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. 2023 Mar 13:20:100471.
doi: 10.1016/j.lana.2023.100471. eCollection 2023 Apr.

Social injustice as a common source epidemic: the role of civic engagement in addressing inequitable population health

Affiliations

Social injustice as a common source epidemic: the role of civic engagement in addressing inequitable population health

Nicolaas P Pronk et al. Lancet Reg Health Am. .
No abstract available

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Conflict of interest statement

N.P.P. is paid a salary by HealthPartners. R.A.A. declares no competing interests. J.F.A. is paid consulting fees to serve as Executive Director of Healthy Democracy Healthy People.

Figures

Fig. 1
Fig. 1
Health & Democracy Index illustrating the relationship between access to voting and public health outcomes across the United States. Comparison of 12 public health indicators and voter turnout to the restrictiveness of voting access in each state based on the Health & Democracy Index. Overall, states with more inclusive voting policies and greater levels of civic participation are healthier. States with exclusionary voting laws, more barriers to voting, and lower rates of voter participation have worse public health outcomes (From: Healthy Democracy Healthy People; used with permission).

References

    1. Arena R., Pronk N.P., Laddu D., et al. Mapping one million deaths and unhealthy lifestyle behaviors in the United States: recognizing the syndemic pattern and taking action. Am J Med. 2022;135:1288–1295. doi: 10.1016/j.amjmed.2022.06.006. - DOI - PMC - PubMed
    1. Arena R., Pronk N.P., Laddu D., et al. COVID-19, unhealthy lifestyle behaviors and chronic disease in the United States: mapping the social injustice overlay. Prog Cardiovasc Dis. 2023 In press. - PMC - PubMed
    1. Social Determinants of Health World Health Organization. https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1
    1. Hunter D., Ayers J., Barba Brown J. Health & Democracy Index. August 31, 2021. https://democracyindex.hdhp.us/
    1. Nelson C., Sloan J., Chandra A. RAND Corporation; 2019. Examining civic engagement links to health: findings from the literature and implications for a culture of health.https://www.rand.org/pubs/research_reports/RR3163.html

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