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从渥太华到曼谷:不断变化的健康促进话语

Ottawa to Bangkok: changing health promotion discourse.

作者信息

Porter Christine

机构信息

Department of Education, Cornell University, Ithaca, NY 14853, USA.

出版信息

Health Promot Int. 2007 Mar;22(1):72-9. doi: 10.1093/heapro/dal037. Epub 2006 Oct 2.

Abstract

The discourse of the 2005 Bangkok Charter for Health Promotion in a Globalized World represents a radical departure from that of the Ottawa Charter that, in 1986, staked a place for the health promotion field in mainstream public health. Via a critical analysis of the discourse in these two Charters, this paper illustrates a shift from a 'new social movements' discourse of ecosocial justice in Ottawa to a 'new capitalist' discourse of law and economics in Bangkok. The Bangkok Charter's content may identify 'actions, commitments and pledges required to address the determinants of health in a globalized world through health promotion', but this paper shows how its discourse works to naturalize and perpetuate many of detrimental determinants associated with 'globalization'.

摘要

《2005年全球世界健康促进曼谷宪章》的论述与1986年为健康促进领域在主流公共卫生领域赢得一席之地的《渥太华宪章》的论述截然不同。通过对这两份宪章论述的批判性分析,本文阐明了从渥太华宪章中生态社会正义的“新社会运动”论述向曼谷宪章中法律与经济学的“新资本主义”论述的转变。曼谷宪章的内容或许确定了“通过健康促进应对全球化世界中健康决定因素所需的行动、承诺和保证”,但本文揭示了其论述是如何使与“全球化”相关的许多有害决定因素自然化并使其永久化的。

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