week 6 lec/chp notes

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University of Toronto Scarborough
International Development Studies
Anne- Emanuelle Birn

IDSB04 Oct 19 (Week 6, Lecture 6) Chp 7 Societal determinants of health inequalities Political economy framework (309) -Distribution of power and economic & social resources. Shapes health -Suggestion to Increase economic output as a solution to discrepancies in health outcomes in different countries? -Some countries with widely differing incomes per capita had life expectancies that are very similar. Clearly income per capita is not explaining life expectancy, there is no automatic relationship. -might be a result of social welfare states and income redistributions, rather than income. Example, Cuba -Suggestion to increase health spending? -suggestion to examine societal determinants of health rather than medical care spending or income per capita? Individual experience (312-13) -genetic conditions (outcomes socially mediated). Enormous investments and hopes to address patterns of disease within populations and across populations. This will not happen, because even with genetic variation, other social and environmental determinants are not taken into account in how a genetic disorder evolves and develops. -personal agency and decisions -behaviours -life-course trajectories: ZZ}}]ZZ}[]L Z}Zo]LZZ:,}}o health is influenced by your earlier health. Example, early childhood development can remain extremely ]K}L}Z}L[ZZoZoutcomes later on in adult life (even if rags to riches, increased income makes no difference in health outcomes). Exposure to certain environments early on can lead to certain health outcomes as a consequence, later on in life. Living conditions -water and sanitation: piped water linked to lower infant mortality rates. -exception: even though Iraq much of the access to water is piped, the water has been contaminated due to disruptions of the pipes because of bombings, -Sri Lanka: water is not piped into individual homes, but piped water is delivered at a community level. -nutrition and food securitysovereignty: Control over the kinds of food is produced and consumed (sovereignty) -housing -neighbourhood conditions -public healthmedical care -culture and religion -transport Costa Rica www.notesolution.com
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