The Social Determinants of Chronic Disease

Cockerham, William C.; Hamby, Bryant W.; Oates, Gabriela R.

doi:10.1016/j.amepre.2016.09.010

Cited by 584Health disparities and outcomesPublic Health and Social InequalitiesPublic Health Policies and Education

The Social Determinants of Chronic Disease

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Cockerham, William C., Hamby, Bryant W., Oates, Gabriela R.·2017·American Journal of Preventive Medicine

DOI 10.1016/j.amepre.2016.09.010PMC PMC5328595

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Abstract

This review article addresses the concept of the social determinants of health (SDH), selected theories, and its application in studies of chronic disease. Once ignored or regarded only as distant or secondary influences on health and disease, social determinants have been increasingly acknowledged as fundamental causes of health afflictions. For the purposes of this discussion, SDH refers to SDH variables directly relevant to chronic diseases and, in some circumstances, obesity, in the research agenda of the Mid-South Transdisciplinary Collaborative Center for Health Disparities Research. The health effects of SDH are initially discussed with respect to smoking and the social gradient in mortality. Next, four leading SDH theories-life course, fundamental cause, social capital, and health lifestyle theory-are reviewed with supporting studies. The article concludes with an examination of neighborhood disadvantage, social networks, and perceived discrimination in SDH research.

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Authors: Cockerham, W. C., Hamby, B. W., & Oates, G. R.
Affiliations: University of Alabama at Birmingham (US)
Corresponding author: Cockerham, William C.
ORCID: Cockerham, William C.
Oates, Gabriela R.
Venue: American Journal of Preventive Medicine
Publisher: Elsevier BV
Published: 2017-01
Volume: 52
Issue: 1
Pages: S5-S12
ISSN: 0749-3797 (ISSN-L)
DOI: 10.1016/j.amepre.2016.09.010
PMC: PMC5328595
OpenAlex: W2561874311
Cited by: 584
References: 82
Citations by year: 2026: 61 · 2025: 65 · 2024: 76 · 2023: 103 · 2022: 94 · 2021: 75 · 2020: 63 · 2019: 24 · 2018: 20 · 2017: 3
FWCI: 2.96
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: American Journal of Preventive Medicine (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health
Agency for Healthcare Research and Quality (K12HS023009)
National Institute on Minority Health and Health Disparities (U54MD008176)
Topics: Social Sciences › Health › Health disparities and outcomes
Social Sciences › Health › Public Health and Social Inequalities
Health Sciences › Health Professions › General Health Professions › Public Health Policies and Education
Keywords: social determinants of health, chronic disease, health disparities, smoking, life course perspective, fundamental cause theory, social capital, neighborhood disadvantage, social networks, perceived discrimination, obesity
MeSH terms: Healthy Lifestyle, Chronic Disease, Humans, Residence Characteristics, Social Support, Health Status Disparities, Social Determinants of Health

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The Social Determinants of Chronic Disease

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