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FIGURE 7-2. A guide to thinking about the determinants of population health.

FIGURE 7-2A guide to thinking about the determinants of population health

NOTE: The dotted lines between the different levels of the model denote interaction effects between and among the various levels of health determinants (Worthman, 1999).

aSocial conditions include, but are not limited to, economic inequality, urbanization, mobility, cultural values, attitudes, and policies related to discrimination and intolerance on the basis or race, gender, and other differences.

b Other conditions at the national level might include major sociopolitical shifts, such as recession, war, and governmental collapse.

cThe built environment includes transportation, water and sanitation, housing, and other dimensions of urban planning.

SOURCE: The Future of the Public's Health (IOM, 2003a).

From: 7, Integration of CAM and Conventional Medicine

Cover of Complementary and Alternative Medicine in the United States
Complementary and Alternative Medicine in the United States.
Institute of Medicine (US) Committee on the Use of Complementary and Alternative Medicine by the American Public.
Washington (DC): National Academies Press (US); 2005.
Copyright © 2005, National Academy of Sciences.

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