Health Sciences 1002A/B Lecture Notes - Lecture 5: Natural Experiment, Low Birth Weight, Asthma

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Social class (p. 61), social structure (p. 66) On one hand, medicare provides health services but this does not translate to equity and health status. Publicly-funded hospital- and medical insurance eliminated income as a determinant of access to health services but . Improving equity of access to medical care and hospital services does not assured equity in health status across socio-economic groups. Study of health care utilization among 600, 000 winnipeg residents. Health is worse for these in the lowest income quintile compared to those in highest income quintile. Measuring health status but not as a whole. The poorer you are, the higher the mortality rate. The richer you are, the lower the mortality rate. Every step up in income increases health status. The social and economic environments in which people live and that determine their health. Examples of social determinants include housing, job security, working conditions, education, income, social class, gender, aboriginal status, and the social safety net.

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