Democracy: the forgotten determinant of mental health

Abstract

Issue addressed: Promoting mental health is a relatively new initiative being taken across the world, stimulated by concerns about the global burden of mental illness, inequalities in mental health and debate about the relationship between quality of life and economic growth. Social factors influence the health of populations but the distribution of these is determined by people who exercise political power through societies' institutions of governance. Inequalities in health (and mental health) arise from the unequal distribution of these social determinants of health. This paper aims to stimulate interest and debate on the role of democracy, a mechanism for allocating political power, as a determinant of health and of mental health in particular.