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Social Determinants Of Health Marlot Summary

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Professor Sir Michael Marmot, MBBS, MPH, PhD, FRCP, FFPHM, FMedSci is the Chair of the Commission on Social Determinants of Health, Director of the International Institute for Society and Health, and a Research Professor of Epidemiology and Public Health at University College in London. Marmot was knighted by the Queen for his services to Epidemiology and understanding health inequalities in year 2000; furthermore, he has led a group to perform extensive research regarding such issues over the past 30 years. As Principal Investigator of the Whitehall Studies of British civil servants, he has investigated explanations for an inverted social gradient in morbidity and mortality. He leads the English Longitudinal Study of Ageing (ELSA) and chairs…show more content…
The core argument of this book points back to individual autonomy, a sense of control over the lifestyle one chooses to live. Marmot believes this to be as big of a factor as financial circumstances. He states that “The circumstances in which we live—that foster autonomy and control over life, love, happiness, social connectedness, riches that are not measured by money—affect illness” (Marmot, 14). Inequalities in health present themselves because such benefits of life are disbursed unequally throughout society. From a public health perspective, the term health is defined as the complete mental, physical, and social well- being of an individual and not merely the absence of disease. However, to the average individual, health is mostly associated with the physical well- being of a person rather than any other aspect mentioned. Marmot also notes that “The lower in hierarchy you are, the less likely it is that you will have full control over your life and opportunities for full social participation," (page 23). This implies that individual autonomy and one’s social participation, or lack thereof, may lead to deterioration in health. In no way does this divert attention from things such as genetics and medical care as essentials to health; rather, this places emphasis on circumstances in which people live and/or work as other major influences of health. For example, someone with a formal education and a wealthy upbringing will most likely experience a longer life with better health as opposed to someone without education and a high income. Even with this information, it is still difficult to conclude whether education would lead to great health for all. If you place education on the backburner and put income on center stage, you may notice that the findings are almost identical: low income
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