Examples of determinants of determinants
| Determinant of determinants | Determinants of health | Health status |
|---|---|---|
| Policy | Resultant change in behaviour, circumstances, susceptibility | Health / disease outcome |
| Traffic calming measures | ↓ Number and severity of collisions | ↓ Injuries |
| ↑ Price of cigarettes | ↓ Tobacco consumption | ↓ Premature deaths |
| ↑ Availability of fruit and vegetables and | ↑ Consumption of fruit and vegetables | ↓ CHD and certain cancers |
| ↓ Price of fruit and vegetables | ||
| Use of tamoxifen to treat breast cancer | ↓ Case fatality rates | ↑ Survival |
| ↑ Car dependency, eg, out of town shopping centres | ↑ Air pollution | ↑ Respiratory symptoms |
| {↓ Walking and cycling | ↑ CHD | |
| ↑ Inequalities of access | ↑ Inequalities in health, eg “food deserts” |