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Processes and contexts influencing health inequalities among women who are mothers
  1. Sara Trujillo-Alemán1,2,3,
  2. Gloria Perez1,2,4,
  3. Jillian Reynolds5,
  4. Silvia Rueda6,
  5. Carme Borrell1,2,4
  1. 1 Health Information System Service, Agència de Salut Pública de Barcelona, Barcelona, Spain
  2. 2 Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain
  3. 3 Health Quality Assessment and Information System Service, Dirección General de Programas Asistenciales, Las Palmas de Gran Canaria, Spain
  4. 4 CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
  5. 5 Assessment Area, Agency for Health Quality and Assessment of Catalonia, Barcelona, Spain
  6. 6 DEP Institut, Barcelona, Spain
  1. Correspondence to Dr Gloria Perez, Agència de Salut Pública de Barcelona, Barcelona 08026, Spain; gperez{at}


This paper presents a conceptual framework that aims to conceptualise the different processes and contexts influencing health inequalities among women who are mothers. On the one hand, four processes are shown: (1) social stratification; (2) route into motherhood; (3) exposure and vulnerability to risk factors; and (4) generation of health inequalities. On the other hand, the role of the socioeconomic and political context, the labour market context, and the social, community and family context, as well as their inter-relationships, are presented. In addition, different family policy models, social values and cultural imperatives are considered.

  • gender
  • health inequalities
  • health policy
  • public health
  • employment

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  • Presented at This paper is part of Sara Trujillo-Alemán’s PhD research, currently being conducted at the Department of Experimental and Health Sciences of the Universitat Pompeu Fabra (Barcelona).

  • Correction notice This article has been corrected since it first published online. The provenance and peer review statement has been corrected to 'Commissioned; externally peer reviewed'.

  • Contributors JR and SR initially contributed to the conception of the first version of the conceptual framework. STA, GP and CB critically revised and redesigned the initial version of the conceptual framework, contributing new elements to it, as well as a new structure. Both STA and GP wrote the first version of the article while JR, SR and CB revised it critically, adding important intellectual contributions. Finally, all the authors approved the version to be published and agreed to be accountable for all aspects of the work.

  • Funding This work was partially supported by the SOPHIE Project–Evaluating the Impact of Structural Policies on Health Inequalities and their Social Determinants and Fostering Change (278173-2).

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Commissioned; externally peer reviewed.

  • Data availability statement There are no data in this work.