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Subject:
From:
Canan Karatekin <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Wed, 7 Sep 2022 09:38:01 -0500
Content-Type:
multipart/mixed
Parts/Attachments:
text/plain (2498 bytes) , text/html (3926 bytes) , Modified WHO Framework.pdf (161 kB)
That's a great question! I still like that framework as a general way of
organizing the vast lit in my mind, but I now think there's a big hole in
it where political, corporate, and commercial determinants should be
(probably because of who funds the WHO? See Navarro, 2009
<https://journals.sagepub.com/doi/pdf/10.2190/HS.39.3.a?casa_token=qZAn7UVvnYwAAAAA%3A5EpQP6tyKJ237hjbAtp8RtvUGEXO7TSCglnzxSJF4d9MkVk1m1uc6Bkjjhl3hnKBJkBPBCY_ooAwlQ&>,
and
because there's relatively a lot less research linking these to health &
health inequities, especially at the time the WHO framework was
formulated?).  There are various articles on these other determinants, but
I haven't found one that puts them all in one comprehensive, reasonably
detailed, useful, and actionable framework. I attached my feeble attempt to
try to adapt the WHO framework specifically to the field of adverse
childhood experiences, but that left-hand box (Socioeconomic & Political
Context) is very incomplete & needs as much elaboration as the right-hand
side of the figure. An earlier, published version of this modified WHO
figure is in here
<https://www.sciencedirect.com/science/article/abs/pii/S0190740922000615?dgcid=author>
.
I guess the framework you need & how detailed you want it to be depends on
the research question you are interested in. I wanted that level of detail
in the WHO framework to show how the ACEs lit was over-focused on the
downstream & how there was so little to nothing going on regarding upstream
factors.
I also like the figure that Dennis sent & am looking forward to how others
in this group respond to this question.
Good luck with your quest!
Canan
--
Canan Karatekin, Ph.D.
Associate Professor | Institute of Child Development, 206C | icd.umn.edu
University of Minnesota | umn.edu
http://www.cehd.umn.edu/icd/research/KaratekinLab
<http://www.cehd.umn.edu/icd/research/KaratekinLab>| 612-626-9891


On Wed, Sep 7, 2022 at 8:42 AM Igor Zverev <[log in to unmask]> wrote:

> I've been out of the population health framework loop for a couple of
> years. I am looking at the literature, but thought I'd ask you guys as
> well. Are there any frameworks that you like? My default was the WHO
> commission on SDOH, but I'd be interested to see if there are any that you
> deem to be better. Looking for a general framework, not specific to any
> population.
>
> Thanks!
> To leave, manage or join list:
> https://listserv.yorku.ca/cgi-bin/wa?SUBED1=sdoh&A=1
>
>

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