On the contents of the draft strategy for countering the risks of public health quality decline associated with social determinants of health

   Background: Considering the integrative impact of social determinants on public health is essential in the methodological development and implementation of strategies to counter the risks of public health deterioration.

   Objective: To develop proposals for the contents of individual components of the draft Strategy for counteracting the risks of public health quality decline associated with social determinants of health.

   Materials and methods: We conducted a desk research using “The urban health index: A handbook for its calculation and use” by the World Health Organization and GOST R ISO 31000-2019, Risk management. Principles and guidelines, as the methodological approach since challenges to public health entail risks of reducing the quality of public health associated with its social determinants. We examined 28 scientific articles on the topic under study published over the past 12 years (from January 1, 2012 to January 1, 2024) and found in the Russian eLibrary and the international PubMed databases. The articles containing “social determinants of health” in the title were selected. The method of expert assessment was used to decide on the main objectives and directions of the draft Strategy and its target implementation indicators. Experts were chosen from among public health professionals immersed in this topic.

   Results: Social determinants of health have both positive and negative direct and indirect effects on population health. Based on the results of analyzing foreign and Russian scientific works on the impact of social determinants on public health quality, as well as certain foreign attempts to consider social determinants in health care for public health improvement, we substantiated the importance of creation and developed proposals for the structure and contents of the Strategy.

   Conclusion: The authors proved the necessity to implement the strategy for countering risks of public health quality decline given social determinants of health and recommended the contents of individual components of the strategy.

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