Metropolitan health in a neoliberalizing world

Ted Schrecker

Chapter 16 in Handbook on the Social Determinants of Health, 2025, pp 220-234 from Edward Elgar Publishing

Abstract: The chapter begins by foregrounding the importance of the ‘epidemiological worlds’ concept and argues that ‘urban health’ must be understood with reference to the larger regional economies and state/provincial or national political units in which cities are embedded. Methodological points relate to the importance and limits of place-based approaches to health inequalities, and to the need for explanations to include a temporal dimension. Increased economic inequality within metropolitan areas will be a major influence on future health outcomes - for example, through gentrification and the financialization of housing. The chapter then turns to the auto-centred nature of the contemporary metropolis, which has both direct and indirect health impacts, while noting some promising initiatives. Austerity programs have had a destructive and locally unequal impact on social determinants of health in the metropolis, dramatically so in the UK. The chapter concludes with recommendations for theory and policy.

Keywords: Economics and Finance; Sociology and Social Policy; Sustainable Development Goals (search for similar items in EconPapers)
Date: 2025
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