Articles producció científica> Antropologia, Filosofia i Treball Social

Structural competency in epidemiological research: What's feasible, what's tricky, and the benefits of a 'structural turn'

  • Identification data

    Identifier: imarina:9287752
    Authors:
    Martínez-Hernáez, ABekele, D
    Abstract:
    Structural competency is an emerging paradigm for both the training of health professionals and the creation of a common language addressing structural processes that determine health disparities. However, its application to the field of epidemiological design and research is absent. Based on our previous proposal of a tool for Structural and Intercultural Competency in Epidemiological Studies, the SICES guidelines, in this article we analyse the possibilities and challenges of a 'structural turn' in epidemiology. In terms of possibilities, we recognise the value of paradigms from multiple parts of the world, such as social and sociocultural epidemiology, critical epidemiology and collective health, in facilitating a structural turn in epidemiological studies. In this framework, structural competency would provide a new angle by focusing not only on what to research (e.g. inequalities), but with what skills and attitudes (e.g. cultural and epistemic humility). The challenges lie in the inclusion of reflexivity and a comprehensive view in the context of a positivist epidemiology oriented towards obtaining evidence from a biomedical, but not social, perspective.
  • Others:

    Author, as appears in the article.: Martínez-Hernáez, A; Bekele, D
    Department: Antropologia, Filosofia i Treball Social
    URV's Author/s: Bekele, Deborah / Martinez Hernaez, Angel
    Keywords: Structural competency Social epidemiology Reflexivity Reduced inequalities Epidemiological research Cultural and epistemic humility reflexivity medicine health epidemiological research cultural humility cultural and epistemic humility anthropology
    Abstract: Structural competency is an emerging paradigm for both the training of health professionals and the creation of a common language addressing structural processes that determine health disparities. However, its application to the field of epidemiological design and research is absent. Based on our previous proposal of a tool for Structural and Intercultural Competency in Epidemiological Studies, the SICES guidelines, in this article we analyse the possibilities and challenges of a 'structural turn' in epidemiology. In terms of possibilities, we recognise the value of paradigms from multiple parts of the world, such as social and sociocultural epidemiology, critical epidemiology and collective health, in facilitating a structural turn in epidemiological studies. In this framework, structural competency would provide a new angle by focusing not only on what to research (e.g. inequalities), but with what skills and attitudes (e.g. cultural and epistemic humility). The challenges lie in the inclusion of reflexivity and a comprehensive view in the context of a positivist epidemiology oriented towards obtaining evidence from a biomedical, but not social, perspective.
    Thematic Areas: Sociologia i política Saúde coletiva Public, environmental & occupational health Public health, environmental and occupational health Psicología Nutrição Medicina i Interdisciplinar General o multidisciplinar Ensino Enfermagem Educação Economia Ciencias sociales Antropologia / arqueologia
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: deborah.bekele@estudiants.urv.cat angel.martinez@urv.cat
    Author identifier: 0000-0002-5122-7075
    Record's date: 2024-11-23
    Papper version: info:eu-repo/semantics/publishedVersion
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Global Public Health. 18 (1): 1-14
    APA: Martínez-Hernáez, A; Bekele, D (2023). Structural competency in epidemiological research: What's feasible, what's tricky, and the benefits of a 'structural turn'. Global Public Health, 18(1), 1-14. DOI: 10.1080/17441692.2023.2164903
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2023
    Publication Type: Journal Publications
  • Keywords:

    Public Health, Environmental and Occupational Health,Public, Environmental & Occupational Health
    Structural competency
    Social epidemiology
    Reflexivity
    Reduced inequalities
    Epidemiological research
    Cultural and epistemic humility
    reflexivity
    medicine
    health
    epidemiological research
    cultural humility
    cultural and epistemic humility
    anthropology
    Sociologia i política
    Saúde coletiva
    Public, environmental & occupational health
    Public health, environmental and occupational health
    Psicología
    Nutrição
    Medicina i
    Interdisciplinar
    General o multidisciplinar
    Ensino
    Enfermagem
    Educação
    Economia
    Ciencias sociales
    Antropologia / arqueologia
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