Sapag Jaime C, Kawachi Ichiro
Departamento de Medicina Familiar, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile.
Rev Saude Publica. 2007 Feb;41(1):139-49. doi: 10.1590/s0034-89102007000100019.
Latin America faces common development and health problems and equity and overcoming poverty are crucial in the search for comprehensive and high impact solutions. The article analyzes the definition of social capital, its relationship with health, its limitations and potentialities from a perspective of community development and health promotion in Latin America. High-priority challenges are also identified as well as possible ways to better measure and to strengthen social capital. Particularly, it is discussed how and why social capital may be critical in a global health promotion strategy, where empowerment and community participation, interdisciplinary and intersectorial work would help to achieve Public Health aims and a sustainable positive change for the global development. Also, some potential limitations of the social capital concept in the context of health promotion in Latin America are identified.
拉丁美洲面临着共同的发展与健康问题,在寻求全面且具有高度影响力的解决方案过程中,公平和消除贫困至关重要。本文从拉丁美洲社区发展与健康促进的角度,分析了社会资本的定义、其与健康的关系、局限性及潜力。同时还确定了高度优先的挑战以及更好地衡量和加强社会资本的可能方法。特别探讨了社会资本在全球健康促进战略中为何以及如何至关重要,在该战略中,赋权和社区参与、跨学科和跨部门合作将有助于实现公共卫生目标并为全球发展带来可持续的积极变化。此外,还指出了社会资本概念在拉丁美洲健康促进背景下的一些潜在局限性。