Equity and social determinants of health at a city level
Bibliographic Data
| ID | 22945457 |
|---|---|
| Authors | A Ritsatakis (Film Independent, corresponding author) |
| Year | 2009 |
| Volume | 24 |
| Issue | Supplement 1 |
| Pages | i81-i90 |
| Publication date | 2009-11-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Promotion International (JOURNAL) |
| Journal identifiers | ISSN: 0957-4824 • E-ISSN: 1460-2245 |
| Publisher | Oxford University Press (OUP) (PUBLISHER) |
| DOI | 10.1093/heapro/dap058 |
| PMID | 19914992 |
| OpenAlex | W2158528457 |
| Language | EN |
| Citations received | 6 |
| References cited | 10 |
Equity in health has been the underlying value of the WHO Health for All policy for 30 years, distinguished from equality and difference in a commissioned series of theoretical reports in the early 1990s. This article examines how cities translated this principle into action. Using information designed to help evaluate Phase III (1998-2002) of the WHO European Healthy Cities Network, plus documentation from city programmes and websites, an attempt is made to assess how far stakeholders in cities understood the concept of equity in health, had the political will to tackle the issue and the types of action undertaken. Results show that cities focused mainly on support for vulnerable groups, and a wide range of actions were being implemented, including lifestyle-oriented methods or those to improve access to care. Few cities made the necessary shift towards more upstream policies to tackle determinants of health such as poverty, unemployment and housing. There was little experience of evaluating the impact of interventions to reduce the gaps. This is partly explained by a frequent lack of local level data reflecting inequalities in health. The article concludes that although half the cities in the Network needed stronger action to make equity in health an integral part of long-term planning, innovative experience was available to be shared by its members in Phase IV (2003-2008) of the Network.
Business · Documentation · Economic growth · Economics · Equity (law) · Health care · Health equity · Inequality · Political science · Politics · Poverty · Psychological intervention · Public economics · Public relations · Social determinants of health · Unemployment · Global Health Care Issues · Global Public Health Policies and Epidemiology · Health disparities and outcomes · Medicine · Nursing
Bridging Gaps
Perceptions and beliefs of public policymakers in a Southern European city
Shaping cities for health
Qualitative Evaluation of the STOEMP Network in Ghent
Equity and the Social Determinants of Health in European Cities
Identifying built environment multidimensional predictors of urban health outcomes
Health impact assessment
The Concepts and Principles of Equity and Health
City leadership for health and sustainable development
Evidence for Healthy Cities
City health development planning
The WHO Commission on Social Determinants of Health
Measures of health inequalities
Measures of health inequalities
A typology of actions to tackle social inequalities in health
Tackling Inequalities in Health in England
| Citations per year | 0.43 |
|---|---|
| Citation span | 2012 - 2026 (15) |
| Highly cited | No |