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PACEs and the Social Sciences

PACEs occur in societal, cultural and household contexts. Social science research and theory provide insight into these contexts for PACEs and how they might be altered to prevent adversity and promote resilience. We encourage social scientists of various disciplines to share and review research, identify mechanisms, build theories, identify gaps, and build bridges to practice and policy.

An urgent need for primary care to engage with social and structural determinants of health

Mariam Molokhia and Seeromanie Harding

Open AccessPublished:January 28, 2021DOI:  https://doi.org/10.1016/S2468-2667(21)00004-9

In The Lancet Public Health, Ruth Watkinson and colleagues  report on ethnic inequalities in health among older adults (ie, those aged >55 years) by use of the large, nationally representative, English cross-sectional General Practice Patient Survey (GPPS). They estimated the association between ethnicity and health-related quality of life (HRQoL) in 18 ethnic groups (including Gypsy or Irish Travellers), adjusting for age and stratifying by sex. The study showed marked ethnic and sex inequalities in health-related quality of life (HRQoL) and its domains, and in key proximal determinants of health, namely the presence of long-term conditions or multimorbidity, experience of primary care, degree of local service support provision, and patient self-confidence in management of own health. Adjustments for area-level social deprivation did not generally alter the observed ethnic and sex inequalities in HRQoL.

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Important research from Britain. This DOI doesn't work yet but the commentary can be downloaded at https://www.thelancet.com/pdfs...-2667(21)00004-9.pdf The research the commentary focuses on about ethnic variation in health indicators and community SES in Britain can be dowloaded at https://www.thelancet.com/acti...-2667%2820%2930287-5  ["Ethnic inequalities in health-related quality of life among older adults in England: secondary analysis of a national cross-sectional survey," by Ruth Elizabeth Watkinson, Matt Sutton, Alex James Turner

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