Faculty of Health and Wellbeing, University of Bolton, Deane Road, Bolton BL3 5AB, UK.
Health Promot Int. 2024 Oct 1;39(5). doi: 10.1093/heapro/daae090.
The dramatic rise in non-communicable diseases around the world but notably in high-income countries like the UK is a manifestation of a global economic system-capitalism-that prioritizes wealth over health. A decade ago, the former WHO Director-General, Margaret Chan highlighted how 'efforts to prevent non-communicable diseases go against the business interests of powerful economic operators' [United Nations. (2013) Take Action for the Sustainable Development Goals. https://www.un.org/sustainabledevelopment/sustainable-development-goals/ (last accessed 16 February 2024)]. While there is a growing literature on how politics and economics influence population health-for better or worse-less attention has been given to exploring how economic systems like capitalism influence people's psychological well-being. To fill this gap, the following article examines how the continued pursuit of economic growth under capitalism (neoliberal free-market forms especially) impacts well-being through challenging basic psychological needs for security, autonomy, competence and relatedness. In doing so, I hope to shed important light on the sources and possible solutions to our growing health and social problems, and stimulate a conversation on how to achieve a healthier future for us all.
全球范围内,尤其是在英国等高收入国家,非传染性疾病的急剧上升,是一种优先考虑财富而非健康的全球经济体系——资本主义的表现。十年前,世界卫生组织前总干事陈冯富珍强调了“预防非传染性疾病的努力与强大经济参与者的商业利益背道而驰”[联合国。(2013 年)为可持续发展目标采取行动。https://www.un.org/sustainabledevelopment/sustainable-development-goals/(最后访问日期 2024 年 2 月 16 日)]。尽管有越来越多的文献探讨政治和经济如何影响人口健康——无论好坏——但对于探索像资本主义这样的经济体系如何影响人们的心理健康,关注较少。为了填补这一空白,本文探讨了资本主义(尤其是新自由主义自由市场形式)下持续追求经济增长如何通过挑战安全、自主、能力和关联性等基本心理需求来影响幸福感。通过这样做,我希望能更清楚地了解我们日益严重的健康和社会问题的根源和可能的解决方案,并引发关于如何为我们所有人实现更健康未来的对话。