HLTA02H3 Lecture Notes - Lecture 4: Determinant, Wainwright, Epidemiological Transition
Document Summary
Lay perspectives are not privileged in traditional biomedical models of health; greater emphasis in social, behaviour/lifestyle, psychological. Vary across time and space; across lifespan and genders. Technology is changing our understanding of health/illness, health care, our relationships to our bodies, the way we live and die. Poverty: a complex set of deprivations, more than material deprivation. Health inequity: unjust differences in health status. Species are dynamic and evolving individuals, but we attempt to force them in rigid classes. Species are real evolutionary groups and not categories which are created as direct function of perceived distinction. Ideology (set of beliefs) widespread health inequalities. Really important concept in all health studies. Framing: by decision makers, scientists, the media. Definition of health: different models draw attention to different kinds of problems + determinants; may obscure or neglect others. Level of determinant: focus on proximal/distal, biological/social. Measurements used: distribution, who and how many are affected, the outcomes: demographic transition.
