SAR HS 325 Lecture Notes - Lecture 9: Fraternities And Sororities, Temporality, Social Capital

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POVERTY AND RELATION TO HEALTH
Absolute Poverty when an individual is living on less than USD $1.90 per day
MDG cut the 1990 poverty rate in half by 2010
Statistics:
o 1990 35% - 1.85 billion
o 2012 12.4% - 881 million
o 2013 10.7% - 767 million
Relative Poverty when an individual has the minimum amount of income needed in order to
maintain the average standard of living in the society in which they live
Essentially the minimum amount of money an individual needs in order to meet basic
needs daily and yearly
Can increase/decrease between populations and regions of the countries
Mapping Poverty extreme poverty is most centralized in Africa and Southeast Asia
Why does our map look like this?
Inequality
GINI Coefficient/Index a way to think about income distribution within a country
o The gap between the upper, middle, and lower classes
o Deals with Income Distribution how many people are in the upper, middle and
lower classes
Trends:
o A higher GINI Coefficient means that a country has more income inequality
A smaller percentage of population has income distributed amongst
themselves (ex. 1%)
o A lower GINI Coefficient means that a country has more income equality
A larger percentage of population has income distributed amongst
themselves
Social Determinants of Health
Social Determinants social, behavioral and cultural factors that determine an
individual’s health
o Can Include: social status, culture, environment, educational attainment, health
care access, government policy, health behaviors, income level
4 Main Buckets: Individual, Interpersonal, Community, Societal
o Individual solely yourself
Factors: FINISH NOTES, socioeconomic status
o Interpersonal family and friends
Factors: support from these people, what relationship do you have with
those, interactions with healthcare facilities/workers, socioeconomic status
o Community peers, sorority, clubs, athletic teams
Factors: gender/cultural norms, availability/accessibility of health
facilities, community support
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o Societal social norms, governmental
Factors: public housing, SNAP benefits, living/working conditions,
various policies, educational system, communication/transportation
infrastructure
Progress PLUS Model a way to think about these disparities
Acronym:
o P place of residence
o R race/ethnicity
o O occupation
o G gender
o R religion
o E education
o S social capital
o S - socioeconomic position
o PLUS age, disability, social orientation, other vulnerable groups
How does this model help us think about health disparities and how can the field of
public health seek to eliminate these disparities?
How Socioeconomic Status (SES) Impacts Health
Educational Opportunities
Education for Women
Occupational Expenses
Access to Goods and Services
Exposure to High-Risk Behaviors
Environmental Conditions
Living Conditions
Thinking About Causality
The basis for thinking about public health problems
5 Factors:
o 1. Strength of Association the higher/lower someone is at risk the higher/lower
the association for when x causes y (ex: obesity places individuals at a higher risk
of type 2 diabetes)
o 2. Biological Plausibility the basis in scientific theory that supports the
relationship between the cause and the effect (ex: scientific evidence that obesity
can put you at high risk for type 2 diabetes)
o 3. Exposure Removal FINISH
o 4. Dose-Response Effect the higher/lower the dose the higher/lower the
response (ex: the more overweight you are the more likely you are to become a
type 2 diabetic)
o 5. Temporality the exposure must occur before the disease appears (ex: you
cannot have symptoms of Smallpox or be diagnosed until you are exposed to it)
Causal Webs
Helps map out obvious and not-so-obvious causes for a certain disease
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Document Summary

1%: a lower gini coefficient means that a country has more income equality, a larger percentage of population has income distributed amongst themselves. How socioeconomic status (ses) impacts health: educational opportunities, education for women, occupational expenses, access to goods and services, exposure to high-risk behaviors, environmental conditions, living conditions. Thinking about causality: the basis for thinking about public health problems, 5 factors, 1. Strength of association the higher/lower someone is at risk the higher/lower the association for when x causes y (ex: obesity places individuals at a higher risk of type 2 diabetes: 2. Biological plausibility the basis in scientific theory that supports the relationship between the cause and the effect (ex: scientific evidence that obesity can put you at high risk for type 2 diabetes: 3. Dose-response effect the higher/lower the dose the higher/lower the response (ex: the more overweight you are the more likely you are to become a type 2 diabetic: 5.

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