Dennis Raphael

Bio: Dennis Raphael is an academic researcher from York University. The author has contributed to research in topics: Social determinants of health & Health promotion. The author has an hindex of 41, co-authored 162 publications receiving 5737 citations. Previous affiliations of Dennis Raphael include University of Toronto & University of Western Ontario.

Social Determinants of Health: Canadian Perspectives

Abstract: The Innovation Journal has been publishing regularly for almost a quarter century. In all that time, there have been very few rules about selecting the books for review in its pages. There are, however, some very rough guidelines. Most obviously, each book should have something to do with “innovation” in theory and practice. Each one should have some at least tenuous relationship to the public sector. And ... that’s about it. Of course, there are also some unwritten guidelines.

Social Determinants of Health: Present Status, Unanswered Questions, and Future Directions:

Abstract: This article reviews the current status of theory and research concerning the social determinants of health. It provides an overview of current conceptualizations and evidence on the impact of various social determinants of health. The contributions of different disciplines—epidemiology, sociology, political economy, and the human rights perspective—to the field are acknowledged, but profound gaps persist in our understanding of the forces that drive the quality of various social determinants of health and why research is too infrequently translated into action. Many of these gaps in knowledge concern the political, economic, and social forces that make implementation of public policy agendas focused on strengthening the social determinants of health problematic. The author identifies the areas of inquiry needed to help translate knowledge into action.

“Who Do They Think We Are, Anyway?”: Perceptions of and Responses to Poverty Stigma

Abstract: In this article, we report on qualitative findings pertaining to low-income people's perceptions of and responses to "poverty stigma," a key component of social exclusion with important implications for health and well-being. Our findings are drawn from a multimethod study designed to investigate experiences of social exclusion and social isolation among people living on low incomes. We conducted semistructured individual interviews (n = 59) and group interviews (total n = 34) with low-income residents of two large Canadian cities. Data were analyzed using thematic content analysis techniques. Participants overwhelmingly thought that other members of society tend to view them as a burden to society-as lazy, disregarding of opportunities, irresponsible, and opting for an easy life. Low-income people responded to perceived stigma with a variety of cognitive and behavioral strategies that reflected their efforts to reconcile their perceived "social" and "personal" identities. These strategies included confronting discrimination directly, disregarding responses from others, helping other low-income people, withdrawing and isolating themselves from others, engaging in processes of cognitive distancing, and concealing their financial situation.

The question of evidence in health promotion

Abstract: Health promoters require credible evidence to identify relevant determinants of health, choose activities to promote health, and then evaluate the effectiveness of these chosen activities. The issue of evidence in health promotion is a complex one that requires critical examination of what is meant by health promotion, the focus of health promotion activities, and the ideological issues and principles that inform health promotion practice. It is argued that health promoters should be explicit about the principles and values behind their health promotion activities, and consider how ideology, values, principles and data interact to produce evidence. Resources that will provide assistance in these tasks are provided. The question of evidence in health promotion*

Economy and Society

Abstract: The four Visegrad states — Poland, the Czech Republic, Slovakia (until 1993 Czechoslovakia) and Hungary — form a compact area between Germany and Austria in the west and the states of the former USSR in the east. They are bounded by the Baltic in the north and the Danube river in the south. They are cut by the Sudeten and Carpathian mountain ranges, which divide Poland off from the other states. Poland is an extension of the North European plain and like the latter is drained by rivers that flow from south to north west — the Oder, the Vlatava and the Elbe, the Vistula and the Bug. The Danube is the great exception, flowing from its source eastward, turning through two 90-degree turns to end up in the Black Sea, forming the barrier and often the political frontier between central Europe and the Balkans. Hungary to the east of the Danube is also an open plain. The region is historically and culturally part of western Europe, but its eastern Marches now represents a vital strategic zone between Germany and the core of the European Union to the west and the Russian zone to the east.

Optimizing well-being: the empirical encounter of two traditions.

Abstract: Subjective well-being (SWB) is evaluation of life in terms of satisfaction and balance between positive and negative affect; psychological well-being (PWB) entails perception of engagement with existential challenges of life. The authors hypothesized that these research streams are conceptually related but empirically distinct and that combinations of them relate differentially to sociodemographics and personality. Data are from a national sample of 3,032 Americans aged 25–74. Factor analyses confirmed the related-but-distinct status of SWB and PWB. The probability of optimal well-being (high SWB and PWB) increased as age, education, extraversion, and conscientiousness increased and as neuroticism decreased. Compared with adults with higher SWB than PWB, adults with higher PWB than SWB were younger, had more education, and showed more openness to experience. Research on well-being has flourished in recent decades (Diener, Suh, Lucas, & Smith, 1999; Kahneman, Diener, & Schwarz, 1999), with increasing recognition of the different streams of inquiry guiding this broad domain. Ryan and Deci’s (2001) integrative review organized the field of well-being into two broad traditions: one dealing with happiness (hedonic well-being), and one dealing with human potential (eudaimonic well-being; Ryan & Deci, 2001; see also Waterman, 1993). In the present study, we draw and extend these distinctions, which we refer to as traditions of research on subjective well-being (SWB) and psychological well-being (PWB). We use these terms to underscore the fact that studies of SWB have repeatedly included not only affective indicators of happiness (hedonic well-being) but also cognitive assessments of life satisfaction. In addition, some aspects of PWB (e.g., personal growth, purpose in life) but not others (e.g., positive relations with others, self-acceptance) reflect the self-fulfillment meanings of eudaimonic well-being. As described below, SWB and PWB are also the overarching phrases most frequently used in studies that constitute these traditions, both of which are fundamentally concerned with subjective accounts of well-being. Our specific empirical aims are to examine whether indicators of SWB and PWB constitute taxonomically distinct reflections of well-being in a national sample of U.S. adults. Although both approaches assess well-being, they address different features of what it means to be well: SWB involves more global evaluations of affect and life quality, whereas PWB examines perceived thriving vis-a `-vis the existential challenges of life (e.g., pursuing meaningful goals, growing and developing as a person, establishing quality ties to others). We further test the hypothesis that these distinct varieties of well-being are contoured by the broad categories of sociodemographic and personality factors. Specifically, we investigate the role of location in the life course (i.e., age) and position in the socioeconomic hierarchy (e.g., educational status) as well as personality traits in accounting for different profiles of well-being. To put the inquiry in historical context, we provide a brief summary of each tradition.

The happy personality : A meta-analysis of 137 personality traits and subjective well-being

Abstract: This meta-analysis used 9 literature search strategies to examine 137 distinct personality constructs as correlates of subjective well-being (SWB). Personality was found to be equally predictive of life satisfaction, happiness, and positive affect, but significantly less predictive of negative affect. The traits most closely associated with SWB were repressive-defensiveness, trust, emotional stability, locus of control-chance, desire for control, hardiness, positive affectivity, private collective self-esteem, and tension. When personality traits were grouped according to the Big Five factors, Neuroticism was the strongest predictor of life satisfaction, happiness, and negative affect. Positive affect was predicted equally well by Extraversion and Agreeableness. The relative importance of personality for predicting SWB, how personality might influence SWB, and limitations of the present review are discussed.