Abstract
In this paper, we consider social forces that affect the processes of both knowledge production and knowledge translation in relation to urban health research. First, we briefly review our conceptual model, derived from a social-conflict framework, to outline how unequal power relations and health inequalities are causally linked. Second, we critically discuss ideological, political, and economic barriers that exist within academia that affect knowledge production related to urban health and health inequalities. Third, we broaden the scope of our analysis to examine how the ideological, political, and economic environment beyond the academy creates barriers to health equity policy making. We conclude with some key questions about the role that knowledge translation can possibly play in light of these constraints on research and policy for urban health.
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Notes
In the most extreme case, the government may even take strict steps to silence researchers and stop the production of equity-oriented knowledge. Powerful examples of this can be found in authoritarian regimes which subject academics with egalitarian views to various penalties such as labor market discrimination.19 A particularly notorious example is Franco's regime in Spain (1936–1977), where university professors were jailed and tortured for teaching egalitarian perspectives.
References
Braveman P, et al. When do we know enough to recommend action on the social determinants of health? Am J Prev Med. 2011; 40(1S1): S58–S66.
Canadian Institutes of Health Research. About Knowledge Translation. http://www.cihr-irsc.gc.ca/e/29418.html. Accessed December 20, 2011.
Dickinson HD. A sociological perspective on the transfer and utilization of social scientific knowledge for policy-making. In: Lemieux-Charles L, Champagne F, eds. Using knowledge and evidence in health care: multidisciplinary perspectives. Toronto: University of Toronto Press; 2004: 41–69.
Navarro V, Muntaner C. Political and economic determinants of population health and well-being: controversies and developments. Amiytyville, NY: Baywood Publishing Company; 2004.
Muntaner C. Commentary: social capital, social class, and the slow progress of psychosocial epidemiology. Int J Epidemiol. 2004; 33(4): 1–7.
Sadri A. Max Weber's sociology of intellectuals. New York: Oxford University Press; 1992.
Weber M. The Protestant ethic and the spirit of Capitalism. New York: Charles Scribner's Sons; 1958. (orig. 1904-5).
Demerath NJ III. Who now debates functionalism? From system, change, and conflict to ‘culture, choice, and praxis’. Sociol Forum. 1996; 11(2): 333–345.
Navarro V. Politics and health: a neglected area of research. Eur J Pub Health. 2008; 18(4): 354–355.
CSDH. Closing the gap in a generation: health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health. Geneva: World Health Organization; 2008.
Wilkinson RG, Pickett K. The spirit level: why more equal societies almost always do better. London: Allen Lane; 2009.
Muntaner C, et al. Against unjust global distribution of power and money: the report on the WHO commission on the social determinants of health: global inequality and the future of public health policy. J Public Health Policy. 2009; 30: 163–175.
Navarro V. The importance of politics in policy. Aust NZ J Public Health. 2011; 35: 313.
Coburn D. Beyond the income inequality hypothesis: class, neo-liberalism, and health inequalities. Soc Sci Med. 2004; 58: 41–56.
Muntaner C, Chung H. Teaching social inequalities in health: barriers and opportunities. In: Hofrichter R, Bhatia R, eds. Tackling health inequities through public health practice: theory to action. 2nd ed. New York: Oxford University Press; 2010: 517–525.
Bill & Melinda Gates Foundation. Foundation Fact Sheet, Funding from 1994 to Present. Accessed on December 20, 2011 (http://www.gatesfoundation.org/about/Pages/foundation-fact-sheet.aspx).
Birn AE. Gates's grandest challenge: transcending technology as public health ideology. The Lancet. 2005; 366(9484): 514–519.
Gates, B. (July 31, 2008) How to fix capitalism. TIME. July 31, 2008; 26-33.
Krieger N. Proximal, distal, and the politics of causation: what's level got to do with it? Am J Publ Health. 2008; 98(2): 221–230.
Muntaner C, Gomez MB. Anti-egalitarian, legitimizing myths, racism, and ‘neo-McCarthyism’ in social epidemiology and public health: a review of Sally Satel's PC, MD. Int J Health Serv. 2002; 32(1): 1–17.
Kovel J. Hunting in the promised land: anticommunism and the making of America. London: Cassell; 1997.
Cote M, et al. Utopian pedagogy: radical experiments against neoliberal globalization. Toronto: University of Toronto Publishing; 2007.
Lomas J. Using ‘linkage and exchange’ to move research into policy at a Canadian foundation. Health Aff. 2000; 19(3): 236–240.
Coser LA. Men of ideas. New York: The Free Press; 1997.
Navarro V, Muntaner C, Borrell C, et al. Politics and health outcomes. The Lancet. 2006; 368: 1033–37.
Gilson L, Doherty J, Loewenson R, Francis V. Challenging inequity through health systems: final report of the health systems knowledge network of the Commission on Social Determinants of Health. Geneva: World Health Organization; 2007.
OECD. Reviews of Labour Market and Social Policies: Chile. Paris, France: OECD Publishing; 2009
Gonzalez R. Tackling health inequities in Chile: maternal, newborn, infant, and child mortality between 1990 and 2004. Am J Publ Health. 2009; 99(7): 1220–1226.
Puska P, Stahl T. Health in all policies-the Finnish initiative: background, principles, and current issues. Annu Rev Public Health. 2010; 31(31): 315–328.
WHO, Government of South Australia. Adelaide statement on health in all policies. Adelaide: WHO; 2010.
Ollila E. Health in all policies: from rhetoric to action. Scand J Publ Health. 2010. doi:10.1177/1403494810379895. Published online 2 September 2010.
Acknowledgments
The authors gratefully acknowledge the helpful comments provided by the Journal of Urban Health's reviewers.
This work has been funded in part by the Canadian Institutes of Health Research (CIHR) under grant no. 101693, entitled, “Power, Politics, and the Use of Health Equity Research” and by the National Research Foundation (NRF) of Korea under grant no. R1010861, entitled, “Social Risks.”
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Muntaner, C., Chung, H., Murphy, K. et al. Barriers to Knowledge Production, Knowledge Translation, and Urban Health Policy Change: Ideological, Economic, and Political Considerations. J Urban Health 89, 915–924 (2012). https://doi.org/10.1007/s11524-012-9699-1
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DOI: https://doi.org/10.1007/s11524-012-9699-1