Evidence map›Paper›PMID 36076363›Full record

ArticleScandinavian journal of public health2022

Rainbows over the world's public health: determinants of health models in the past, present, and future.

Oliver J Dyar, Bo J A Haglund, Cecilia Melder, Tracey Skillington, Margareta Kristenson, Anna Sarkadi

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 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 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.

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

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The social determinants of health-related quality of life among people with chronic disease: a systematic literature review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Pooled it
  2. Article
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  5. Article
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  7. Review
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  9. Operationalizing social determinants of health across a county: exploring the 100% Community Framework.Archives of public health = Archives belges de sante publique · 2025
    Article
  10. Article
  11. Article
  12. Review
  13. Article
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  15. Article
  16. A scoping review and expert consensus on digital determinants of health.Bulletin of the World Health Organization · 2025
    Article
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  18. Article
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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

6 authors.

Oliver J DyarDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.ORCID 0000-0002-0094-3303
Bo J A HaglundDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Cecilia MelderExistential Public Health and Psychology of Religion, University College Stockholm, Bromma, Sweden.
Tracey SkillingtonDepartment of Sociology and Criminology, University College Cork, Cork, Ireland.
Margareta KristensonMedical Faculty, Linköping University, Linköping, Sweden.
Anna SarkadiDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.ORCID 0000-0001-6594-2291

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The need to visualise the complexity of the determinants of population health and their interactions inspired the development of the rainbow model. In this commentary we chronicle how variations of this model have emerged, including the initial models of Haglund and Svanström (1982), Dahlgren and Whitehead (1991), and the Östgöta model (2014), and we illustrate how these models have been influential in both public health and beyond. All these models have strong Nordic connections and are thus an important Nordic contribution to public health. Further, these models have underpinned and facilitated other examples of Nordic leadership in public health, including practical efforts to address health inequalities and design new health policy approaches.Apart from documenting the emergence of rainbow models and their wide range of contemporary uses, we examine a range of criticisms levelled at these models - including limitations in methodological development and in scope. We propose the time is ripe for an updated generic determinants of health model, one that elucidates and preserves the core value in older models, while recognising the developments that have occurred over the past decades in our understanding of the determinants of health. We conclude with an example of a generic model that fulfills the general purposes of a determinants of health model while maintaining the necessary scope for further adjustments to be made in the future, as well as adjustments to location or context-specific purposes, in education, research, health promotion and beyond.

Indexed as

Health PolicyPublic HealthHealth PromotionHumansSocioeconomic Factorsbiopsychosocial modeleducationenvironmenthealth policyhealth promotionhealth status disparitiesinequalitySocial determinants of healthsocio-ecological modelsocioeconomic factors

Identifiers

PMID36076363
PMCPMC9578089

What OpenQuestion holds

Textmetadata
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.