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dc.contributor.authorFosse, Elisabeth
dc.contributor.authorSherriff, Nigel
dc.contributor.authorHelgesen, Marit Kristine
dc.date.accessioned2020-06-05T10:54:51Z
dc.date.available2020-06-05T10:54:51Z
dc.date.issued2019
dc.PublishedFosse E, Sherriff, Helgesen MK. Levelling the social gradient in health at the local level: applying the Gradient Equity Lens to Norwegian local public health policy. International Journal of Health Services. 2019;49(3):538–554eng
dc.identifier.issn1541-4469
dc.identifier.issn0020-7314
dc.identifier.urihttps://hdl.handle.net/1956/22470
dc.description.abstractThe gradient in health inequalities reflects a relationship between health and social circumstance demonstrating that health worsens as you move down the socioeconomic scale. Norway’s Public Health Act (PHA) specifically aims to tackle the gradient by addressing the social determinants of health. In this article, we draw on data from 2 studies that investigated how municipalities in Norway deal with these challenges. In doing so, we apply theoretical perspectives, as defined in the Gradient Evaluation Framework (GEF), to analyze the implementation of the PHA at the municipality level. The article aims to describe and analyze how local governments follow the requirements of the act. In doing so, we address the following research questions: Which policies are implemented at the local level to reduce social inequalities in health among families and children? How is intersectoral collaboration carried out, and who is taking part in the collaboration? The article draws on both quantitative survey data from questionnaires sent to all Norwegian municipalities and qualitative interview data in 6 municipalities. The findings show that there is raised awareness of the significance of social determinants among an increased number of municipalities, indicating that the PHA is being implemented according to its objectives.en_US
dc.language.isoengeng
dc.publisherSAGEeng
dc.titleLevelling the social gradient in health at the local level: applying the Gradient Equity Lens to Norwegian local public health policyeng
dc.typePeer reviewed
dc.typeJournal article
dc.date.updated2020-01-30T10:24:45Z
dc.description.versionacceptedVersion
dc.rights.holderCopyright 2019 The Author(s)eng
dc.identifier.doihttps://doi.org/10.1177/0020731419842518
dc.identifier.cristin1693657
dc.source.journalInternational Journal of Health Services


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