HLTB41H3 Chapter Notes - Chapter 17: Unbridled, Social Exclusion, Social Inequality
Chapter 17: Social Exclusion
-WHO has identified social exclusion as one of ten key SDOH!
-Social exclusion is manifest through forms of oppression that order institutional
arrangements and power relations with the effect of marginalizing particular groups in
society !
-Occurs through structural and historical processes that systemically generate social
inequalities, resulting in enduring health disparities !
-The social and economic characteristics of individuals and populations, such as economic
conditions and inequalities in access to resources and services have greater impact on
individual and group health and well being than do individual behaviours !
-Groups experiencing some form of social exclusion tend to sustain higher health risks and
lower health status!
-According to Health Canada, in Canada such groups include:!
1. Aboriginal peoples!
2. Immigrants and refugees !
3. Racialized groups !
4. People with disabilities !
5. Single parents !
6. Children and youth in disadvantaged circumstances !
7. Women !
8. Elderly !
9. Unpaid caregivers !
10. LGBTQ community !
-poverty is a key cause and product of social exclusion !
-Its impact health status are not well established !
-Racial and gender differences in health status tend to reflect differences in social and
economic conditions !
-The “racialization of poverty” compounds inequalities in material conditions in socially
excluded communities !
-Such documented characteristics of radicalized poverty as:!
1. labour-markets segregation and low income occupation status!
2. High and frequent unemployment status !
3. Substandard housing combined with violent or distressed neighbourhoods !
4. Homelessness !
5. Poor working conditions !
6. Extended hours or multiple jobs !
7. Experience with everyday forms of racism and sexism !
-lead to unequal health service utilization and differential health status!
-The actual experience of inequality, the impact of relative deprivation an the stress
associated with dealing with social exclusion, tend to have pronounced psychological
effects and impact health status negatively !
-Research confirms the links bw minority status of ethnic, immigrant and radicalized groups
and low health status !
-Generally agreed that adverse SES conditions in early life lead to increased health risks in
adulthood !
-Children’s who’s health is most at risk tend to live in low-income families, single families, or
among racilaized group populations including immigrant and refugee families and Aboriginal
families !
-Radicalized community members, including recent refugees/ immigrants, women, men,
children experience the psychosocial stress of discrimination and racism that contributes to
health problems s/a hypertension and mental health problems s/a substance abuse !
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Document Summary
Who has identi ed social exclusion as one of ten key sdoh. Social exclusion is manifest through forms of oppression that order institutional arrangements and power relations with the e ect of marginalizing particular groups in society. Occurs through structural and historical processes that systemically generate social inequalities, resulting in enduring health disparities. The social and economic characteristics of individuals and populations, such as economic conditions and inequalities in access to resources and services have greater impact on individual and group health and well being than do individual behaviours. Groups experiencing some form of social exclusion tend to sustain higher health risks and lower health status. According to health canada, in canada such groups include: aboriginal peoples. 2: racialized groups, people with disabilities, single parents, children and youth in disadvantaged circumstances, women, elderly, unpaid caregivers, lgbtq community. Poverty is a key cause and product of social exclusion. Its impact health status are not well established.
