Grupo Hospitalar Conceição, Porto Alegre, Brazil.
Public Health School, SES, Rio Grande do Sul, Brazil.
Am J Health Promot. 2021 Jul;35(6):845-852. doi: 10.1177/0890117121989222. Epub 2021 Feb 1.
To analyze Health Promotion (HP) practices in different settings worldwide, presented in studies that employed the Foucauldian framework.
Scoping review performed on LILACS, MEDLINE, IBECS, BDENF, SciELO, CINAHL, Embase, Web of Science, and Scopus databases.
We included original articles, review articles, reflection articles, and case studies published in English, Portuguese, and Spanish, which addressed HP practices, analyzed using the Foucauldian framework.
In the numerical synthesis, the characteristics of the included studies were described: number of studies, types of method, year of publication, characteristics of the study population, origin countries, and the HP practices addressed in the articles. The thematic synthesis was organized according to the nature of the HP practices presented and the Foucauldian analysis matrix used.
The review covered 34 studies, published between 2006 and 2019, whose analysis resulted in 2 thematic synthesis: 1) HP as a biopolitical strategy in the neoliberal context; 2) HP as an expression of resistance and counter-conduct, presenting tensions, struggles, and power games.
The field of HP mostly consists of governmentality practices that reinforce the neoliberal health perspective. Some practices show resistance and counter-conduct in the face of governmentality practices, which explains the power relationships in the field of HP.
分析全球不同环境下采用福柯框架呈现的健康促进（HP）实践。
在 LILACS、MEDLINE、IBECS、BDENF、SciELO、CINAHL、Embase、Web of Science 和 Scopus 数据库中进行的范围综述。
我们纳入了发表于英语、葡萄牙语和西班牙语的原始文章、综述文章、反思文章和案例研究，这些文章涉及使用福柯框架分析的 HP 实践。
在数值综合中，描述了纳入研究的特征：研究数量、方法类型、发表年份、研究人群特征、来源国以及文章中涉及的 HP 实践。主题综合根据呈现的 HP 实践的性质和使用的福柯分析矩阵进行组织。
该综述涵盖了 2006 年至 2019 年期间发表的 34 项研究，其分析结果产生了 2 个主题综合：1）作为新自由主义背景下的生物政治策略的 HP；2）作为抵抗和反行为的表现，呈现出紧张、斗争和权力游戏。
HP 领域主要由强化新自由主义健康观点的治理实践组成。一些实践在面对治理实践时表现出抵抗和反行为，这解释了 HP 领域中的权力关系。
