scholarly journals The capacity audit for addressing health inequalities and socioeconomic determinants of health - experiences from Slovenia

2013 ◽  
Vol 23 (suppl_1) ◽  
Author(s):  
T Buzeti ◽  
P Beznec ◽  
M Makovec Halozan ◽  
M Ohr
Keyword(s):  
Health Inequalities ◽  
Determinants Of Health ◽  
Socioeconomic Determinants ◽  
Health Experiences

scholarly journals Exploring the local policy context for reducing health inequalities in children and young people: an in depth qualitative case study of one local authority in the North of England, UK

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Eleanor Holding ◽  
Hannah Fairbrother ◽  
Naomi Griffin ◽  
Jonathan Wistow ◽  
Katie Powell ◽  
...  
Keyword(s):  
Child Health ◽  
Social Determinants Of Health ◽  
Health Inequalities ◽  
Social Determinants ◽  
Qualitative Case Study ◽  
Determinants Of Health ◽  
Local Policy ◽  
Inequalities In Health ◽  
The North

Abstract Background Improving children and young people’s (CYP) health and addressing health inequalities are international priorities. Reducing inequalities is particularly pertinent in light of the Covid-19 outbreak which has exacerbated already widening inequalities in health. This study aimed to explore understandings of inequality, the anticipated pathways for reducing inequalities among CYP and key factors affecting the development and implementation of policy to reduce inequalities among CYP at a local level. Methods We carried out a qualitative case study of one local government region in the North of England (UK), comprising semi structured interviews (n = 16) with service providers with a responsibility for child health, non-participant observations of key meetings (n = 6 with 43 participants) where decisions around child health are made, and a local policy documentation review (n = 11). We employed a novel theoretical framework, drawing together different approaches to understanding policy, to guide our design and analysis. Results Participants in our study understood inequalities in CYP health almost exclusively as socioeconomically patterned inequalities in health practices and outcomes. Strategies which participants perceived to reduce inequalities included: preventive support and early intervention, an early years/whole family focus, targeted working in local areas of high deprivation, organisational integration and whole system/place-based approaches. Despite demonstrating a commitment to a social determinants of health approach, efforts to reduce inequalities were described as thwarted by the prevalence of poverty and budget cuts which hindered the ability of local organisations to work together. Participants critiqued national policy which aimed to reduce inequalities in CYP health for failing to recognise local economic disparities and the interrelated nature of the determinants of health. Conclusions Despite increased calls for a ‘whole systems’ approach to reducing inequalities in health, significant barriers to implementation remain. National governments need to work towards more joined up policy making, which takes into consideration regional disparities, allows for flexibility in interpretation and addresses the different and interrelated social determinants of health. Our findings have particular significance in light of Covid-19 and indicate the need for systems level policy responses and a health in all policies approach.

scholarly journals From fringe to centre-stage: experiences of mainstreaming health equity in a health research collaboration

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Ana Porroche-Escudero ◽  
Jennie Popay ◽  
Fiona Ward ◽  
Saiqa Ahmed ◽  
Dorkas Akeju ◽  
...  
Keyword(s):  
Health Equity ◽  
Health Inequalities ◽  
National Health ◽  
Health Research ◽  
Research Collaboration ◽  
Determinants Of Health ◽  
Gender Mainstreaming ◽  
Health Improvement ◽  
Structural Determinants ◽  
Applied Health Research

Abstract Background Action to address the structural determinants of health inequalities is prioritized in high-level initiatives such as the United Nations Sustainable Development Goals and many national health strategies. Yet, the focus of much local policy and practice is on behaviour change. Research shows that whilst lifestyle approaches can improve population health, at best they fail to reduce health inequalities because they fail to address upstream structural determinants of behaviour and health outcomes. In health research, most efforts have been directed at three streams of work: understanding causal pathways; evaluating the equity impact of national policy; and developing and evaluating lifestyle/behavioural approaches to health improvement. As a result, there is a dearth of research on effective interventions to reduce health inequalities that can be developed and implemented at a local level. Objective To describe an initiative that aimed to mainstream a focus on health equity in a large-scale research collaboration in the United Kingdom and to assess the impact on organizational culture, research processes and individual research practice. Methods The study used multiple qualitative methods including semi-structured interviews, focus groups and workshops (n = 131 respondents including Public Advisers, university, National Health Service (NHS), and local and document review. Results utilizing Extended Normalization Process Theory (ENPT) and gender mainstreaming theory, the evaluation illuminated (i) the processes developed by Collaboration for Leadership in Applied Health Research and Care North West Coast to integrate ways of thinking and acting to tackle the upstream social determinants of health inequities (i.e. to mainstream a health equity focus) and (ii) the factors that promoted or frustrated these efforts. Conclusions Findings highlight the role of contextual factors and processes aimed at developing and implementing a robust strategy for mainstreaming health equity as building blocks for transformative change in applied health research.

scholarly journals The association of demographic and socioeconomic determinants and self-perceived health

2012 ◽  
Vol 140 (1-2) ◽  
pp. 77-83 ◽  
Author(s):  
Janko Jankovic ◽  
Snezana Simic
Keyword(s):  
Public Health ◽  
Odds Ratio ◽  
Wealth Index ◽  
Perceived Health ◽  
The Elderly ◽  
National Health Survey ◽  
Determinants Of Health ◽  
Public Health Issue ◽  
Socioeconomic Determinants ◽  
Level Of Significance

Introduction. Inequalities in health are evident in the whole world and present an important and consistent public health issue. The highest contribution to the inequality in heath is attributable to the demographic and socioeconomic determinants of health. Objective. The aim of this study was to analyze the association between the demographic (gender, age, marital status and type of settlement) and socioeconomic determinants of health (education and Wealth Index), and self-perceived health. Methods. In the study the data from 2006 National Health Survey of the population of Serbia were used. The interview involved 14,522 adults aged ?20 years. The association between the demographic and socioeconomic determinants of health as independent variables, and self-perceived health as dependent variable were examined using bivariate and multivariate logistic regression analyses. The minimum level of significance was p<0.05. Results. According to our study, the elderly and females significantly more often perceived their health as poor. Respondents living in rural settings were less likely to perceive their health as poor compared to those living in urban settings (odds ratio was 0.82 in males and 0.75 in females). Males with low education were three times more likely to perceive their health as poor (odds ratio was 3.46) in relation to males with high education. This association was more pronounced in females (odds ratio was 5.37). The same pattern was observed for Wealth Index. Conclusion. This study showed that demographic and socioeconomic inequalities in self-perceived health are present in Serbia. Comprehensive public health policies and interventions for reducing these inequalities are urgently needed with the primarily focus on the most disadvantaged socioeconomic groups.

Richmond, California

Urban Health ◽  
2019 ◽  
pp. 325-331
Author(s):  
Jason Corburn ◽  
Joseph S. Griffin
Keyword(s):  
Urban Planning ◽  
Built Environment ◽  
Community Participation ◽  
Health Inequalities ◽  
Urban Health ◽  
Urban Population ◽  
Urban Spaces ◽  
Determinants Of Health ◽  
Community Needs ◽  
Challenges And Opportunities

Richmond, California, has been a pioneer in developing neighborhood-based, built environment interventions that aim to improve multiple determinants of health and reduce health inequalities for its diverse urban population. Projects such as the renovation of Pogo Park and the development of the RYSE commons have involved community participation, with the ultimate aim of developing healthy urban spaces. In many ways, Richmond has led the way on healthy urban planning and policy that is responsive to community needs. This chapter discusses the work being conducted in Richmond, highlighting challenges and opportunities for lessons that can inform urban health efforts worldwide.

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