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A public health model of the social determinants of health

Author

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  • Zahid Ansari
  • Norman Carson
  • Michael Ackland
  • Loretta Vaughan
  • Adrian Serraglio

Abstract

As we move forward in the new century, epidemiologists and public health practitioners are faced with the challenge of reviewing the current direction of epidemiology and its links with public health. While the history of epidemiology has been a successful and productive one, there is a danger that modern epidemiology is becoming too narrow in its scope, concerned primarily with the analysis of risk factors in individuals, while ignoring sociological and ecological perspectives of health. We argue that a theoretical framework to guide the practice of epidemiology is needed which encompasses a role for social determinants of health while simultaneously also acknowledging the importance of behaviour and biology, and the inter-connectedness of all these factors. This paper presents a public health model of social determinants of health, which provides a framework for testing the causal pathways linking social determinant variables with health care system attributes, disease inducing behaviours and health outcomes. This approach provides an improved opportunity to identify and evaluate evidence-based public health interventions, and facilitates stronger links between modern epidemiology and public health practice. Copyright Birkhäuser-Verlag Basel 2003

Suggested Citation

  • Zahid Ansari & Norman Carson & Michael Ackland & Loretta Vaughan & Adrian Serraglio, 2003. "A public health model of the social determinants of health," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 48(4), pages 242-251, July.
    • Handle: RePEc:spr:ijphth:v:48:y:2003:i:4:p:242-251
    DOI: 10.1007/s00038-003-2052-4
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    Cited by:

    1. Katarina Rosicova & Andrea Madarasova Geckova & Jitse Dijk & Jana Kollarova & Martin Rosic & Johan Groothoff, 2011. "Regional socioeconomic indicators and ethnicity as predictors of regional infant mortality rate in Slovakia," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 56(5), pages 523-531, October.
    2. Branislav Šprocha & Branislav Bleha, 2021. "Mortality, Health Status and Self-Perception of Health in Slovak Roma Communities," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 153(3), pages 1065-1086, February.
    3. Walter Dachaga & Walter Timo de Vries, 2021. "Land Tenure Security and Health Nexus: A Conceptual Framework for Navigating the Connections between Land Tenure Security and Health," Land, MDPI, vol. 10(3), pages 1-21, March.

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