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Socio-economic inequalities in health

There is a growing consensus among public health researchers that the processes underlying population health and its distribution cannot be unravelled by traditional epidemiological methods that have largely been developed in a clinical setting. In order to obtain a more complete understanding of real-world problems, a shift in research paradigm to systems thinking is imperative.

Photo by Joel Filipe at Unsplash

In this project the influence of collective processes underlying socio-economic inequalities in health will be investigated, using type 2 diabetes as an example. A system dynamics model coupled with an agent-based model of the disease progression will predict the risk profiles of individuals as a function of socio-economic and physiological determinants. Embedding this model in a social network which simulates the spread of social norms (e.g. diet or exercise habits) will enable to analyse and understand the impact of different policies on both the whole population and its constituent sub-groups. For example, a policy to increase the financial means of some individuals might influence their relative status compared to others in their social network, which might create unexpected spill-over effects. Integration of these approaches will help to identify leverage points in the system that have the potential to reduce health inequalities and will be translated into recommendations for health policies and interventions most likely to reduce socio-economic inequalities in health in general, and inequalities in T2D prevalence in particular.

A newly formed interdisciplinary IAS consortium, under leadership of IAS Associate Karien Stronks, has recently received a grant from ZonMW (The Netherlands Organisation for Health Research and Development) for the project ‘Understanding fundamental causes and effects of socio-economic inequalities in health using a systems science approach.’

Scientific Lead

Prof. K. (Karien) Stronks

UvA / AMC researchers

Prof. dr. A.P. (Anita) Hardon

Faculty of Social and Behavioural Sciences

Programme group: Anthropology of Health, Care and the Body

Prof. dr. P.M.A. (Peter) Sloot

Faculty of Science

Informatics Institute

Prof. dr. H.G. (Herman) van de Werfhorst

Faculty of Social and Behavioural Sciences

Programme group: Institutions, Inequalities and Life courses

Dr M. (Mary) Nicolaou
Dr. R. (Rick) Quax

Faculty of Science

Informatics Institute

L. (Loes) Crielaard

Affiliated external researcher

Pritha Dutta

PhD student, NTU Singapore and UvA Faculty of Science