Many people are now taking an interest in #HealthInequalities & the structural & social determinants of health
Here’s a thread to help you learn about some of the concepts & constructs & previous work in this field, with links to papers & people to follow
1/n
Here’s a thread to help you learn about some of the concepts & constructs & previous work in this field, with links to papers & people to follow
1/n
An overview of health inequalities in relation to global public health by @MBarreto1954 is a great place to start
“Health inequalities: a global perspective” is available in Portuguese & Spanish also
https://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232017002702097&lng=en&nrm=iso&tlng=en
“Health inequalities: a global perspective” is available in Portuguese & Spanish also
https://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232017002702097&lng=en&nrm=iso&tlng=en
Concepts & theories:
Social & socioeconomic factors are numerous & related to specific theories & processes. They are often lumped under “SES” or socioeconomic status...
Social & socioeconomic factors are numerous & related to specific theories & processes. They are often lumped under “SES” or socioeconomic status...
This paper will help you understand the theoretical roots of different variables & why to choose them carefully:
“Indicators of socioeconomic position (part 1)” By B. Galobardes @DeborahLawlor2 @mendel_random https://jech.bmj.com/content/60/1/7.full
“Indicators of socioeconomic position (part 1)” By B. Galobardes @DeborahLawlor2 @mendel_random https://jech.bmj.com/content/60/1/7.full
Critical race theory:
This is “an iterative methodology for helping investigators remain attentive to equity while carrying out research, scholarship, and practice....
This is “an iterative methodology for helping investigators remain attentive to equity while carrying out research, scholarship, and practice....
...It also urges scholars to work to transform the hierarchies they identify through research”
by @DrChandraFord & @CAirhihenbuwa https://ajph.aphapublications.org/doi/full/10.2105/AJPH.2009.171058
by @DrChandraFord & @CAirhihenbuwa https://ajph.aphapublications.org/doi/full/10.2105/AJPH.2009.171058
The concept of embodiment developed in social epidemiology by N. Krieger is crucial to this field,
so I’ll repost this: https://twitter.com/shell_ki/status/1267119423363657731?s=20
so I’ll repost this: https://twitter.com/shell_ki/status/1267119423363657731?s=20
The dynamic aspects of how the social structure affects health over the life course help us understand how #HealthInequalities are formed:
Here's a paper by @melb4886 @Clin_Epi & D. Blane
"Health and the life course: why safety nets matter" https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2126511/
Here's a paper by @melb4886 @Clin_Epi & D. Blane
"Health and the life course: why safety nets matter" https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2126511/
Also, one for life course epidemiology by D. Kuh & Y. Ben Shlomo
"A life course approach to chronic disease epidemiology: conceptual models, empirical challenges and interdisciplinary perspectives" https://academic.oup.com/ije/article/31/2/285/2951392?searchresult=1
"A life course approach to chronic disease epidemiology: conceptual models, empirical challenges and interdisciplinary perspectives" https://academic.oup.com/ije/article/31/2/285/2951392?searchresult=1
What about health services & inequalities?
Mistrust of institutions is a major issue for racially oppressed people as analysed in this paper “Police Brutality and Mistrust in Medical Institutions” by @ProfAlang D. McAlpine & @RRHDr https://link.springer.com/article/10.1007/s40615-020-00706-w
Mistrust of institutions is a major issue for racially oppressed people as analysed in this paper “Police Brutality and Mistrust in Medical Institutions” by @ProfAlang D. McAlpine & @RRHDr https://link.springer.com/article/10.1007/s40615-020-00706-w
Black-White inequalities in maternal & infant health between are a major issue as raised by @uche_blackstock here
https://twitter.com/uche_blackstock/status/1272151178252599298?s=20

Regarding health care, whether it is free at the point of need versus based on private insurance etc... need consideration
“The Effects of Health Care Reforms on Health Inequalities: A Review and Analysis of the European Evidence Base” By @ProfBambra et al https://journals.sagepub.com/doi/abs/10.2190/HS.41.2.b
“The Effects of Health Care Reforms on Health Inequalities: A Review and Analysis of the European Evidence Base” By @ProfBambra et al https://journals.sagepub.com/doi/abs/10.2190/HS.41.2.b
A few broader papers to end:
An important one by @juliaflynch raises the tricky question:
“Why the health inequalities frame makes it harder to reduce health inequalities”
https://cpb-us-w2.wpmucdn.com/web.sas.upenn.edu/dist/c/549/files/2019/02/2017-Lynch-JPH-Reframing-inequality-y3l1rf.pdf
An important one by @juliaflynch raises the tricky question:
“Why the health inequalities frame makes it harder to reduce health inequalities”
https://cpb-us-w2.wpmucdn.com/web.sas.upenn.edu/dist/c/549/files/2019/02/2017-Lynch-JPH-Reframing-inequality-y3l1rf.pdf
I’ll end with an essay on
“The COVID-19 pandemic and health inequalities” *just out* by @ProfBambra which explores historical and contemporary evidence of inequalities in pandemics https://jech.bmj.com/content/early/2020/06/13/jech-2020-214401
“The COVID-19 pandemic and health inequalities” *just out* by @ProfBambra which explores historical and contemporary evidence of inequalities in pandemics https://jech.bmj.com/content/early/2020/06/13/jech-2020-214401
There’s so much more... If you're new to the field, there is a body of work out there you can learn from
I tried to guide you towards resources openly available online where possible, I hope I didn’t make mistakes with twitter handles, sorry I couldn't fit in all authors…
I tried to guide you towards resources openly available online where possible, I hope I didn’t make mistakes with twitter handles, sorry I couldn't fit in all authors…