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Prof. Sir Michael Marmot

Sir Michael Marmot psiquiatra Controversias Psiquiatría Barcelona
University College London, Reino Unido
Ponencia Los determinantes sociales de la salud mental y la enfermedad
Fecha Viernes, 20 de Abril 2018
Hora 9:45 a 10:30
Mesa redonda Complejidades etiológicas


Professor Sir Michael G. Marmot MBBS, MPH, PhD, FRCP, FFPHM, FMedSci, FBA

Director of the Institute of Health Equity (UCL Department of Epidemiology & Public Health).

Sir Michael Marmot is Professor of Epidemiology at University College London, and Immediate Past President of the World Medical Association. He is the author of The Health Gap: the challenge of an unequal world (Bloomsbury: 2015) and Status Syndrome: how your place on the social gradient directly affects your health (Bloomsbury: 2004). Professor Marmot holds the Harvard Lown Professorship for 2014-2017 and is the recipient of the Prince Mahidol Award for Public Health 2015. He has been awarded honorary doctorates from 18 universities. Marmot has led research groups on health inequalities for over 40 years. He chairs the Commission on Equity and Health Inequalities in the Americas, set up in 2015 by the World Health Organizations’ Pan-American Health Organization (PAHO/ WHO). He was Chair of the Commission on Social Determinants of Health (CSDH), which was set up by the World Health Organization in 2005, and produced the report entitled: ‘Closing the Gap in a Generation’ in August 2008. At the request of the British Government, he conducted the Strategic Review of Health Inequalities in England post 2010, which published its report 'Fair Society, Healthy Lives' in February 2010. This was followed by the European Review of Social Determinants of Health and the Health Divide, for WHO Euro in 2014. He chaired the Breast Screening Review for the NHS National Cancer Action Team and was a member of The Lancet-University of Oslo Commission on Global Governance for Health. He set up and led a number of longitudinal cohort studies on the social gradient in health in the UCL Department of Epidemiology & Public Health (where he was head of department for 25 years): the Whitehall II Studies of British Civil Servants, investigating explanations for the striking inverse social gradient in morbidity and mortality; the English Longitudinal Study of Ageing (ELSA), and several international research efforts on the social determinants of health. He served as President of the British Medical Association (BMA) in 2010-2011, and is President of the British Lung Foundation. He is an Honorary Fellow of the American College of Epidemiology; a Fellow of the Academy of Medical Sciences; an Honorary Fellow of the British Academy, and an Honorary Fellow of the Faculty of Public Health of the Royal College of Physicians. He was a member of the Royal Commission on Environmental Pollution for six years and in 2000 he was knighted by Her Majesty The Queen, for services to epidemiology and the understanding of health inequalities. Professor Marmot is a Member of the National Academy of Medicine.


Inequalities in health are a major feature of the global health picture. Inequalities in mental health are a major feature. Those of us concerned with social determinants of health have to be concerned with mental illness, and people concerned with mental illness have to be concerned with social determinants of health .

The mind is a major gateway through which the social environment impacts on the social determinants of health. There are effects on mental illness, and psychosocial pathways to physical illness, both through impact on behaviours and stress pathways.

The implication is that recommendations to reduce health inequalities are likely to have beneficial effects on inequalities in mental illness. In my English Review, Fair Society Healthy Lives, I have six domains:
  • Give every child a healthy start in life
  • Education and lifelong learning
  • Employment and working conditions
  • Minimum income for healthy living
  • Health and sustainable places to live and work
  • A social determinants approach to prevention


[book] Marmot M (2015). The Health Gap: The Challenge of an Unequal World. Bloomsbury Publishing

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