Lecture 22. Inequalities and inequities in Pop.Health Flashcards
Equity vs Equality
Equality- everyone gets the same
Equity-distributed by need
Inequities vs Inequalities?
Inequalities- differences in health experience and outcomes between
different population groups - according to SEP, area, age, disability, gender,
ethnic group
Inequities- Those inequalities that are deemed to be unfair or stemming from some form of injustice.
• Health inequities are differences in the distribution of
resources/services across populations that do not reflect health needs
• Relations of equal and unequal power. political, social, and economic
What does PROGRESS stand for?
- Place of residence
- Race/ethnicity/culture/language
- Occupation
- Gender/sex
- Religion
- Education
- Socioeconomic status
- Social capital
+ disability
Used to identify the groups that are affected by inequity
Relative and absolute inequalities
Relative- rate ratio
The absolute- rate difference
what is commonly CG?
most advantaged group
reasons for reducing inequities
- They are unfair
- They are avoidable
- They affect everybody
- Reducing inequities can be cost effective
The lorenz curve and gini coefficient
demonstrates the distribution of wealth in % of population
the more concave the curve is the greater the income inequality
gini coefficient- the ratio of the area between the line of perfect equality and
the observed Lorenz curve to the area between the line of perfect equality and the line of perfect inequality.
Gini =(A)/(A+B)
0 = very equal society
1 = very unequal society
Implications of income inequality
An unequal society Less social cohesion Less trust between groups Increased stress Reduced economic productivity Poorer health outcomes
How can inequities be reduced?
Through the redistribution of resources according to need