Advancing the study of health inequality: Fundamental causes as systems of exposure

We tend to study health inequalities as differentials in disease and death that exist within a population. But the most important cause of health inequality is social stratification, and social stratification only varies between populations. Here, I highlight a way forward in the study of health ine...

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Main Author: Alicia R. Riley
Format: Article
Language:English
Published: Elsevier 2020-04-01
Series:SSM: Population Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352827319303477
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author Alicia R. Riley
author_facet Alicia R. Riley
author_sort Alicia R. Riley
collection DOAJ
description We tend to study health inequalities as differentials in disease and death that exist within a population. But the most important cause of health inequality is social stratification, and social stratification only varies between populations. Here, I highlight a way forward in the study of health inequality that resolves this mismatch of analytical levels: we must study the fundamental causes as systems of exposure. Through this critical review of the literature, I argue that the explicit study of variation in social stratification is the next frontier in research on fundamental causes of health inequality.
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spelling doaj.art-1c027ab6227248b9b99bd43fbfc3223a2022-12-22T00:12:00ZengElsevierSSM: Population Health2352-82732020-04-0110Advancing the study of health inequality: Fundamental causes as systems of exposureAlicia R. Riley0Department of Epidemiology and Biostatistics, University of California San Francisco, 550 16th Street, DEB Box 0560, San Francisco, CA, 94158, USAWe tend to study health inequalities as differentials in disease and death that exist within a population. But the most important cause of health inequality is social stratification, and social stratification only varies between populations. Here, I highlight a way forward in the study of health inequality that resolves this mismatch of analytical levels: we must study the fundamental causes as systems of exposure. Through this critical review of the literature, I argue that the explicit study of variation in social stratification is the next frontier in research on fundamental causes of health inequality.http://www.sciencedirect.com/science/article/pii/S2352827319303477Fundamental cause theorySocial determinantsSESSocial stratificationRacial hierarchySystems thinking
spellingShingle Alicia R. Riley
Advancing the study of health inequality: Fundamental causes as systems of exposure
SSM: Population Health
Fundamental cause theory
Social determinants
SES
Social stratification
Racial hierarchy
Systems thinking
title Advancing the study of health inequality: Fundamental causes as systems of exposure
title_full Advancing the study of health inequality: Fundamental causes as systems of exposure
title_fullStr Advancing the study of health inequality: Fundamental causes as systems of exposure
title_full_unstemmed Advancing the study of health inequality: Fundamental causes as systems of exposure
title_short Advancing the study of health inequality: Fundamental causes as systems of exposure
title_sort advancing the study of health inequality fundamental causes as systems of exposure
topic Fundamental cause theory
Social determinants
SES
Social stratification
Racial hierarchy
Systems thinking
url http://www.sciencedirect.com/science/article/pii/S2352827319303477
work_keys_str_mv AT aliciarriley advancingthestudyofhealthinequalityfundamentalcausesassystemsofexposure