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The Social Determinants of Health: Time to Re-Think?

Author

Listed:
  • John Frank

    (Director of Knowledge Exchange and Research Impact, Usher Institute, University of Edinburgh, Room 1-308, Doorway #1, Teviot Hall, Teviot Place, Edinburgh EH8 9AG, UK)

  • Thomas Abel

    (ISPM, University of Bern, 3012 Bern, Switzerland)

  • Stefano Campostrini

    (Department of Economics, University Ca’ Foscari Venice, 30121 Venice, Italy)

  • Sarah Cook

    (Director, Institute for Global Development, University of New South Wales, John Goodsell Building, Sydney, NSW 2052, Australia)

  • Vivian K. Lin

    (Executive Associate Dean, Faculty of Medicine, University of Hong Kong, Hong Kong, China)

  • David V. McQueen

    (ISPM, University of Bern, 3012 Bern, Switzerland)

Abstract

Twelve years have now passed since the influential WHO Report on the Social Determinants of Health (SDoH) in 2008. A group of senior international public health scholars and decision-makers met in Italy in mid-2019 to review the legacy of the SDoH conceptual framework and its adequacy for the many challenges facing our field as we enter the 2020s. Four major categories of challenges were identified: emerging “exogenous” challenges to global health equity, challenges related to weak policy and practice implementation, more fundamental challenges related to SDoH theory and research, and broader issues around modern research in general. Each of these categories is discussed, and potential solutions offered. We conclude that although the SDoH framework is still a worthy core platform for public health research, policy, and practice, the time is ripe for significant evolution.

Suggested Citation

  • John Frank & Thomas Abel & Stefano Campostrini & Sarah Cook & Vivian K. Lin & David V. McQueen, 2020. "The Social Determinants of Health: Time to Re-Think?," IJERPH, MDPI, vol. 17(16), pages 1-8, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:16:p:5856-:d:398137
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    References listed on IDEAS

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    1. David McQueen, 2009. "Three challenges for the social determinants of health pursuit," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(1), pages 1-2, February.
    2. Sen, Amartya, 1999. "Commodities and Capabilities," OUP Catalogue, Oxford University Press, number 9780195650389.
    3. Stephen P. Osborne, 2018. "From public service-dominant logic to public service logic: are public service organizations capable of co-production and value co-creation?," Public Management Review, Taylor & Francis Journals, vol. 20(2), pages 225-231, February.
    4. Louise Potvin, 2009. "Yes! More research is needed; but not just any research," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(3), pages 127-128, May.
    5. Pickett, Kate E. & Wilkinson, Richard G., 2015. "Income inequality and health: A causal review," Social Science & Medicine, Elsevier, vol. 128(C), pages 316-326.
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    Cited by:

    1. Kristan Elwell & Carolyn Camplain & Christine Kirby & Katharine Sanderson & Gloria Grover & Gerlinda Morrison & Amy Gelatt & Julie A. Baldwin, 2021. "A Formative Assessment of Social Determinants of Health Related to Early Childhood Caries in Two American Indian Communities," IJERPH, MDPI, vol. 18(18), pages 1-13, September.
    2. Tankut Atuk & Susan L Craddock, 2023. "Social pathologies and urban pathogenicity: Moving towards better pandemic futures," Urban Studies, Urban Studies Journal Limited, vol. 60(9), pages 1668-1689, July.
    3. Michelle M. Vine & Kate Mulligan & Rachel Harris & Jennifer L. Dean, 2023. "The Impact of Health Geography on Public Health Research, Policy, and Practice in Canada," IJERPH, MDPI, vol. 20(18), pages 1-14, September.

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