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HLSC 2P21 (48)

CHSC 2P21 (1).docx

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Health Sciences
Course Code
Susan Boyko

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CHSC 2P21 Sept 5, 2013 Instructor: Jennifer Boyko ([email protected]) TA: Maral Zibamanzarmofrad ([email protected]) Group Diaries (30% of final grade):  200-250 words max  we have to figure out how to manage our own group and sort stuff out  end of term they get handed in  narrative style, hand in 1, group mark, chance to give feedback at the end of course  requires cover page + all entries (may as well throw in a table of contents?) Current Events Blog (5% of final grade)  1-2 paragraphs  must post during your assigned weeks  criteria for responding to a blog: meaningfulness Cumulative exams Lecture: Group selection (Group number 9)  Nikita Patel  Danielle Rae  Deanna Turner  Bobbie McGhee Health issues in Canada in Historical and Global Contexts Sept 12 Today  Housekeeping o Group Diary Assignment  Includes 4-5 people  Each journal entry must be 200-250 words  All group members get the same grade  Individual students get graded based on specific contributions to the group  The group evaluations will happen at the end of the term  Week one review o What the course is about o What the course is not about o Key concepts in the sociology of health, illness and medicine o 4 approaches that help explain the sociology of health, illness and medicine  conflict theory  structural functionalism  Symbolic interaction  Critical Race theory and Feminist  Lecture o Health issues in Canada in Historical and Global contexts o How do we know how healthy canadians are?  Indicators  Statistical summaries  Describe an aspect of health of a population or community  Three types  Determinants (pre-illness) o Physical environment  Air Quality  Recreational water Quality  Drinking Water quality o Psychosocial environment  Life expectancy  Mortality  Birth & Fertility  2004, average was 1.53 children per woman (2008 1.68)  2004- 132,551 in Ontario, 2008-140,791 o Social  Ethnicity  Family size  Language  Proportion of single parent families o Socioeconomic  Education  Literacy  Employment  Income distribution o Lifestyle, behaviors and risk factors  High risk drinkers  Smokers by age and sex  Sexually active individuals who regularly use condoms  Recreational and prescription drug use  Gambling  Diet  Family hereditary o Human Biology  Age  Genetic inheritance  gender  Health status (illness) o Objective  Crude death rate  Infant mortality  Neonatal mortality  Maternal mortality  Age/sex specific death rates o Subjective  Self reported  Indirect measures  Consequences (effects) o Economic burden of disease  Estimate of direct costs  Personal care  Publicly funded research o Quality of life o Focus is the assessment of a procedure or program in relation  Focusing events  Sad event, something catastrophic  ―Ashley Smith Death‖  ―Case of the nibbling mice‖  SARS  Medical discoveries  Feedback from the operation of existing programs or policies  E-Health Scandal  Vaccinations/immunizations  Wait times strategy  Community food banks What are the top health or healthcare issues affecting Canadians?  Group assignment o What do each of you think the top health/healthcare issue affecting Canadians? Why? o Take a few minutes to introduce yourselves to each other or get to know each other further o Discuss and agree on how to manage group/ work on discussions and diary. 9/5/2013 12:57:00 PM SICK 9/5/2013 12:57:00 PM Movie Social Determinants of Health (2) October 3 Week 4: Social Determinants of Health (1)  What determines health o Health promotion o Teaching o Environment o people in a group social interactions o individually oriented/socially oriented  social structure is important because it’s about how we interact with each other, political system that leads us to being healthier  What are the social determinants of health o Individual determinants- we have control over  Smoking  Nutrition  Physical activity o Social determinants of health- we don’t have control over them  Housing  Income  Education  Why is the biomedical lifestyle approach still prominent? o Morality of health behaviour  If you are healthy and you do healthy things you’re good  Policy and poliics  What are the consequences of emphasis on individual health?  How can a person improve or maintain good health?  How are inequalities linked to the distribution of death, illness, disease, and disabilities? o Inequities are closely linked to health status o More wealth= better health o Materialist model: access to material goods o Neo-materialist model: perceived of equality  How do inequalities in society impact individual and population health? o Individual health status: clear link of where their link is in the social structure o Population status: clusters  How does the social determinants of health perspective explain health inequality? o Explains why individuals are healthy/not  How do illness and death rates vary according to various social determinants of health? o Age-based health inequality  Youth and children are more likely to be poor and therefore sickly  The elderly are also more likely to be poor and therefore sickly  They’ve also lived through different historical periods who have different ways of doing things which also would affect their health o Gender-based inequality  Biological factors  Men are more likely to have serious illnesses  Mild illnesses in women accumulate and would suffer more chronic types/more bed days  Women listen to their bodies o Race/ethnicity & minority based inequality  Differences between different races reflect racial and ethnic groups  Racism impacts the health of visible minorities  May limit jobs, educational choices, which in turn influences their health Mental Health and Psychological Well-Being October 10 Review:  How are inequalities linked to the distribution of morbidity and mortality? o You can see patterns in morbidity and mortality rates o Linked to individual/population health status which in turn affect morbidity and mortality  How to inequalities in society impact individual and population health? o Individual level  Person’s location in the social-structural hierarchy related to their health o Population level  The degree of inequality in a country is related to the overall health in the country  How to inequalities impact individual and population health o Theoretical explanations:  Materialist  Neo-materialist  Social-psychological  Political-economy  Helps understand why inequalities happen  How do illness and death rates vary according to SDOH? o Income inequality o Food security o Poverty o Employment/job security o Housing and neighborhood o Gender o Age o Race/ethnicity/minority status Lecture: Mental Health and psychological Well-being Socio-psychological Factors and health  Our minds and bodies are affected   Stress o Key aspect of mental health and well-being o Occurs when we must deal with demands much greater than usual o Can be beneficial/detrimental o Evidence for a relationship between stress and CVD, pregnancy complications  Weakens resistance to disease o 3 types:  Short term  Arises from small stressors; may lead to temporary sense of anxiety  Medium-Term  Develops from more constant stressors; may lead to anxiety  Long-Term  Develops from major life situations; accumulates through the process of stress proliferation; affects morbidity or mortality o Social Support  Believing that you are:  Being cared for and loved  Esteemed and valued  Involved in a network of communicaton and mutual obligation  The ways neighborhoods are organized to offer support is called social support/capital/cohesion but have very disti
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