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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.
Understanding the factors that create and maintain social inequities is a core question in social psychology. Research has so far focused on the role of individual stereotyping, prejudice and discrimination. However, there is no such thing as a "biased" act of prejudiced individuals, structural factors in the reproduction of social inequalities. Indeed, people are immersed in a world, and that is the way forward. In this research topic, we propose to bring together the ideology and practice of the government. This can be done by the researcher, who is responsible for the work of the researcher, the researcher, the researcher, the researcher, the researcher, the researcher, the researcher and the researcher. (Eg, teachers, recruiters, leaders, ...). Taking the perspective of the company as a whole. This could be the highlight of the process. Perpetuation of the institutional functioning. Grading, tracking, recruitment, ...) and ideologies (eg, meritocracy, individualism, protestant work ethic, ...) shape the psychological experience of (dis) advantaged people. (Eg, teachers, recruiters, leaders, ...). Taking the perspective of the company as a whole. This could be the highlight of the process. Perpetuation of the institutional functioning. Grading, tracking, recruitment, ...) and ideologies (eg, meritocracy, individualism, protestant work ethic, ...) shape the psychological experience of (dis) advantaged people. (Eg, teachers, recruiters, leaders, ...). Taking the perspective of the company as a whole. This could be the highlight of the process. Perpetuation of the institutional functioning. ...) shape the psychological experience of (dis) advantaged people. (Eg, teachers, recruiters, leaders, ...). Taking the perspective of the company as a whole. This could be the highlight of the process. Perpetuation of the institutional functioning. ...) shape the psychological experience of (dis) advantaged people. (Eg, teachers, recruiters, leaders, ...). Taking the perspective of the company as a whole. This could be the highlight of the process. Perpetuation of the institutional functioning. Taking the perspective of the company as a whole. This could be the highlight of the process. Perpetuation of the institutional functioning. Taking the perspective of the company as a whole. This could be the highlight of the process. Perpetuation of the institutional functioning.
Understanding the factors that create and maintain social inequalities is a core question in social psychology. Research has so far mainly focused on the role of individual stereotyping, prejudice and discrimination. However, there is growing evidence that, beyond the "biased" acts of prejudiced individuals, structural factors related to the very functioning of institutions and organizations can play a role in the reproduction of social inequalities. Indeed, in industrialized countries, society is structured in a way that reflects the perspective of, is organized by, and benefits the dominant groups. In this Research Topic, we propose to bring together researchers who study how institutional ideologies and practices promote norms, rules and opportunities that favor dominant groups and disadvantage dominated groups. This question can be tackled by work investigating how institutional practices (e.g., grading, tracking, recruitment, ...) and ideologies (e.g., meritocracy, individualism, protestant work ethic, ...) shape the psychological experience of (dis)advantaged people. Moreover, another interesting venue is represented by work investigating how the institutional practices and ideologies are enacted by the agents (e.g., teachers, recruiters, leaders, ...). Taking the perspective of agents allows to investigate how institutional functioning constrains the actual opportunities they provide to (dis)advantaged individuals. This could also highlight how institutional ideologies and practices are incorporated by agents, thus revealing mechanisms of change vs. perpetuation of the institutional functioning.
Economy, Society, and Public Policy is a new way to learn economics. It is designed specifically for students studying social sciences, public policy, business studies, engineering and other disciplines who want to understand how the economy works and how it can be made to work better. Topical policy problems are used to motivate learning of key concepts and methods of economics. It engages, challenges and empowers students, and will provide them with the tools to articulate reasoned views on pressing policy problems. This project is the result of a worldwide collaboration between researchers, educators, and students who are committed to bringing the socially relevant insights of economics to a broader audience.KEY FEATURESESPP does not teach microeconomics as a body of knowledge separate from macroeconomicsStudents begin their study of economics by understanding that the economy is situated within society and the biosphereStudents study problems of identifying causation, not just correlation, through the use of natural experiments, lab experiments, and other quantitative methodsSocial interactions, modelled using simple game theory, and incomplete information, modelled using a series of principal-agent problems, are introduced from the beginning. As a result, phenomena studied by the other social sciences such as social norms and the exercise of power play a roleThe insights of diverse schools of thought, from Marx and the classical economists to Hayek and Schumpeter, play an integral part in the bookThe way economists think about public policy is central to ESPP. This is introduced in Units 2 and 3, rather than later in the course.
