What We Mean by Social Determinants of Health

  title={What We Mean by Social Determinants of Health},
  author={Vicente Jos{\'e} Pinilla Navarro},
  journal={International Journal of Health Services},
  pages={423 - 441}
  • V. Navarro
  • Published 1 July 2009
  • Political Science, Economics
  • International Journal of Health Services
This article analyzes the changes in health conditions and quality of life in the populations of developed and developing countries over the past 30 years, resulting from neoliberal policies developed by many governments and promoted by the World Bank, International Monetary Fund, World Health Organization, and other international agencies. It challenges interpretations by the analysts of “globalization,” including the common assumption that states are disappearing. The author shows that what… 

Figures from this paper

Missed Opportunities: The Human Rights Gap in the Report of the Commission on Social Determinants of Health
It is argued that the failure to incorporate an explicit human rights approach weakened the line of reasoning in some sections of Closing the Gap in a Generation, diminished prospects for adoption of its recommendation and diminished the likelihood of fulfilling its mandate to foster a global movement to promote health equity.
The role of health impact assessment in promoting population health and health equity.
Health Impact Assessment is outlined as an approach that offers the health sector a structured, transparent method and process to work with other sectors to predict the impact of policy proposals on the health of populations (and on the determinants of health), and to Predict the distribution of these impacts in advance of adoption and implementation of the policy.
Health Sector Reform and Social Determinants of Health: building up theoretical and methodological interconnections to approach complex global challenges.
The aim is to connect macro- and middle-range theories to examine Social Determinants and Health Sector Reform interdependent issues, with view to developing new knowledge and attaining scientific understanding upon the role of universal and equitable healthcare systems, in order to avoid deepening economic crises.
Social determinants of health: Conceptual and operational predicaments
Health is determined by many factors ranging from one’s immediate physical-psycho-socio environment to the political milieu of the society that an individual lives in. When we look through the
Revisiting the social determinants of health agenda from the global South
This essay compares two of the most influential approaches in the field: the WHO Commission on Social Determinants of Health approach (CSDH), strongly influenced by European Social Medicine, and the Latin American Social Medicine and Collective Health (LASM-CH) ‘Social determination of the health-disease process’ approach, hitherto largely invisibilized.
Addressing trade policy as a macro-structural determinant of health: The role of institutions and ideas
A strong theme from the public health community regarding how to address health problems is the need to engage with the ‘upstream’ or structural determinants that shape individual behaviours and risk
CPHA and the social determinants of health: an analysis of policy documents and statements and recommendations for future action.
This commentary analyzes CPHA (Canadian Public Health Association) policy statements and positions dating from 1970 to the present to identify where these stand in relation to seven SDH discourses, and proposes actions to better position CPHA to address SDH.
Putting the ‘Social’ Back in: Social Determinants of Health as a Methodological Lens
The messages of the SDH Commission report are not necessarily novel but they have an additional significance in the current climate of health, which witnesses the failure of the Alma Ata declaration
Pragmatism, Structural Reform and the Politics of Inequality in Global Public Health
The Debate that follows interrogates the role that capital and corporate institutions have assumed in defining and implementing global healthcare reforms and agrees that unequal access to healthcare is only one of the structural determinants of inequalities in global health.
Economic Inequalities in Latin America at the Base of Adverse Health Indicators
  • J. Ferre
  • Economics, Political Science
    International journal of health services : planning, administration, evaluation
  • 2016
The results show that the Gini coefficient has a strong correlation with health outcomes, and an ordinary least squares estimation model suggests that countries that do not use International Monetary Fund loans perform better on health outcomes.


Assessment of the World Health Report 2000
  • V. Navarro
  • Political Science, Medicine
    The Lancet
  • 2000
Race or class versus race and class: mortality differentials in the United States
What Washington Means by Policy Reform
A press fit sleeve bearing member supported in a bearing support in which the support portion of the bearing member is of limited length along the longitudinal dimension of the bearing member. The
World Health Report 2000: responses to Murray and Frenk
Assessment of the World Health Organization Report
  • Lancet 356:1598–1601,
  • 2000
Assessment of the World Health Organization Report 2000
  • Lancet
  • 2000
Die medizinische Reform , 2
  • 1941
Die medizinische Reform
  • Medicine and Human Welfare,
  • 1941