社会主义是前进的道路：更新对健康的社会决定因素的话语分析

IF 3.1 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Critical Public Health Pub Date : 2023-02-15 DOI:10.1080/09581596.2023.2178387

D. Raphael, T. Bryant

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引用次数: 4

摘要

摘要2011年，拉斐尔确定了七篇关于健康的社会决定因素（SDH）的论述。这些论述从“SDH是识别那些需要卫生和社会服务的人”到“SDH及其分布源于那些制造卫生和社会不平等并从中受益的人的权力和影响”。自那时以来的发展使我们确定了第八个：“SDH及其分布源于资本主义固有的过程——资本积累、竞争和剥削”。我们发现学术界支持这样一种观点，即SDH的质量和公平分配将需要创建一个后资本主义社会主义国家。虽然这种状态将采取的形式仍不确定，但可以采取各种手段来实现它。确定了公共卫生界可以采取的具体步骤。

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Socialism as the way forward: updating a discourse analysis of the social determinants of health

ABSTRACT In 2011 Raphael identified seven discourses on the social determinants of health (SDH). These discourses ranged from ‘SDH as identifying those in need of health and social services’ to ‘SDH and their distribution result from the power and influence of those who create and benefit from health and social inequalities’. Developments since then have led us to identify an eighth: ‘SDH and their distribution result from the processes inherent to capitalism – capital accumulation, competition, and exploitation’. We identify scholarship espousing the view that quality and equitable distribution of SDH will require the creation of a post-capitalist socialist state. While the form this state will take remains uncertain, means of moving towards it are available. Specific steps the public health community can undertake are identified.

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来源期刊

Critical Public Health Multiple-

CiteScore

5.90

自引率

7.10%

发文量

期刊介绍： Critical Public Health (CPH) is a respected peer-review journal for researchers and practitioners working in public health, health promotion and related fields. It brings together international scholarship to provide critical analyses of theory and practice, reviews of literature and explorations of new ways of working. The journal publishes high quality work that is open and critical in perspective and which reports on current research and debates in the field. CPH encourages an interdisciplinary focus and features innovative analyses. It is committed to exploring and debating issues of equity and social justice; in particular, issues of sexism, racism and other forms of oppression.