This paper analyzes the extent of income inequality from a global perspective, its drivers, and what to do about it. The drivers of inequality vary widely amongst countries, with some common drivers being the skill premium associated with technical change and globalization, weakening protection for labor, and lack of financial inclusion in developing countries. We find that increasing the income share of the poor and the middle class actually increases growth while a rising income share of the top 20 percent results in lower growth—that is, when the rich get richer, benefits do not trickle down. This suggests that policies need to be country specific but should focus on raising the income share of the poor, and ensuring there is no hollowing out of the middle class. To tackle inequality, financial inclusion is imperative in emerging and developing countries while in advanced economies, policies should focus on raising human capital and skills and making tax systems more progressive.
The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.
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.
This book encompasses a systematic, comparative study of change in educational stratification in thirteen industrialized countries, exploring which societal conditions help reduce existing inequalities in educational opportunity. The contributors show that in most industrialized countries inequalities in educational opportunity among students from different social strata have been remarkably stable since the early twentieth century. Only in Sweden and the Netherlands has there been a reduction in educational inequalities. The improvements are attributed to aggressive social welfare policies that have equalized living conditions and overall life opportunities in the two countries. Interestingly, the social policies of former socialist states did not produce similar advances - a finding consistent with assertions that under socialism the bureaucratic elites were as effective in protecting the interests of their own children as were elites in many capitalist societies. In contrast to the persistence of socio-economic inequalities in educational opportunity, the gender gap in education has narrowed in all thirteen countries. In fact, in some countries women now attain higher mean levels of education than men. The book concludes with an integrative methodological chapter that introduces new methods of dealing with observed and unobserved sources of heterogeneity in models of educational attainment. The highly structured analyses of educational systems in the thirteen countries allow illuminating comparisons without sacrificing the specialized knowledge required to understand the particularities of each system.
The empirical starting point for anyone who wants to understand political cleavages in the democratic world, based on a unique dataset covering fifty countries since WWII. Who votes for whom and why? Why has growing inequality in many parts of the world not led to renewed class-based conflicts, seeming instead to have come with the emergence of new divides over identity and integration? News analysts, scholars, and citizens interested in exploring those questions inevitably lack relevant data, in particular the kinds of data that establish historical and international context. Political Cleavages and Social Inequalities provides the missing empirical background, collecting and examining a treasure trove of information on the dynamics of polarization in modern democracies. The chapters draw on a unique set of surveys conducted between 1948 and 2020 in fifty countries on five continents, analyzing the links between votersÕ political preferences and socioeconomic characteristics, such as income, education, wealth, occupation, religion, ethnicity, age, and gender. This analysis sheds new light on how political movements succeed in coalescing multiple interests and identities in contemporary democracies. It also helps us understand the conditions under which conflicts over inequality become politically salient, as well as the similarities and constraints of voters supporting ethnonationalist politicians like Narendra Modi, Jair Bolsonaro, Marine Le Pen, and Donald Trump. Bringing together cutting-edge data and historical analysis, editors Amory Gethin, Clara Mart’nez-Toledano, and Thomas Piketty offer a vital resource for understanding the voting patterns of the present and the likely sources of future political conflict.
Evidence indicates that actions within four main themes (early child development fair employment and decent work social protection and the living environment) are likely to have the greatest impact on the social determinants of health and health inequities. A systematic search and analysis of recommendations and policy guidelines from intergovernmental organizations and international bodies identified practical policy options for action on social determinants within these four themes. Policy options focused on early childhood education and care; child poverty; investment strategies for an inclusive economy; active labour market programmes; working conditions; social cash transfers; affordable housing; and planning and regulatory mechanisms to improve air quality and mitigate climate change. Applying combinations of these policy options alongside effective governance for health equity should enable WHO European Region Member States to reduce health inequities and synergize efforts to achieve the United Nations Sustainable Development Goals.