{"id":7095,"date":"2013-07-23T14:44:00","date_gmt":"2013-07-23T14:44:00","guid":{"rendered":"http:\/\/nccdh.local\/resource\/a-conceptual-framework\/"},"modified":"2025-11-06T17:21:02","modified_gmt":"2025-11-06T17:21:02","slug":"a-conceptual-framework","status":"publish","type":"resource","link":"https:\/\/nccdh-dev.media-doc.ca\/fr\/resources\/entry\/a-conceptual-framework\/","title":{"rendered":"A conceptual framework for action on the social determinants of health"},"content":{"rendered":"<p><em>Ce document est disponible en anglais seulement.<\/em><\/p>\n<p>Dans ce deuxi&egrave;me document d&rsquo;une s&eacute;rie produite par la Commission des d&eacute;terminants sociaux de la sant&eacute; (CDSS) de l&rsquo;Organisation mondiale de la Sant&eacute; (OMS), les auteurs d&eacute;finissent un cadre conceptuel pour une action sur les d&eacute;terminants sociaux de la sant&eacute;.<\/p>\n<p>Les auteurs ont &eacute;labor&eacute; le cadre, sur lequel s&rsquo;est appuy&eacute;e la Commission pour r&eacute;aliser ses travaux de 2005 &agrave; 2008, &agrave; partir de mod&egrave;les th&eacute;oriques, afin de repr&eacute;senter les processus de causalit&eacute; sous-jacents aux iniquit&eacute;s en sant&eacute;. Con&ccedil;u pour &ecirc;tre &laquo; ax&eacute; sur l&rsquo;action &raquo;, le cadre a pour but d&rsquo;aider les responsables de l&rsquo;&eacute;laboration des politiques &agrave; d&eacute;terminer l&agrave; o&ugrave; il y a lieu d&rsquo;intervenir dans ces processus sous-jacents, de mani&egrave;re &agrave; lutter le plus efficacement possible contre les iniquit&eacute;s en sant&eacute;. Le mod&egrave;le repose sur trois principaux &eacute;l&eacute;ments : 1) le contexte socio&eacute;conomique et politique; 2) les d&eacute;terminants structuraux &agrave; la source des iniquit&eacute;s en sant&eacute;; et 3) les d&eacute;terminants de la sant&eacute; de niveau interm&eacute;diaire.<\/p>\n<p>Les auteurs font une distinction importante entre les d&eacute;terminants structuraux &agrave; la source des iniquit&eacute;s en sant&eacute; et les d&eacute;terminants de la sant&eacute; de niveau interm&eacute;diaire. Les d&eacute;terminants structuraux comprennent &laquo; tous les m&eacute;canismes sociaux et politiques entra&icirc;nant&hellip; une stratification et des divisions en classes sociales dans la soci&eacute;t&eacute; et d&eacute;finissant la position socio&eacute;conomique des individus suivant une hi&eacute;rarchie du pouvoir, un prestige et un acc&egrave;s aux ressources &raquo; (traduction libre, p. 5). Les d&eacute;terminants structuraux causent les d&eacute;terminants de la sant&eacute; de niveau interm&eacute;diaire et op&egrave;rent &agrave; travers ceux-ci, c&rsquo;est-&agrave;-dire le logement, le cadre de travail physique, le soutien social, le stress, la nutrition et l&rsquo;activit&eacute; physique, et g&eacute;n&egrave;rent ultimement les r&eacute;sultats de sant&eacute;.<\/p>\n<p>Les auteurs s&rsquo;inspirent passablement des travaux de Diderichsen et collab. (2001),&nbsp; et des th&eacute;ories du pouvoir, pour expliquer qu&rsquo;une action positive sur les d&eacute;terminants sociaux de la sant&eacute; se veut essentiellement politique, c&rsquo;est-&agrave;-dire qu&rsquo;elle cherche &agrave; modifier les rapports de force structuraux &agrave; grande &eacute;chelle entre les groupes et les moins privil&eacute;gi&eacute;s.<\/p>\n<p><strong>Servez-vous de cet outil pour :<\/strong><\/p>\n<ul>\n<li>faire la distinction entre les m&eacute;canismes sous-jacents &agrave; la stratification sociale et les d&eacute;terminants de la sant&eacute; de niveau interm&eacute;diaire engendr&eacute;s par cette stratification et entra&icirc;nant les iniquit&eacute;s en sant&eacute;;<\/li>\n<li>d&eacute;terminer les endroits o&ugrave; les interventions en mati&egrave;re de politique sont susceptibles de rem&eacute;dier aux causes des iniquit&eacute;s en sant&eacute;, &agrave; la fois en aval et en amont;<\/li>\n<li>en termes de politiques, faire reposer l&rsquo;action sur les d&eacute;terminants sociaux de la sant&eacute; sur un cadre th&eacute;orique qui est fond&eacute; sur des donn&eacute;es probantes.<\/li>\n<\/ul>\n<p>\n\tSolar, O. et A. Irwin. (2010). A conceptual framework for action on the social determinants of health. Social Determinants of Health Discussion Paper 2 (Policy &amp; Practice). Gen&egrave;ve, Organisation mondiale de la Sant&eacute;.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This paper introduces the conceptual framework that guides the work of the WHO\u2019s Commission on the Social Determinants of Health. The document describes how the framework came about, its two \u201clevels of causation\u2019 of health inequities, and the \u201cpolicy directions\u201d it points 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