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Health Promotion International Advance Access originally published online on February 28, 2009
Health Promotion International 2009 24(2):193-198; doi:10.1093/heapro/dap005
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© The Author (2009). Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

DEBATE

Escaping from the Phantom Zone: social determinants of health, public health units and public policy in Canada

Dennis Raphael

School of Health Policy and Management, York University, 4700 Keele Street, Toronto, ON, Canada M3J 1P3

E-mail: draphael{at}yorku.ca


  Abstract

Despite the Canadian record of concern with the social determinants of health (SDOH), actual public health activities consistent with such an approach are sporadic at best. Canadian research and advocacy activities in the service of strengthening the SDOH are so divorced from everyday public policy activity, media discourse and public awareness as to metaphorically suggest that SDOH researchers and advocates exist in a Phantom Zone of irrelevance. Why this might be the case and means of escaping from such irrelevance are presented. Implications for jurisdictions where the situation appears to be even worse—such as the USA—and for those where the situation may be somewhat better are also presented.

Key words: social determinants; health promotion; public policy


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