Healthy and Equitable Interpersonal Relationships, Health Inequalities and Socio-Educational Interventions : A Conceptual Framework for Action
Forcadell Díez, Lluís (Universitat Pompeu Fabra)
Juárez Martínez, Olga (Agència de Salut Pública de Barcelona)
Abiétar, Daniel G. (Universitat Pompeu Fabra)
López Medina, María José (Institut d'Investigació Biomèdica Sant Pau)
Sánchez-Martínez, Francesca (Institut d'Investigació Biomèdica Sant Pau)
Pérez Albarracín, Glòria (Institut d'Investigació Biomèdica Sant Pau)
Universitat Autònoma de Barcelona

Data:	2023
Resum:	Interpersonal relationships undoubtedly have a bidirectional connection with the health of individuals and communities. Relational models based on equity contribute to well-being, while asymmetrical relationships based on hierarchies and differences of power negatively impact mental, physical, and social health. A conceptual framework for understanding the determinants of interpersonal relational models was developed. Structural determinants were identified as the combined action of systems of oppression, the socio-historical context that normalizes violence, and social stratification and segregation, consequences which included inequitable access to power, resources, and opportunities. Intermediate determinants include individual, psychosocial, behavioral, and community aspects. Structural and intermediate determinants impact health and health inequalities through multiple relational patterns that are simultaneously established and sustained by individuals and communities. The health impact of inequitable relational patterns includes: Reduced self-esteem; anxiety, stress, and depression; acceptance of violence; physical and sexual harm; suicide; and murder. This conceptual framework allows for the modification of relational models by influencing structural and intermediate determinants. Six areas of intervention have been identified: educative policies, school governance, physical and symbolic space, school curriculum, school-community relations, and socio-educative interventions to promote healthy and equitable relationships. Healthy and equitable relationships are associated with improved subjective well-being, health status and protection from violence. Socio-educational interventions that consider the elements of this conceptual framework may be effective in promoting healthy and equitable relational models.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Childhood ; Conceptual framework ; Health education ; Interpersonal relations ; Violence
Publicat a:	Journal of School Health, Vol. 93 Núm. 6 (june 2023) , p. 521-532, ISSN 1746-1561

DOI: 10.1111/josh.13318
PMID: 36917972

12 p, 829.2 KB

El registre apareix a les col·leccions:
Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut de Recerca Sant Pau
Articles > Articles de recerca
Articles > Articles publicats