IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v147y2015icp121-125.html

Beyond inequality: Acknowledging the complexity of social determinants of health

Author

Listed:
  • Eckersley, Richard

Abstract

The impact of inequality on health is gaining more attention as public and political concern grows over increasing inequality. The income inequality hypothesis, which holds that inequality is detrimental to overall population health, is especially pertinent. However the emphasis on inequality can be challenged on both empirical and theoretical grounds. Empirically, the evidence is contradictory and contested; theoretically, it is inconsistent with our understanding of human societies as complex systems. Research and discussion, both scientific and political, need to reflect better this complexity, and give greater recognition to other social determinants of health.

Suggested Citation

  • Eckersley, Richard, 2015. "Beyond inequality: Acknowledging the complexity of social determinants of health," Social Science & Medicine, Elsevier, vol. 147(C), pages 121-125.
  • Handle: RePEc:eee:socmed:v:147:y:2015:i:c:p:121-125
    DOI: 10.1016/j.socscimed.2015.10.052
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S027795361530191X
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.socscimed.2015.10.052?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to

    for a different version of it.

    References listed on IDEAS

    as
    1. Oecd, 2007. "Competition and Regulation in Agriculture," OECD Journal: Competition Law and Policy, OECD Publishing, vol. 9(2), pages 93-165.
    2. repec:dau:papers:123456789/10510 is not listed on IDEAS
    3. Krzysztof Zagorski & Mariah Evans & Jonathan Kelley & Katarzyna Piotrowska, 2014. "Erratum to: Does National Income Inequality Affect Individuals’ Quality of Life in Europe? Inequality, Happiness, Finances, and Health," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 118(2), pages 939-939, September.
    4. ., 2007. "Managing Cultural Diversity in Southeast Asia," Chapters, in: Asian Firms, chapter 9, Edward Elgar Publishing.
    5. Dirk Helbing, 2013. "Globally networked risks and how to respond," Nature, Nature, vol. 497(7447), pages 51-59, May.
    6. Barford, Anna & Dorling, Danny & Pickett, Kate, 2010. "Re-evaluating self-evaluation. A commentary on Jen, Jones, and Johnston (68:4, 2009)," Social Science & Medicine, Elsevier, vol. 70(4), pages 496-497, February.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Skare, Marinko & Porada-Rochoń, Małgorzata, 2022. "Technology and social equality in the United States," Technological Forecasting and Social Change, Elsevier, vol. 183(C).
    2. Gero, Krisztina & Kondo, Katsunori & Kondo, Naoki & Shirai, Kokoro & Kawachi, Ichiro, 2017. "Associations of relative deprivation and income rank with depressive symptoms among older adults in Japan," Social Science & Medicine, Elsevier, vol. 189(C), pages 138-144.
    3. Djoeke van Dale & Lidwien Lemmens & Marieke Hendriksen & Nella Savolainen & Péter Nagy & Edit Marosi & Michela Eigenmann & Ingrid Stegemann & Heather L. Rogers, 2020. "Recommendations for Effective Intersectoral Collaboration in Health Promotion Interventions: Results from Joint Action CHRODIS-PLUS Work Package 5 Activities," IJERPH, MDPI, vol. 17(18), pages 1-20, September.
    4. Manuel García-Goñi & Alexandrina P. Stoyanova & Roberto Nuño-Solinís, 2021. "Mental Illness Inequalities by Multimorbidity, Use of Health Resources and Socio-Economic Status in an Aging Society," IJERPH, MDPI, vol. 18(2), pages 1-18, January.
    5. Maskileyson, Dina, 2019. "Health trajectories of immigrants in the United States: Does income inequality of country of origin matter?," Social Science & Medicine, Elsevier, vol. 230(C), pages 246-255.
    6. Kokkinen, Lauri, 2022. "Studying social determinants of health using fuzzy-set Qualitative Comparative Analysis: A worked example," Social Science & Medicine, Elsevier, vol. 309(C).
    7. Kawachi, Ichiro & Subramanian, S.V., 2018. "Social epidemiology for the 21st century," Social Science & Medicine, Elsevier, vol. 196(C), pages 240-245.
    8. Richards, Lindsay & Paskov, Marii, 2016. "Social class, employment status and inequality in psychological well-being in the UK: Cross-sectional and fixed effects analyses over two decades," Social Science & Medicine, Elsevier, vol. 167(C), pages 45-53.
    9. Elizabeth Opiyo Onyango & Susan J. Elliott, 2020. "Bleeding Bodies, Untrustworthy Bodies: A Social Constructionist Approach to Health and Wellbeing of Young People in Kenya," IJERPH, MDPI, vol. 17(20), pages 1-19, October.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Balint, T. & Lamperti, F. & Mandel, A. & Napoletano, M. & Roventini, A. & Sapio, A., 2017. "Complexity and the Economics of Climate Change: A Survey and a Look Forward," Ecological Economics, Elsevier, vol. 138(C), pages 252-265.
