Racial Differences in the Social Determinants of Infant Mortality: A County-Level Analysis

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ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (111 download)

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Book Synopsis Racial Differences in the Social Determinants of Infant Mortality: A County-Level Analysis by : Anna Claire Church

Download or read book Racial Differences in the Social Determinants of Infant Mortality: A County-Level Analysis written by Anna Claire Church and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Infant mortality rates (IMRs) are considered to be one of the most important indicators of a healthy society and a key marker of maternal and child health. In the United States, progress has been made in reducing the overall infant mortality rate, but this reduced aggregated rate masks significant racial disparities. The objective of this study is to systematically examine racial differences in a number of social determinants of infant mortality at the county-level, specifically differences between non-Hispanic Black and non-Hispanic White populations. Multivariate OLS regression modeling is used to analyze the association between the demographic, economic, and health predictor variables and IMRs. The results show that while there are marked differences in the predictors of Black and white IMRs, there are also remarkable similarities. Median household incomes and numbers of practicing midwives are found to be two of the significant factors in reducing infant mortality rates for both groups. .

Communities in Action

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Publisher : National Academies Press
ISBN 13 : 0309452961
Total Pages : 583 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Communities in Action by : National Academies of Sciences, Engineering, and Medicine

Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Racial Differentials in Infant Mortality in the U.S.

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Publisher :
ISBN 13 :
Total Pages : 60 pages
Book Rating : 4.0/5 ( download)

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Book Synopsis Racial Differentials in Infant Mortality in the U.S. by : Robert A. Hummer

Download or read book Racial Differentials in Infant Mortality in the U.S. written by Robert A. Hummer and published by . This book was released on 1993 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Understanding Racial and Ethnic Differences in Health in Late Life

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Publisher : National Academies Press
ISBN 13 : 0309165865
Total Pages : 184 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Understanding Racial and Ethnic Differences in Health in Late Life by : National Research Council

Download or read book Understanding Racial and Ethnic Differences in Health in Late Life written by National Research Council and published by National Academies Press. This book was released on 2004-09-08 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.

An Ecological Analysis of Social and Economic Influences on Black and White Infant Mortality Risk in Orange County, FL

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Publisher :
ISBN 13 :
Total Pages : 190 pages
Book Rating : 4.:/5 (793 download)

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Book Synopsis An Ecological Analysis of Social and Economic Influences on Black and White Infant Mortality Risk in Orange County, FL by : Vanessa A. Lopez-Littleton

Download or read book An Ecological Analysis of Social and Economic Influences on Black and White Infant Mortality Risk in Orange County, FL written by Vanessa A. Lopez-Littleton and published by . This book was released on 2011 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: Black health disparities are a salient public health issue with blacks in every socioeconomic level at a greater health disadvantage than their white counterparts. In particular, disparity in infant mortality rates between blacks and whites have widened in recent decades to differentials never before experienced in the United States. Social ecologists investigating the myriad of individual and environmental risk factors have failed to fully account for the persistent differential. This study examines the relationships between individual and environmental influences on the health risk experienced by blacks, whites, as well as the differential between the two populations. This multi-level analysis was conducted using five-year aggregate data centering on the 2000 decennial census (1998 - 2002) as the most recent census data available. During the study period, the 193 census tracts in Orange County, Florida, experienced 504 infant deaths which included 242 black and 241 white infant deaths. Using the infant mortality target rate developed for Healthy People 2000 as the "normal" infant mortality rate, risk was calculated as the percentage of deviation from the (")normal("). A rate was also calculated to demonstrate the difference between black and white percent deviations from the "normal". Structural equation modeling was used to examine the relationship between socioeconomic influences (Socioeconomic Disadvantage), social risk factors (Social Disorganization), and behavioral risk factors (Poor Behavioral Choices) using a latent variable approach based on a conceptual model which integrated the social determinants of health framework and conflict theory. In this study, an inverse association was found between socioeconomic disadvantage and infant mortality risk for black infants. This finding is contradictory to the expected finding and may have been due to multicollinearity or the operationalization of the endogenous study variable for black infant mortality risk. Thus, this study highlights the complexity of unraveling the interrelationship between social and economic risk factors. The results of this study demonstrate the importance of the latent variable approach in public health research as well as the need to broaden the approach to selecting indicators. This study concludes with specific policy recommendations aimed at improving the health outcomes of vulnerable populations using the social determinants of health framework.

