The Political Economy of Health: Revisiting Its Marxian Origins to Address 21st-Century Health Inequalities.

Michael Harvey
Author Information
  1. Michael Harvey: Michael Harvey is with the Department of Health Services Administration and Policy, College of Public Health, Temple University, Philadelphia, PA.

Abstract

The "political economy of health" is concerned with how political and economic domains interact and shape individual and population health outcomes. However, the term is variously defined in the public health, medical, and social science literatures.This could result in confusion about the term and its associated tradition, thereby constituting a barrier to its application in public health research and practice.To address these issues, I survey the political economy of health tradition, clarify its specifically Marxian theoretical legacy, and discuss its relevance to understanding and addressing public health issues. I conclude by discussing the benefits of employing critical theories of race and racism with Marxian political economy to better understand the roles of class exploitation and racial oppression in epidemiological patterning.

References

  1. Health Aff (Millwood). 2005 Mar-Apr;24(2):343-52 [PMID: 15757918]
  2. Lancet. 2017 Nov 4;390(10107):2026 [PMID: 29115235]
  3. Promot Educ. 2006;13(4):236-42 [PMID: 17410974]
  4. Ethn Dis. 2018 Aug 9;28(Suppl 1):223-230 [PMID: 30116090]
  5. Int Q Community Health Educ. 1994 Jan 1;15(2):111-26 [PMID: 20841021]
  6. Bull Hist Med. 1947 Sep-Oct;21(5):674-733 [PMID: 18901361]
  7. Dialect Anthropol. 2011 Dec 1;35(4):403-427 [PMID: 23894218]
  8. Soc Sci Med. 1989;28(9):887-98 [PMID: 2652327]
  9. Int J Health Serv. 1985;15(4):525-45 [PMID: 4077351]
  10. Int J Health Serv. 1985;15(4):547-59 [PMID: 3908347]
  11. Am J Public Health. 2012 Jul;102(7):1267-73 [PMID: 22594719]
  12. Am J Public Health. 2019 Jun;109(6):e1-e12 [PMID: 31067117]
  13. Health Educ Behav. 2020 Aug;47(4):504-508 [PMID: 32338071]
  14. Int J Epidemiol. 2001 Aug;30(4):668-77 [PMID: 11511581]
  15. Int J Health Serv. 1989;19(2):311-4 [PMID: 2714925]
  16. Int J Health Serv. 1979;9(4):543-68 [PMID: 489182]
  17. J Epidemiol Community Health. 2011 Sep;65(9):746-50 [PMID: 21282147]
  18. Am J Public Health. 2010 Apr 1;100 Suppl 1:S30-5 [PMID: 20147679]
  19. Am J Epidemiol. 2020 Nov 2;189(11):1244-1253 [PMID: 32619007]
  20. Am J Public Health. 2006 Dec;96(12):2102-5 [PMID: 17123938]

MeSH Term

Health Status Disparities
Healthcare Disparities
Humans
Public Health
Racism
Social Determinants of Health
United States

Word Cloud

Created with Highcharts 10.0.0healtheconomypoliticalpublicMarxiantermtraditionissues"politicalhealth"concernedeconomicdomainsinteractshapeindividualpopulationoutcomesHowevervariouslydefinedmedicalsocialscienceliteraturesThisresultconfusionassociatedtherebyconstitutingbarrierapplicationresearchpracticeToaddresssurveyclarifyspecificallytheoreticallegacydiscussrelevanceunderstandingaddressingconcludediscussingbenefitsemployingcriticaltheoriesraceracismbetterunderstandrolesclassexploitationracialoppressionepidemiologicalpatterningPoliticalEconomyHealth:RevisitingOriginsAddress21st-CenturyHealthInequalities

Similar Articles

Cited By