Textbook Notes (280,000)
CA (170,000)
Queen's (4,000)
HLTH (80)
Chapter HLTH 101 Notes from reading - Ch 1. Intro to Social Determinants of health

HLTH 101 Chapter Notes - Chapter HLTH 101 Notes from reading - Ch 1. Intro to Social Determinants of health: Whitehall Study, Unnatural Causes, Health Professional


Department
Health Studies
Course Code
HLTH 101
Professor
Elaine Power
Chapter
HLTH 101 Notes from reading - Ch 1. Intro to Social Determinants of health

This preview shows pages 1-2. to view the full 8 pages of the document.
Intro to Social Det of health
Video: What is Public HEALTH
Public Health: is a discipline that addresses health at a
population level.
It is diff from chemical medicine and other paramedical positions which
deal with patients at an indiv level.
What do public Health professional do
Understand gather info and evi to help inform how we intervene and
act.
Surveillance and research to understand
o exposure; risk factors and interventions
o outcome; disability and disease
We wan to understand the magnitude (how large is
the effected population) and distribution
(geographical)
We do all of this to understand the relationship
between exposures and outcomes as well as to help
plan interventions to improve health.
Act
Interventions in two ways:
Preventions
o Promote behavioural change
Improving healthy behaviour
Deterring deleterious behaviour
o Reduce exposure to risk
Physical and Environmental
Human rights violations
Care and Treatment (for the unwell)
o Advocate policy change to increase access to safe effective
treatment
o Heath systems to Provide care
Capability health service planning governance
Capacity finance product, HR ect
more money = more help
Video: Unnatural Causes
What did the Whitehall study reveal about the connection between health
and wealth?
Lower grade of employment the higher the rate of heart disease
and every other major cause of death. And it occurred on a
find more resources at oneclass.com
find more resources at oneclass.com

Only pages 1-2 are available for preview. Some parts have been intentionally blurred.

gradation of wealth of top to bottom regardless of available
health care to everyone (in Britain).
What is the wealth-health gradient?
Reverse slope of health - lower you go in wealth, lower you go in
health.
Dr. David Williams says: “Stress helps motivate us. In our society today
everybody experiences stress. The person who has no stress is a person
who is dead.”
Describe the body’s stress (fight- or-flight) response.
How is chronic stress different?
How might chronic stress increase the risk of illness and disease?
Stress response produces cortisol which is good in the short term
but an access of it can impair immune system, inhibit memory
and cause shrinking in areas of the brain. It can change your
heart rate variability, ability to handle insulin and glucose which
are irregularities key in diabetes and heart disease.
These factors all result in a lower life span prediction.
Some chronic stressors mentioned in the film are: being on guard all the
time, having little control at work, living in an unsafe neighbourhood,
being uncertain about where food will come from, and worrying about
one’s children.
What additional stressors can you think of?
o Job insecurity
o Not Home ownership
How does exposure to stressorsand resources available to
manage themvary with class position?
Describe the societal forces that create and reinforce these
stressors.
Professor Leonard Syme defines control of destiny as the “ability to
influence the events that impinge on your life.” Why is this ability an
important factor for health?
The having this control reduces the stress we feel.
What stories from Corey Anderson’s life exemplify a high demand / low
control job and stressful home situation?
Being bounced from position to position after already being told
one thing and not having a say in which position he does first
ect. He is told to go now and do…
What stories from Jim Taylor’s life illustrate how wealth, power and status
translate into better health?
The status at his company lead to him having an increase in
wealth and therefore less stress in terms of not having to worry
about paying off a house, additional bills and families living
situation. Furthermore b/c of wealth and affordability of a house
find more resources at oneclass.com
find more resources at oneclass.com
You're Reading a Preview

Unlock to view full version

Only pages 1-2 are available for preview. Some parts have been intentionally blurred.

placed in a good community he lives freely can exercise readily
ect.
Dr. Adewale Troutman says that he promotes individual responsibility, but
always within the context of social determinants.
Why does he link the two?
Because people have responsibility but only to the extent to
which they have been educated and have the accessibility to
make these changes.
What is missing if we focus exclusively on individual responsibility?
The fact that higher powers make decisions that impact
individual health
How does this affect possibilities for change?
ICONomic Policy is Health Policy
Reading: Davidson textbook: Introduction
What is the conventional understanding (or conventional model) of
health and disease?
Distinction between the indiv who has various attributes that
increase or decrease his or her susceptibility, resilience, or
vulnerability, and a set of factors that interact w/ that indiv, gen
characterised as potential threats to health or “risks”.
Risk factors
o Heath behaviours
o Environmental factors
o Specific susceptibilities
Host (us/indiv) vs Agent (various threats)
Health relevant features of Hosts
o Age of the individual
o Sex of the individual
o Immune Status of the indiv
Health relevant features of the agent
o Virulence (infectious agents)
o Toxicity (non-infectious agents)
o Communicability (infectious agents)
Epidemiology the study of patterns, causes and effects of
various health-related features in populations.
Risk factor analysis A reductionist approach to determining
the probability of disease or death by calculating the potential
impact of agent variables (pathogens, toxins), biological marker
variables (blood pressure, blood lipid profile), and behavioural
variables (exercise, sexual habits) on an individual.
Threat/Risk X= causes
find more resources at oneclass.com
find more resources at oneclass.com
You're Reading a Preview

Unlock to view full version