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1845: Friedrich Engels
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Studied the effects of poor housing/clothing/diet and lack of sanitation led directly to infections and diseases associated with early death among working class people as indicated by SDoH.
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1885: Rudolph Virchow "Father of Modern Pathology"
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Health threatening living conditions are rooted in public policy making/politics play a large role in promoting health and preventing disease.
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1974: "New Perspectives on the Health of Canadians"
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Identified human biology, environment, lifestyle and health care organizations.
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1979: "The Political Economy of Health"
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Term "social determinant of health" coined/income, resource distribution, stress from unemployment and insecure employment.
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1980: "The Black Report" UK
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Lowest employment level groups show a greater likelihood of a range of diseases and premature death from illness/injury at every stage of the life cycle.
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1986: "Achieving Health For All: A Framework for Health Promotion"
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Goal of government policy: reducing inequalities between income groups.
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1986: Canadian Public Health Association "Action Statement for Health Promotion in Canada"
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Advocating for healthy public policies as the number 1 strategy to affect SDoH.
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1992: "Health Divide"
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Lowest employment group shows greater likelihood of diseases and premature death from illness and injury despite universal health care system. Focuses on poverty and the clustering of indicators together.
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1998: "Taking Action on Population Health: A Position Paper for Health Promotion and Programs Branch", Health Canada
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Income/social status, social support networks, education, employment/working conditions, physical/social environments...
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2000: Canadian Public Health Association Action Plan
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Poverty as having a profound influence on health and needs to be reduced.
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2003: WHO SDoH: The Solid Facts
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Explain how nations differ in overall population health/US low, Norway high.
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Societal factors that shape health and explain health inequalities.
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Education, income, employment conditions, etc.
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Societal factors that shape the quality and distribution.
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Economic, political, social.
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Tarlov
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Created broader SDoH: inequalities in housing, education, social acceptance, employment translate into disease-related processes.
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WHO: Ottawa Charter for Health Promotion
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Prerequisites for health: peace, shelter, education, food, income, a stable ecosystem, sustainable resources, social justice and equality.
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1992: Dahlgren and Whitehead: The Rainbow Model of Health Determinants
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Living and working conditions arch: agriculture, food production, education, work environment, unemployment, water/sanitation, health care services and housing as contributors to health.
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Health Canada
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Various determinants: income, social status, physical/social environment, biology, genetic endowment, personal health practices, coping skills, healthy child development, health services, gender, culture. Criticized for lacking grounding in concrete experiences of people's lives and policy relevance.
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British Working Group
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Social gradient (class), stress, early life, social exclusion, work, unemployment, social support, addiction, food and transport. Avoids the problem of policy irrelevance.
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US Centres for Disease Control and Prevention
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Socioeconomic status, transportation, housing, access to services, discrimination by social grouping.
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Two tasks of SDoH
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Advancing Canadians' understanding concerning SDoH, provide support for efforts to improve distribution of SDoH, etc.
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Intersectionality
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The way identities/social positioning intersect to create unique experiences of both privilege and oppression.
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Modernization Theory
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Posited that economic development can only be achieved by modernizing economies.
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Absolute Income Hypothesis
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Proposes there is a positive association between personal income and health, association is non-linear.
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Absolute Deprivation Hypothesis
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Proposes that income between a certain deprivation threshold is adverse for health, but once past this threshold, there are minimal gains to be made.
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Cultural/Behavioural
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Situates the problem in individual choices. Seen as factors responsible for development and death from diseases.
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Materialist/Struturalist
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Situates problems in material conditions. How choices are determined or influenced by material contexts.
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Materialist
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How living conditions shape health.
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Neo-materialist
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How living conditions affect health and how they come about. What affects the quality and distribution of social determinants.
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Psychosocial Comparison
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How we compare ourselves and lives to others and how these comparisons affect our health and wellbeing.