in the same issue...

The Milbank Quarterly
Volume 82 Issue 1 Page 101  - March 2004
doi:10.1111/j.0887-378X.2004.00303.x

 Social Determinants and Their Unequal Distribution: Clarifying Policy
Understandings
HILARY GRAHAM

Public health policy in older industrialized societies is being
reconfigured to improve population health and to address inequalities in
the social distribution of health. The concept of social determinants is
central to these policies, with tackling the social influences on health
seen as a way to reduce health inequalities. But the social factors
promoting and undermining the health of individuals and populations should
not be confused with the social processes underlying their unequal
distribution. This distinction is important because, despite better health
and improvement in health determinants, social disparities persist. The
article argues that more emphasis on social inequalities is required for a
determinants-oriented approach to be able to inform policies to address
health inequalities.

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