Welcome to this issue, the first of two parts of a special issue on the social determinants of health. I am delighted to introduce two guest co-editors for the special issue – Dr Louise Warwick-Booth and Dr James Woodall. I am also thrilled to announce the winner of the Pittu Laungani Best Paper Award for the International Journal of Health Promotion and Education 2019 which was Muhimpundu et al.’s ‘Road map for leadership and management in public health: a case study on noncommunicable diseases program managers’ training in Rwanda’ (Issue 57.02). The standard was high last year and we have two joint runners-up for the award – Teye et al. ‘Risky driving behaviour in urban Ghana: the contribution of fatalistic beliefs, risk perception and risk taking attitude’ (Issue 57.05) and Gonzales et al. ‘Until it kills you: Cancer related stigma on the Chilean tobacco cancer package warning messages’ (Issue 57.04). Congratulations to all the authors on these achievements. Ruth Cross, Editor Now over to the guest editors, Dr Louise Warwick-Booth and Dr James Woodall: The notion that health is socially determined is well-recognised. Long-standing evidence has shown that a range of social factors – education, geography, income etc. – impacts on health and well-being and ultimately morbidity and mortality of individuals and communities. Health promotion has been committed, since its inception, to understanding and evidencing the social determinants and acknowledging the importance of wider influences upon health. Yet despite this commitment, there are gaps in the evidence base particularly in some international contexts. In addition, policy and practice has tended to privilege lifestyle issues rather than focusing on the underlying causes of poor health. As special guest editors, our own work has taken a wider appreciation of health and adopted a commitment to understanding and tackling health inequalities through research evidence.We have been encouraged by the diversity of research submitted to the journal for this special issue and have welcomed the broad methodological positions taken. The first paper, by Nasir et al., focuses on culture as a determinant of health. While culture as a health determinant is understood implicitly, recognising this as a mechanism that shapes health outcomes is underexplored. This study is a useful cultural comparator between two districts in Indonesia and six districts of Sidama Zone, southern Ethiopia, focusing on maternal and child health. Interestingly, the research identified common cultural beliefs that impacted on maternal outcomes – these included: strong culturalreligious beliefs; culture of shyness and privacy around pregnancy and highly gendered decision-making related to pregnancy and childbirth. The paper identifies clear ways in which culture shapes health practices and provides an opportunity for health promoters to work practically to improve maternal and child outcomes. The second paper, by Coppa and Barcelos Winchester, provides readers with findings from a content analysis of the cultural fluency and social determinants of health in a more INTERNATIONAL JOURNAL OF HEALTH PROMOTION AND EDUCATION 2020, VOL. 58, NO. 3, 107–108 https://doi.org/10.1080/14635240.2020.1744323

