HS 1001 Module 1: SDH and why should you care? (LECTURES)

genetics and behaviours

minor

material conditions

material conditions (where we live, what is available, what is expected of us, stressors we face, economic circumstances, access to sickleave/vacation)

• social and living conditions

• non-medical factors determining health risks and health seeking behaviours (values, norms, geography, policy)

• ways of thinking about social and living conditions & their causes

• factors beyond genetics and individual choice

• agriculture and food production
• education
• work environment
• unemployment
• water and sanitation
• healthcare services
• housing
• social and community networks
• individual lifestyle factors
• age, sex, constitutional factors
• discrimination
• indigenous identity
• policy

40

57

83

1) smallpox

2) typhus

3) cholera

4) diphtheria

5) dysentery

6) measles

7) tuberculosis

8) typhoid

9) scarlet fever

10) meningitis

1) cancer

2) heart disease

3) stroke

4) chronic lower respiratory diseases

5) accidents

6) diabetes

7) alzheimer's

8) influenza + pneumonia

9) suicide

10) kidney disease

2000: 44 years

2014: 63 years

income

State of complete physical, mental, and social well-being and not merely the absence of disease/infirmity

published on horrendous conditions in the slums of Europe, poverty, malnutrition, exhaustion

• "father" of modern pathology
• hero of social medicine

social science

• discrimination against ethnic poles

• people believed that weak physiology/weaker type of human made them prone to disease where Virchow rejected the stereotype, understood that it was connected to living conditions (extreme poverty, malnutrition, lack of ability to heat homes)

living conditions (Extreme poverty, malnutrition, lack of ability to heat homes)

Rudolf Virchow

politics, income, social abandonment

1) material & social deprivation (especially in early years + adulthood such as food, housing, healthcare, education)

2) adoption of health threatening behaviours

3) chronic stress

ones context

• status, socially constructed associations of income, it's not just about material deprivation, it's about power

• lack of resources

• income, ones position in society

1) pragmatic

2) job creation

3) ethical

• helps explain patterns in distribution of health and disease rates

• supports development of sustainable solutions

• Life course perspective: accumulated impacts of conditions as factors on health

• it is a social justice issue

• everyone has a right to live their healthiest life possible

• Canada has growing income inequality and growing poverty rates which are amongst the highest and wealthy developed nations

• canadian support for disabilities, employment training, families, older Canadians are amongst the lowest of wealthy developed nations

SDH scholarship

studying and developing health policy that is preventative rather than reactive to health issues

preventative , reactive

• ongoing project started in 2010 by Hamilton spectator

• impact of SDH on the Health of people in Hamilton

• exposing disparities at the neighbourhood level in Hamilton

21

poverty, access to healthcare, education

42

1) East end Sherman Wentworth

2) Burlington neighbourhood (orchard)

yes

Socially and historically specific risks such as judgment/stigma

lower income & opportunities to pursue education and career especially without social supports

generations afterwards

• low birth weight
• visual impairment
• respiratory illness
• cerebral palsy
• teen mother may not have the means to take care of the child

yes

• die during the first year of life
• die after the first year from injuries, infections, violence, asthma
• have learning difficulties
• leave school before graduating
• experience poor health over the course of lifetime

don't tend to do as well

health capital

accumulation of health resources (physical & psychosocial) inherited & acquired during early stages of life which determine current health and future health potential

• 1 in 7 moms are teenagers

• avg household: $36,000

• 1 in 4 adults don't have high school

• not 1 teen pregnancy within 4 years

• avg household: $106,000

• 2/3 adults have university education