Dear Colleagues

Below information on paper in latest issue of Journal of Social Policy
which may be of interest to some of you

David McDaid
LSE Health and Social Care

http://dx.doi.org/10.1017/S0047279403007220
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Jnl Soc. Pol., 33, 1, 115-131 C  2004 Cambridge University Press

Tackling Inequalities in Health in England: Remedying Health Disadvantages,
Narrowing Health Gaps or Reducing Health
Gradients?

HILARY GRAHAM
Institute for Health Research, Lancaster University, Lancaster, LA1 4YT.
email: [log in to unmask]

Abstract
Socioeconomic inequalities in health have moved up the policy agenda of
older industrial
societies. The paper turns the spotlight on this development by exploring
how the goal has
been represented in England's national policy documents. Rather than one
approach, there
appears to be a range of understandings of what it means to tackle health
inequalities. These
understandings can be placed on a continuum, which runs from improving the
health of poor
groups, through closing the health gaps between those in the poorest
circumstances and betteroff
groups, to addressing the association between socioeconomic position and
health across
the population. The paper points to common ground between the three
approaches to tackling
health inequalities, but also to important differences in the moral
arguments and causal models
 on which they rest, and therefore in their policy goals and anticipated
 policy impacts.

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