Determinants of Health Model

Oscar J. Mujica

The determinants of health model is a hypothetical construct for understanding population health and the multiple range of factors that determine its level. In a broad sense, the determinants of health model is the most recent and comprehensive explanatory attempt to understand causality in epidemiology and its translation into policy intervention, from both the population and societal perspectives; therefore, the model is particularly relevant to public health research and practice. The current determinants of health model is firmly rooted in the eco-epidemiology paradigm, insofar as it recognizes causes of health—and ‘causes-ofcauses,’ that is, their determinants—at multiple levels of organization and within the historical context of both societies and individuals. Those levels of organization span from the microlevel, downstream, or proximate causes to the macrolevel, upstream, or distal causes of population health and have, as a chief model feature, the multilevel interaction among causes. Determinants of health are all those factors, ...

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