Flynn Matthew B
Georgia Southern University, PO Box 8051, Statesboro, GA 30460, USA.
Soc Sci Med. 2021 Jan;268:113530. doi: 10.1016/j.socscimed.2020.113530. Epub 2020 Nov 17.
Recent scholarship has sought to distinguish between the deeper societal factors that shape the more proximate social determinants of health. One of these socio-structural institutions is global capitalism. While critical scholarship has advanced our understanding of the relationships between capitalist globalization and health, more work is needed to understand the transnational economic, political, and cultural practices that affect various global health issues. This paper argues that the theory of global capitalism provides an important, critical perspective for understanding different phenomena associated with global health. The theory's key concepts of transnational corporations, financialization, consumerism, transnational social classes, and transnational state comprise the conceptual framework. When applied to various global health topics, the theory advances our understanding of the health-related institutional structures of today's global economy, provides a holistic view that integrates various strands of health research, highlights various forms of health activism, and offers new questions for addressing persistent health injustice across the world.
近期的学术研究试图区分那些塑造更直接健康社会决定因素的深层次社会因素。这些社会结构制度之一便是全球资本主义。尽管批判性学术研究增进了我们对资本主义全球化与健康之间关系的理解，但仍需要开展更多工作来理解影响各种全球健康问题的跨国经济、政治和文化实践。本文认为，全球资本主义理论为理解与全球健康相关的不同现象提供了一个重要的批判性视角。该理论的关键概念，即跨国公司、金融化、消费主义、跨国社会阶层和跨国国家，构成了概念框架。当应用于各种全球健康主题时，该理论增进了我们对当今全球经济中与健康相关的制度结构的理解，提供了一个整合各种健康研究线索的整体视角，突出了各种形式的健康行动主义，并为解决全球范围内持续存在的健康不公问题提出了新问题。
