HLTA02H3 Lecture Notes - Lecture 3: Social Medicine, Victim Blaming, Cardiovascular Disease
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HLTA02 lecture 3:
• Biomedical system, our healthcare system is designed from this approach. You get
screened and checked. If you do not have an illness or disease, you are healthy
• Behavioral system: victim blaming. Individuals do not make choices based on their
preference, they make it based on their circumstance. Health equity perspective?
• Behavioral and biomedical focus on the individuals, but their approach is different
• Looking at the population is > than focusing on each individual?
• Social medicine (determinants of social health): focuses on social, political and
economic (having a universal healthcare system but not a pharma care universal
system) determinants of health. National and global levels have that influence health
and individual levels.
• Psychosocial: Where to individuals see themselves? In terms of stress, social
support, etc.? directly links individuals to society.
• Societal: is not just national, can be global: ex: migration. The macro-political
determinants of health. The decisions of the global institution shapes of how the
people feel about migration, refugees, etc.
• Models of health help us look at framing.
• Homogenizing population solutions wastes a lot of money.
• Social falls in between inter and trans disciplinary.
• The US: adds a price tag to healthcare and says it is a commodity.
• In class film: place maters:
o Is inequality making us sick?
o Place determines what kind of physical or chemical agents you are exposred
to. Social factors, crime, how you interact with your nehigbour?
o Health is embedded in the conditions of where we live and work.
o Seattle has low income neighborhood that are good
o However, Richmond area: The school janitor, heart attack,
▪ No smoking, no diseases in the family. Environmetal factors play a
role → OIL
▪ Tobacco, liquour and fast food are easy to find. Higher rates of lower
life expectancy, diabetes, etc.
▪ We think changing the behavior will change everything but some
people have to live under limits and have circumstances.
▪ Gold bladder diseases surgery, caused by fatty foods
▪ Poverty taxes: buying a car is $500 for expensive, grocery and housing
is more expensive too in low income neighborhoods.
▪ When the shipyards closed after the war, a lot of people lost their
jobs, only white people were allowed to take loans. Less than 2%
went to non-white people. Very diverse communities.
▪ African americans were left behind, poor latinos and south Asians
▪ Heart disease is the leading killing problem in America.
▪ Richmond has the highest violence rate ex: chans death.
▪ Violence has a negative impact on the kids developing brain. It can
disrupt their thinking.
▪ Unsafe outside = unsafe inside the homes
▪ Asthma was pandemic, mold forming and more moisture
Hlta02 lecture 3: biomedical system, our healthcare system is designed from this approach. If you do not have an illness or disease, you are healthy: behavioral system: victim blaming. Individuals do not make choices based on their preference, they make it based on their circumstance. In terms of stress, social support, etc. ? directly links individuals to society: societal: is not just national, can be global: ex: migration. Is inequality making us sick: place determines what kind of physical or chemical agents you are exposred to. Environmetal factors play a role oil: tobacco, liquour and fast food are easy to find.