{"doi":"10.1177/00207314221122657","title":"Thinking with and Against the Social Determinants of Health: The Latin American Social Medicine (Collective Health) Critique from Jaime Breilh","abstract":"<jats:p>The concept of the social determinants of health has become increasingly accepted and mainstream in anglophone public health over the past three decades. Moreover, it has been widely adopted into diverse geographic, sociocultural, and linguistic contexts. By recognizing the role of social conditions in influencing health inequalities, the concept challenges narrow behavioral and reductive biological understandings of health. Despite this, scholars and activists have critiqued the concept of the social determinants of health for being incomplete and even misrepresenting the true nature of health inequities. Arguably, these critiques have been most thoroughly developed among those working in the Latin American social medicine and collective health traditions who formulated the “social determination of health” paradigm and the concept of interculturality decades prior to the advent of the social determinants of health. We draw on Jaime Breilh's main works, with a focus on the recently published book, Critical Epidemiology and the People's Health, to (1) provide a broad overview of the social determination of health paradigm and its approach to interculturality and (2) clarify how these ideas and the broader collective health movement challenge assumptions within the social determinants of health concept.</jats:p>","journal":"International Journal of Health Services","year":2022,"id":657395,"datarank":1.5476915308997643,"base_score":3.6888794541139363,"endowment":3.6888794541139363,"self_citation_contribution":0.5533319181170905,"citation_network_contribution":0.9943596127826738,"self_endowment_contribution":0.5533319181170905,"citer_contribution":0.9943596127826738,"corpus_percentile":null,"corpus_rank":null,"citation_count":39,"citer_count":33,"citers_with_citation_signal":20,"citers_with_endowment":20,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1716144,"name":"Carlos Piñones-Rivera","orcid":"0000-0002-4771-3345","position":1,"is_corresponding":false},{"id":1716146,"name":"Seth M. Holmes","orcid":null,"position":2,"is_corresponding":false},{"id":714483,"name":"Michael Harvey","orcid":"0000-0001-8050-6068","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Thinking with and Against the Social Determinants of Health: The Latin American Social Medicine (Collective Health) Critique from Jaime Breilh","abstract":"<jats:p>The concept of the social determinants of health has become increasingly accepted and mainstream in anglophone public health over the past three decades. Moreover, it has been widely adopted into diverse geographic, sociocultural, and linguistic contexts. By recognizing the role of social conditions in influencing health inequalities, the concept challenges narrow behavioral and reductive biological understandings of health. Despite this, scholars and activists have critiqued the concept of the social determinants of health for being incomplete and even misrepresenting the true nature of health inequities. Arguably, these critiques have been most thoroughly developed among those working in the Latin American social medicine and collective health traditions who formulated the “social determination of health” paradigm and the concept of interculturality decades prior to the advent of the social determinants of health. We draw on Jaime Breilh's main works, with a focus on the recently published book, Critical Epidemiology and the People's Health, to (1) provide a broad overview of the social determination of health paradigm and its approach to interculturality and (2) clarify how these ideas and the broader collective health movement challenge assumptions within the social determinants of health concept.</jats:p>","is_dataset_classified":null,"base_score":3.6888794541139363,"endowment":3.6888794541139363,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"36052418","pmcid":null,"openalex_id":"https://openalex.org/W4294204146","authors":[],"funders":[{"funder_name":"Fondo Nacional de Desarrollo Científico y Tecnológico","grant_id":"1210602","title":null}],"total_grants":1,"fwci":9.9219,"citation_percentile":0.98706897,"influential_citations":0,"citation_trend":[{"year":2022,"count":3},{"year":2023,"count":14},{"year":2024,"count":6},{"year":2025,"count":6},{"year":2026,"count":10}],"oa_status":"green","license":"cc-by-nc-nd","oa_locations":[{"url":"http://hdl.handle.net/10644/9379","host_type":"repository"},{"url":"http://hdl.handle.net/10644/9379","host_type":"repository"},{"url":"https://journals.sagepub.com/doi/pdf/10.1177/00207314221122657","host_type":"publisher"},{"url":"https://journals.sagepub.com/doi/full-xml/10.1177/00207314221122657","host_type":"publisher"},{"url":"https://doi.org/10.1177/00207314221122657","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/36052418","host_type":"repository"}],"fields_of_study":["Obesity and Health Practices","Historical and modern epidemiology studies","Public Health Policies and Education"],"mesh_terms":["Humans","Latin America","Public Health","Social Medicine","Social Determinants of Health"],"keywords":["Latin Americans","Social medicine","Social determinants of health","Sociology","Social science","Political science","Medicine","Public health","Nursing","Law","Indigenous knowledge","Health Disparities","Social Theory","Health Inequity","Collective Health","Interculturality","Social Determination Of Health","Latin American Social Medicine","Critical Epidemiology"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Reduced inequalities"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-12T00:54:59.000351Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}