Evidence map›Paper›PMID 39681886›Full record

ArticleBMC global and public health2023

Health promotion, the social determinants of health, and urban health: what does a critical discourse analysis of World Health Organization texts reveal about health equity?

Michelle Amri, Theresa Enright, Patricia O'Campo, Erica Di Ruggiero, Arjumand Siddiqi, Jesse Boardman Bump

Abstract read
In one paragraph

Article in BMC global and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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  8. Social Determinants of Health and Antibiotic Consumption.Antibiotics (Basel, Switzerland) · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Michelle AmriSchool of Public Policy, Simon Fraser University, Harbour Center, 515 West Hastings Street, Vancouver, BC, V6B 4N6, Canada. michelle_amri@sfu.ca.
Theresa EnrightDepartment of Political Science, University of Toronto, 100 St George Street, Toronto, ON, M5S 3G3, Canada.
Patricia O'CampoDivision of Epidemiology, Dalla Lana School of Public Health, University of Toronto, 155 College Street, Toronto, ON, M5T 1P8, Canada.
Erica Di RuggieroSocial and Behavioural Health Sciences Division, Dalla Lana School of Public Health, University of Toronto, 155 College Street, Toronto, ON, M5T 1P8, Canada.
Arjumand SiddiqiDivision of Epidemiology, Dalla Lana School of Public Health, University of Toronto, 155 College Street, Toronto, ON, M5T 1P8, Canada.
Jesse Boardman BumpTakemi Program in International Health, Harvard T.H. Chan School of Public Health, Harvard University, 665 Huntington Avenue, Bldg. 1, Boston, MA, 02115-6021, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe World Health Organization (WHO) has focused on health equity as part of its mandate and broader agenda-consider for example, the "health for all" slogan. However, a recent scoping review determined that there are no studies that investigate the WHO's approach to health equity. Therefore, this study is the first such empirical analysis examining discourses of health equity in WHO texts concerning health promotion, the social determinants of health, and urban health.

methodsWe undertook a critical discourse analysis of select texts that concern health promotion, the social determinants of health, and urban health.

resultsThe findings of this study suggest that (i) underpinning values are consistent in WHO texts' approach to health equity; (ii) WHO texts reiterate that health inequities are socially constructed and mitigatable but leave the 'causes of causes' vague; (iii) despite distinguishing between health "inequities" and "inequalities," there are several instances where these terms are used interchangeably across texts; (iv) WHO texts approach health equity broadly (covering a variety of areas); (v) health equity may be viewed as applicable either throughout the life-course or intergenerationally, which depends on the specific WHO text at hand; and (vi) WHO texts at times use vague or unclear language around how to improve health equity.

conclusionsThis study does not present one definition of health equity and action to be taken. Instead, this study uncovers discourses embedded in WHO texts to spur discussion and deliberate decision-making. This work can also pave the way for further inquiry on other complex key terms or those with embedded values.

Indexed as

Critical discourse analysisEquityGlobal healthHealth equityHealth inequityHealth policyInequityPublic healthPublic policyWorld Health Organization

Identifiers

PMID39681886
PMCPMC11622871

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.