Sangam: A Confluence of Knowledge Streams

Epi + demos + cracy: linking political systems and priorities to the magnitude of health inequities--evidence, gaps, and a research agenda.

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dc.creator Beckfield, Jason
dc.creator Krieger, Nancy
dc.date 2019-08-14T15:03:38Z
dc.date 2019-08-14T15:03:38Z
dc.date 2009
dc.date.accessioned 2022-05-20T08:39:00Z
dc.date.available 2022-05-20T08:39:00Z
dc.identifier https://doi.org/10.13016/majq-xwek
dc.identifier Beckfield, Jason and Krieger, Nancy (2009) Epi + demos + cracy: linking political systems and priorities to the magnitude of health inequities--evidence, gaps, and a research agenda. Epidemiologic reviews, 31. pp. 152-177.
dc.identifier 1478-6729
dc.identifier Eprint ID 2871
dc.identifier http://hdl.handle.net/1903/23510
dc.identifier.uri http://localhost:8080/xmlui/handle/CUHPOERS/117679
dc.description A new focus within both social epidemiology and political sociology investigates how political systems and priorities shape health inequities. To advance-and better integrate-research on political determinants of health inequities, the authors conducted a systematic search of the ISI Web of Knowledge and PubMed databases and identified 45 studies, commencing in 1992, that explicitly and empirically tested, in relation to an a priori political hypothesis, for either 1) changes in the magnitude of health inequities or 2) significant cross-national differences in the magnitude of health inequities. Overall, 84% of the studies focused on the global North, and all clustered around 4 political factors: 1) the transition to a capitalist economy; 2) neoliberal restructuring; 3) welfare states; and 4) political incorporation of subordinated racial/ethnic, indigenous, and gender groups. The evidence suggested that the first 2 factors probably increase health inequities, the third is inconsistently related, and the fourth helps reduce them. In this review, the authors critically summarize these studies' findings, consider methodological limitations, and propose a research agenda-with careful attention to spatiotemporal scale, level, time frame (e.g., life course, historical generation), choice of health outcomes, inclusion of polities, and specification of political mechanisms-to address the enormous gaps in knowledge that were identified.
dc.description http://epirev.oxfordjournals.org/content/31/1/152.abstract
dc.subject Health Equity
dc.subject Policy
dc.subject Research
dc.subject democracy
dc.subject epidemiology
dc.subject health status
dc.subject health status disparities
dc.subject politics
dc.subject public health
dc.subject social class
dc.subject socioeconomic factors
dc.title Epi + demos + cracy: linking political systems and priorities to the magnitude of health inequities--evidence, gaps, and a research agenda.
dc.type Article


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