SOCIAL DETERMINANTS OF HEALTH Flashcards
Determinants of Health:
is a factor or characteristic that bring about a change in health, either for better or for worst
The Social Facts Report: Marmot and Wilkinson
Behavioural factors that affects peoples health
Data from rich developed countries served as the information source for the Solid Facts report.
Social gradient:
(social ladder) Poor social and economical circumstances affect health throughout life.
Transportation:
less driving and more walking and cycling + better public transport
Food:
because global market forces control the food supply healthy food is a political issue.
Shortage of food/ excess intake
Addiction:
people turn to alcohol drugs and Tabaco to numb the pain of harsh economical and social conditions
Stress:
social and psychological circumstances can cause long term stress.
Social support:
social support and good social relations make an important contribution to health
Unemployment:
both in psychological consequences and financial problems it brings especially debt.
Work:
Stress in the work place increases the risk of disease.
Little opportunity/ inadequate rewards
Social exclusion:
absolutely poverty – lack of the basic material necessities of life, continue to exist even in the riches countries of Europe.
Social exclusion also results from racism, discrimination, stigmatization, hostility, and unemployment.
Early life:
foundations of adult health are laid in early childhood and before birth.
Determinants (Indigenous perspectives)
• History of health • Racism and marginalisation • Poverty • Social class • Education • Training • Control over own health • Powerlessness • Employment • Place • Income • Incarceration and the justice system • Housing and infrastructure • Family separation • Land and conciliation
Proximal Determinants:
are also referred to downstream factors, it refers to any determinant of health that is readily and directly associated with the change in health status.
Proximal: Direct influence on health at the micro or macro level (downstream). Includes lifestyle and behavioural factors.
Distal Determinants:
are also referred to as upstream (macro) factors. Is one that is distant either in time or place from the change in health status.
Distal: Indirect influence on health at the macro level (upstream). Includes policies and laws.