© 2009 American Public Health Association DOI: 10.2105/AJPH.2009.168666
The author is with the School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA. Correspondence: Correspondence should be sent to: Thomas A. Farley, MD, MPH, Tulane University School of Public Health and Tropical Medicine, 1440 Canal St., TW-19, New Orleans, LA 70112 (e-mail: tfarley@tulane.edu). Reprints can be ordered at http://www.ajph.org by clicking the "Reprints/Eprints" link.
Studies showing a link between social inequities and poor health are convincing, although the mechanisms by which social factors exert their effect on health are unclear. The question that many who work in public health struggle with is what our role should be in addressing those social factors, as they cannot be solved with the commonly used tools of public health. For instance, income inequality will not be lessened as a result of restaurant inspections, immunizations, or health education. There are, however, policy and environmental changes that we can implement for which the benefits in reducing the leading causes of
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