An Investigation of Racial Disparities in Infant Mortality Across the United States

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Publisher :
ISBN 13 :
Total Pages : 392 pages
Book Rating : 4.3/5 (129 download)

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Book Synopsis An Investigation of Racial Disparities in Infant Mortality Across the United States by : Crystal Pirtle Tyler

Download or read book An Investigation of Racial Disparities in Infant Mortality Across the United States written by Crystal Pirtle Tyler and published by . This book was released on 2009 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Racial Disparities in Infant Health

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Publisher :
ISBN 13 :
Total Pages : 139 pages
Book Rating : 4.:/5 (755 download)

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Book Synopsis Racial Disparities in Infant Health by : Jessica C. Bishop-Royse

Download or read book Racial Disparities in Infant Health written by Jessica C. Bishop-Royse and published by . This book was released on 2010 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt: ABSTRACT: The period 1980-2000 was important for infant health in Florida and the United States more generally. This period of dramatic social change and substantial improvements in therapeutic technology has produced striking improvements in infant health and survival. Despite overall declines in all-cause infant mortality, some evidence has suggested that racial disparities have persisted and even widened during this period. While the maternal socio-demographic factors associated with these racial disparities are well-established areas of research, several points remain unclear. First, it is not well- known which causes of death have contributed to the widening racial disparities in infant mortality. Second, it is uncertain how the changing social context may have affected these patterns. Finally, it is unknown which has been more influential, changes in the social context or changes in individual maternal socio-demographic characteristics.

The Future of the Public's Health in the 21st Century

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Publisher : National Academies Press
ISBN 13 : 0309133181
Total Pages : 536 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Future of the Public's Health in the 21st Century by : Institute of Medicine

Download or read book The Future of the Public's Health in the 21st Century written by Institute of Medicine and published by National Academies Press. This book was released on 2003-02-01 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

Racism and Infant Mortality

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Publisher :
ISBN 13 :
Total Pages : 48 pages
Book Rating : 4.:/5 (935 download)

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Book Synopsis Racism and Infant Mortality by : Lauren Novelli

Download or read book Racism and Infant Mortality written by Lauren Novelli and published by . This book was released on 2015 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: There is a widening health gap in birth outcomes for Black women and white women in America. Historically this gap has been relegated to disparities regarding other social factors such as; socioeconomic status, geographic location, and education level. However, these factors prove to only be partially responsible for the gap in birth outcomes between Black women and white women. Improved understanding of the burden of racial stress that Black women undergo throughout their lifetimes provides a better foundation for improving health outcomes, specifically birth outcomes for Black women. Objectives: Secondary data analysis is utilized on National Vital Statistics System data from 2002-2012 to determine if there is a link between adverse birth outcomes and race, despite similar education levels and prenatal care visits between non-Hispanic Black women and non-Hispanic white women. Methods: Using retrospective birth data from the National Vital Statistics System from 2002-2012, five variables were analyzed. These variables; maternal education attainment, number of prenatal care visits, preterm birth, low birthweight, and very low birthweight showcase different birth factors. By using aggregate data for non-Hispanic Black women, and non-Hispanic white women for each factor in each year, the percentage was then calculated. Following the calculation of averages, the statistical t-test was run to determine the p-values for each factor to determine statistical significance. Additionally, the total number of births for non-Hispanic Black women and non-Hispanic white women was recorded to showcase the difference in total birth rates for the aforementioned races. Results: The data from 2002-2012 showed a significant widening in health outcomes for Black and white women. There was no statistical significant difference for educational attainment between the races with a p-value of: 0.08163186. A significance was found between the rates of prenatal care visits between the races with a p-value of: 0.00015265. Statistical significance was found between the rates of preterm birth and low birthweight, and very low birthweight between Black and white women with p-values of

Neighborhoods and Health

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Publisher : Oxford University Press
ISBN 13 : 0190843497
Total Pages : 393 pages
Book Rating : 4.1/5 (98 download)

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Book Synopsis Neighborhoods and Health by : Dustin T. Duncan

