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Societal Hierarchy and the Health Olympics


Why would income equity — the width of the gap between the very rich and the very poor — have such a profound effect on the health of the population? And why does this influence on health affect the wealthiest countries as well as the poorest? Several reasons have been advanced, including stress and its biologic effects on the distribution of risk factors, the level of support for positive early childhood development, the availability of acute health care and emergency services, and finally the organization of health services, particularly primary health care and services for children.

Primary Toolkit:

Health Equity and Social Justice Toolkit

Keyword Area:

Health Equity, Social Justice


Institutional Author:

Stephen Bezruchka




The NACCHO Toolbox is a repository of available resources to help local public health practitioners. Tools are produced by local, state, and federal agencies, as well as academic institutions and other stakeholders. The contents of this Toolbox are solely the responsibility of the authors and do not necessarily reflect any official recommendations of NACCHO. NACCHO makes no express or implied warranty with respect to the contents and disclaims liability for any damages arising from or connected to the use of the material in this Toolbox.