Lecture 3 Flashcards
Determinants of Health
is simply something that can impact an individual’s, a family’s or a community’s health.
Social determinants of health:
- resulting from social constructions and situations.
- provide us with a framework for understanding health and what influences it.
Example of Determinants of Health
Where a person lives may impact their health status. Think of various places around the world where there is a lack of food, employment opportunities or access to medical services.
The World Health Organization (WHO) states Social Determinants of Health (SDoH) are
the conditions in which people are born, grow, live, work, and age, including the health system.
Lalonde Report (1974) and the Ottawa Charter of Health Promotion (1986) acknowledged
the need for an approach to holistically explore what factors influence health and wellbeing.
The Public Health Agency of Canada: 12 Key DoH
Income and Social Status:
Social Support Networks
Education and Literacy
Employment/Working Conditions
Social Environments
Physical Environments
Personal Health Practices and Coping Skills
Healthy Child Development
Biology and Genetic Endowment
Health Services
Gender
Culture
____ of Indigenous people rated quality of care in Emergency Departments as either fair or poor.
44%
____ of Indigenous people reported receiving poor treatment due to racism and discrimination.
43%
Indigenous people often experience missed or late diagnosis
due stereotyping/assumptions related to drug/alcohol seeking behavior.
Health Transfer
allows for some administrative flexibilities and control over funding, However, it still exists within a larger system that has significant restraints.
Brian Sinclair
Joyce Echequan
Social relation factors can influence patient-
provider relations
The Chandler and Lalonde Study (2008) referred
to often in Indigenous health research.
The Chandler and Lalonde Study (2008) demonstrated
the important role cultural continuity and self-determination in health status, particularly that of social/mental health and suicide rates.
Indigenous people account for __ of the total population in BC but account for__of all suicides in BC.
3% ; 9%
Indigenousyouth account for ___ of all youth suicides in BC.
23%
In the period covered by the Lalonde study, 90% of suicides were
in less than 10% of the bands.
Cultural Continuity
can be defined as the integration of people within their culture and the methods through which traditional knowledge is maintained and transmitted. In the study’s context, it also means Indigenous self-determination (Indigenous control of decision-making).
The six factors associated with cultural continuity include:
Land claims;
Self-government;
Self-Determination
Education services;
Police and fire services;
Health services; and
Cultural facilities
Chandler and Lalonde Study Findings
- Communities with more of the six factors related to cultural continuity had either no suicides or reduced rates compared to communities without any of the factors or only a few of them.
- Increased cultural continuity = reduced suicide rates
