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Social determinants of health inequalities.

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Lancet (London, England)

Elsevier BV

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      Abstract

      The gross inequalities in health that we see within and between countries present a challenge to the world. That there should be a spread of life expectancy of 48 years among countries and 20 years or more within countries is not inevitable. A burgeoning volume of research identifies social factors at the root of much of these inequalities in health. Social determinants are relevant to communicable and non-communicable disease alike. Health status, therefore, should be of concern to policy makers in every sector, not solely those involved in health policy. As a response to this global challenge, WHO is launching a Commission on Social Determinants of Health, which will review the evidence, raise societal debate, and recommend policies with the goal of improving health of the world's most vulnerable people. A major thrust of the Commission is turning public-health knowledge into political action.

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      Affiliations
      [1 ] International Centre for Health and Society, University College London, 1-19 Torrington Place, London WC1E 6BT, UK. m.marmot@ucl.ac.uk
      Journal
      Lancet
      Lancet (London, England)
      Elsevier BV
      1474-547X
      0140-6736
      March 23 2005
      : 365
      : 9464
      15781105 S0140-6736(05)71146-6 10.1016/S0140-6736(05)71146-6

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