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Bone Quality in Socially and Ethnically Diverse Groups: Downstream and Upstream Determinants Across the Life Course

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Abstract

Environmental factors begin to influence bone health in utero and continue across the life course, ultimately influencing our lifelong prospects of good bone health. These social-environmental forces are referred to as the Social Determinants of Health (SDoH) and result in the social patterning of health outcomes: a phenomenon referred to as the social gradient of health and disease. In this chapter, we begin with an overview of the SDoH and collate evidence regarding the social gradient of bone health. In addition to the influence of individual-level disadvantages on bone health, influences at the community/neighbourhood and political and environmental levels are discussed. We discuss the potential to reduce the risk of poor bone health in socially disadvantaged persons by focussing clinical attention towards identifying those most at risk, improving health literacy and affording extra time to ensure effective health communications.

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Authors and Affiliations

  1. Department of Medicine-Western Health, University of Melbourne, Melbourne, VIC, Australia

    Sharon L. Brennan-Olsen, Jason Talevski & Darci Green

  2. Australian Institute for Musculoskeletal Science (AIMSS), University of Melbourne and Western Health, St Albans, VIC, Australia

    Sharon L. Brennan-Olsen, Rachel L. Duckham, Jason Talevski & Darci Green

  3. Faculty of Health, Deakin University, Geelong, VIC, Australia

    Natalie K. Hyde & Sarah M. Hosking

  4. Deakin University, Institute for Physical Activity and Nutrition Sciences, Geelong, VIC, Australia

    Rachel L. Duckham

  5. Department of Medicine, School of Clinical Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Monash Medical Centre, Clayton, VIC, Australia

    Ayse Zengin

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  1. Sharon L. Brennan-Olsen
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  2. Natalie K. Hyde
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  5. Jason Talevski
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  7. Sarah M. Hosking
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Correspondence to Sharon L. Brennan-Olsen .

Editor information

Editors and Affiliations

  1. School of Archaeology and Anthropology, Australian National University, Canberra, ACT, Australia

    Justyna J. Miszkiewicz

  2. Department of Medicine-Western Health, University of Melbourne, Melbourne, VIC, Australia

    Sharon L. Brennan-Olsen

  3. Department of Internal Medicine, University of Cantabria, Santander, Cantabria, Spain

    Jose A. Riancho

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Brennan-Olsen, S.L. et al. (2019). Bone Quality in Socially and Ethnically Diverse Groups: Downstream and Upstream Determinants Across the Life Course. In: Miszkiewicz, J., Brennan-Olsen, S., Riancho, J. (eds) Bone Health. Springer, Singapore. https://doi.org/10.1007/978-981-13-7256-8_4

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