{
  "abstract": "Background Despite extensive research on Europe’s public health landscape, contemporary, theory-driven analyses that take a holistic and political perspective remain scarce. While the importance of examining health through multiple determinants is well established, empirical work continues to focus on specific risk pathways or single-country contexts, resulting in fragmented knowledge and limitations in implementing public health science into policy. Guided by the framework developed by the WHO Commission on Social Determinants of Health (SDoH), we adopt a political economy perspective to offer the most comprehensive comparative overview to date of SDoH across 27 European countries.Methods Using data from the European Social Survey Round 11, we group 25 variables from the core and rotating modules into seven dimensions in line with the WHO framework: material, behavioral, occupational, educational, psychosocial, social capital, and healthcare determinants. For each dimension, we construct comparative national ‘risk indexes’ by sex through Principal Component Analysis.Results Preliminary results show different degrees of variability in the distribution of SDoH across Europe. Educational risks show higher prevalence in the Southern regimes, Social Capital risks in Southern and Eastern regimes, and Occupational risks in Scandinavian regimes. Behavioural risks present a lot of variability between countries but no clear pattern across regimes, while psychosocial and healthcare access risks are more evenly distributed across Europe. Variability according to sex also varies between dimensions. Behavioural and occupational risks are more prevalent in men across all countries and regimes, while healthcare, material and psychosocial risks are slightly more prevalent in women.Conclusion SDoH are unevenly distributed across countries, regimes, and sexes, reflecting potential political and institutional influences. These findings underscore the need for comparative research and targeted policies to inform equitable health strategies across Europe.",
  "authors": [
    {
      "affiliations": [
        "Sociology and Political Sciences, Norwegian University of Science and Technology, Trondheim, Norway"
      ],
      "name": "Pilar Vidaurre-Teixidó"
    },
    {
      "affiliations": [
        "Statistics and Operative Research, University of Valencia, Valencia, Spain"
      ],
      "name": "Miguel Martinez-Beneito"
    },
    {
      "affiliations": [
        "Sociology and Political Sciences, Norwegian University of Science and Technology, Trondheim, Norway",
        "School of Business and Economics, Maastricht University, Maastricht, Netherlands"
      ],
      "name": "Mirza Balaj"
    },
    {
      "affiliations": [
        "Sociology and Political Sciences, Norwegian University of Science and Technology, Trondheim, Norway",
        "Institute for Occupational and Maritime Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany"
      ],
      "name": "Hanno Hoven"
    },
    {
      "affiliations": [
        "Sociology and Political Sciences, Norwegian University of Science and Technology, Trondheim, Norway"
      ],
      "name": "Insa Backhaus"
    },
    {
      "affiliations": [
        "Mathematical Sciences, Norwegian University of Science and Technology, Trondheim, Norway"
      ],
      "name": "Sara Martino"
    },
    {
      "affiliations": [
        "Mathematical Sciences, Norwegian University of Science and Technology, Trondheim, Norway"
      ],
      "name": "Andrea Riebler"
    },
    {
      "affiliations": [
        "Sociology and Political Sciences, Norwegian University of Science and Technology, Trondheim, Norway"
      ],
      "name": "Terje Andreas Eikemo"
    }
  ],
  "title": "P17-1 Contextualizing the social determinants of health in Europe. a primary component analysis of 28 European countries in 2024",
  "uid": "d032ffcb-d6c1-53a8-af32-6760317f424c"
}