Evidence map›Paper›PMID 18843244›Full record

ArticleJournal of public health management and practice : JPHMP2008

Moving upstream: how interventions that address the social determinants of health can improve health and reduce disparities.

David R Williams, Manuela V Costa, Adebola O Odunlami, Selina A Mohammed

Registry-linked trialAbstract read
In one paragraph

Article in Journal of public health management and practice : JPHMP, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03194958 (Helping the Poor Quit Smoking), which is not on this map. Cited by 227 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
227citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03194958 nacompletednot on this mapstarted 2017, after this paper: background citation

Helping the Poor Quit Smoking: Specialized Quitlines and Meeting Basic Needs

TypeinterventionalSponsorWashington University School of MedicineRan2017 to 2022Enrolled1,944ConditionsSmoking Cessation, Smoking, Tobacco, Smoking, Cigarette, Smoking, PipeArmsSpecialized Quitline, Basic Needs Navigator
3 · Its place in the literature

Who cites it

227 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. The role and impact of community health workers in childhood obesity interventions: a systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2018
    Pooled it
  5. Recruitment Methods, Inclusion, and Successful Participation in a Longitudinal Clinical Trial Using Ecological Momentary Assessment.Health education & behavior : the official publication of the Society for Public Health Education · 2024
    Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Article
  12. Exploring Issues of Culture in Peer Work - A Qualitative Study.Administration and policy in mental health · 2026
    Article
  13. Review
  14. Tackling child poverty in the UK.BMJ paediatrics open · 2026
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. So what? Elevating the impact of implementation science.Implementation science communications · 2025
    Article
  20. Review

167 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

David R WilliamsDepartment of Society, Human Development and Health, Harvard School of Public Health, Boston, Massachusetts 0211, USA. dwilliam@hsph.harvard.edu
Manuela V Costa
Adebola O Odunlami
Selina A Mohammed

Funding

Genetic Markers and gene expression in Kawasaki DiseaseR01HL069413 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BURNS, JANE C · 2002 to 2010
$5.5M
Healthy Hearts Across GenerationsU01HL087322 · NHLBI · UNIVERSITY OF WASHINGTON · PI WALTERS, KARINA LYNN · 2006 to 2010
$3.3M
Trauma, Stress, and Mental Health in South AfricaR01MH059575 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WILLIAMS, DAVID R · 1998 to 2007
$2.5M
NHLBI NIH HHS 3U01HL087322-02S1NHLBI NIH HHS R01 HL069413NHLBI NIH HHS U01 HL087322NHLBI NIH HHS U-01 HL 87322-02NIMH NIH HHS R01 MH059575NIMH NIH HHS R01 MH 59575
6 · The paper itself

Abstract

There is considerable scientific and policy interest in reducing socioeconomic and racial/ethnic disparities in healthcare and health status. Currently, much of the policy focus around reducing health disparities has been geared toward improving access, coverage, quality, and the intensity of healthcare. However, health is more a function of lifestyles linked to living and working conditions than of healthcare. Accordingly, effective efforts to improve health and reduce gaps in health need to pay greater attention to addressing the social determinants of health within and outside of the healthcare system. This article highlights research evidence documenting that tackling the social determinants of health can lead to reductions in health disparities. It focuses both on interventions within the healthcare system that address some of the social determinants of health and on interventions in upstream factors such as housing, neighborhood conditions, and increased socioeconomic status that can lead to improvements in health. The studies reviewed highlight the importance of systematic evaluation of social and economic policies that might have health consequences and the need for policy makers, healthcare providers, and leaders across multiple sectors of society to apply currently available knowledge to improve the underlying conditions that impact the health of populations.

Indexed as

Healthcare DisparitiesHealth Status DisparitiesSocial ClassDelivery of Health CareHumansUnited States

Identifiers

PMID18843244
PMCPMC3431152

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.