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Reducing social inequalities in health: the role of simulation modelling in chronic disease epidemiology to evaluate the impact of population health interventions
  1. Brendan T Smith1,2,
  2. Peter M Smith1,2,3,
  3. Sam Harper4,
  4. Douglas G Manuel1,5,6,7,8,
  5. Cameron A Mustard1,2
  1. 1Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
  2. 2Institute for Work & Health, Toronto, Ontario, Canada
  3. 3School of Public Health and Preventive Medicine, Monash University, The Alfred Centre, Melbourne, Victoria, Australia
  4. 4Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada
  5. 5Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
  6. 6The Department of Family Medicine and the Department of Epidemiology and Community Medicine, University of Ottawa, Ontario, Canada
  7. 7C.T. Lamont Primary Health Care Research Centre and Bruyère Research Institute, Ottawa, Ontario, Canada
  8. 8The Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
  1. Correspondence to Brendan T Smith, Institute for Work & Health, 481 University Ave, Toronto, ON, Canada M5G 2E9; bsmith{at}iwh.on.ca

Abstract

Reducing health inequalities has become a major public health priority internationally. However, how best to achieve this goal is not well understood. Population health intervention research has the potential to address some of this knowledge gap. This review argues that simulation studies can produce unique evidence to build the population health intervention research evidence base on reducing social inequalities in health. To this effect, the advantages of using simulation models over other population health intervention research methods are discussed. Key questions regarding the potential challenges of developing simulation models to investigate population health intervention research on reducing social inequalities in health and the types of population health intervention research questions that can be answered using this methodology are reviewed. We use the example of social inequalities in coronary heart disease to illustrate how simulation models can elucidate the effectiveness of a number of ‘what-if’ counterfactual population health interventions on reducing social inequalities in coronary heart disease. Simulation models are a flexible, cost-effective, evidence-based research method with the capacity to inform public health policy-makers regarding the implementation of population health interventions to reduce social inequalities in health.

  • Social Inequalities
  • Epidemiological methods
  • Modelling
  • Public Health Policy

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/3.0/

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