Download or read book Neighborhoods and Health written by Dustin T. Duncan and published by Oxford University Press. This book was released on 2018 with total page 393 pages. Available in PDF, EPUB and Kindle. Book excerpt: THE GROUNDBREAKING, FORMATIVE WORK IN SPATIAL EPIDEMIOLOGY -- NOW UPDATED FOR A NEW GENERATION OF RESEARCH AND PRACTICE IN PUBLIC HEALTH In 2003, Neighborhoods and Health codified the idea that a neighborhood's social and physical makeup can influence the health of people who live in it. More than a decade later, with the relationship between place and health firmly entrenched at the center of how we understand public health (and as its own scientific discipline, spatial epidemiology), this second edition of the landmark text offers another giant leap forward for the field. Offering both a synthesis of the essential research and a practical overview of the methods used to garner it, the second edition of Neighborhoods and Health is the essential guide to understanding this core component of contemporary population health -- both the journey to date and what's next.

Area-level Drivers of Term Infant Mortality

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Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (112 download)

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Book Synopsis Area-level Drivers of Term Infant Mortality by : Yousra A. Mohamoud

Download or read book Area-level Drivers of Term Infant Mortality written by Yousra A. Mohamoud and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The US has had a persistently low ranking in IMR over the past thirty years. Increasing evidence suggests that this is partially driven by high infant mortality among infants born at term. Recent studies suggest that individual level maternal factors alone cannot explain this high term infant mortality, and that high level area factors affecting quality and access to resources might have an important role to play. This project addresses a critical knowledge gap by examining the effect of area-level drivers-relating to socioeconomic disadvantage- on (1) term infant mortality overall, (2) black-white disparities in term infant mortality within the context of a social determinants of infant mortality framework. This project uses multilevel logistic regression and mapping techniques, operationalizing four measures of area socioeconomic disadvantage: poverty, urban-rural classification, economic spatial polarization and racialized-economic spatial polarization. To investigate: (1) the independent effect of county poverty and urban-rural classification and the interaction between them on term infant mortality; (2) the relationship between county poverty, urban-rural classification and the cause of death among term infants as a step towards understanding the mechanisms by which they could be associated with term infant death; (3) the effect of economic and racialized-economic spatial polarization on term infant mortality and on black-white disparities in mortality at term using the index of concentration at the extremes. Together the work of this dissertation helps provide a deeper understanding of the drivers of the marked disparities in term infant survival in the US and identifies important potential targets for intervention and future research opportunities to reduce within and cross-country disparities in term infant mortality.

Birth Settings in America

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Publisher : National Academies Press
ISBN 13 : 0309669820
Total Pages : 369 pages
Book Rating : 4.3/5 (96 download)

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Book Synopsis Birth Settings in America by : National Academies of Sciences, Engineering, and Medicine

Download or read book Birth Settings in America written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-05-01 with total page 369 pages. Available in PDF, EPUB and Kindle. Book excerpt: The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.

Racial Disproportionality and Disparities in the Child Welfare System

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Publisher : Springer Nature
ISBN 13 : 3030543145
Total Pages : 442 pages
Book Rating : 4.0/5 (35 download)

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Book Synopsis Racial Disproportionality and Disparities in the Child Welfare System by : Alan J. Dettlaff

Download or read book Racial Disproportionality and Disparities in the Child Welfare System written by Alan J. Dettlaff and published by Springer Nature. This book was released on 2020-11-27 with total page 442 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume examines existing research documenting racial disproportionality and disparities in child welfare systems, the underlying factors that contribute to these phenomena and the harms that result at both the individual and community levels. It reviews multiple forms of interventions designed to prevent and reduce disproportionality, particularly in states and jurisdictions that have seen meaningful change. With contributions from authorities and leaders in the field, this volume serves as the authoritative volume on the complex issue of child maltreatment and child welfare. It offers a central source of information for students and practitioners who are seeking understanding on how structural and institutional racism can be addressed in public systems.

