health inequities Flashcards
disparity
health outcomes/determinants that adversly/systematically affect disadvantaged groups.
inequity vs equality
un fair! not equal, but fair
inequities between countries
wealthy vs poor countries (absolute poverty), within countries (relative poverty)
measuring SES
variable, income, education, job type all markers
SES differences in Americans are
often related to race
Gini coefficient
48% of income would need to be redistributed to balance wealth in us
7 reasons for SES inequity
privation, social hierarchy, social capital, built environment, behaviors, development, healthcare access/reform
privation
lack of resources
social hierarcy
no threshold effect, incremental changes, recources AND social place matters
social capital
social network lack of network= stress
development and SES inequity
poverty> intrauterine stress, phenotype changes
healthcare access related to SES
less care, fragmented, low quality, no primary care/prevention
race is a
social construct
is race a good health predictor>
NO,
why different health outcomes by race?
racially based inequalities: SES, education, racism, segregation, chronic stress
