Unifying the approach to tackling inequalities in liver health – learning from working with under-served populations

Stark inequalities in liver health exist and there is an urgent need to address them.1 The broad social, economic, cultural, and environmental conditions that affect health are collectively called social determinants of health.2 Social determinants of health include upstream factors such as culture, national policy, and the environment, as well as midstream factors, including housing, personal wealth, educational status, language, stigma, and access to health-care services.3 90% of liver disease is caused by alcohol consumption, obesity, and viral hepatitis, all of which are associated with deprivation and social determinants of health.