What we mean by social determinants of health

Research output: Contribution to journalArticle

Abstract

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 has been happening is not a reduction of state interventions but a change in the nature and character of those interventions, resulting from major changes in class (and race and gender) power relations in each country, with establishment of an alliance between the dominant classes of developed and developing countries-a class alliance responsible for the promotion of its ideology, neoliberalism. This is the cause of the enormous health inequalities in the world today. The article concludes with a critical analysis of the WHO report on social determinants of health, applauding its analysis and many of its recommendations, but faulting it for ignoring the power relations that shape these social determinants. It is not inequalities that kill people, as the report states; it is those who are responsible for these inequalities that kill people.

Original languageEnglish (US)
Pages (from-to)423-441
Number of pages19
JournalInternational Journal of Health Services
Volume39
Issue number3
DOIs
StatePublished - Jan 1 2009

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Social Determinants of Health
Developed Countries
Developing Countries
International Agencies
Internationality
United Nations
Health
Interpersonal Relations
Quality of Life
Population
Power (Psychology)

ASJC Scopus subject areas

  • Health Policy

Cite this

What we mean by social determinants of health. / Navarro, Vicente.

In: International Journal of Health Services, Vol. 39, No. 3, 01.01.2009, p. 423-441.

Research output: Contribution to journalArticle

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