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Reworking the Social Determinants of Health: Responding to Material‐Semiotic Indeterminacy in Public Health Interventions
Both public health experts and medical anthropologists are concerned with how health is shaped by environmental forces. This creates an important cross‐disciplinary alliance, yet crucial differences in how the two disciplines tend to evaluate health remain. In this article, I compare public health...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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John Wiley and Sons Inc.
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7540402/ https://www.ncbi.nlm.nih.gov/pubmed/32592209 http://dx.doi.org/10.1111/maq.12586 |
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author | Yates‐Doerr, Emily |
author_facet | Yates‐Doerr, Emily |
author_sort | Yates‐Doerr, Emily |
collection | PubMed |
description | Both public health experts and medical anthropologists are concerned with how health is shaped by environmental forces. This creates an important cross‐disciplinary alliance, yet crucial differences in how the two disciplines tend to evaluate health remain. In this article, I compare public health's “social determinants of health” framework with anthropological interest in the sociality of health and illness. I draw on ethnographic fieldwork in Guatemala's highlands, to unpack (1) “the social,” (2) “determinants,” and (3) “of health.” Ultimately, I show how the social determinants framework is deployed in ways that risk undermining its stated health justice goals, and highlight the benefits of an approach that does not know what health is ahead of doing research and which works closely with communities to respond to the effects of its own intervention. The article argues for the need to rework the emphasis on social determinants to make space for health's material‐semiotic indeterminacy |
format | Online Article Text |
id | pubmed-7540402 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-75404022020-10-09 Reworking the Social Determinants of Health: Responding to Material‐Semiotic Indeterminacy in Public Health Interventions Yates‐Doerr, Emily Med Anthropol Q Articles Both public health experts and medical anthropologists are concerned with how health is shaped by environmental forces. This creates an important cross‐disciplinary alliance, yet crucial differences in how the two disciplines tend to evaluate health remain. In this article, I compare public health's “social determinants of health” framework with anthropological interest in the sociality of health and illness. I draw on ethnographic fieldwork in Guatemala's highlands, to unpack (1) “the social,” (2) “determinants,” and (3) “of health.” Ultimately, I show how the social determinants framework is deployed in ways that risk undermining its stated health justice goals, and highlight the benefits of an approach that does not know what health is ahead of doing research and which works closely with communities to respond to the effects of its own intervention. The article argues for the need to rework the emphasis on social determinants to make space for health's material‐semiotic indeterminacy John Wiley and Sons Inc. 2020-06-27 2020-09 /pmc/articles/PMC7540402/ /pubmed/32592209 http://dx.doi.org/10.1111/maq.12586 Text en © 2020 The Authors. Medical Anthropology Quarterly published by Wiley Periodicals LLC on behalf of American Anthropological Association This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Articles Yates‐Doerr, Emily Reworking the Social Determinants of Health: Responding to Material‐Semiotic Indeterminacy in Public Health Interventions |
title | Reworking the Social Determinants of Health: Responding to Material‐Semiotic Indeterminacy in Public Health Interventions |
title_full | Reworking the Social Determinants of Health: Responding to Material‐Semiotic Indeterminacy in Public Health Interventions |
title_fullStr | Reworking the Social Determinants of Health: Responding to Material‐Semiotic Indeterminacy in Public Health Interventions |
title_full_unstemmed | Reworking the Social Determinants of Health: Responding to Material‐Semiotic Indeterminacy in Public Health Interventions |
title_short | Reworking the Social Determinants of Health: Responding to Material‐Semiotic Indeterminacy in Public Health Interventions |
title_sort | reworking the social determinants of health: responding to material‐semiotic indeterminacy in public health interventions |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7540402/ https://www.ncbi.nlm.nih.gov/pubmed/32592209 http://dx.doi.org/10.1111/maq.12586 |
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