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HLTH 350 (1)

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Queen's University
Health Studies
HLTH 350
Spencer Moore

HLTH 350January 6 14Introduction LectureIHealth InequalitiesaWhat makes differences an inequityiSystematiciiAvoidable improve circumstances of daily life there are possibilities to create changeiiiUnjust normative judgment premised on1Ones theories to justice2Ones theories of society3Ones reasoning on the genesis of health disparities people choose to be unhealthy vs social and daily conditionsivSocial and economic policies and practices that create barriers to opportunitiesbWhat drives inequitiesiBetween versus within drives different sets of theories to determine why there are differencescIncrease in life expectancy and declines in mean gap good thingWhy inequities matterIIPopulation Health ApproachaWhole populationsbDistal determinantscIntersectionaldEnvironmental changeePolicy and organizational leversfSocial conditions as ultimate outcomes environmental and social conditions Individual is a behavior focusRoses Population Health Principles1Continuum of disease severityaIndividual do they have it or do they notof casesbPopulation the distribution of x within a population2Largeof people at small risk may give rise to more cases than a small number at high riskaDo not neccesairly focus on groups at high risk because lower risks groups may give more cases3Shifting distributionaTargets largeof cases to move distributionbChange environmental conditionsIIIHealth TransitionsaChanges in disease profiles globallyHLTH 350bThe dynamics 20 years ago are not the same as todaycHow do we understand transitionsiObesity1Eating and diet or changes in environmentof fast food chains constructed more available increase in obesityiiChanges in burden of diseaseIVMixed ApproachesaEthnographies what cannot be captured through statistics QualitativeJanuary 10 14Epistemological ConcernsLecture 1 Review Course PillarsHealth inequities systematic unjust and avoidableoImpact of local factorsoBetween versus within health inequalitieswhat generates themPopulation Health as a continuumhow is it distributed across the populationoDo not necessarily address those at high risk but where most cases are occurringoStructural types of intervention not medical that focus on the individual behaviorHealth Transition burden of disease is dynamic and is changing overtimeJuxtaposing qualitative and quantitative approaches to healthWhy call it global healthWant to work toward a common definitionPublic Health population health with the focus on prevention within countries ie health of a particular population and international health differences between countries not their commonalities major disease focus low and middle income country focus bilateral programs between countriesWhat is public healthDecision making based on best evidence implement programs with scientific evidence which informs and influences decision makingGoals of social justice and equityFocus on preventionWhat is International healthRelates more to heath practices policies and systems stresses differences rather than commonalitiesDoes not look at the developed countries
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