Notes on lecture 4 material with addition textbook notes (where possible) [lecture slides in black text, prof's speech in blue, textbook info in orange]

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Talar Sahsuvaroglu

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GGRB28 Lecture 4 VIDEO 1 Bill Davenhall, Your health depends on where you live. Genetics + lifestyle + environment = health Food, water quality not considered when doctors inquire about your health and health history Geography is destiny in medicine. Jack Lord Geographic information can keep you healthy REVIEW Patterns of Health Inequality o International (contrasts between countries in the developed and developing worlds - i.e. mortality and morbidity data) o Regional and class divides (spatial, social, ethnic) (within particular countries, within social classes, gender differences, ethnicity) o Small scale variations Explaining Inequalities in Health Outcomes o Health status can be pictured in terms of layers of influence (with a set of fixed factors (age, genetics, sex) at the core) Lifestyle (representing behaviour(s) that may or may not be conductive to good health) Social networks (and community influences) Livingworking conditions (and access to local services and facilities) Structuralpolicies (representing the influence of macro-economic and broad- scale social conditions on individual health) o programming hypothesis and the lifecourse: chronic diseases are biologically programmed in the womb or in infancy (but it is argued that some factors may simply be the result of being born into poor families; social may matter more than biological). some argue that factors (social and biological) may accumulate throughout life (lifecourse) o behavioural (lifestyle) factors: people experience poor health because they are more likely to participate in health-damaging behaviours which are socially patterned and therefore, determinants of health inequalities; mainly deals with alcohol consumption, diet, smoking, and lack of physical activity o social and community influences: social isolation and lack of engagement in local community life contribute to poor health and early death; social networks provide social support (i.e. tangible supportadvice); social support has been expanded to social capital, which accepts a variety of aspects of the social environment o working conditions and local environments: environments within which people work and live; some work environments are hazardous and pose threats through exposure to
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