Access to fortified maize flour and corn meal is socially determined, as it is the result of several determinants operating at different domains (Fig. 1); similarly, the distribution of such access across the social gradient is also socially determined.
Therefore such urban-specific patterns of ill health require further investigation as the individual and environmental predictors of adolescent health inequalities could potentially identify key determinants operating prior to adulthood.
Besides a context-specific approach, an intrapersonal approach may also help to understand the multiple determinants operating in the different settings with which this behaviour is most prevalent [ 22].
34– 36 Based on a social production-of-health approach, this framework analyzes "individual health outcomes and diseases and their unequal distribution across population groups [which] are the result of the interaction of several determinants operating at different domains".
This framework is based on a social production of disease approach, in which individual health outcomes and diseases and their unequal distribution across population groups are the result of the interaction of several determinants operating at different domains [ 17, 18].
