Evaluating Strategies For Reducing Health Disparities By Addressing The Social Determinants Of Health

Dados Bibliográficos

ID23336205
AutoresRachel L J Thornton (0000-0002-9711-1094, Rachel L. J. Thornton is an assistant professor in the Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, at the Johns Hopkins School of Medicine, in Baltimore, Maryland.), Crystal M Glover (0000-0002-1430-7463, Crystal M. Glover is an assistant professor and BMO Harris Bank Health Disparities Research Fellow at the Rush University Medical School, in Chicago, Illinois.), Crystal W Cené (0000-0001-8512-9441, Crystal W. Cené is an associate professor in the Division of General Medicine and Clinical Epidemiology, Department of Medicine, at the Chapel Hill School of Medicine, University of North Carolina.), Deborah C Glik (Deborah C. Glik is a professor of community health sciences at the UCLA Fielding School of Public Health, University of California, Los Angeles.), Deborah Glik (0000-0002-2532-3661, UCLA Health), Jeffrey A Henderson (0000-0002-1873-6169, Jeffrey A. Henderson is president and CEO of the Black Hills Center for American Indian Health, in Rapid City, South Dakota.), David R Williams (0000-0001-9922-8117, David R. Williams ( ) is the Florence and Laura Norman Professor of Public Health in the Department of Social and Behavioral Sciences at the Harvard T. H. Chan School of Public Health, in Boston, Massachusetts, and a professor in the Department of African and African American Studies at Harvard University, in Cambridge, Massachusetts.)
Ano2016
Volume35
Fascículo8
Páginas1416-1423
Data de publicação2016-08-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoHealth Affairs (JOURNAL)
Identificadores do periódicoISSN: 0278-2715 • E-ISSN: 2694-233X
EditoraHealth Affairs Publishing, LLC (PUBLISHER)
DOI10.1377/hlthaff.2015.1357
PMID27503966
OpenAlexW2496601852
IdiomaEN
Citações recebidas99
Referências citadas52

The opportunities for healthy choices in homes, neighborhoods, schools, and workplaces can have decisive impacts on health. We review scientific evidence from promising interventions focused on the social determinants of health and discuss how such interventions can improve population health and reduce health disparities. We found sufficient evidence of successful outcomes to support disparity-reducing policy interventions targeted at education and early childhood; urban planning and community development; housing; income enhancements and supplements; and employment. Cost-effectiveness evaluations show that these interventions lead to long-term societal savings, but the interventions require more routine attention to cost considerations. We discuss challenges to implementation, including the need for long-term financing to scale up effective interventions for implementation at the local, state, and national levels.

Business · Economic growth · Economics · Environmental health · Geography · Health care · Health equity · Population · Population health · Psychological intervention · Public economics · Scale (ratio) · Social determinants of health · Food Security and Health in Diverse Populations · Health disparities and outcomes · Medicine · Nursing · Obesity, Physical Activity, Diet · Health Policy