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Review
. 2006 Oct;60(10):896-901.
doi: 10.1136/jech.2005.044859.

Social determinants of health: a veil that hides socioeconomic position and its relation with health

Enrique Regidor  1
Affiliations
Review

Social determinants of health: a veil that hides socioeconomic position and its relation with health

Enrique Regidor. J Epidemiol Community Health. 2006 Oct.

Abstract

The emergence of theoretical models of social determinants of health has added conceptual ambiguity to the understanding of social inequalities in health, as it is often not possible to clearly distinguish between socioeconomic position and these determinants. Whether the existence of social inequalities in health is based on differences in health or on differences in social determinants of health that are systematically associated with socioeconomic position, policymakers should be clearly informed of the importance of socioeconomic position for health. Thus, the following three basic requirements are proposed: to reach a consensus about the dimensions that reflect socioeconomic position; to agree about what are to be considered the social determinants of health and whether or not these determinants are a construct that can be distinguished from socioeconomic position; and finally, to establish which dimensions and measures of socioeconomic position are most appropriate for the evaluation of interventions that aim to reduce these inequalities.

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Conflict of interest statement

Competing interests: none.

References

    1. Petticrew M, Whitehead M, Macintyre S J.et al Evidence for public health policy on inequalities. 1: The reality according to policymakers, J Epidemiol Community Health 200458811–816. - PMC - PubMed
    1. Wilkinson R G. Socio‐economic differences in mortality: interpreting the data on their size and trends. In: Class and health. Research and longitudinal data. London: Tavistock Publications, 19861–20.
    1. Blaxter M. Longitudinal studies in Britain relevant to inequalities in health. In: Wilkinson RG, ed. Class and health. Research and longitudinal data. London: Tavistock Publications, 1986125–216.
    1. Bartley M, Carpenter L, Dunnell K.et al Measuring inequalities in health: an analysis of mortality patterns using two social classifications. Soc Health Illness 199618455–475.
    1. Berkman L F, Macintyre S. The measurement of social class in health studies: old measures and new formulations. In: Kogevinas M, Pearce N, Susser M, et al eds. Social inequalities and cancer. Lyon: IARCE Scientific Publications, 199751–64. - PubMed