    2. Weidong Lin & Jose Olmo & Abderrahim Taamouti, 2025. "Portfolio Selection under Systemic Risk," Journal of Money, Credit and Banking, Blackwell Publishing, vol. 57(4), pages 905-949, June.
    3. Sellevåg, Stig Rune, 2021. "Changes in inoperability for interdependent industry sectors in Norway from 2012 to 2017," International Journal of Critical Infrastructure Protection, Elsevier, vol. 32(C).
    4. Igor Linkov & Benjamin Trump & Greg Kiker, 2022. "Diversity and inclusiveness are necessary components of resilient international teams," Humanities and Social Sciences Communications, Palgrave Macmillan, vol. 9(1), pages 1-5, December.
    5. Xiao‐Bing Hu & Hang Li & XiaoMei Guo & Pieter H. A. J. M. van Gelder & Peijun Shi, 2019. "Spatial Vulnerability of Network Systems under Spatially Local Hazards," Risk Analysis, John Wiley & Sons, vol. 39(1), pages 162-179, January.
    6. repec:plo:pone00:0090265 is not listed on IDEAS
    7. Man Li & Tao Ye & Peijun Shi & Jian Fang, 2015. "Impacts of the global economic crisis and Tohoku earthquake on Sino–Japan trade: a comparative perspective," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 75(1), pages 541-556, January.
    8. Laura M. Canevari‐Luzardo & Frans Berkhout & Mark Pelling, 2020. "A relational view of climate adaptation in the private sector: How do value chain interactions shape business perceptions of climate risk and adaptive behaviours?," Business Strategy and the Environment, Wiley Blackwell, vol. 29(2), pages 432-444, February.
    9. Thomas Pitz & Vin'icius Ferraz, 2026. "Extended Scenario Bundle Analysis: A Formal Framework for Strategic Scenario Modeling," Papers 2605.13222, arXiv.org.
    10. Niccolò Casnici & Pierpaolo Dondio & Roberto Casarin & Flaminio Squazzoni, 2015. "Decrypting Financial Markets through E-Joint Attention Efforts: On-Line Adaptive Networks of Investors in Periods of Market Uncertainty," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-15, August.
    11. Zhao, Yujia & McLellan, Benjamin Craig & Wang, Chaofan & Shuai, Jing & Xiang, Wanting & Shuai, Chuanmin, 2026. "Risk dynamics and strategies of China's solar PV industry chain under trade frictions: A review," Energy Policy, Elsevier, vol. 208(C).
    12. Yoshiharu Maeno & Kenji Nishiguchi & Satoshi Morinaga & Hirokazu Matsushima, 2014. "Impact of credit default swaps on financial contagion," Papers 1411.1356, arXiv.org.
    13. Ellinas, Christos & Allan, Neil & Johansson, Anders, 2016. "Project systemic risk: Application examples of a network model," International Journal of Production Economics, Elsevier, vol. 182(C), pages 50-62.
    14. Han Sun & Zhiyun Zha & Chao Huang & Xiaohui Yang, 2025. "Flood disaster industry-linked economic impact and risk assessment: a case study of Yangtze River Economic Zone," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 27(7), pages 15703-15726, July.
    15. Mikucka, Malgorzata & Sarracino, Francesco & Dubrow, Joshua K., 2017. "When Does Economic Growth Improve Life Satisfaction? Multilevel Analysis of the Roles of Social Trust and Income Inequality in 46 Countries, 1981–2012," World Development, Elsevier, vol. 93(C), pages 447-459.
    16. Nicola Pontarollo & Mercy Orellana & Joselin Segovia, 2020. "The Determinants of Subjective Well-Being in a Developing Country: The Ecuadorian Case," Journal of Happiness Studies, Springer, vol. 21(8), pages 3007-3035, December.
    17. Joanne Haddad & Jad Chaaban & Ali Chalak & Hala Ghattas, 2022. "Does Income Class Affect Life Satisfaction? New Evidence from Cross-Country Microdata," Social Sciences, MDPI, vol. 11(6), pages 1-23, June.
    18. Otto, Christian & Willner, Sven Norman & Wenz, Leonie & Frieler, Katja & Levermann, Anders, 2017. "Modeling loss-propagation in the global supply network: The dynamic agent-based model acclimate," OSF Preprints 7yyhd, Center for Open Science.
    19. Song, Bo & Fan, Ziyang & Song, Yurong & Ding, Lei & Qin, Yi & Wang, Xu, 2026. "Network robustness against cascading failures with time-varying adaptive behaviors triggered by information propagation," Chaos, Solitons & Fractals, Elsevier, vol. 202(P1).
    20. Bianca Biess & Lukas Gudmundsson & Sonia I. Seneviratne, 2026. "Global economic exposure to climate change amplified by spatially compounding climate extremes," Nature Communications, Nature, vol. 17(1), pages 1-11, December.
    21. Martin Schröder, 2018. "Income Inequality and Life Satisfaction: Unrelated Between Countries, Associated Within Countries Over Time," Journal of Happiness Studies, Springer, vol. 19(4), pages 1021-1043, April.

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:147:y:2015:i:c:p:121-125. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.