CDE Appendix 1 Literature Review - Central East Local Health ...

The Culture, Diversity and Equity Project: Literature Review
Figure 2.7: Four possible targets for interventions to reduce socioeconomic inequalities in health (New
Zealand Ministry of Health)
Source: New Zealand Ministry of Health, 2002, p.18. Adapted from Mackenbach in National Advisory Committee on
Health and Disability, 1998.
This framework seeks to reduce health inequalities by targeting:
• Underlying social and economic determinants of health impacting socioeconomic status
• Factors that are intermediate between socioeconomic determinants and health, such as behaviour, environment
and material resources
• Health and disability support services (i.e. Disability and healthcare services); and/or
• The feedback effect of ill health on socioeconomic position (drawing on insights from the selective perspective
discussed in section 2.1a above).
Figure 2.8 below models the New Zealand Ministry of Health’s Intervention Framework to Improve Health and
Reduce Inequalities on the basis of this synthesis of intervention and determinants of health frameworks (see next
page):
24