Pathways of influence on equity in health
Barbara Starfield
Social Science & Medicine 64 (2007) 1355–1362
“…..The article proposes pathways, with bidirectional arrows, pursuant to theories and analytical
frameworks for social and societal influences on health….”
“….An increasing number of studies are documenting the existence of inequities, and attention is now turning to exploring
pathways through which they are generated and might be attacked. This appears to be an opportune time to consider what
has been learned and what future directions might be taken by researchers to fill gaps in knowledge and make research
more useful for policy interventions.
This commentary briefly reviews some of the main contributions of past research that have possible relevance to
pathways, considers what those pathways might include, and concludes with implications for future research. It makes the
case for a conceptualization of influences on equity that explicitly includes distribution of health as an outcome as well as
characteristics of the society as influences….”
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