Public HealthSocial determinants of health inequalities
Section snippets
Inequalities in health between and within countries: poverty and inequality
A catastrophe on the scale of the Indian Ocean tsunami rightly focuses attention on the susceptibility of poor and vulnerable populations to natural disasters. It is no less important to keep on the agenda the more enduring problem of inequalities in health among countries.
Social determinants: poverty, inequality, and the causes of the causes
In consulting widely in developing the plan for the Commission on Social Determinants of Health, a common question was: “What's new? We know that poverty is bad for health. Does that need a Commission?”
It is not difficult to understand how poverty in the form of material deprivation—dirty water, poor nutrition—allied to lack of quality medical care can account for the tragically foreshortened lives of people in Sierra Leone. Such understanding is insufficient in two important ways. First, it
Action is possible and necessary
A review of policies in European countries identified several that took action on the social determinants of health.30 Although the reason for the policies was not necessarily to improve health they were nevertheless relevant to health: taxation and tax credits, old-age pensions, sickness or rehabilitation benefits, maternity or child benefits, unemployment benefits, housing policies, labour markets, communities, and care facilities.
In Sweden, the new strategy for public health is “to create
Meeting human needs
Two linked themes provide the rationale for the Commission on Social Determinants of Health. First, there is no choice. If the major determinants of health are social, so must be the remedies. Treating existing disease is urgent and will always receive high priority but should not be to the exclusion of taking action on the underlying social determinants of health. Disease control, properly planned and directed, has a good history, but so too does social and economic development in combating
References (38)
- et al.
The Millennium Project: a plan for meeting the Millennium Development Goals
Lancet
(2005) - et al.
Applying an equity lens to child health and mortality: more of the same is not enough
Lancet
(2003) - et al.
Trends in healthy life expectancy in the United States, 1970–1990: gender, racial, and educational differences
Soc Sci Med
(2001) The World Health Report 2004: changing history
(2004)- et al.
US patterns of mortality by county and race: 1965–94
(1998) Treating 3 million by 2005: making it happen: the WHO strategy—the WHO and UNAIDS global initiative to provide retroviral therapy to 3 million people with HIV/AIDS in developing countries by the end of 2005
(2003)Millennium Development Goals
World Health Report 2003: shaping the future
(2003)Human Development Report 2004
(2004)
A statistical overview of Aboriginal and Torres Strait Islander peoples in Australia
Effects of education and other socioeconomic factors on middle age mortality in rural Bangladesh
J Epidemiol Community Health
Status syndrome
Inequalities in life expectancy by social class 1972–1999
Health Stat Q
Widening socioeconomic inequalities in mortality in six Western European countries
Int J Epidemiol
Social factors and increase in mortality in Russia in the 1990s: prospective cohort study
BMJ
An aging world: 2001—series P95/01-1
Dying for growth: global inequality and the health of the poor
Globalization and its discontents
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