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Instituto Nacional de Salud Pública

2013, Número 4

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salud publica mex 2013; 55 (4)


Al límite de políticas individuales cognitivo-conductuales: ¿hacia dónde ir en salud pública para mejorar de manera efectiva la salud poblacional?

Cabieses B

Idioma: Ingles.
Referencias bibliográficas: 54
Paginas: 421-426
Archivo PDF: 185.70 Kb.


RESUMEN

La mayoría de los países del mundo han reconocido la importancia de los determinantes sociales en la salud de la población. Este ensayo cuestiona las perspectivas actuales de salud pública que se centran exclusivamente en factores de riesgo individuales. Pese al consenso internacional y la creciente evidencia que apoya la importancia de hacer frente a determinantes sociales estructurales, la mayoría de los gobiernos siguen centrados en la modificación de los comportamientos de riesgo individuales para la salud (tabaquismo, alcohol y ejercicio físico). Décadas después de seguir el mismo foco en salud pública, muchos países no han logrado la reducción esperada en las tasas de comportamientos riesgosos para la salud, y algunos incluso han experimentado un aumento de éstos en el tiempo. Políticas dirigidas a aspectos estructurales que afectan la salud de la población pueden tomar más tiempo, pero podrían ser más eficaces al promover cambios más sustentables a largo plazo.


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