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Week 1 Lecture Notes

by: Joycelyn R. Hutton Jr.

Week 1 Lecture Notes 309

Joycelyn R. Hutton Jr.
GPA 3.0
Health Disparities
M. Thompson

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About this Document

Introduction to Healthy People 2020 for HTW 309.
Health Disparities
M. Thompson
Class Notes
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This 8 page Class Notes was uploaded by Joycelyn R. Hutton Jr. on Friday October 23, 2015. The Class Notes belongs to 309 at Syracuse University taught by M. Thompson in Summer 2015. Since its upload, it has received 9 views. For similar materials see Health Disparities in Nutrition and Food Sciences at Syracuse University.

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Date Created: 10/23/15
Hutton Joycelyn 1 September 2015 Week 1 Lecture Notes 1 Healthy People a Preparing for the next decade A 2020 Vision for Healthy People YouTube Video b What are the new goals for Healthy People i Improve quality and quantity of life ii Eliminate health disparity health equity iii Protect health throughout all stages of life iv Social and physical environments that promote good health for all c What will it take to be successful i Collaboration 1 Public health practitioners 2 Community designers 3 Community policy makers 4 Social workers 5 Etc ii A shared vision 2 What influences our health upstream factors a Socioeconomic status b Education 3 Vision a A society which all people can live long healthy lives 4 Mission a Identify nationwide Hutton Joycelyn 1 September 2015 5 Foundation Health Measures a Serve as indicators of progress toward reaching health goals b General health status c Health related quality of life and well being d Determinants of health e Disparities 6 Health challenges a What makes some healthy versus other being not so healthy b How can we create a society in which everyone has a chance to live a long healthy life 7 Determinants of health a The range of personal social economic and environmental aspects that influence health i Policy making b Ecological model for health promotion interventions i A good model to use in order to examine various contexts in depth ii Policy iii Community iv Organizational v Interpersonal vi ntrapersona c Determinants of health within an ecological framework i See PowerPoint slide for model Hutton Joycelyn 1 September 2015 Week 1 Continued 93 go back and see lecture notes for this section 1 Low Childhood SES Adult Male Hypertension a Increases in adult SES decreases but does not eliminate risk b If low SES in both childhood and adulthood rick increases 7 fold cumulative burden of social circumstances 2 Childhood exposure to violence damages DNA a EARLY CHILDHOOD ADVERSIITY IMPRINTS ITSLEF IN CHROMOSOMES i DEMONSTRATED ALTERATIONS IN THE VIOLENCE EXPOSED CHILDRENS DNA equivalent to 710 of premature aging ii Hypothesis unless the pattern changes these children may be expected to develop diseases of aging such as heart attack memory loss dementia 710 years earlier than peers 3 Health disparities a Difference in population health that can be traced to unequal economic and social conditions and are systemic and avoidable and thus inherently unjust and unfair b See concept map included in lecture slides Mechanisms for Poor health contributions to health disparity i Historical trauma ii Contemporary social conditions and politics iii Negative early life experiences iv Unequal distribution of goods and resources v Chronic stress Hutton Joycelyn 1 September 2015 4 Vulnerable communities a Communities in which residents share stressful social disorganization and view it as a normal way of life i Violence is unavoidable ii Single motherhood in the expected life course 5 Social justice a Concerned with i The equitable distribution of both the benefits and burdens in society ii All being entitled to the same rights and services iii The allocation of goods and services according to individual needs versus wants iv The provision of basic levels off minimal needs to all as fundamental rights v Respectful and dignified treatment to those in less privileged social groups similargo back and complete b Principles i Shared responsibility ii Concerned with communal wellbeing iii Role of the government in ensuring equity 1 Healthcare reform 2 How much the government should be involved Many people do not want a strong federal government c Tied close to ethical views of i Common good It is inherently good for the community when all the members of the community are afforded ii Go back and finish this slide Hutton Joycelyn 1 September 2015 d Social justice in healthcare i Most societies health is a basic human right ii Therefore the health system will provide 1 Equal access 2 Equal quality 3 Culturally competent healthcare iii Requires universal health coverage through social and or privileged means per most authorities iv Should be based on the greatest needs versus wants v Related interests 1 How disparities affect outcomes 2 How to allocate finite healthcare resources in ways that are socially just 6 YOYO versus WI39I39I39 a You re on Your Own Jared Bernstein versus We re in This Together 7 Macro level National power and money does not equal population health a The US one of the richest most powerful countries in the world i Half of all the healthcare dollars in the world are spent in the US ii Are we healthier as a result No if not what do healthy countries have in common that we don t 1 Universal healthcare 2 Smaller income gap 3 Universal childcare 4 Universal access to education 5 Nutrition Hutton Joycelyn 1 September 2015 6 Parental leave with pay 7 Other countries implement a more quotcommon good approach 8 Determinants of health What contributes to good health a Determinants of overall population health i Social societal characteristics 1 Economic and social conditions that influence the health of people and communities ii Total ecology 1 Go back to review iii Genes and biology iv Health behaviors v Medical care 9 A social determinants approach to health ten things to know review a Health is more than healthcare b Health is tied to the distribution of resources i When resources are given out unequally the population health is c Racism imposes an added health burden d The choices we make are shaped by the choices that we have e High demand low control chronic stress f Chronic stress can be deadly g Inequality economic and political is bad for our health h Social policy is health policy i Health inequalities are not natural Hutton Joycelyn 1 September 2015 j We all pay the price for poor health 10 Policy agenda a b 0 9 D f Vulnerable individuals communities and populations i Medical care is our best funded and most sophisticated system of interventions for vulnerable populations 1 Is it sufficient to ensure health 2 Programs addressing poverty education and neighborhood improvement are less developed and have less stable funding are the first to be cut in times of economic slowdown these programs are highly variable and dependent on state and local efforts Policies programs more effective directed at neighborhoods and various domains rather focusing solely on health issues more likely to be effective with the input of community stakeholders i Community Participatory Research Model Improve economic wellbeing Improve neighborhood conditions Reduce economic and racial segregation 11 Health Conventional questions versus equity questions a Healthy people 2010 versus 2020 b See list of questions from lectures slides C i For example quothow can we reduce health disparities in the distribution of disease and illness versus YouTube Video from the center of health equity and social justice i Shifting the public health paradigm Hutton Joycelyn 1 September 2015 ii Health outcomes across disease are far worse than white counterparts iii Example of a community participatory approach


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