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Perceptions of the determinants of health across income and urbanicity levels in eight countries
Journal article   Open access   Peer reviewed

Perceptions of the determinants of health across income and urbanicity levels in eight countries

Salma M Abdalla, Ethan Assefa, Samuel B Rosenberg, Mark Hernandez, Shaffi Fazaludeen Koya and Sandro Galea
Communications medicine, v 4(1), 107
06 Jun 2024
DOI: https://doi.org/10.1038/s43856-024-00493-z
PMID: 38844576
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1038/s43856-024-00493-zView
Published, Version of Record (VoR) Open

Abstract

A clear understanding of public perceptions of the social determinants of health remains lacking. This paper aimed to describe the relationship between income and urbanicity levels and public views of the determinants of health in eight middle-and high-income countries that varied across multiple characteristics. We conducted a cross-sectional online survey in Brazil, China, Germany, Egypt, India, Indonesia, Nigeria, and the United States. Respondents were asked to select what they considered to be most important for health out of a list of ten determinants. We stratified the results by income and urbanicity levels and tested significance of differences between groups using two-tailed χ tests. Multivariable logistic regression models tested associations between demographic factors and the likelihood of respondents selecting the genetics, healthcare, income and wealth, or social support determinants. Here we show 8753 respondents across eight countries. Rankings of determinants are similar across income groups, except for two determinants. Respondents in the highest income group rank genetics in higher proportions (32.4%, 95%CI: 29.0%,35.8%) compared to other income groups. Conversely, those in lowest income group rank social support more frequently (27.9%, 95%CI: 25.3%,30.7%) than other income groups. Those living in urban settings rank healthcare in higher proportions (61.2%, 95%CI: 59.0%,63.4%) compared to non-urban respondents; meanwhile, higher proportions (26.6%, 95%CI: 24.9%,28.3%) of non-urban respondents rank social support as important for health compared to urban respondents. Demographic factors play a role in shaping public views of what affects health. Advancing public understanding about determinants of health requires tailoring public health messaging to account for socioeconomic position within a population.

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#10 Reduced Inequalities
#3 Good Health and Well-Being

Source: SDGs in the Output

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Collaboration types
Domestic collaboration
Web of Science research areas
Medicine, Research & Experimental
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