Power Structures and Health Equity: Analyzing Structural Determinants of Healthcare Access and Outcomes

A special issue of Societies (ISSN 2075-4698). This special issue belongs to the section "The Social Nature of Health and Well-Being".

Deadline for manuscript submissions: 15 April 2026 | Viewed by 353

Special Issue Editor


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Guest Editor
Department of Sociology, Texas Southern University, Houston, TX 77004, USA
Interests: black maternal health; black women; intersectionality; systemic racism; women’s health, and resiliency

Special Issue Information

Dear Colleagues,

This Special Issue of Societies focuses on examining the structural determinants of health inequities through social science and interdisciplinary lenses. Its scope encompasses research investigating how institutional power dynamics, social structures, and systemic factors influence healthcare access, patient-provider relationships, and health outcomes across diverse populations. The purpose of this collection is twofold: first, to advance theoretical frameworks that conceptualize health as fundamentally shaped by social forces beyond individual choice; and second, to identify actionable pathways toward transforming healthcare systems to better serve marginalized communities. The issue will prioritize research utilizing qualitative methodologies and community-engaged approaches that center the voices and lived experiences of those most affected by health disparities. Contributors are encouraged to examine both the mechanisms through which structural inequities manifest in healthcare settings and innovative interventions that successfully address these systemic barriers.

This collection will supplement existing research by foregrounding structural approaches that connect individual health experiences to broader institutional arrangements and power relations. By bringing social science theory into conversation with public health research, the issue will offer conceptual frameworks that can help scholars, practitioners, and policymakers develop more comprehensive understandings of health equity challenges and their potential solutions. The Special Issue will contribute to emerging scholarship on structural competency in healthcare by providing empirical examples of how structural forces shape clinical encounters and by highlighting community-based interventions that address the root causes of health disparities rather than merely their symptoms.

Contributions have to follow one of the three categories of papers (article, conceptual paper, or review) of the journal and address the topic of the Special Issue.

Prof. Dr. Brittany C. Slatton
Guest Editor

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Keywords

  • structural determinants of health
  • health equity
  • patient–provider dynamics
  • healthcare access
  • qualitative health research
  • community-engaged research
  • health disparities
  • institutional barriers

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Published Papers (1 paper)

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Research

15 pages, 912 KiB  
Article
Weaker Association Between Financial Security and Health in the Global South
by Shervin Assari
Societies 2025, 15(7), 192; https://doi.org/10.3390/soc15070192 - 8 Jul 2025
Viewed by 147
Abstract
Background: Subjective socioeconomic status (SES) is a powerful determinant of health and well-being, capturing individuals’ perceptions of their material conditions and security. While higher perceived financial and basic needs security are generally linked to better health outcomes, little is known about how these [...] Read more.
Background: Subjective socioeconomic status (SES) is a powerful determinant of health and well-being, capturing individuals’ perceptions of their material conditions and security. While higher perceived financial and basic needs security are generally linked to better health outcomes, little is known about how these associations differ across global contexts. Drawing on data from 23 countries, this study tests whether these relationships are systematically weaker in Global South countries. Methods: Cross-sectional data from Wave 1 of the Global Flourishing Study (n = 207,000) were used to examine associations between subjective SES indicators—financial security and security in basic needs (food, housing, safety)—and two outcomes: self-rated physical health and mental health. All variables were measured on 0–10 scales. Linear regression models were estimated separately by Global South and Global North country status, adjusting for age and sex. Global South classification was based on standard development and geopolitical frameworks. Results: In both global regions, individuals with higher perceived financial and basic needs security reported significantly better mental and physical health. However, the strength of these associations was consistently weaker in Global South countries. Interaction terms confirmed that Global South status moderated the association between subjective SES and health outcomes. Conclusions: These findings suggest global-scale “diminished returns” of subjective SES on health, echoing patterns previously observed within countries. Structural inequalities, weaker public systems, and contextual adversity may dilute the health benefits of perceived security in Global South settings. Global health equity efforts must therefore move beyond individual-level interventions to address the broader systems that constrain the translation of socioeconomic resources into health. Full article
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