Apart from the need to refine the specification of relative social inequality, further research is needed to examine how psychosocial factors, related to social anomie and lack of cohesion, may be the mediating conditions linking a society in chronic stress or transition with the public’s health. Multilevel health profiles, which include cultural context with psychosocial variables, are relevant for more accurately crafting prescriptive policy proposals for government reformers, and to gauge the proper balance between individual and collective responsibilities for public health.

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