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HSO107 pt 2


Define proximal: A direct influence on health on the micro (downstream) and macro level Includes lifestyle and behavioural factors.
Define micro: Includes treatment systems, disease management and investment in clinical research.
Define macro: Includes government policies, global trade agreements and investment in population health research.
Define downstream: Those at micro level.
Define upstream: Those at macro level.
Define distal: Indirect influence on health at the macro level (upstream), includes polocies and laws.
Define the social determinants of health: They are conditions in which people are born, grow, live, work and age, including the health system.
What conceptualizes the determinants of health? 'Social' is an umbrella term that involves political, environmental, economic, cultural, psychological, spiritual or other determinants.
What are the social determinants shaped by? Distribution of money, power and resources at a global, national and local level. They are themselves influenced by policy choices.
What do the social determinants help to do? Help understand the health-disease process by giving a more political and philosophical view.
What are the social determinants responsible for? Health inequalities: which are unfair and avoidable differences in health status between and within countries.
What is the main model of social determinants studied in HSO107? 'The Solid Facts' by Wilkinson and Marmot (2003)
What determinants are the Wilkinson and Marmot model made up of? - Social gradient - Stress - Early life - Social exclusion - Work - Unemployment - Social support - Addiction - Food - Transport
What are the indigenous perspectives of the SDOH? - History of health - Racism and marginalisation - Poverty - Social class - Education - Training - Control over own health - Powerlessness - Employment - Place - Income - The justice system - Family seperation - Land
What could the deterioration of the planets health attribute to? Not addressing core issues.
Health iceberg model is comprised of: THE TIP: risk factors (contributing factors) THE MIDDLE: lifestyle factors (can develop into contributing risk factors) THE BOTTOM: determinants of health (individual and population level)
Give an example of the iceberg model: OUTCOME: lung cancer THE TIP: deepening of craving and dependence, respiratory disorders etc THE MIDDLE: normalisation of smoking, peer pressure THE BOTTOM: Stress, difficult early life, unemployment
Outline what the social gradient is: - linear decrease in health associated with socioeconomic position - clear relationship between health and income - social variations include stress, inequality, less social connection
If you're lower in the social gradient you will be: - at a higher risk of disease
If you're higher in the social gradient you will be: - at a lower risk of disease
Outline stress as a SDOH: - stressful circumstances make people anxious and unable to cope - stress is damaging to health - can lead to premature death
Outline early life as a SDOH: - a good start in life means supporting mothers and young children - a healthier start means a better chance at life
Outline social exclusion as a SDOH: - by causing hardship, resentment, poverty, social exclusion can lead to premature death - it relates to systematic discrimination and exclusion from community life
Outline work/unemployment as a SDOH: - Job security increases health, well being and job satisfaction
Outline transport as a SDOH: - Good transport means less driving and more walking and cycling, as well as being backed up by a better public transport
Outline addiction as a SDOH: - Individuals turn to alcohol, drugs and tobacco and suffer from their use - Use is influenced by wider social settings
Outline food as a SDOH: - Global market force control on the food supply - Healthy food is a political issue
Created by: 974869485886242