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Synergy for health equity: integrating health promotion and social determinants of health approaches in and beyond the Americas

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Date
2013
Author
Jackson, Suzanne F.
Birn, Anne-Emanuelle
Fawcett, Stephen B.
Poland, Blake
Schultz, Jerry A.
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Abstract
Health promotion and social determinants of health approaches, when integrated, can better contribute to understanding and addressing health inequities. Yet, they have typically been pursued as two solitudes. This paper presents the key elements, principles, actions, and potential synergies of these complementary frameworks for addressing health equity. The value-added of integrating these two approaches is illustrated by three examples drawn from the authors' experiences in the Americas: at the community level, through a community-based coalition for reducing chronic disease disparities among minorities in an urban center in the United States; at the national level, through healthy-settings interventions in Canada; and at the Regional level, through health cooperation based on social justice values in Latin America. Challenges to integrating health promotion and social determinants of health approaches in the Americas are also discussed.(AU)
 
Los enfoques de la promoción de la salud y de los determinantes sociales de la salud, cuando se integran, pueden contribuir mejor a la comprensión y el abordaje de las inequidades en salud. No obstante, normalmente se han aplicado como dos cuestiones separadas. En este artículo se presentan los elementos clave, los principios, las acciones y las posibles sinergias de estos marcos complementarios para abordar la equidad en salud. El valor añadido de la integración de estos dos enfoques se ilustra mediante tres ejemplos extraídos de las experiencias de los autores en la Región de las Américas: a nivel de la comunidad, mediante una coalición comunitaria dirigida a reducir las disparidades en relación con las enfermedades crónicas entre las minorías de un centro urbano de los Estados Unidos; a escala nacional, mediante las intervenciones de promoción de entornos saludables en Canadá; y a nivel regional, mediante la cooperación en salud basada en los valores de la justicia social en América Latina. También se analizan las dificultades que entraña integrar los enfoques de la promoción de la salud y de los determinantes sociales de la salud en la Región de las Américas.(AU)
 
Series
Rev Panam Salud Publica;34(6),dic. 2013
Subject
Health Promotion; Health Inequalities; Health Planning Guidelines; Health Vulnerability; Social Policy; Urban Health; Americas; Promoción de la Salud; Desigualdades en la Salud; Directrices para la Planificación en Salud; Vulnerabilidad en Salud; Política Social; Salud Urbana; Américas; Assistência à Saúde; Promoção da Saúde; Disparidades nos Níveis de Saúde; Disparidades em Assistência à Saúde; Determinantes Sociais da Saúde; Américas; Participação Comunitária; Saúde Mundial; Metas; Diretrizes para o Planejamento em Saúde; Acesso aos Serviços de Saúde; Modelos Teóricos; Administração em Saúde Pública; Política Social; Integração de Sistemas; Saúde da População Urbana; Populações Vulneráveis
URI
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892013001200015
https://iris.paho.org/handle/10665.2/8610
Citation
Jackson, Suzanne F.,Birn, Anne-Emanuelle,Fawcett, Stephen B.,Poland, Blake,Schultz, Jerry A. (2013) Synergy for health equity: integrating health promotion and social determinants of health approaches in and beyond the Americas. Rev Panam Salud Publica;34(6) 473-480,dec. 2013. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892013001200015
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