HTW 309 Lecture Notes - Lecture 1: Profit Margin, Payment, Health Equity

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Vulnerability is cumulative over the life course early life difficulties and their adverse effects interact with things that happen to people later that increase the likely hood of poor health. Social status is critical social inequality and marginalization leads to both material and psychological stress leading to health vulnerability gene expression occurs during childhood stress leads to adult poor health. Increases as ses decreases but does not eliminate risk. Low ses in both childhood and adult increases risk 7 fold. Demonstrated alterations in the violence e(cid:454)posed (cid:272)hild(cid:396)e(cid:374)"s dna (cid:272)ha(cid:374)ges that (cid:449)e(cid:396)e e(cid:395)ui(cid:448)ale(cid:374)t to 7- 10 years of premature aging could lead to memory loss heart attack 7-10 years earlier than their peers. Health disparities differences in population health that can be traced to unequal economic and social conditions and are systemic and avoidable and thus inherently unjust and unfair. Mechanism for poor health: historical trauma, unequal distribution of resources contemporary social conditions, negative early life experience. chronic stress.

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