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Updating the determinants of health model in the information age

Rice, Louis; Sara, Rachel


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Louis Rice
Associate Professor in Architecture

Rachel Sara
Associate Professor in Low Energy Design in Architecture


In 1991, Dahlgren and Whitehead produced a highly influential model of the determinants of health that has since been used by numerous national and international public health organizations globally. The purpose of the model is to enable interventions that improve health to be addressed at four key policy levels. It is not a model of health or disease; instead the model is structured around health policy decision-making. However the model needs an update, since it was devised there has been a digital revolution that has transformed every aspect of: human life, our cities, society and the fundamental principles upon which the global economy operates. The article examines the impact of Information and Communication Technologies (ICT) on the determinants of health. ICT has given rise to a new Information Age that is implicated in many of the major global health issues today. Addressing contemporary health issues requires intervention at the level of ICT, particularly as health communication online is central to the delivery and dissemination of public health policies.


Rice, L., & Sara, R. (2019). Updating the determinants of health model in the information age. Health Promotion International, 34(6), 1241-1249.

Journal Article Type Article
Acceptance Date Jul 8, 2018
Online Publication Date Sep 12, 2018
Publication Date Dec 1, 2019
Deposit Date Sep 17, 2018
Publicly Available Date Sep 12, 2019
Journal Health Promotion International
Print ISSN 0957-4824
Electronic ISSN 1460-2245
Publisher Oxford University Press (OUP)
Peer Reviewed Peer Reviewed
Volume 34
Issue 6
Pages 1241-1249
Keywords health, health communication, determinants of health, public health policy, health promotion
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Publisher URL
Additional Information Additional Information : This is a pre-copyedited, author-produced version of an article accepted for publication in Health Promotion International following peer review. The version of record [Rice, L. and Sara, R. (2018) Updating the determinants of health model in the information age. Health Promotion International. ISSN 0957-4824] is available online at:


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