M174 Week1 Lecture2.2019.pdf - Health is not just the...

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Health is not just the outcome of genetic or biological processes but is also influenced by the social and economic conditions in which we live. These influences have become known as the ‘social determinants of health’. Inequalities in social conditions give rise to unequal and unjust health outcomes for different social groups
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Social Determinants A range of factors have been identified as related to health status these generally include: - the wider socioeconomic context; inequality; poverty; social exclusion; socio-economic position; income; public policies; health services; -employment; education; housing; transport; the built environment; health behaviors or lifestyles; social and community support networks and stress. -A life course perspective provides a framework for understanding how these social determinants of health shape and influence an individual’s health from birth to old age. .
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Social Determinants/Health 1.Social determinants contribute to health inequalities between social groups. This is because the effects of social determinants of health are not distributed equally or fairly across society. 2. Social determinants can influence health both directly and indirectly . For example educational disadvantage can limit access to employment, raising the risk of poverty and its adverse impact on health. 3. Social determinants of health are interconnected e.g poverty is linked to poor housing, access to health services or diet, all of which are in turn linked to health. 4. Social determinants operate at different levels
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Thinking About Social Determinants of Health n Your neighborhood or job shouldn’t be hazardous to your health. ¨ Is this a government responsibility or citizen responsibility n The opportunities for good health starts long before you need medical care. ¨ Would a SDOH position advocate that health be more than a medical system? Robert Wood Johnson Foundation
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Social Determinants of Health Life-enhancing resources, such as food supply, housing, economic and social relationships, transportation, education and health care, whose distribution across populations effectively determines length and quality of life. Reference: James S. (2002)
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Definitions: Disparities in Health Care n Differences in the quality of health care that are not due to access-related factors or clinical needs, preferences, or appropriateness of intervention.” n Should interventions in a resource scarce environment focus on disparities in health or disparities in health care? Both??
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7 Which disparities are inequities? q Women with lower income levels are more likely to be diagnosed with late-stage breast cancer than women with higher incomes q People who ski are more likely to have leg fractures than those who don’t q Asians and Pacific Islanders have lower rates of coronary heart disease death than Whites
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8 “Testing” whether disparities are due to unfair access to social resources: For observed disparities in health indicator by SES, do we see
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  • Spring '18
  • Vickie M. Mays
  • Sociology, Diabetes, Health disparities, social isolation, National Center for Health

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