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Epidemiology and the People’s HealthTheory and Context$
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Nancy Krieger

Print publication date: 2011

Print ISBN-13: 9780195383874

Published to Oxford Scholarship Online: May 2011

DOI: 10.1093/acprof:oso/9780195383874.001.0001

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Social Epidemiologic Alternatives

Social Epidemiologic Alternatives

Sociopolitical and Psychosocial Frameworks

Chapter:
(p.163) 6 Social Epidemiologic Alternatives
Source:
Epidemiology and the People’s Health
Author(s):

Nancy Krieger (Contributor Webpage)

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780195383874.003.0006

Chapter 6 traces the historical development and explicates the key constructs of the major theoretical alternatives to biomedical and lifestyle approaches: the sociopolitical and psychosocial frameworks that comprise the main theoretical trends in social epidemiology. A central argument is that although these two trends are united in their view that societal context shapes population health and is responsible for health inequities, they nevertheless differ in important ways. The sociopolitical theories focus principally on power, politics, economics, and rights as key societal determinants of health, whereas the psychosocial theories emphasize psychologically-mediated determinants. Sociopolitical theories discussed include: social production of disease, political economy of health, social determinants of health, population health, fundamental cause, Latin American social medicine, and health and human rights. Analysis of the psychosocial theories traces their links to psychosomatic medicine, stress research, and the biopsychosocial model, and also examines their approaches to conceptualizing social hierarchy, allostasis, and allostatic load.

Keywords:   epidemiologic theory, health and human rights, Latin American social medicine, political economy of health, population health, psychosocial, social determinants of health, social epidemiology, social production of disease, sociopolitical

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