The Global Polycrisis and Health Inequalities.

IF 2.6 0 HEALTH CARE SCIENCES & SERVICES International journal of social determinants of health and health services Pub Date : 2025-07-01 Epub Date: 2025-02-16 DOI:10.1177/27551938251317472
Courtney McNamara, Clare Bambra
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Abstract

In the current era of multiple, overlapping global crises, it is essential to consider the political economy of health within the broader framework of global interconnectedness. In this article, we employ the polycrisis concept to understand the impacts of the multifaceted, concurrent, and synergistic contemporary global crises on global health and health inequalities. A polycrisis occurs when crises in multiple diverse global systems become causally entangled, compounding their effects. Despite its potential relevance and analytical insights, the polycrisis concept has rarely been applied in public health research. This article fills that gap, and through reviewing the impacts of past economic, environmental, health, and political crises, we argue that the polycrisis is creating a complex web of challenges that are likely to amplify existing and future health inequalities. We conclude by discussing strategies to mitigate these impacts and suggest pathways for research to ensure that the future is not inevitably unequal.

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全球多重危机和保健不平等。
在当前多重、重叠的全球危机时代,必须在全球相互联系的更广泛框架内考虑卫生的政治经济问题。在本文中,我们采用多危机的概念来理解多面性、并发性和协同性的当代全球危机对全球健康和健康不平等的影响。当多个不同的全球系统中的危机因因果关系而纠缠在一起,使其影响复杂化时,就会出现多重危机。尽管多重危机概念具有潜在的相关性和分析洞察力,但它很少应用于公共卫生研究。本文填补了这一空白,通过回顾过去经济、环境、健康和政治危机的影响,我们认为多重危机正在创造一个复杂的挑战网络,可能会扩大现有和未来的健康不平等。最后,我们讨论了减轻这些影响的策略,并提出了研究途径,以确保未来不是不可避免的不平等。
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6.40
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