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SWSP2211 (Socioeconomic factors (education, employment, community…
SWSP2211
Socioeconomic factors
education
employment
community functioning
housing
location: rural/remote
key determinant of health inequality (low SES = higher morbidity/mortality rates) :star:
interprofessionalism
comprehensive health services
person-centred
collaborative
complex, changing workplaces
consider physical growth, neurocognitive factors, emotional development, family, school
cultural competence
Indigenous people
segregation, assimilation, multiculturalism
lower life expectancy
difficulty with service providers
biomedical model may not be culturally safe? (ethnocentric)
closing the gap to tackle smoking, chronic disease management, workforce expansion, training, support
since 2008-2009, more Indigenous health assessments, management plans, annual new patients, new visits, AND reduced waist circumference, BP, cholesterol, BMI
Australia's domestic response: 4 recommendations to close the gap
adopt and commit
consider social determinants of health in all relevant policy-making
responsibility within one agency with a mandate address issues across portfolios
research and reporting
annual progress reports to Parliament
Rio Declaration
adopt better governance for health/development
promote participation in policy-making and implementation
further reorient health sector towards reducing health inequalities
strengthen global governance and collaboration
middle age and midlife
home ownership
midlife crisis
menopause
gender differences, sandwich generation
Models
Biomedical
treated by drugs
Biopsychosocial
helping people reach wellbeing
Socioecological
social responsibility of gov't, promoting health, addressing inequalities
Jakarta Declaration
emphasize social responsibility for health
increase investment in health promotion
focus on inter-sectoral work to promote population health
levels of intervention
upstream
social context (policy, infrastructure, system change)
midstream
lifestyle and behaviours, personal choices
downstream
individual risk factors
Organizations/abilities
Structure
the way social life/interactions are organized (diff. understandings of health/disease)
education
occupation
economic resources
geographical location
age
gender
ethnicity
Agency
ability to influence own life/society
Social determinants of health
classes
biomedical
health behaviours
sociocultural
socioeconomic
environmental
examples
early life and childhood
employment, income, work conditions
access to healthcare
social gradient (social circumstances, economic well-being)
education
social security (monetary assistance)
lifestyle factors (food, addiction, stress)
urban design, transportation
social exclusion
Ottawa Charter
focus: using behaviour change to focus on health promotion to target underlying determinants of health in many settings
components
build healthy public policy
create supportive environments
strengthen community action
develop personal skills
reorient health services
Problems
road traffic deaths
ice
sociological imagination
questions
what's happening?
why is it happening?
what are the consequences?
how do you know?
how could it be otherqise?
components
historical
cultural
structural
how forms of social organization affect our lives
critical
adolescence
culturally-defined time, includes identity crisis
issues
mental health
suicide
smoking
drinking
illicit drug use