title: Synergy for health equity: integrating health promotion and social determinants of health approaches in and beyond the Americas.
abstract: Health promotion and social determinants of health approaches, when integrated, can better contribute to understanding and addressing health inequities. Yet, they have typically been pursued as two solitudes. This paper presents the key elements, principles, actions, and potential synergies of these complementary frameworks for addressing health equity. The value-added of integrating these two approaches is illustrated by three examples drawn from the authors' experiences in the Americas: at the community level, through a community-based coalition for reducing chronic disease disparities among minorities in an urban center in the United States; at the national level, through healthy-settings interventions in Canada; and at the Regional level, through health cooperation based on social justice values in Latin America. Challenges to integrating health promotion and social determinants of health approaches in the Americas are also discussed.
authors.affiliation: Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada, suzanne.jackson@utoronto.ca.
authors.forename: Suzanne F
authors.initials: SF
authors.lastname: Jackson
authors.affiliation: Centre for Critical Development Studies Office, University of Toronto Scarborough, Ontario, Canada.
authors.forename: Anne-Emanuelle
authors.initials: AE
authors.lastname: Birn
authors.affiliation: Community Health and Development, Applied Behavioral Science, University of Kansas, Lawrence, Kansas, United States of America.
authors.forename: Stephen B
authors.initials: SB
authors.lastname: Fawcett
authors.affiliation: Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada, suzanne.jackson@utoronto.ca.
authors.forename: Blake
authors.initials: B
authors.lastname: Poland
authors.affiliation: Community Health and Development, Applied Behavioral Science, University of Kansas, Lawrence, Kansas, United States of America.
authors.forename: Jerry A
authors.initials: JA
authors.lastname: Schultz
mesh_terms: D000569:Americas; D003256:Community Participation; D003695:Delivery of Health Care; D014943:Global Health; D006040:Goals; D006287:Health Planning Guidelines; D006293:Health Promotion / Q000458:organization & administration*; D006297:Health Services Accessibility; D054624:Health Status Disparities; D054625:Healthcare Disparities; D006801:Humans; D008962:Models, Theoretical; D011635:Public Health Administration; D011640:Public Policy; D064890:Social Determinants of Health; D018511:Systems Integration; D014504:Urban Health; D035862:Vulnerable Populations