[from PAHP/EQUIDAD list]

It will be interesting to see if these papers have a critical perspective.
To me, SDOH are mid-level determinants profoundly influenced by political
and economic structures. - dr

-------------------------------------------------------
Analytic Perspective

Historical perspective: the social determinants of disease 51; some
blossoms


Michael Marmot

University College London, Department of Epidemiology & Public Health,
London, UK

Epidemiologic Perspectives & Innovations 2005, 2:4     doi:10.1186
/1742-5573-2-4

 Available online at:  http://www.epi-perspectives.com/content/2/1/4

I had two great teachers in epidemiology: Len Syme and Geoffrey Rose. One
had his thinking shaped by the insights of Durkheim, a great sociologist;
the other by Pickering, a great hypertension specialist. One helped lay the
foundations for social epidemiology; the other, if heeded, could change the
way we think about public health. Both came to the conclusion that society
mattered for health and that one could not understand the social rate of
disease simply by studying individuals. 70;..61;

Historical Perspective: The social determinants of disease: some roots of
the movement.

 S Leonard Syme

University of California, Berkeley, School of Public Health, Berkeley, CA,
USA

Epidemiologic Perspectives & Innovations 2005, 2:2     doi:10.1186
/1742-5573-2-2

 Available online at:  http://www.epi-perspectives.com/content/2/1/2

 60;70;..I was asked by the Department of Epidemiology at the Mailman
School of Public Health at Columbia University to give a lecture on "The
Social Determinants of Disease: The Roots of the Movement". They wanted me
to describe the "beginnings" of the field of social epidemiology on the
basis of my personal experience. I received many comments following that
talk suggesting it might be of interest to record my remarks in published
form and that is the purpose of the present paper70;70;61;

Historical Perspective: S. Leonard Syme's influence on the development of
social epidemiology and where we go from there

Irene H Yen
University of California, San Francisco, USA
 Epidemiologic Perspectives & Innovations 2005, 2:3     doi:10.1186
/1742-5573-2-3

           Available online at:
http://www.epi-perspectives.com/content/2/1/3#B3

60;70;.At the risk of oversimplifying, here is a brief overview of the crux
of these arguments:
Investigating the social determinants of health has turned our attention to
the role of income or wealth, race/ethnicity, and education. Instead of
including these variables in our multivariate models as covariates, they
could be the central variables. Income/wealth, race/ethnicity, and
education are the product of social processes and their meanings cannot be
measured simply by individual self-report. Social theories provide
containers or frameworks with which to understand the social processes and
hypothesize about how and why they are relevant to health.

 A basic analytic theme in social theory is the structure-agency duality
[12]. Structures are social institutions such as the family, political
institutions, and economic relations. Agency refers to an individual's
capacity to act deliberately or to exercise power [13]. Social theories
explain how the tension between structures and agency play out.
Incorporating and applying theories can inform and strengthen our research
questions70;..61;

  *      *      *     *

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