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HLTC05H3 (17)
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Chapter 1

HLTC05- Social Determinants of Health- The Canadian Facts by Mikkonen & Raphael. Chapter 1- Introduction & Chapter 2- Stress, Bodies & Illness.doc

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University of Toronto Scarborough
Health Studies
R Song

Week 1: Wednesday May 8, 2013 HLTC05 – Social Determinants of Health: The Canadian Facts (Mikkonen & Raphael) Chapter 1: Intro • The health of Cdns are shaped by the living conditions they experience known as the social determinants of health • Canada is the leading ‘health promotion powerhouse’ in international light • Well-being Is shaped by:  Income and wealth is distributed  Whether or not we are employed, and if so, the working conditions of it  Health and social services we receive  Ability to obtain quality education, food and housing • Cdns lack personal control over these factors – such living conditions are imposed upon us by the quality of the communities, housing situations, our work settings, health and social service agencies and education institutions • Quality of these health-shaping living conditions is determined by decisions that governments make in different public policy domains  They create policies/laws that influence how much income Cdns receive through employment, family benefits/social assistance, quality and availability of affordable housing, types of health and social services, recreational opportunities we can access and even what happens when Cdns lose their jobs during economic downturns • Cdns are generally more healthy than Americans but not when compared to other nations that have developed public policies that strengthen the social determinants of health • Canada’s income inequality and poverty rates are among the highest of wealthy developed nations • Canada’s spending in family support, persons w/ disabilities, older Cdns and employment training is among the lowest of wealthy developed nations • Why some Cdns are healthier than others – the 14 social determinants of health in this model are: Aboriginal status Gender Disability Housing Early life Income and income distribution Education Race Employment and working conditions Social exclusion Food insecurity Social safety net Health ser
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