Healthy Ageing and Health Equity: Broader Determinants of Health with a Spotlight on Climate Change

  • Ritu SadanaEmail author
  • Suman Budhwani
  • Erik Blas
  • Ana Posarac
  • Theadora Koller
  • Guillermo Paraje
Part of the Practical Issues in Geriatrics book series (PIG)


We briefly consider theories that should contribute to a model of healthy ageing, incorporating important structural and intermediate causes of inequalities and inequities. We then use a modified version of the WHO Commission on Social Determinants of Health framework to take account of factors that are particularly relevant and explain differences in the level and distribution of healthy ageing—at early and later stages of life. We also identify entry points on what can be done to support people to function well into older ages, irrespective of disease or morbidity status. The importance of climate change on the health of older adults is briefly outlined, with a call for in-depth investigation to inform policy and identify actions.


Ageing Healthy ageing Social determinants of health Climate change 



This chapter draws on a background paper [4] prepared for the WHO World Report on Ageing and Health and adds new material on climate change reflecting a WHO Global public consultation on research priorities for healthy ageing, supported by The Velux Stiftung.

Disclaimer: RS and TK are staff members of the World Health Organization. All listed authors alone are responsible for the views expressed in this publication and they do not necessarily represent the decisions, policy or views of the World Health Organization.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Ritu Sadana
    • 1
    Email author
  • Suman Budhwani
    • 2
  • Erik Blas
    • 3
  • Ana Posarac
    • 1
  • Theadora Koller
    • 4
  • Guillermo Paraje
    • 5
  1. 1.Department of Ageing and Life CourseWorld Health OrganizationGenevaSwitzerland
  2. 2.Institute of Health Policy, Management and EvaluationUniversity of TorontoTorontoCanada
  3. 3.International Public Health and DevelopmentCopenhagenDenmark
  4. 4.Gender, Equity and Human Rights TeamWorld Health OrganizationGenevaSwitzerland
  5. 5.Escuela de Negocios Universidad Adolfo IbáñezSantiagoChile

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