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  • 7/31/2019 thmchngwaangthaangsukhphaaphainchwngchiiwiteraa_brrlukhwaamepnthrrmthaangsukhphaaphdwypacchcchays

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    World Health Organization 2008

    All rights reserved. Publications of the WorldHealth Organization can be obtained from

    WHO Press, World Health Organization, 20Avenue Appia, 1211 Geneva 27, Switzerland(tel: +41 22 791 3264; fax: +41 22 7914857; e-mail: [email protected]). Requestsfor permission to reproduce or translate

    WHO publications whether for sale or

    for noncommercial distribution shouldbe addressed to WHO Press at the aboveaddress (fax: +41 22 791 4806;e-mail: [email protected]).

    Disclaimer

    This publication contains the collective viewsof the Commission on Social Determinantsof Health and does not necessarily representthe decisions or the stated policy of the

    World Health Organization. The designationsemployed and the presentation of the materialin this publication do not imply the expressionof any opinion whatsoever on the part of the

    World Health Organization concerning the legalstatus of any country, territory, city, or area orof its authorities, or concerning the delimitation

    of its frontiers or boundaries. Dotted lineson maps represent approximate border linesfor which there may not yet be full agreement.

    The mention of specific companies or ofcertain manufacturers products does notimply that they are endorsed or recommendedby the World Health Organization in preference

    to others of a similar nature that are notmentioned. Errors and omissions excepted,the names of proprietary products aredistinguished by initial capital letters.

    All reasonable precautions have been takenby the World Health Organization to verifythe information contained in this publication.However, the published material is beingdistributed without warranty of any kind, eitherexpressed or implied. The responsibility for theinterpretation and use of the material lies withthe reader. In no event shall the World Health

    Organization be liable for damages arisingfrom its use.

    WHO/IER/CSDH/08.1

    Photos

    WHO/Marko Kokic; Rotary Images/Alyce Henson; WHO/Christopher Black;WHO/Chris De Bode; WHO/Jonathan Perugia; WHO/EUROSpecific photo-credits can be obtained from WHO.

    . Closing the gap in a generationHealth equity through action on the social determinants of health

    Executive Summary of Final Report of the Commission on Social Determinants of Health

    ISBN 978-616-11-0185-5

    ().

  • 7/31/2019 thmchngwaangthaangsukhphaaphainchwngchiiwiteraa_brrlukhwaamepnthrrmthaangsukhphaaphdwypacchcchays

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    -

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    (Social justice)

    (Health inequity)

    ..

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    :

    (Health inequity) (Social justice)

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    ()

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    .

    .

    .

    ()

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    ( )

    200

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    90

    95

    100

    105

    110DQ

    a Griffiths Mental Development Scales Grantham-McGregor et al. (1991)

    a

    6 12 16 24

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    ..

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    (Greenhouse gas emissions)

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    0

    5

    10

    15

    20

    25

    30

    35

    0

    10

    20

    30

    40

    50

    60

    70

    80

    90

    100

    1997 2002 2007

    : Artazcoz et al., 2005

    .. 2007 ILO (2008)

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    http:///reader/full/thmchngwaangthaangsukhphaaphainchwngchiiwiteraabrrlukhwaamepnthrrmthaangsukhphaa 17/44

    0 10 20 30 40 50 60 70 80 90 100 1100

    5

    10

    15

    20

    25

    50

    AUS= AUT= BEL= CAN= FIN= FRA= GER= IRE=ITA= NET= NOR= SWE= SWI= UK= USA= Lundberg et al. (2007).

    20 2543

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    ()

    100

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    0

    10

    20

    30

    60

    50

    40

    70

    80

    90

    100

    60.3

    91.6

    71.2

    57.0

    39.8

    34.5

    63.5

    58.9

    34.1

    83.7

    27.6

    47.6 48.2

    26.8

    18.7

    37.2

    Gwatkin, Wagstaff & Yazbeck (2005)

    ( 50 )

    ()

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    ( ) ()

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    94-95 95-96 96-97 97-98

    0

    5

    10

    15

    20

    25

    30

    35

    40

    1995-1997 Macpherson et al. (2002).

    10

    0,000

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    0.7%

    2512 0.7

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    60

    1961

    1962

    1963

    1964

    1965

    1966

    1967

    1968

    1969

    1970

    1971

    1972

    1973

    1974

    1975

    1976

    1977

    1978

    1979

    1980

    1981

    1982

    1983

    1984

    1985

    1986

    1987

    1988

    1989

    1990

    1991

    1992

    1993

    1994

    1995

    1996

    1997

    1998

    1999

    2000

    2001

    2002

    80

    70

    110

    130

    160

    170

    180

    210

    260

    230

    2701961=100

    GNI per capita in2002: $28,500

    GNI per capita in1960: $11,303

    Aid per capita in1960: $61

    Aid per capita in2002: $67

    Randel, German & Ewing (2004)

    : 1960-2000

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    ( ) ( )

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    0

    1

    3

    2

    4

    6

    5

    7

    8

    9

    10

    1 11 21 31 41 51 61 71 81 91 101

    GKN (2007)

    () ( ) ()

    (

    )

    ()

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    0 20

    81

    80

    80

    76

    73

    70

    40 60 80 100

    UNICEF (2006)

    4 -

    6

    22

    10

    8

    4

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    :

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    0

    1

    2

    3

    4

    5

    6

    : Son et al., 2002

    , 2536-2540

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    (Organizationfor Economic Cooperation and Development) (.. 2523) .. 2503 .. 2523

    .. 2523-2548

    .. 2523

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    0

    1

    2

    3

    4

    5

    6

    7

    1950 1955 1960 1965 1970 1975 1980 1985 1990 1995

    55 60 65 70 75 80 85 90 95 2000

    DMM(years)

    , 1950-2000

    Moser, Shkolnikov & Leon (2005)

    ()

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    ( (Laboratory experiments) (Randomizedcontrolled trials))

    :

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    133 028 48 276 (36%)

    26 879 14 751 (55%)

    9790 1543 (16%)

    37 099 23 395 (63%)

    31 616 5901 (19%)

    11 567 1787 (15%)

    5250 1218 (23%)

    10 827 218 (2%)

    119 973 48 147 (40%)

    27 819 19 682 (71%)

    (,)

    UNICEF 2005

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    ?

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