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Lecture

HLTC05.Oct2.SS.doc

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Department
Health Studies
Course
HLTC05H3
Professor
R Song
Semester
Fall

Description
2012-10-02 HLTC05H3 F Lecture 4 Film Assignment: • 3 main overriding questions that need to be addressed in the film assignment and also the evidence presented in the films • Be specific to the case studies presented in the film • Film 1: the difference between everyday racism (affect and unknowingly discriminating against people based on existing stereotypes and prejudices) and structural racism (unequal distribution and access to resources where in the US is tied to race and economics) for example in South Africa and the Apartheid is an example of overt structural racism o Cdn. Gov’t and changing policies in determining refugee status Lecture: • Nguyen and Peschard 2003 o Social cohesion= significant role in terms of ill health; societies w/ a lot of social cohesion between family and community and gov’t are more egalitarian  Better social equality and low health disparity  Less social cohesion is indicative of increasing health disparity b/c lack of egalitarian thinking b/w community, gov’t, and families • Not enough protection from social inequalities exist o Psychosocial mechanisms (stressors)= hierarchy exacts health disparities due to these psychosocial stressors  Significant biological consequences  Prolonged exposure to stress o Material factors= Marxist perspective; lack of material deprivation s/a access to transportation and social services that protect us from environmental stressors for diseases (eg. housing on reserves) can be a big factor for poor health o Structural violence= how we view inequality and structural hierarchy o Commodification of the body= organ harvesting/tourism is an example o How risk is used and the linking of macro- and microeconomics o How inequality leads to ill health o How biomedicine and the cultivation of drugs and therapies that cand structure social hierarchies o ‘illness poverty trap’ o The role/practice of ethnography= effective way of thinking about linkage b/w micro- and macro- health  Making the most objective conclusion o The body is the biological end product of historical and social-cultural factors o Ecosocial model= as to how we incorporate, biologically, the material and social world in which we live  The body is the embodiment of social and cultural factors that becomes biological (phenotype)  Temporal process of the life course and also the structural factors • Look at the diagram in Gravlee article • Individual understanding and differences of innate biology and phenotype(consequences of sociocultural factors and time) • Socioeconomic status= those that have better SES have much better health outcomes because they have more access to resources needed to maintain good health o Poor distribution of resources and low social status
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