HLTB41H3 Lecture Notes - Lecture 1: Chronic Obstructive Pulmonary Disease, Friedrich Engels, Edwin Chadwick
Document Summary
Lecture 1: social determinants of health (sdoh, conditions in which people are born, grow, live, work, and age and which shape their health status. Shaped by distribution of money, power, and resources at lobal, national and local levels: responsible for health inequities- the unfair and avoidable differences in health status seen within and between countries. Largely influenced by governance, political agendas, and ideologies. Smoking rates over time: increasing burden of smoking rates among low-income groups: copd hospitalization rates over time: increased rates among low- income individuals. Self-rated mental health: rates are 5x higher among low-income groups: upstream vs. downstream sdoh, upstream: root cause of illness. Contaminating water factory: downstream: more proximate cause of illness. Drinking of contaminated water: social factors that shape health, neighborhood conditions housing, and community environment, working conditions sedentary environment, sitting too long, too much stress, education knowing what to eat, etc. Income and wealth access to healthcare, healthy foods: race and racism discriminate and constrain opportunities.
