ArticleGlobal health action2018
Non-communicable diseases in Indian slums: re-framing the Social Determinants of Health.
Article in Global health action, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Intersectional experiences of non-communicable diseases and health seeking strategies in informal settlements in Freetown, Sierra Leone.PLOS global public health · 2026Article
- Hypertension burden and associated risk factors among people from the slums in a developing country: evidence from the COMBAT-CVD study.Journal of human hypertension · 2025Article
- Enhancement of Self-Management of Metabolic Syndrome Among Adults in Urban, Low-Income Settings of India Using Digital Health Interventions: Protocol for a Mixed Methods Study.JMIR research protocols · 2025Article
- Identifying, Measuring, and Ranking Social Determinants of Health for Health Promotion Interventions Targeting Informal Settlement Residents.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2023Article
- Why are they "unreached"? Macro and Meso determinants of health care access in hard to reach areas of Odisha, India.International journal for equity in health · 2023Article
- Many hops, many stops: care-seeking "loops" for diabetes and hypertension in three urban informal settlements in the Mumbai Metropolitan Region.Frontiers in public health · 2023Article
- Inequalities in the prevalence of cardiovascular disease risk factors in Brazilian slum populations: A cross-sectional study.PLOS global public health · 2022Article
- Article
- Low-wage migrant workers during coronavirus disease 2019: a social determinants analysis.Journal of public health policy · 2021Article
- The Most Important Social Determinants of Slum Dwellers' Health: A Scoping Review.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2021Article
- Health needs assessment of the residents of the informal settlements in South-Eastern Iran: A case study of Bam city.Journal of education and health promotion · 2021Article
- Assessing cardiovascular disease risk factor screening inequalities in India using Lot Quality Assurance Sampling.BMC health services research · 2020Article
- Towards the Development of an Intervention to Address Social Determinants of Non-Communicable Disease in Kerala, India: A Mixed Methods Study.International journal of environmental research and public health · 2020Article
- Re:(In) visible impact of inadequate WaSH Provision on COVID-19 incidences can be not be ignored in large and megacities of India.Public health · 2020Article
- Slums, Space, and State of Health-A Link between Settlement Morphology and Health Data.International journal of environmental research and public health · 2020Article
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe epidemic of non-communicable diseases (NCDs) in slums has pushed its residents to heightened vulnerability. The Social Determinants of Health (SDH) framework has been used to understand the social dynamics and impact of NCDs, especially in poorly resourced communities. Whilst the SDH has helped to discredit the characterisation of NCDs as diseases of affluence, its impact on policy has been less definite. Given the multitude of factors that interact in the presentation of NCDs, operationalising the SDH for policies and programmes that account for the contextual complexity of slums has stalled.
objectiveTo organise the complex networks of relations between SDH in slums so as to identify options for Indian municipal policy that are feasible to implement in the short term.
methodsThe study reviews the literature describing SDH in Indian slums, specifically those that establish causal relations between SDH and NCDs. Root cause analysis was then used to organise the identified relations of SDH and NCDs.
resultsAlthough poverty remains the largest structural determinant of health in slums, the multi-dimensional relations between SDH and NCDs are structured around four themes that describe the dynamics of slums, namely scarce clean water, low education, physical (in)activity and transportation. From the reviewed literature, four logic trees visualising the relations between SDH in slums and NCDs were constructed. The logic trees separate symptomatic problems from their more distal causes, and recommendations were formulated based on features of these relationships that are amenable to policy intervention.
conclusionRoot cause analysis provides a means to focus the lens of examination of SDH, as evidenced here for Indian slums. It provides a guide for the development of policies that are grounded in the actual health concerns of people in slums, and takes account of the complex pathways through which diseases are socially constituted.
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