How could differences in ‘control over destiny’ lead to socio-economic inequalities in health? A synthesis of theories and pathways in the living environment
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Theory posits that ‘control over destiny’ may be a fundamental social determinant of health.

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Could differences in control over destiny contribute to socio-economic inequalities in health?

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Our synthesis identified theories about the principal pathways from low control to poorer health outcomes in poorer groups.

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Our results offer new conceptual frameworks for the design and conduct of theory-led evaluations.

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