About: Why language matters: insights and challenges in applying a social determination of health approach in a North-South collaborative research program

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About: Why language matters: insights and challenges in applying a social determination of health approach in a North-South collaborative research program Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Why language matters: insights and challenges in applying a social determination of health approach in a North-South collaborative research program
Creator	Yassi, Annalee Breilh, Jaime Spiegel, Jerry
Source	PMC
abstract	BACKGROUND: Focus on “social determinants of health” provides a welcome alternative to the bio-medical illness paradigm. However, the tendency to concentrate on the influence of “risk factors” related to living and working conditions of individuals, rather than to more broadly examine dynamics of the social processes that affect population health, has triggered critical reaction not only from the Global North but especially from voices the Global South where there is a long history of addressing questions of health equity. In this article, we elaborate on how focusing instead on the language of “social determination of health” has prompted us to attempt to apply a more equity-sensitive approaches to research and related policy and praxis. DISCUSSION: In this debate, we briefly explore the epistemological and historical roots of epidemiological approaches to health and health equity that have emerged in Latin America to consider its relevance to global discourse. In this region marked by pronounced inequity, context-sensitive concepts such as “collective health” and “critical epidemiology” have been prominent, albeit with limited acknowledgement by the Global North. We illustrate our attempts to apply a social determination approach (and the “4 S” elements of bio-Security, Sovereignty, Solidarity and Sustainability) in five projects within our research collaboration linking researchers and knowledge users in Ecuador and Canada, in diverse settings (health of healthcare workers; food systems; antibiotic resistance; vector borne disease [dengue]; and social circus with street youth). CONCLUSIONS: We argue that the language of social determinants lends itself to research that is more reductionist and beckons the development of different skills than would be applied when adopting the language of social determination. We conclude that this language leads to more direct analysis of the systemic factors that drive, promote and reinforce disparities, while at the same time directly considering the emancipatory forces capable of countering negative health impacts. It follows that “reverse innovation” must not only recognize practical solutions being developed in low and middle income countries, but must also build on the strengths of the theoretical-methodological reasoning that has emerged in the South.
has issue date	2015-02-27(xsd:dateTime)
bibo:doi	10.1186/s12992-015-0091-2
bibo:pmid	25880442
has license	cc-by
sha1sum (hex)	8db1d047bfd714282858908b4ec51a64c2dc04f7
schema:url	https://doi.org/10.1186/s12992-015-0091-2
resource representing a document's title	Why language matters: insights and challenges in applying a social determination of health approach in a North-South collaborative research program
has PubMed Central identifier	PMC4353467
has PubMed identifier	25880442
schema:publication	Global Health
resource representing a document's body	covid:8db1d047bfd714282858908b4ec51a64c2dc04f7#body_text
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