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An Engine, Not a Vessel

Place, Politics, and Health in the United States

Bibliographic Data

ID12438541
AuthorsPhilip Rocco (0000-0001-5971-7039, Marquette University, corresponding author)
Year2025
Volume62
Issue1
Pages157-169
Publication date2025-05-08
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueUrban Affairs Review (JOURNAL)
Journal identifiersISSN: 1078-0874 • E-ISSN: 1552-8332
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/10780874251332242
OpenAlexW4410215110
LanguageEN
References cited28

Social scientists often treat places as containers for social and economic phenomena that shape health outcomes. Yet this analytic practice conceals more than it reveals. Local governments in the United States should be understood as engines of both health promotion and stratification. As the contributions to this symposium suggest, governments not only occupy a formal place in the U.S. public health system, their decisions on everything from housing to transportation infrastructure can also have profound impacts on health outcomes. Local political economies likewise renegotiate the parameters of acceptable health interventions, public understandings of health disparities, and the status of population health as a public good. By illustrating these linkages, the authors here suggest important future lines of research on both the promise and limits of local health governance, as well as how the allocation of local political power shapes health disparities

Political economy · Political science · Politics · Sociology · State (computer science · Global Public Health Policies and Epidemiology · Health disparities and outcomes · Law · Public Administration · Public Health Policies and Education

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