Tackling the wider social determinants of health and health inequalities: evidence from systematic reviews

By Clare L Bambra, Marcia Gibson, A. Sowden, K. Wright, Margaret Whitehead, M. Petticrew. Journal of Epidemiology and Community Health, 2009

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Background There is increasing pressure to tackle the wider social determinants of health through the implementation of appropriate interventions. However, turning these demands for better evidence about interventions around the social determinants of health into action requires identifying what we already know and highlighting areas for further development. Methods Systematic review methodology was used to identify systematic reviews (from 2000 to 2007, developed countries only) that described the health effects of any intervention based on the wider social determinants of health: water and sanitation, agriculture and food, access to health and social care services, unemployment and welfare, working conditions, housing and living environment, education, and transport. Results Thirty systematic reviews were identified. Generally, the effects of interventions on health inequalities were unclear. However, there is suggestive systematic review evidence that certain categories of intervention may impact positively on inequalities or on the health of specific disadvantaged groups, particularly interventions in the fields of housing and the work environment. Conclusion Intervention studies that address inequalities in health are a priority area for future public health research.

Subfields: General Health Professions, Health, Nutrition and Dietetics

View Paper: https://www.semanticscholar.org/paper/e67d933b41775e30d8ecde1c63576411085bcd0e

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Citations in the corpus

• Reducing the Global Burden of Cardiovascular Disease, Part 1: The Epidemiology and Risk Factors. (2017, background): “Modifiable CVD Risk Factors, Their Variations, and Their Impact on CVD Risk factors act at several levels.(29) Here, we begin with the individual factors for CVD, in particular the behavioral and metabolic influences on health, such as diet, smoking, and alcohol.”