Identifying vulnerable populations using a social determinants of health framework: analysis of national survey data across six Asia-Pacific countries

PloS One
Paul R WardSamantha B Meyer

Abstract

In order to improve the health of the most vulnerable groups in society, the WHO called for research on the multiple and inter-linking factors shaping the social determinants of health (SDH). This paper analyses four key SDH (social cohesion, social inclusion, social empowerment and socioeconomic security) across six Asia-Pacific countries: Australia, Hong Kong, Japan, South Korea, Taiwan, and Thailand. Population surveys were undertaken using a validated instrument in 2009-10, with sample sizes around 1000 in each country. The four SDH were analysed using multivariate binomial logistic regression to identify socio-demographic predictors in each country. Low socio-economic security was associated with low income in all six study countries and with poor subjective health in Japan, South Korea and Thailand and with being married or cohabiting in Australia and Hong Kong. Low social cohesion was associated with low income in all countries and with undertaking household duties in South Korea, Thailand and Taiwan. Low social inclusion was associated with low income in Australia, South Korea and Taiwan and with poor subjective health in Australia, Japan and South Korea. Older people had lower social inclusion in Taiwan (50-59 years) a...Continue Reading

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Citations

Aug 8, 2014·BioMed Research International·Ratana SomrongthongPaul R Ward
Dec 4, 2015·Medicine·Maria Aparecida Goncalves de Melo CunhaMauro Henrique Nogueira Guimarães de Abreu
Nov 10, 2018·Journal of Global Health·Viroj TangcharoensathienJeffery Johns

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