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社论

欢迎阅读本期，这是关于健康的社会决定因素的特刊两部分中的第一部分。我很高兴为特刊介绍两位客座联合编辑——Louise Warwick-Booth 博士和 James Woodall 博士。我还很高兴地宣布，2019 年国际健康促进和教育杂志获得 Pittu Laungani 最佳论文奖，这是 Muhimpundu 等人的“公共卫生领导力和管理路线图：非传染性疾病案例研究”卢旺达的计划管理人员培训”（第 57.02 期）。去年的标准很高，我们有两个联合获得该奖项的亚军——Teye 等人。“加纳城市的危险驾驶行为：宿命论信念、风险感知和冒险态度的贡献”（第 57.05 期）和 Gonzales 等人。'直到它杀死你：智利烟草癌症包装警告信息上的癌症相关污名（第 57.04 期）。祝贺所有作者取得这些成就。Ruth Cross，编辑 现在请到客座编辑，Louise Warwick-Booth 博士和 James Woodall 博士：健康是由社会决定的概念是公认的。长期证据表明，一系列社会因素——教育、地理、收入等——影响健康和福祉，最终影响个人和社区的发病率和死亡率。健康促进从一开始就致力于理解和证明社会决定因素，并承认更广泛的健康影响的重要性。然而，尽管做出了这一承诺，证据基础仍然存在差距，特别是在某些国际背景下。此外，政策和实践倾向于重视生活方式问题，而不是关注健康不佳的根本原因。作为特约客座编辑，我们自己的工作更广泛地关注健康，并致力于通过研究证据来理解和解决健康不平等问题。为此特刊提交给该杂志的研究的多样性使我们感到鼓舞，并欢迎采取广泛的方法论立场。Nasir 等人的第一篇论文将文化作为健康的决定因素。虽然文化作为健康决定因素的理解是含蓄的，但将其视为塑造健康结果的机制尚未得到充分探索。这项研究是印度尼西亚两个地区和埃塞俄比亚南部锡达马区六个地区之间的有用文化比较，重点关注母婴健康。有趣的是，该研究确定了影响产妇结局的共同文化信仰——包括：强烈的文化宗教信仰；围绕怀孕的害羞和隐私文化以及与怀孕和分娩有关的高度性别化的决策。该文件确定了文化塑造健康实践的明确方式，并为健康促进者提供了实际工作以改善母婴结局的机会。第二篇论文由 Coppa 和 Barcelos Winchester 撰写，在 2020 年国际健康促进与教育杂志，第 2 卷中为读者提供了对文化流畅性和健康的社会决定因素的内容分析的结果。58，没有。3、107–108 https://doi.org/10.1080/14635240.2020.1744323 该研究确定了影响产妇结局的共同文化信仰——其中包括： 强烈的文化宗教信仰；围绕怀孕的害羞和隐私文化以及与怀孕和分娩有关的高度性别化的决策。该文件确定了文化塑造健康实践的明确方式，并为健康促进者提供了实际工作以改善母婴结局的机会。第二篇论文由 Coppa 和 Barcelos Winchester 撰写，在更国际化的健康促进和教育杂志 2020 卷中，为读者提供了对文化流畅性和健康的社会决定因素的内容分析的结果。58，没有。3、107–108 https://doi.org/10.1080/14635240.2020.1744323 该研究确定了影响产妇结局的共同文化信仰——其中包括： 强烈的文化宗教信仰；围绕怀孕的害羞和隐私文化以及与怀孕和分娩有关的高度性别化的决策。该文件确定了文化塑造健康实践的明确方式，并为健康促进者提供了实际工作以改善母婴结局的机会。第二篇论文由 Coppa 和 Barcelos Winchester 撰写，在 2020 年国际健康促进与教育杂志，第 2 卷中为读者提供了对文化流畅性和健康的社会决定因素的内容分析的结果。58，没有。3、107–108 https://doi.org/10.1080/14635240.2020.1744323 围绕怀孕的害羞和隐私文化以及与怀孕和分娩有关的高度性别化的决策。该文件确定了文化塑造健康实践的明确方式，并为健康促进者提供了实际工作以改善母婴结局的机会。第二篇论文由 Coppa 和 Barcelos Winchester 撰写，在 2020 年国际健康促进与教育杂志，第 2 卷中为读者提供了对文化流畅性和健康的社会决定因素的内容分析的结果。58，没有。3、107–108 https://doi.org/10.1080/14635240.2020.1744323 围绕怀孕的害羞和隐私文化以及与怀孕和分娩有关的高度性别化的决策。该文件确定了文化塑造健康实践的明确方式，并为健康促进者提供了实际工作以改善母婴结局的机会。第二篇论文由 Coppa 和 Barcelos Winchester 撰写，在 2020 年国际健康促进与教育杂志，第 2 卷中为读者提供了对文化流畅性和健康的社会决定因素的内容分析的结果。58，没有。3、107–108 https://doi.org/10.1080/14635240.2020.1744323 第二篇论文由 Coppa 和 Barcelos Winchester 撰写，在 2020 年国际健康促进与教育杂志，第 2 卷中为读者提供了对文化流畅性和健康的社会决定因素的内容分析的结果。58，没有。3、107–108 https://doi.org/10.1080/14635240.2020.1744323 第二篇论文由 Coppa 和 Barcelos Winchester 撰写，在 2020 年国际健康促进与教育杂志，第 2 卷中为读者提供了对文化流畅性和健康的社会决定因素的内容分析的结果。58，没有。3、107–108 https://doi.org/10.1080/14635240.2020.1744323