Week 1: Social Determinants of Health Flashcards
Social determinants of health are conditions in which we are:
- born
- live
- grow
- work
- age
AND inequities in power, money and resources that give rise to inequities in daily life.
Causes of the causes of health gaps? (hint:4)
- Psychosocial and environmental factors
- Demographic factors
- Degree of social integration and social capital
- Political aspects
Examples of psychosocial and environmental factors?
income,
poverty,
employment, education,
access to community resources
examples of demographic factors?
gender, age, ethnicity
example of political aspects?
funding and resource distribution (e.g US has higher levels of health inequality as most uninsured or underinsured compared to Sweden, where all citizens have right to access health care)
key determinants of social determinants?
socioeconomic position, early life, social exclusion, social capital, employment and work, housing, residential environment
what interactions need to be considered when talking about social determinants of health?
- key determinants
- health behaviours
- biomedical factors
5 Principles of Life Course Perspective
- human development and ageing are lifelong processes
- Agency
- Time and place
- Timing
- Linked lives
5 Principles of Life Course Perspective: Agency?
individuals construct their own lives
5 Principles of Life Course Perspective: time and place?
shaped by historical times and places
5 Principles of Life Course Perspective: timing?
developmental consequences of events and transitions conditional on timing on people’s lives.
5 Principles of Life Course Perspective: linked lives?
- social ties
- shared relationships
taking a life course approach to health and wellbeing includes?
examining the long term effects of physical, emotional and social exposures to risk and protective factors.
Life course perspective: it is important to focus on lives as ___?
- trajectories
sequences of events, transitions, processes in which earlier events condition later events
life course perspective: it is important to understand situations in context of ??
past circumstances, not as isolated moments in time
life course perspective: states of health as related to ??
- cumulative effects of early life on later life and the extent to which the early life advantages or disadvantages are maintained or compounded with age or across time
Lifecourse and health: it recognises that health is not the outcome at a single point in time, rather it is ?
the extent to which early life health advantages or disadvantages are maintained (or not) across time
lifecourse approach refers to the exposure to health risks experienced by individuals and groups either __
before or during birth, in childhood and at various stages in adult life
lifecourse perspective does not assume health issues are related to ?
‘fixed stages’
e. g. older adults ageing not equated with disease
- physical difficulties and disability are not inevitable
3 stages to the accumulation of disadvantage (socioeconomic + health)
- Contribution of childhood socio-economic conditions to socio-economic health inequalities in adult life
- contribution of childhood health to socio-economic health inequalities in adult life
- health selection in adult life (social mobility)
what are trajectories?
- turning points or events, transitions, processes
- past circumstances
- cumulative effects
in a case study, what do i need to identify and link back to key determinants?
a. constraints (structural, community, family individual)
b. ) strengths (“ “ “ “ )
c. ) what would be important in engaging with this family?
d. ) who are you concerned about?
e. ) what would .S.W bring to health team? name role of S.W in each case.
