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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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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