Sociální determinanty zdraví obyvatel sociálně vyloučených lokalit
Social Determinants of Health Among Residents of Socially Excluded Neighborhoods

Summary/Abstract: The study examines the social determinants of health among residents of socially excluded localities andfocuses on how poverty, unemployment, inadequate housing, low education, social isolation, and barriers in access to health care affect their health status and what role social work plays in this context. A review study was conducted; systematic searches were carried out in the Web of Science and Scopus databases and complemented by grey literature. Nineteen empirical and review studies published between2005 and 2025 were included and synthesized using thematic analysis. The findings show that the accumulation of poverty, longterm unemployment, inadequate housing, low education, social isolation, andsystemic barriers in access to health care leads to significantly worse physical and mental health outcomes and to premature mortality among residents of socially excluded localities. At the same time, it isconfirmed that health is determined primarily by social status rather than ethnicity, and that the mosteffective interventions combine outreach and community social work, health literacy promotion, housing support, and intersectoral cooperation between social and health services. The social determinantsof health in socially excluded localities cannot be effectively addressed through isolated biomedical interventions alone; they require longterm, relationshiporiented and communityembedded social work interventions that are structurally sensitive, strengthen participation and empowerment of residents, andare supported by stable funding and systematic integration of social work with the field of public health.

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