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Dennis Raphael <[log in to unmask]>
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Wed, 31 Jul 2002 06:38:33 -0400
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Stephen Bezruchka <[log in to unmask]>@u.washington.edu on 07/30/2002
08:03:17 PM



The report is posted on the web site:
http://www.doh.wa.gov/HWS/default.htm

STephen
******
Social Determinants of Health
Definition: The social determinants of health refer to both specific
features of and pathways by which societal conditions affect health and
that potentially can be altered by informed action.   Examples are income,
education, occupation, family structure, service availability, sanitation,
exposure to hazards, social support, racial discrimination, and access to
resources linked to health.

Summary
Social conditions are major determinants of health. Social forces acting
at a collective level shape individual biology, individual risk behaviors,
environmental exposures, and access to resources that promote health.
There is a graded relationship between social position and health status
that affects people at all levels of the social hierarchy. While public
health programs alone cannot ameliorate the social forces that are
associated with poor health outcomes, developing a better understanding of
the social determinants of health is critical to reducing health
disparities among Washington State residents of differing socioeconomic
position. . .

Endnotes

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