Social Determinants of Health: Implications for Environmental Health Promotion

In this article, the authors draw on the disciplines of sociology and environmental and social epidemiology to further understanding of mechanisms through which social factors contribute to disparate environmental exposures and health inequalities. They propose a conceptual framework for environment...

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Bibliographic Details
Published in:Health education & behavior 2004-08, Vol.31 (4), p.455-471
Main Authors: Schulz, Amy, Northridge, Mary E.
Format: Article
Language:English
Subjects:
Air. Soil. Water. Waste. Feeding
Biological and medical sciences
Case Studies
Community Health Planning - methods
Environment
Environment. Living conditions
Environmental Health
Environmental Influences
Environmental Pollutants - adverse effects
Epidemiology
Health
Health Promotion
Health Promotion - methods
Health Services Accessibility
Health Status
Humans
Injuries
Intervention
Medical sciences
Michigan
Models, Theoretical
New York
Participatory Research
Public Health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Social Environment
Socioeconomic Status
Stress Variables
Stress, Psychological - complications
Urban Health
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Summary:In this article, the authors draw on the disciplines of sociology and environmental and social epidemiology to further understanding of mechanisms through which social factors contribute to disparate environmental exposures and health inequalities. They propose a conceptual framework for environmental health promotion that considers dynamic social processes through which social and environmental inequalities—and associated health disparities—are produced, reproduced, and potentially transformed. Using empirical evidence from the published literature, as well as their own practical experiences in conducting community-based participatory research in Detroit and Harlem, the authors examine health promotion interventions at various levels (community-wide, regional, and national) that aim to improve population health by addressing various aspects of social processes and/or physical environments. Finally, they recommend moving beyond environmental remediation strategies toward environmental health promotion efforts that are sustainable and explicitly designed to reduce social, environmental, and health inequalities.
ISSN:1090-1981
1552-6127
DOI:10.1177/1090198104265598