I hope that we can have some influence on the WHO. I would be glad to
try if nominated and appointed.
Barbara
*******************************************************
Barbara Starfield, MD, MPH
University Distinguished Professor
Johns Hopkins University & Medical Institutions
624 North Broadway, Room 452
Baltimore, Maryland 21205
Phone 410-955-3737
Fax 410-614-9046
[log in to unmask]
*******************************************************
-----Original Message-----
From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf Of
Dennis Raphael
Sent: Tuesday, September 14, 2004 9:30 AM
To: [log in to unmask]
Subject: [SDOH] Societal or social determinants of health
I have thought much this issue. Indeed, they are "societal determinants
of
health." See below from chapter 1 of my book. However, since Marmot et
al., and now the WHO have adopted the term "social determinants of
health"
it seems prudent to use the latter -- somewhat less satisfactory term -
for
now.
----------------------------------------------------------------
Social determinants of health are the economic and social conditions
that
influence the health of individuals, communities, and jurisdictions as a
whole. Social determinants of health determine whether individuals stay
healthy or become ill (a narrow definition of health). Social
determinants
of health also determine the extent to which a person possesses the
physical, social and personal resources to identify and achieve personal
aspirations, satisfy needs, and cope with the environment (a broader
definition of health). Social determinants of health are about the
quantity
and quality of a variety of resources that a society makes available to
its
members.
These resources include -- but are not limited to - conditions of
childhood, income, availability of food, housing, employment and working
conditions, and health and social services. An emphasis upon societal
conditions as determinants of health contrasts with the traditional
focus
upon biomedical and behavioural risk factors such as cholesterol, body
weight, physical activity, diet, and tobacco use. Since a social
determinants of health approach sees the mainsprings of health as being
how
a society organises and distributes economic and social resources, it
directs attention to economic and social policies as means of improving
health.
dr
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