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Determinants of Health
Transcript of Determinants of Health
Context Health Lifestyle
Organization of Health Care Labonte Report (1974) Income and social status
Social support networks
Employment and working conditions
Biology and genetic endowment
Personal health practice and coping skills
Healthy child development
Health services Strategies for Population Health: Investing in the Health of Canadians (1994) Jason Gender
Social environment Health Canada (1996) Income:
Health status improves at each step up the income and social hierarchy
Whitehall study (1967): lower grade of employment, increase risk of mortality
http://www.thecanadianfacts.org/The_Canadian_Facts.pdf Determinants of health Social Support network
Support from families, friends and communities is associated with better health.
Education and Literacy
Health status improves with level of education Employment and Working Conditions
Unemployment, underemployment, stressful or unsafe work are associated with poorer health.
contaminants in our air, water, food and soil can cause a variety of adverse health effects, including cancer, birth defects, respiratory illness and gastrointestinal ailments Biology and Genetic endowment
The basic biology and organic make-up of the human body are a fundamental determinant of health
Personal Health Practices and Coping Skills
Helps people face challenges without resorting to risk taking behaviours Health services
Healthy Child development
Conception to age 6
Social environment Raphael (2004)defines, “ the social determinants of health are the economic and social conditions that influence the health of individuals, communities and jurisdictions as a whole. They determine the extent to which a person possesses the physical, social, and personal resources to identify and achieve personal aspirations, satisfy needs, and cope with the environment". Toronto Charter on the social determinants of health (2002) Early life
Employment and working conditions
Income and income distribution
The social safety net
Unemployment and job insecurity Social determinants of health What is the relationship determinants and a person’s health? Equality VS Equity Why is it important for
nurses to know? Our context defines us?
My understanding of context is… Context Those factors within one’s
(internal and external)
play a significant role in determining level of health Hospital Information
Study into Reproductive Age and Mortality
Demographic Study (Socioeconomic Factors) Why MRS x DIED"? Entrances
Exists Death road Choice Is it always there?
Are there pre-requisites to choice?
Does everyone have an equal choice? Why? Why Not? Identify the determinants of health arising from your Personal Context… “Personal behaviour patterns are not simply ‘free’ choices about ‘lifestyle’, isolated from their personal and economic context. Lifestyles are rather, patterns of choices made from the alternatives that are available to people according to their socioeconomic circumstances and the ease with which they are able to choose certain ones over others.” (Milo, 1976)