Wider determinants of health

Wider determinants, also known as social determinants, are a diverse range of social, economic and environmental factors which impact on people’s health.  Variation in the experience of wider determinants (i.e. social inequalities) is considered the fundamental cause (the ‘causes of the causes’) of health outcomes, and as such health inequalities are likely to persist through changes in disease patterns and behavioural risks so long as social inequalities persist.

Key facts

  • Liverpool has the highest rate of violent crime in England, with around 685 emergency hospital admissions for violence each year.
  • In 2019/20, there were 221 children in the youth justice system (10-17 years). The Liverpool rate of 5.7 per 1,000 was significantly higher than England at 3.5 per 1,000 and the highest in the North West.
  • Liverpool was ranked 3rd highest out of 8 core cities in 2020 for its long-term unemployment rate of 5.9 per 1,000 population aged 16-64 years (2,000 people) claiming job seekers allowance for more than 12 months.

View 'Wider Determinants of Health Profile', Public Health England