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Defining equity in health.

P Braveman1, S Gruskin

  • 1Department of Family and Community Medicine, University of California, San Francisco, CA 94143-0900, USA. pbrave@itsa.ucsf.edu

Journal of Epidemiology and Community Health
|March 21, 2003
PubMed
Summary

Health equity means no systematic health disparities between socially advantaged and disadvantaged groups. This definition aids in measuring health equity and promoting social justice in health.

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Area of Science:

  • Public Health
  • Social Epidemiology
  • Health Policy

Background:

  • Defining health equity is crucial for its practical application and measurement.
  • Existing definitions may lack clarity for operationalization.

Purpose of the Study:

  • To propose a clear definition of health equity for operationalization and measurement.
  • To discuss the importance of a precise definition for practical implementation.

Main Methods:

  • Conceptual discussion.
  • Analysis of the concept of health equity.

Main Results:

  • Health equity is defined as the absence of systematic disparities in health and its social determinants between groups with varying social advantage.
  • Health inequities disproportionately affect socially disadvantaged populations, exacerbating their health status.

Conclusions:

  • A clear definition of health equity is essential for measurement and operationalization.
  • This definition supports the right to the highest attainable standard of health.
  • Assessing health equity requires comparing health outcomes and social determinants across different social groups to inform policy and promote social justice.

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