality around MHC use and neonatal mortality occurred during the study period as well. Policy recommendations to reduce these inequalities and move toward meeting Sustainability Development Goals for maternal and neonatal health in Tanzania are discussed.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938231156033"},"PeriodicalIF":0.0,"publicationDate":"2023-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10692134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Global Warming in Pakistan and Its Impact on Public Health as Viewed Through a Health Equity Lens.","authors":"Rozina Somani","doi":"10.1177/27551938231154467","DOIUrl":"10.1177/27551938231154467","url":null,"abstract":"<p><p>Pakistan is extremely vulnerable to the negative impacts of climate change. The recent monsoon season caused widespread, deadly flooding, affecting 15% of the total population when extreme heat waves were followed by the worst rains and floods in the country's history. But Pakistan was not the cause of its own misfortune. The atmospheric buildup of carbon dioxide (CO2) is the greatest contributor to climate change. If we look at the increase of carbon dioxide in the atmosphere, we find that Pakistan is, like all developing nations, essentially a non-contributor of the problem, contributing considerably less than 1% of global greenhouse gas emissions. Moreover, although significant factors exacerbating the effects of climate change in Pakistan include an inadequate sewage system, air pollution from industrial waste, and deforestation, the country could not afford to proactively fix these, nor prepare for flooding and heavy rains. It lacks the funding for climate resilience efforts. As a result, Pakistan is suffering from a high prevalence of poor health outcomes. Children, the elderly, women, and the homeless, especially those living with poverty and disease, are at a high risk of morbidity and mortality. Since mitigating the devastating effects of climate change will continue to be an ongoing challenge for Pakistan, it urgently needs financial investment so that it can build climate-resilient infrastructures and institute mechanisms to deal with global warming's worst effects. Industrialized nations are responsible for global warming, and they must take responsibility for fighting global warming by helping developing countries cultivate greater public health emergency preparedness.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938231154467"},"PeriodicalIF":0.0,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9975889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10810737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"(In)Equity and Primary Health Care: The Case of Costa Rica and Panama.","authors":"Madeline Baird","doi":"10.1177/27551938231152991","DOIUrl":"10.1177/27551938231152991","url":null,"abstract":"<p><p>The 1970s marked a significant opportunity for improving primary health care globally. Yet, political will and widescale investment to achieve \"health for all\" vastly diverged in countries across the Americas in the decades that followed. Distinct ideologies and models of health care emerged following commitments to social investment, equity, and community participation at Alma-Ata. In the 1970s, Costa Rica scaled up its national health system and increased broad social investment. In Panama, the establishment of the Ministry of Health in 1969 coincided with broad state investment in primary health care, yet the emergence of neoliberal models based on efficiency and privatization in the decades that followed undermined efforts toward health equity. Models of state-sanctioned investment and policies diverged in their framing of ideas about the right to health, characterized by broad social investment in Costa Rica addressing the structural factors of ill health versus financing stratified health systems and select biomedical interventions in Panama. These case studies describe the historical, political, economic, and social dimensions that account for the distinct framing of ideas about right to health and health equity and enabled Costa Rica to diverge as a country with one of the most effective health systems in the region.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938231152991"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9170670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Why Social (Political, Economic, Cultural, Ecological) Determinants of Health? Part 1: Background of a Contested Construct.","authors":"Carles Muntaner, Joan Benach","doi":"10.1177/27551938231152996","DOIUrl":"10.1177/27551938231152996","url":null,"abstract":"<p><p>This article is the first half of a 2-part essay on the Social Determinants of Health (SDOH) as a field of scientific inquiry and theoretical framework, exploring its historical roots, current applications, and the controversies that surround it. Part 1 (this article) discusses the background and rationale of the SDOH framework, whilst part 2 (forthcoming) will analyze the current alternatives to this framework. The authors analyze the debate surrounding the contested term \"social\" in the field of health equity, through a clarification of the terms \"social\" and \"social systems\" and providing an alternative model through realist semantics and ethics. Despite the misunderstandings of the term \"social,\" the authors argue that SDOH remains a useful umbrella term to capture the political, economic, cultural, and ecological determinants of health. Through this essay, the authors outline the reasons behind our decision to change this journal's title from <i>International Journal of Health Services</i> to <i>International Journal of Social Determinants of Health and Health Services.</i></p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938231152996"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10583690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Palestinians Under Israeli Settler Colonialism and \"Anglo-Centric\" Colonization of Knowledge Production.","authors":"Rita Giacaman","doi":"10.1177/27551938231152768","DOIUrl":"10.1177/27551938231152768","url":null,"abstract":"<p><p>Calls for decolonizing knowledge production are increasing considerably. Yet the domination of knowledge production by English-speaking, neoliberal, Western countries continues, with understandings and assumptions often irrelevant and unimportant to southern countries, and can contain racialized portrayals of the people of the developing world. Palestinians under Israeli military rule have also become governed by neoliberal funding northern institutions that have commoditized research and education and control what should be researched and how. The dual colonization of Palestinians by Israel and the hegemony of neoliberal political-economy among a captive Palestinian population-reinforced by the Zionist lobby's ferociousness in punishing whoever dares to raise questions about Israel's wrongdoings-is silencing Palestinians and those supporting justice to Palestinians in ways perhaps not experienced by others who want their voices heard. Yet Palestinians continue to teach and conduct research and to struggle for freedom and justice on one hand and for liberation from donor dictates on what to research and how to research and write on the other. We continue to hope that international funders and publishers would take concrete steps to turn calls for the decolonization of knowledge production from lip service to actions so that all knowledges can contribute to debates and societal advancement worldwide.</p>","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938231152768"},"PeriodicalIF":0.0,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9183263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Thanks to our 2022 Reviewers.","authors":"","doi":"10.1177/27551938231153592","DOIUrl":"https://doi.org/10.1177/27551938231153592","url":null,"abstract":"","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938231153592"},"PeriodicalIF":0.0,"publicationDate":"2023-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10607137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Challenge of Exposing and Ending Health Inequalities through Social and Policy Change: Canadian Experiences","authors":"Arnel M. Borras","doi":"10.1177/27551938221148376","DOIUrl":"https://doi.org/10.1177/27551938221148376","url":null,"abstract":"The Canadian health system is often perceived as excellent. However, a closer examination of the political economy of health in Canada shows a radically different picture. It is a picture of persistent inequality and a history of the inability to address such inequality. Despite numerous public policy interventions to address preventable health inequalities—that is, health inequities—this societal problem persists. This research addresses how and why health inequities, especially class, race/ethnicity, and gender health inequities, persist in Canada and how to reduce such differences through public policy action. To address these questions, I performed a critical realist review, focusing on the political economy of health and policy change. Then I conducted a thematic analysis of the interview data gathered from 23 semi-structured interviews with leading Canadian policy academics, activists, and advocates. The results demonstrate that the capitalist economic system; the co-constitutives of capitalism, namely colonialism, racism, and sexism; and maldistributive public policies primarily cause health inequities in Canada. Canada's health inequities reduction requires pushing for redistributive public policies; uniting and strengthening labor unions, civil society groups, and social movements; and engaging in electoral politics. Reducing health inequities may involve struggling within and against capitalism and struggling for socialism.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":"13 1","pages":"130 - 145"},"PeriodicalIF":0.0,"publicationDate":"2023-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81214451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}