An economic perspective on the causal explanations for the socioeconomic inequalities in health

Socioeconomic inequality, or the socioeconomic status (SES) gradient, is arguably one of the most-studied phenomena in health. The gradient in health is apparent in objective and subjective measures, across virtually all countries, and is evident at individual and population levels. There is no long...

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Main Author: Lori J. Curtis
Format: Article
Language:English
Published: Pan American Health Organization 2018-07-01
Series:Revista Panamericana de Salud Pública
Subjects:
Online Access:http://iris.paho.org/xmlui/handle/123456789/49047
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author Lori J. Curtis
author_facet Lori J. Curtis
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description Socioeconomic inequality, or the socioeconomic status (SES) gradient, is arguably one of the most-studied phenomena in health. The gradient in health is apparent in objective and subjective measures, across virtually all countries, and is evident at individual and population levels. There is no longer much debate over the relationship between SES and health. However, exact causal pathways remain elusive. Advocating for strong policy to reduce or eliminate the SES-health gradient necessitates understanding the causal pathways, from intervention to outcome. While economists are not convinced that there is a clear enough understanding of the causal pathways of the SES-health gradient, they have produced a substantial body of work from which to move forward. The article briefly discusses the theoretical underpinnings used by economists as a basis for the study of the causal pathways for the health gradient. That presentation is followed by a concise overview of some of the evidence that economists have produced. The paper concludes with a discussion of how current economic evidence may be used to help policymakers advocate for interventions to limit the SES gradient in noncommunicable diseases.
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spelling doaj.art-02bda05bd1104d9090d6d9505cf7ad452022-12-22T01:31:11ZengPan American Health OrganizationRevista Panamericana de Salud Pública1020-49891680-53482018-07-01421710.26633/RPSP.2018.53e53An economic perspective on the causal explanations for the socioeconomic inequalities in healthLori J. Curtis0Department of Economics, University of Waterloo, Waterloo, Ontario, CanadaSocioeconomic inequality, or the socioeconomic status (SES) gradient, is arguably one of the most-studied phenomena in health. The gradient in health is apparent in objective and subjective measures, across virtually all countries, and is evident at individual and population levels. There is no longer much debate over the relationship between SES and health. However, exact causal pathways remain elusive. Advocating for strong policy to reduce or eliminate the SES-health gradient necessitates understanding the causal pathways, from intervention to outcome. While economists are not convinced that there is a clear enough understanding of the causal pathways of the SES-health gradient, they have produced a substantial body of work from which to move forward. The article briefly discusses the theoretical underpinnings used by economists as a basis for the study of the causal pathways for the health gradient. That presentation is followed by a concise overview of some of the evidence that economists have produced. The paper concludes with a discussion of how current economic evidence may be used to help policymakers advocate for interventions to limit the SES gradient in noncommunicable diseases.http://iris.paho.org/xmlui/handle/123456789/49047Health inequalitieseconomics
spellingShingle Lori J. Curtis
An economic perspective on the causal explanations for the socioeconomic inequalities in health
Revista Panamericana de Salud Pública
Health inequalities
economics
title An economic perspective on the causal explanations for the socioeconomic inequalities in health
title_full An economic perspective on the causal explanations for the socioeconomic inequalities in health
title_fullStr An economic perspective on the causal explanations for the socioeconomic inequalities in health
title_full_unstemmed An economic perspective on the causal explanations for the socioeconomic inequalities in health
title_short An economic perspective on the causal explanations for the socioeconomic inequalities in health
title_sort economic perspective on the causal explanations for the socioeconomic inequalities in health
topic Health inequalities
economics
url http://iris.paho.org/xmlui/handle/123456789/49047
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