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Social determinants of health inequalities
Open accessAbstract
The gross inequalities in health that we see within and between countries present a challenge to the world. That there should be a spread of life expectancy of 48 years among countries and 20 years or more within countries is not inevitable. A burgeoning volume of research identifies social factors at the root of much of these inequalities in health. Social determinants are relevant to communicable and non-communicable disease alike. Health status, therefore, should be of concern to policy makers in every sector, not solely those involved in health policy. As a response to this global challenge, WHO is launching a Commission on Social Determinants of Health, which will review the evidence, raise societal debate, and recommend policies with the goal of improving health of the world's most vulnerable people. A major thrust of the Commission is turning public-health knowledge into political action.
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“Low socioeconomic position, measured variously in terms of poverty, income, wealth, education, or occupation, has been repeatedly linked to a greater burden of disease and death in the United States and other countries.”
From Social security and mortality: The role of income support policies and population health in the United States (2011) · cites this paper as [2]
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“There is nearly universal agreement in the scientific and public health communities that social determinants, 1 the circumstances in which people live and work, affect health. 1”
From Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT (2015) · cites this paper as [1]
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“Social determinants of health are highly relevant in the occurrence of health problems and disparities related to health problems (Fig. 2) [36].”
From Conceptual framework of equity-focused implementation research for health programs (EquIR) (2019) · cites this paper as [36]
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“It is also associated with insulin resistance which increases the risk of developing T2D 182 .”
From The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness (2019) · cites this paper as [182]
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“We have the knowledge and means to deal with the social determinants of health, including mental health 43,44 .”
From Ethical challenges in contemporary psychiatry: an overview and an appraisal of possible strategies and research needs (2024) · cites this paper as [43]
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Metadata
- Authors
- Marmot, M.
- Affiliations
- University College London (GB)
- Corresponding author
- Marmot, Michael
- ORCID
- Marmot, Michael
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2005-03
- Volume
- 365
- Issue
- 9464
- Pages
- 1099-1104
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W2131854704
- Cited by
- 5,086
- References
- 28
- Citations by year
- 2026: 470 · 2025: 418 · 2024: 300 · 2023: 322 · 2022: 336 · 2021: 413 · 2020: 395 · 2019: 328 · 2018: 271 · 2017: 265 · 2016: 222 · 2015: 213 · 2014: 206 · 2013: 190 · 2012: 169
- FWCI
- 68.45
- Type
- journal article
- Language
- en
- Open access
- green
- discovery.ucl.ac.uk
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Funders
- University College London
- Topics
- Social Sciences › Health › Public Health and Social Inequalities
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Public Health Policies and Education
- Keywords
- social determinants of health, health disparities, life expectancy, WHO Commission on Social Determinants of Health, non-communicable diseases, infectious diseases, health policy, vulnerable populations
- MeSH terms
- Adult, Aged, Aged, 80 and over, Child, Developing Countries, Female, Health Status, Health Status Indicators, Humans, Male, Middle Aged, Poverty, Public Health, Social Justice, Socioeconomic Factors
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