title: A capabilities approach to population health and public policy-making.
abstract: BACKGROUND
  The objective of this study is to outline a capabilities approach to the social determinants of population health and to compare its explanatory power and implications for public policy-making with psychosocial approaches.
  
  
  METHODS
  A model linking the structures of economic and social relations to health outcomes is developed and logistic methods used to confirm its base validity for a representative sample of 16,488 citizens in 19 developed democracies drawn from the World Values Surveys of 1990 and 2005. Self-reported health is the dependent variable. Age, gender, education, employment status, self-mastery, income, autonomy at work, ties to family and friends, subjective social status, associational memberships and sense of national belonging are considered.
  
  
  RESULTS
  At baseline, risk ratios reflecting movement from the 25th to 75th percentile in the distribution of the variable indicate that increases in income reduce the likelihood of poor health (0.78; 0.73-0.82) as does higher autonomy at work (0.90; 0.85-0.94) but so does access to social resources reflected in ties to family and friends (0.89; 0.86-0.92), associational memberships (0.93; 0.89-0.98), subjective social status (0.77; 0.54-0.90) while the absence of feelings of national belonging increases the likelihood of poor health (1.14; 1.06-1.23).
  
  
  CONCLUSIONS
  The results suggest that population health is dependent on the distribution of social as well as economic resources along the dimensions predicted by a capabilities model. Governments should be attentive to the impact of policy on the distribution of social, as well as economic, resources.
authors.affiliation: Harvard University, Center for European Studies, 27, Kirkland Street, Cambridge, MA, USA. phall@fas.harvard.edu
authors.forename: P A
authors.initials: PA
authors.lastname: Hall
authors.forename: R C R
authors.initials: RC
authors.lastname: Taylor
authors.forename: L
authors.initials: L
authors.lastname: Barnes
mesh_terms: D036262:Empirical Research; D006295:Health Resources / Q000706:statistics & numerical data / Q000600:supply & distribution; D006801:Humans; D008962:Models, Theoretical; D011634:Public Health / Q000191:economics / Q000331:legislation & jurisprudence* / Q000379:methods*; D011640:Public Policy / Q000191:economics / Q000331:legislation & jurisprudence; D012923:Social Class; D064890:Social Determinants of Health / Q000331:legislation & jurisprudence
keywords: Capabilities; Capabilités; Collective imaginary; Gradient; Health policy; Imaginaire collectif; Politiques de santé; Population health; Psychosocial; Santé des populations; Stress