Raphael Dennis
School of Health Policy and Management, York University, ON, Canada.
Health Promot Int. 2009 Jun;24(2):193-8. doi: 10.1093/heapro/dap005. Epub 2009 Feb 28.
Despite the Canadian record of concern with the social determinants of health (SDOH), actual public health activities consistent with such an approach are sporadic at best. Canadian research and advocacy activities in the service of strengthening the SDOH are so divorced from everyday public policy activity, media discourse and public awareness as to metaphorically suggest that SDOH researchers and advocates exist in a Phantom Zone of irrelevance. Why this might be the case and means of escaping from such irrelevance are presented. Implications for jurisdictions where the situation appears to be even worse-such as the USA-and for those where the situation may be somewhat better are also presented.
尽管加拿大在关注健康的社会决定因素（SDOH）方面有相关记录，但与此方法一致的实际公共卫生活动充其量只是零星的。加拿大为加强SDOH而开展的研究和宣传活动与日常公共政策活动、媒体话语及公众意识严重脱节，打个比方说，这表明SDOH研究人员和倡导者处于一个无关紧要的虚幻地带。本文阐述了出现这种情况的原因以及摆脱这种无关紧要状态的方法。同时也介绍了这种情况在情况似乎更糟的司法管辖区（如美国）以及情况可能稍好一些的司法管辖区的影响。
