Wilson Kay
Postdoctoral research fellow and co-convener of the Disability Law Network at Melbourne Law School, University of Melbourne, Australia.
Health Hum Rights. 2024 Dec;26(2):1-12.
The social determinants of health and international human rights law share many overlapping concerns and goals in promoting human well-being. However, so far they have been developing largely in silos, resulting in calls for greater interdisciplinary collaboration. The purpose of this paper is to explore how the social determinants of health-specifically mental health-can fit within international human rights law conceptually and practically. I argue that the social determinants of mental health and international human rights law are mutually reinforcing. Both are necessary to realize the right to the highest attainable standard of health and its incorporation into domestic law and policy. International human rights law provides an indispensable universal and legally binding framework to realize both the right to health and the social determinants. Likewise, the social determinants enrich and expand international human rights law and challenge it to go further in responding to inequality, power imbalances, and the lifelong impact of adverse childhood experiences (especially in light of the early onset of mental ill-health). I use housing and employment as examples of how to deepen this conceptual and practical relationship.
健康的社会决定因素与国际人权法在促进人类福祉方面有着许多重叠的关注点和目标。然而,到目前为止,它们在很大程度上是各自独立发展的,这导致了加强跨学科合作的呼声。本文的目的是探讨健康的社会决定因素——特别是心理健康——如何在概念和实践层面与国际人权法相契合。我认为,心理健康的社会决定因素与国际人权法是相辅相成的。两者对于实现能达到的最高健康标准的权利以及将其纳入国内法律和政策都是必要的。国际人权法为实现健康权和社会决定因素提供了一个不可或缺的普遍且具有法律约束力的框架。同样,社会决定因素丰富和扩展了国际人权法,并促使其在应对不平等、权力失衡以及童年不良经历的终身影响(尤其是鉴于心理健康问题的早发性)方面更进一步。我以住房和就业为例来说明如何深化这种概念和实践层面的关系。