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"If you ask most people what influences health, almost invariably the first reply will be health care-the services that individuals receive from physicians, nurses, and other medical professionals to treat or prevent illness, also called medical care. Many people, in fact, presume the role of health care (medical care) in affecting health to be so predominant that they often use the terms health and health care interchangeably. Many people would probably also cite behaviors such as diet, exercise, smoking, and use of alcohol or drugs as key influences on health. While ample evidence supports the importance of both health care and behaviors for health, a compelling body of scientific knowledge now calls for a wider and deeper set of explanations for why some of us experience good health and others do not. This body of knowledge challenges us to think beyond common assumptions about the key causes of health and illness, to ask not only "What influences health?" but also "What factors shape those influences?" i.e., "What influences the influences?" This knowledge tells us that, to achieve real and lasting improvements in health, we must shift the focus to identifying and addressing the root or fundamental causes(Link and Phelan 1995)-the underlying factors that set in motion other factors that may be more easily observed but play a less fundamental role in shaping health. Ethical concerns, furthermore, require us to focus not only on a population's overall or average health, but also on health equity-whether everyone has a fair and just opportunity to be as healthy as possible, which includes whether the resources, opportunities, and conditions required for good health are distributed equitably within the population."
In: Health and Human Rights, Band 12, Heft 2
The fields of health equity and human rights have different languages, perspectives, and tools for action, yet they share several foundational concepts. This paper explores connections between human rights and health equity, focusing particularly on the implications of current knowledge of how social conditions may influence health and health inequalities, the metric by which health equity is assessed. The role of social conditions in health is explicitly addressed by both 1) the concept that health equity requires equity in social conditions, as well as in other modifiable determinants, of health; and 2) the right to a standard of living adequate for health. The indivisibility and interdependence of all human rights -- civil and political as well as economic and social -- together with the right to education, implicitly but unambiguously support the need to address the social (including political) determinants of health, thus contributing to the conceptual basis for health equity. The right to the highest attainable standard of health strengthens the concept and guides the measurement of health equity by implying that the reference group for equity comparisons should be one that has optimal conditions for health. The human rights principles of non-discrimination and equality also strengthen the conceptual foundation for health equity by identifying groups among whom inequalities in health status and health determinants (including social conditions) reflect a lack of health equity; and by construing discrimination to include not only intentional bias, but also actions with unintentionally discriminatory effects. In turn, health equity can make substantial contributions to human rights 1) insofar as research on health inequalities provides increasing understanding and empiric evidence of the importance of social conditions as determinants of health; and, more concretely, 2) by indicating how to operationalize the concept of the right to health for the purposes of measurement and accountability, which have been elusive. Human rights laws and principles and health equity concepts and technical approaches can be powerful tools for mutual strengthening, not only by contributing toward building awareness and consensus around shared values, but also by guiding analysis and strengthening measurement of both human rights and health equity. Adapted from the source document.
In: Bulletin of the World Health Organization: the international journal of public health, Band 81, Heft 7, S. 539-545
ISSN: 0042-9686, 0366-4996, 0510-8659
Despite impressive improvements in aggregate indicators of health globally over the past few decades, health inequities between and within countries have persisted, and in many regions and countries are widening. Our recommendations regarding research priorities for health equity are based on an assessment of what information is required to gain an understanding of how to make substantial reductions in health inequities. We recommend that highest priority be given to research in five general areas: (1) global factors and processes that affect health equity and/or constrain what countries can do to address health inequities within their own borders; (2) societal and political structures and relationships that differentially affect people's chances of being healthy within a given society; (3) interrelationships between factors at the individual level and within the social context that increase or decrease the likelihood of achieving and maintaining good health; (4) characteristics of the health care system that influence health equity and (5) effective policy interventions to reduce health inequity in the first four areas.
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In: Bulletin of the World Health Organization: the international journal of public health, Band 83, Heft 8
ISSN: 0042-9686, 0366-4996, 0510-8659
In: Critical Issues in Health and Medicine
In: Critical Issues in Health and Medicine Ser
This collection brings together a group of professionals and activists whose lives have been dedicated to health internationalism. By presenting a combination of historical accounts and first-hand reflections, these essays aim to draw attention to the longstanding international activities of the health left and the lessons they brought home. The involvement of these progressive U.S. health professionals is presented against the background of foreign and domestic policy, social movements, and global politics.