Lecture 1: Demographics- human health Flashcards
Health inequality
individual differences
Social demographic- sex - occupation- ethncity- education level- geo location
‘Live longer if you have got more money’- better access to health care0 developed countries
however, poorest people still ill even DC
Manual jobs 2.7X more likely to die early compared to professionals- however high rate suicide and heart problems in banking- traders
Deprived areas- lower life expectancy- 7 years
Norway- best income equality and wellbeing
Zambia the worst
Inequality further apart
inequality vs inequity
health is socially determined
Unskilled labour-bottom of social ladder- stress- unemployment- alienation- social exclusion
addiction- can’t bond with humans - lack social connection- bond with drugs and addiction
How do we address health care inequality?
free healthcare access for all - need financial risk protection- like the uk
universal health coverage- hard to obtain
- help with living and working conditions- workforce- improve it and build it
- richer countries more heath care professionals- because of brain drain
Finance
- Bangladesh - paying for their own medication
- people- put off by paying
- Too expensive most of their wages
Critical perspectives on health
top-down global intervention- not adapted to local systems
- management and politics- especially global south
Racial metaphors- interpreting sex and aids in Africa
other- racialised other
colonial views on africa- having sex with lots of people- uncivillsed
western discourse treats africa as homogenous
stigma
Reading Asthana et al 2002
impact of industrial and urban processes on geography of health-
has demonstrated links between physical health and the local environment impacts of economic activity
such as varying air quality and health
Reading - Marmot 2005
gross inequalities in health between countries- Life expectancy
34 Sierra Leone
81.9 Japan
health inequalities within countries- 20 year gap between aboriginies and torres strait islander people
Reading Marmot 2005- more
Bangladesh - adult mortality rates vary inversely with levels of education
many countries- inequalities of health have been increasing in Russia- where life expectancy is low- social inqualities have grown
32 out of 45 million deaths among adults over 15 in 2002- due to non communicable diseases
- can talk about that 75% water
Reading Marmot - more 2
Dirty water lack of calories and poor antenatal care- account for the 20 year deficit - in life expectancy- australia
anamolies
cuba and costa rica- SNPs less than 10,000 and yet life expectancies of 77.9 and 76.5
social conditions powerfully influence both the onset and the response - to the treatment of the major infectuous diseases that kill
Sweden- new strategy for public health- to create social conditions that will ensure great health for the entire population
