Abstract

CARMONA-MEZA, Zenén  and  PARRA-PADILLA, Devian. Social determinants of health: analysis from the colombian context. Salud, Barranquilla [online]. 2015, vol.31, n.3, pp.608-620. ISSN 0120-5552.  https://doi.org/10.14482/sun.31.3.7685.

A broad and interesting academic development, along with a growing concern and awareness is evident in recent decades regarding on the influence of social, economic and cultural factors on health. The focus of the social determinants of health (SDH) emerges as a new paradigm in addressing inequities in health (ie, health differences by racial or ethnic group or socioeconomic as income and education factors) for public policy makers and society in general, based on a skepticism regarding the suitability of the traditional criteria of the process approach health-disease. However, the relationship between social factors and health are not simple, as there are many variables that must be considered to establish possible causal relationships between these, so there are controversies about the strength of the evidence supporting a causal role of some social and economic factors on health status. Despite the increasing importance currently conceived with the approach of the DSS, for many it is still a little known and deepened perspective. This article reviews the existing literature so far and makes an analysis of the implementation of this paradigm in the Colombian context.

Keywords : social determinants of health; primary health care; poverty; promotion and health prevention; health inequities.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )