Research suggests policy action on the social determinants of health (SDH) is required to reduce child health inequities (HE). However, there has been limited action in this area in Australia. Political will has been identified as a barrier but few public health scholars have conducted research which adopts a political science perspective to explore this issue. This study aims to address this gap in the literature. We conducted 27 semi-structured interviews with policy actors involved in the development of four Australian child/youth health policies selected as relatively good practice in addressing the SDH and HE. Several political science theories guided the design of the study with the Shiffman and Smith framework predominantly used, and adapted, for analysis. The findings suggest policy development was supported by a cohesive policy network, including credible leaders. Framing of issues varied with early childhood development, health equity, and child rights being clear motivators for change. Policy actors used several tactics to navigate a neoliberal policy environment and promote a SDH agenda including adopting a credible framework; consultation with children/youth; establishing an institute outside of government; engaging medical entrepreneurs; and combining a Public Health and Wellbeing Act with a healthy cities approach.

中文翻译：

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政策参与者对在澳大利亚儿童健康政策中应用 SDH 方法的看法：一种跨学科方法（公共卫生和政治学）

研究表明，需要针对健康问题的社会决定因素 (SDH) 采取政策行动，以减少儿童健康不公平 (HE)。然而，澳大利亚在这方面的行动有限。政治意愿已被确定为一个障碍，但很少有公共卫生学者进行了采用政治学视角来探讨这个问题的研究。本研究旨在解决文献中的这一空白。我们对参与制定四项澳大利亚儿童/青少年健康政策的政策参与者进行了 27 次半结构化访谈，这些政策被选为解决 SDH 和 HE 的相对良好做法。几种政治学理论指导了研究的设计，主要使用和改编的 Shiffman 和 Smith 框架用于分析。调查结果表明，政策制定得到了一个有凝聚力的政策网络的支持，包括可信的领导人。问题的框架各不相同，儿童早期发展、健康公平和儿童权利是变革的明确动力。政策参与者使用多种策略来驾驭新自由主义政策环境并促进 SDH 议程，包括采用可信框架；咨询儿童/青少年；在政府之外建立一个机构；吸引医疗企业家；并将公共卫生和福利法案与健康城市方法相结合。在政府之外建立一个机构；吸引医疗企业家；并将公共卫生和福利法案与健康城市方法相结合。在政府之外建立一个机构；吸引医疗企业家；并将公共卫生和福利法案与健康城市方法相结合。