Skip to main content
. 2021 Oct 18;8:761488. doi: 10.3389/fcvm.2021.761488
Structural determinants
Socio-economic and political context Example (ref) Variable selection in population level epidemiological studies graphic file with name fcvm-08-761488-i0003.jpg
Governance Welfare State concept (75, 76) Capitalism vs. Socialist State, Democratic vs. Republican government
Macroeconomic policies Unemployment insurance, early retirement (77) Average age of retirement, % unemployed
Social policies Public provision of basic education, health services, and housing (76) Distance traveled to see primary care doctor
Public policies Governmental rules regarding the various contexts above (78, 79) % GDP spent on healthcare, % GDP spent on equitable housing
Cultural and societal values Cultural context and cardiovascular disease (80) % Of a specific religion
Epidemiological conditions Current state of various diseases and risk factors in the area. Eg. HIV (81) % Smokers, % of area suffering with HIV
Inline graphicInline graphicBidirectional association
Socio-economic position
Income Poverty and its effect on health (82) Median income of household, % living below poverty line, GINI index (83)
Education Cancer mortality in the United States by education level (84) % educated till 10th grade, % college graduates
Occupation How occupation contributes to risk factors for cardiovascular disease (85) Classified into professional, Intermediate, Skilled non-manual, Skilled manual, Partly skilled, Unskilled
Social classes Associations of social class with patterns of general and mental health (86) % Without any vehicle, % veterans, % disabled
Gender Gender disparities in the survival of metastatic colon cancer (87) %Women, %trangender/homosexual
Race/ethnicity Racial disparities in use of breast cancer therapy (88) % African-American, % Hispanic