Evidence map›Paper›PMID 34148458›Full record

ArticleScandinavian journal of public health2022

Levelling up: Global examples of reducing health inequalities.

Clare Bambra

Abstract read
In one paragraph

Article in Scandinavian journal of public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Accounting for inequality in dementia prevention programmes.Bulletin of the World Health Organization · 2026
    Article
  2. Article
  3. The Global Polycrisis and Health Inequalities.International journal of social determinants of health and health services · 2025
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. The U-Shaped Curve of Health Inequalities Over the 20th and 21st Centuries.International journal of social determinants of health and health services · 2024
    Article
  10. A qualitative exploration of the barriers and facilitators to self-managing multiple long-term conditions amongst people experiencing socioeconomic deprivation.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  11. Article
  12. Article
  13. What needs to happen to 'level up' public health?Contemporary social science · 2023
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author.

Clare BambraPopulation Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, UK.ORCID 0000-0002-1294-6851

Funding

Medical Research Council MR/K02325X/1Medical Research Council MR/S037578/1Medical Research Council MR/S037578/2
6 · The paper itself

Abstract

There are significant inequalities in health by socio-economic status, race/ethnicity, gender, neighbourhood deprivation and other axes of social inequality. Reducing these health inequalities and improving health equity is arguably the 'holy grail' of public health. This article engages with this quest by presenting and analysing historical examples of when sizeable population-level reductions in health inequalities have been achieved. Five global examples are presented ranging from the 1950s to the 2000s: the Nordic social democratic welfare states from the 1950s to the 1970s; the Civil Rights Acts and War on Poverty in 1960s USA; democratisation in Brazil in the 1980s; German reunification in the 1990s; and the English health inequalities strategy in the 2000s. Welfare state expansion, improved health care access, and enhanced political incorporation are identified as three commonly held 'levellers' whereby health inequalities can be reduced - at scale. The article concludes by arguing that 'levelling up' population health through reducing health inequalities requires the long-term enactment of macro-level policies that aggressively target the social determinants of health.

Indexed as

Health Status DisparitiesSocial ClassHumansPovertySocial WelfareSocioeconomic Factorshealth carehealth disparitieshealth equitypolicySocial determinants of healthsocio-economicwelfare

Identifiers

PMID34148458
PMCPMC9578091

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.