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Lecture

Health in Crisis Class 5.docx

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Department
Social Science
Course Code
SOSC 2150
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Christy Leung Health in Crisis Class 5 Oct. 18/10 The Models II – Structural and Integrated  Structural Model - origins - characteristic - health status determined by socio-economic, environmental, regional and political factors - health = product of social-structural factors - disease = result of social and economic inequalities (social class, income level, class status) - the lower income you have the lower life expectancy you have (women are more likely to be poor) - double day – you pay employment and have responsibilities of child-rearing and house work - school system of Native children - race and class determines the life expectancy - social, economic and political contexts = key determinants health - need to address: poverty, un/underemployment, pollution, domestic abuse, social violence, homelessness, unsafe working conditions, low wages, racism, sexism, ableism (discrimination), homophobia, ageism, lack of social programs, etc. - direct fiscal resources for health to social policies - critiques - ignores gains medicine has made in treating disease - downplays biological aspects of health - downplays psychological and spiritual dimensions of health - downplays role individual - needs to be used in combination with biomedical and lifestyle perspectives - categorization obscures complex - under-theorized with respect to systemic nature of oppression and its impact on health - goals unachievable  Integrative/Inclusive Approaches - health= product of biological factors interacting with social, economic, political, cultural and ecological factors - health actively produced (socially, economically, culturally, politically, ecologically) through an interactive dynamic - emphasis on diversity and complexity - health produced in complex, interactive ways that cannot be reduced to any one dimension - academic perspective – emerge out of women’s health movement - take the structural model and put biology back in - argues that health is not just a consequent of biological health factors but usually health produce the biological factors make
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