Social Determinants of Health, 2E gives an authoritative overview of the social and economic factors which are known to be the most powerful determinants of population health in modern societies. Written by acknowledged experts in each field, it provides accessible summaries of the scientific justification for isolating different aspects of social and economic life as the primary determinants of a population's health.
The new edition takes account of the most recent research and also includes additional chapters on ethnicity and health, sexual behaviors, the elderly, housing and neighborhoods.
Recognition of the power of socioeconomic factors as determinants of health came initially from research on health inequalities. This has led to a view of health as not simply about individual behavior or exposure to risk, but how the socially and economically structured way of life of a population shapes its health. Thus exercise and accidents as as much about a society's transport system as about individual decisions; and the nation's diet involves agriculture, food manufacture, retailing, and personal incomes as much as individual choice. But a major new element in the picture we have developed is the importance of the social, or psycho-social, environment to health. For example, health in the workplace for most employees - certainly for office workers - is less a matter of exposure to physical health hazards as of the social envrionment, of how supportive it is, whether people have control over their work, whether their jobs are secure.
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This book is a "must read" for all members of parliament, local councillors etc, as an aide in governance, for equity to be achieved, and inequalities to be addressed. More projects across local and international borders are needed to help tackle the "isms" (ie racism, ageism, sexism etc) as they determine health. It is a privilege to read this book. So many talents have contributed to every chapter, congratulations to them all. It's certainly one of the best books around. A must read for all students of public health policy and health economics, at all levels. (BMA Medical Book Competition 2006)
Michael Marmot is a Director, International Institute for Society and Health; Professor of Epidemiology and Public Health, University College London, UK. Richard Wilkinson is in the Department of Social Epidemiology, University of Nottingham Medical School; visiting Professor Institute for Society and Health, University College London, UK.
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