The past decade has seen a growth in research into the social determinants of health. This research challenges the assumptions that investments in the health system and lifestyle behaviours are responsible for health gains. By focusing on inequalities in health, the research has shed light on a range of factors that influence health. This book covers the differential health impacts of family and early development, changes in work and work conditions, health systems, the physical environment of cities, indigenous peoples, rural populations, social capital, culture, and global economic and environmental changes. It contains material that explains how inequality gets 'under the skin', through describing the physiological changes that follow from stress and behaviours. Particularly important is the 'natural experiment' represented by the different political and economic paths taken by Australia and New Zealand over the past two decades and the opportunity this provides to assess the impact on health.
• Brings together in the one volume some of the most important research in public health in Australia and New Zealand for an international audience • Designed to serve as a textbook for Australasian students in public health and sociology of health courses
1. A general model of the social origins of health and well-being Jake Najman; Part I. Historical, Global and Cultural Perspectives: 2. Healthier progress: historical perspectives on the social and economic determinants of health John Powles; 3. Health inequalities in the New World Order David Legge; 4. Globalisation and environmental change: implications for health and health inequalities Colin Butler, Bob Douglas and Tony McMichael; 5. Culture, health and well-being Richard Eckersley; Part II. Explaining Health Inequalities: 6. Income inequality and health: in search of fundamental causes Gavin Turrell; 7. Mediation of the effects of social and economic status on health and mortality: the roles of behaviour and constitution Richard Taylor; 8. Migrants, money and margarine: possible explanations for Australia-New Zealand mortality differences Alistair Woodward, Colin Mathers and Martin Tobias; 9. Income, income inequality and health in New Zealand Philippa Howden-Chapman and Des O'Dea; 10. Equity in access to health care Stephen Duckett; Part III. Social Organisation and Health: 11. Human settlements: health and the physical environment Peter Newman; 12. Work and health: the impact of structural workforce changes and the work environment Anne-Marie Feyer and Dorothy Broom; 13 Health, inequities, community and social capital Robert Bush and Fran Baum; Part IV. Developmental and Biological Perspectives: 14. Health inequalities: the seeds are sown in childhood, what about the remedies? Graham Vimpani; 15. Family, early development and life course: common risk and protective factors in pathways to prevention Judy Cashmore; 16. Health inequalities: is the foundation for these laid before the time of birth? Terry Dwyer, Ruth Morley and Leigh Blizzard; 17. How social factors affect health: neuro-endocrine interactions Kerin O'Dea and Mark Daniel; Part V. Implications for Policy, Interventions and Health Research: 18. The sociology of Aboriginal health policy and modelling in social epidemiology Ian Anderson; 19. Does our limited analysis of the dimensions of poverty limit the way we seek solutions? Elizabeth Harris, Don Nutbeam and Peter Sainsbury; 20. Developmental prevention in a disadvantaged community Ross Homel, Gordon Elias and Ian Hay; 21. Rethinking evaluation for policy action on the social origins of health and well-being Beverly Sibthorpe and Jane Dixon.