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.

New Horizons in Health discusses how the National Institutes of Health (NIH) can integrate research in the social, behavioral, and biomedical sciences to better understand the causes of disease as well as interventions that promote health. It outlines a set of research priorities for consideration by the Office of Behavioral and Social Sciences Research (OBSSR), with particular attention to research that can support and complement the work of the National Institutes of Health. By addressing the range of interactions among social settings, behavioral patterns, and important health concerns, it highlights areas of scientific opportunity where significant investment is most likely to improve nationalâ€"and globalâ€"health outcomes. These opportunities will apply the knowledge and methods of the behavioral and social sciences to contemporary health needs, and give attention to the chief health concerns of the general public.

'Punchily written ... He leaves the reader with a sense of the gross injustice of a world where health outcomes are so unevenly distributed' Times Literary Supplement 'Splendid and necessary' Henry Marsh, author of Do No Harm, New Statesman There are dramatic differences in health between countries and within countries. But this is not a simple matter of rich and poor. A poor man in Glasgow is rich compared to the average Indian, but the Glaswegian's life expectancy is 8 years shorter. The Indian is dying of infectious disease linked to his poverty; the Glaswegian of violent death, suicide, heart disease linked to a rich country's version of disadvantage. In all countries, people at relative social disadvantage suffer health disadvantage, dramatically so. Within countries, the higher the social status of individuals the better is their health. These health inequalities defy usual explanations. Conventional approaches to improving health have emphasised access to technical solutions – improved medical care, sanitation, and control of disease vectors; or behaviours – smoking, drinking – obesity, linked to diabetes, heart disease and cancer. These approaches only go so far. Creating the conditions for people to lead flourishing lives, and thus empowering individuals and communities, is key to reduction of health inequalities. In addition to the scale of material success, your position in the social hierarchy also directly affects your health, the higher you are on the social scale, the longer you will live and the better your health will be. As people change rank, so their health risk changes. What makes these health inequalities unjust is that evidence from round the world shows we know what to do to make them smaller. This new evidence is compelling. It has the potential to change radically the way we think about health, and indeed society.

For a country as wealthy as Canada, poverty is utterly unnecessary. In About Canada: Poverty, Jim Silver illustrates that poverty is about more than a shortage of money: it is complex and multifaceted and can profoundly damage the human spirit. At the centre of this analysis are Canada's neoliberal economic policies, which have created conditions that make a growing number of people vulnerable to low income, vanishing public services and poor physical health. Silver also highlights the ways in which poverty is intimately connected to colonialism and racial and gender discrimination, and finds that the political and economic policies enacted by the Canadian government serve only a powerful minority, while producing a range of negative outcomes for the rest of us, especially the poor. Silver points out that the costs of poverty -- relating to health care, crime, education and unemployment -- are higher than the costs of solving poverty, and he lays out an achievable strategy for its dramatic reduction in Canada. When poverty is understood as resulting from political choices, its elimination requires putting pressure on governments to ensure that different choices are made.

This report provides evidence of a fairly generalised increase in income inequality over the past two decades across OECD countries, but the timing, intensity and causes of the increase differ from what is typically suggested in the media.

Now in its third edition, this comprehensive text provides an in-depth examination of poverty and its impact on the health and quality of life of Canadians. Considering a broad range of topics, Dennis Raphael covers the central issues of defining and measuring poverty; situational and societal causes of poverty; health and social implications for individuals, communities, and society as a whole; and the means of reducing poverty’s incidence through public policy action. Poverty in Canada will foster greater insight into the repercussions of poverty throughout society, encouraging readers to reflect on provocative questions at the end of each chapter. Well updated to reflect current statistics and recent public policy changes, this new edition explores why specific groups of Canadians are over-represented amongst those living in poverty and provides a more developed analysis of the barriers to reducing poverty, including economic globalization and the increased power and influence of the corporate sector under neo liberalism. Emphasizing the lived experiences of poverty, this interdisciplinary volume is a valuable resource to those studying or working in health studies, social work, sociology, and equity studies.