Globalization as a ‘determinant of the determinants of health’

Abstract

Abstract International health, a concern with the high burden of preventable disease in poorer countries, is long-standing. In late nineteenth century sanitary reforms and early twentieth century philanthropic financing to control infectious diseases in the Americas, this concern also foreshadows more contemporary debates over global health financing and the ‘health securitization’ of wealthier nations against diseases spreading from poorer ones. By the late twentieth century, however, there was a shift in discourse from ‘international’ to ‘global’ health underpinned by the growing awareness that there are inherently global reasons for why some countries are wealthier and healthier, while others remain poorer and sicker. Two different frameworks are used to unpack these causal pathways, in which globalization processes are regarded as meta-determinants of health inequities within and between nations. Although researchers argue that globalization processes have been good for health, others are much less sanguine on this claim.