Rojo Elena González, Álvarez-Dardet Carlos, Fernández Luis Andrés López
Grupo CTS177-Investigación en Salud y Servicios de Salud, Consejería de Economía, Innovación y Ciencia; cofinanciación FEDER, Escuela Andaluza de Salud Pública, Granada, España.
CIBER de Epidemiología y Salud Pública (CIBERESP), España; Grupo de Investigación en Salud Pública, Universidad de Alicante, Alicante, España.
Gac Sanit. 2018 Sep-Oct;32(5):488-491. doi: 10.1016/j.gaceta.2017.09.003. Epub 2017 Dec 6.
This article is the result of a workshop with public health experts held in Granada (Spain) in October 2015 in order to reflect upon the components of the framework that should be part of a public health approach based on the social determinants of health. Advocacy and training professionals in health advocacy were identified as key elements where this was needed. During the workshop, it was agreed that the gender perspective, the salutogenic approach, interdisciplinary work and particular attention to disadvantaged groups are crucial. The importance of working from a human rights' framework and promoting legislative changes were also mentioned. Moreover, the group mentioned that even though much progress has been made identifying social determinants of health and creating conceptual frameworks, there is limited knowledge about how to intervene to reduce health inequality gaps in our societies.
本文是2015年10月在西班牙格拉纳达与公共卫生专家举行的一次研讨会的成果,目的是思考基于健康社会决定因素的公共卫生方法框架的组成部分。宣传和健康宣传培训专业人员被确定为需要开展此项工作的关键要素。在研讨会上,与会者一致认为,性别视角、健康促进方法、跨学科工作以及对弱势群体的特别关注至关重要。会议还提到了从人权框架开展工作和推动立法变革的重要性。此外,该小组指出,尽管在确定健康社会决定因素和创建概念框架方面已取得很大进展,但对于如何进行干预以缩小我们社会中的健康不平等差距,人们了解的还很有限。