WHO European review of social determinants of health and the health divide
Abstract
The European region has seen remarkable heath gains in those populations that have experienced progressive improvements in the conditions in which people are born, grow, live, and work. However, inequities, both between and within countries, persist. The review reported here, of inequities in health between and within countries across the 53 Member States of the WHO European region, was commissioned to support the development of the new health policy framework for Europe: Health 2020. Much more is understood now about the extent, and social causes, of these inequities, particularly since the publication in 2008 of the report of the Commission on Social Determinants of Health. The European review builds on the global evidence and recommends policies to ensure that progress can be made in reducing health inequities and the health divide across all countries, including those with low incomes. Action is needed--on the social determinants of health, across the life course, and in wider social and economic spheres--to achieve greater health equity and protect future generations.
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Children in low socio-economic status (SES) communities are more likely to have unhealthy behaviours, including physical inactivity and unhealthy dietary habits, than children in high-SES communities.
“Children living in low socio-economic status (SES) communities are more likely to have unhealthy behaviours that include physical inactivity and unhealthy dietary habits, compared to those living in high-SES communities [1,2].”
From The Healthy Primary School of the Future: A Contextual Action-Oriented Research Approach (2018) · cites this paper as [2]
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- Authors
- Marmot, M., Allen, J., Bell, R., Bloomer, E., & Goldblatt, P.
- Affiliations
- University College London (GB)
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2012-09
- Volume
- 380
- Issue
- 9846
- Pages
- 1011-1029
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W1986471490
- Cited by
- 1,571
- References
- 19
- Citations by year
- 2026: 109 · 2025: 124 · 2024: 109 · 2023: 119 · 2022: 125 · 2021: 131 · 2020: 167 · 2019: 130 · 2018: 106 · 2017: 94 · 2016: 95 · 2015: 103 · 2014: 76 · 2013: 74 · 2012: 7
- FWCI
- 94.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Funders
- British Heart Foundation (RG/07/008/23674)
- Topics
- Social Sciences › Health › Public Health and Social Inequalities
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Health Professions › General Health Professions › Public Health Policies and Education
- Keywords
- social determinants of health, health disparities, health equity, WHO European Region, Health 2020, Commission on Social Determinants of Health, life course, low-income countries, health policy
- MeSH terms
- Delivery of Health Care, Europe, Female, Health Policy, Health Priorities, Health Promotion, Humans, International Cooperation, Life Expectancy, Male, Social Justice, Social Problems, Socioeconomic Factors, Unemployment, World Health Organization, Evidence-Based Medicine, Health Status Disparities
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