Weiss Daniel, Eikemo Terje Andreas
1 Departments of Public Health and General Practice.
2 Departments of Sociology and Political Science, Norwegian University of Science and Technology, Norway.
Scand J Public Health. 2017 Nov;45(7):714-719. doi: 10.1177/1403494817711371.
Social inequalities in health have been categorised as a human-rights issue that requires action. Unfortunately, these inequalities are on the rise in many countries, including welfare states. Various theories have been offered to explain the persistence (and rise) of these inequalities over time, including the social determinants of health and fundamental cause theory. Interestingly, the rise of modern social inequalities in health has come at a time of great technological innovation. This article addresses whether these technological innovations are significantly influencing the persistence of modern social inequalities in health. A theoretical argument is offered for this potential connection and is discussed alongside the typical social determinants of health perspective and the increasingly popular fundamental cause perspective. This is followed by a proposed research agenda for further investigation of the potential role that technological innovations may play in influencing social inequalities in health.
健康方面的社会不平等已被归类为一个需要采取行动的人权问题。不幸的是,在包括福利国家在内的许多国家,这些不平等现象正在加剧。人们提出了各种理论来解释这些不平等现象为何长期存在(以及为何加剧),包括健康的社会决定因素理论和根本原因理论。有趣的是,现代健康方面社会不平等现象的加剧正值技术大创新的时期。本文探讨这些技术创新是否正在对现代健康方面社会不平等现象的持续存在产生重大影响。本文提出了关于这一潜在联系的理论观点,并与健康的典型社会决定因素视角以及日益流行的根本原因视角一同进行讨论。随后提出了一个研究议程,以进一步调查技术创新在影响健康方面社会不平等现象中可能发挥的潜在作用。