Unequal Treatment

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Publisher : National Academies Press
ISBN 13 : 030908265X
Total Pages : 781 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Unequal Treatment by : Institute of Medicine

Download or read book Unequal Treatment written by Institute of Medicine and published by National Academies Press. This book was released on 2009-02-06 with total page 781 pages. Available in PDF, EPUB and Kindle. Book excerpt: Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

Critical Perspectives on Racial and Ethnic Differences in Health in Late Life

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Publisher : National Academies Press
ISBN 13 : 0309092116
Total Pages : 753 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Critical Perspectives on Racial and Ethnic Differences in Health in Late Life by : National Research Council

Download or read book Critical Perspectives on Racial and Ethnic Differences in Health in Late Life written by National Research Council and published by National Academies Press. This book was released on 2004-10-16 with total page 753 pages. Available in PDF, EPUB and Kindle. Book excerpt: In their later years, Americans of different racial and ethnic backgrounds are not in equally good-or equally poor-health. There is wide variation, but on average older Whites are healthier than older Blacks and tend to outlive them. But Whites tend to be in poorer health than Hispanics and Asian Americans. This volume documents the differentials and considers possible explanations. Selection processes play a role: selective migration, for instance, or selective survival to advanced ages. Health differentials originate early in life, possibly even before birth, and are affected by events and experiences throughout the life course. Differences in socioeconomic status, risk behavior, social relations, and health care all play a role. Separate chapters consider the contribution of such factors and the biopsychosocial mechanisms that link them to health. This volume provides the empirical evidence for the research agenda provided in the separate report of the Panel on Race, Ethnicity, and Health in Later Life.

The Social Determinants of Mental Health

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Publisher : American Psychiatric Pub
ISBN 13 : 1585625175
Total Pages : 296 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis The Social Determinants of Mental Health by : Michael T. Compton

Download or read book The Social Determinants of Mental Health written by Michael T. Compton and published by American Psychiatric Pub. This book was released on 2015-04-01 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Determinants of Mental Health aims to fill the gap that exists in the psychiatric, scholarly, and policy-related literature on the social determinants of mental health: those factors stemming from where we learn, play, live, work, and age that impact our overall mental health and well-being. The editors and an impressive roster of chapter authors from diverse scholarly backgrounds provide detailed information on topics such as discrimination and social exclusion; adverse early life experiences; poor education; unemployment, underemployment, and job insecurity; income inequality, poverty, and neighborhood deprivation; food insecurity; poor housing quality and housing instability; adverse features of the built environment; and poor access to mental health care. This thought-provoking book offers many beneficial features for clinicians and public health professionals: Clinical vignettes are included, designed to make the content accessible to readers who are primarily clinicians and also to demonstrate the practical, individual-level applicability of the subject matter for those who typically work at the public health, population, and/or policy level. Policy implications are discussed throughout, designed to make the content accessible to readers who work primarily at the public health or population level and also to demonstrate the policy relevance of the subject matter for those who typically work at the clinical level. All chapters include five to six key points that focus on the most important content, helping to both prepare the reader with a brief overview of the chapter's main points and reinforce the "take-away" messages afterward. In addition to the main body of the book, which focuses on selected individual social determinants of mental health, the volume includes an in-depth overview that summarizes the editors' and their colleagues' conceptualization, as well as a final chapter coauthored by Dr. David Satcher, 16th Surgeon General of the United States, that serves as a "Call to Action," offering specific actions that can be taken by both clinicians and policymakers to address the social determinants of mental health. The editors have succeeded in the difficult task of balancing the individual/clinical/patient perspective and the population/public health/community point of view, while underscoring the need for both groups to work in a unified way to address the inequities in twenty-first century America. The Social Determinants of Mental Health gives readers the tools to understand and act to improve mental health and reduce risk for mental illnesses for individuals and communities. Students preparing for the Medical College Admission Test (MCAT) will also benefit from this book, as the MCAT in 2015 will test applicants' knowledge of social determinants of health. The social determinants of mental health are not distinct from the social determinants of physical health, although they deserve special emphasis given the prevalence and burden of poor mental health.

Closing the Gap in a Generation

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Publisher : World Health Organization
ISBN 13 : 9241563702
Total Pages : 257 pages
Book Rating : 4.2/5 (415 download)

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Book Synopsis Closing the Gap in a Generation by : WHO Commission on Social Determinants of Health

Download or read book Closing the Gap in a Generation written by WHO Commission on Social Determinants of Health and published by World Health Organization. This book was released on 2008 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: Social justice is a matter of life and death. It affects the way people live, their consequent chance of illness, and their risk of premature death. We watch in wonder as life expectancy and good health continue to increase in parts of the world and in alarm as they fail to improve in others.