“…The concept 'social determinants of health' (see Thisted, 2003), a 'shorthand for describing health approaches that move beyond biomedical and behavioural risk factor approaches to health promotion' (Raphael, 2006, p. 652), is integral to the Barker hypothesis, which suggests that health, like wealth, is distributed socially according to, for example, gender (Denton et al, 2004;Phillips, 2005;Sen and Ostlen, 2008), race and ethnicity, class (Mackenbach and Howden-Chapman, 2003) and human geography. Although this concept is not new, the move is significant because, although in principle they are concerned with 'social factors' in the aetiology of disease, epidemiologists tend to account for them only as statistically confounding variables rather than as causative (Pearce, 1996), especially in the context of what has been called the 'epidemiology wars', debates about the best ways to account for multi-causality (see Shim and Thomson, 2010).…”