I've pursued a lifetime in the research on the social determinants of health and more recently been packaging not just my research but global research on this topic in a way that I hope will influence policy.
Michael MarmotAustralia is a very healthy country which goes along with the fact that it's very high on the Human Development Index, high wealth, good levels of education. So Australia ranks right up there, second or third on the Human Development Index. And Indigenous Australians, if you treated them as if they were a separate country, would rank probably about 100th or below 100.
Michael MarmotThe differences between Indigenous and not Indigenous Australians can be easily attributed not to differences in their genes but to differences in the conditions in which they're born, grow, live, work and age - in other words, to the social determinants of health.
Michael MarmotThe lower you are in the hierarchy the worse your health, the higher you are, the better your health.
Michael MarmotLow income is related to poorer housing, poorer diet, fewer social amenities, worse working conditions. (...) After adjustment for age, sex, race, smoking, alcohol consumption, sleep habits, leisure-time physical activity, chest pain, diabetes, or cancer, there was still an increase risk of 1.6 for those with inadequate incomes.
Michael Marmot