National Conversation on Health Inequalities – Public Health England – 25 June 2014

Posted on June 26, 2014. Filed under: Health Status | Tags: , , |

National Conversation on Health Inequalities – Public Health England – 25 June 2014

“The National Conversation on Health Inequalities is a Public Health England programme about reducing differences in health. The aim is for local authorities to start talking about health inequalities in their communities.

You can use and share the documents in this collection to discuss health inequalities. The toolkit and research findings show the thinking behind this programme and ways to start a conversation in your area. They will also help you to discuss these issues with those who are most affected by them.

We want to work together to create a clear, consistent language for describing the causes of health inequalities. By discussing what causes these issues, we can help our local partners work with communities to plan solutions for change.

Documents

Health inequalities: a toolkit to support local conversations
25 June 2014
Guidance
Local conversations on health inequalities: summary of findings
25 June 2015
Research and analysis
National Conversation on Health Inequalities: start a conversation
25 June 2014
Guidance
Health inequalities: 7 way”

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Capturing Social and Behavioral Domains in Electronic Health Records – Institute of Medicine – 2014

Posted on June 25, 2014. Filed under: Health Informatics, Public Hlth & Hlth Promotion | Tags: |

Capturing Social and Behavioral Domains in Electronic Health Records – Institute of Medicine – 2014

Institute of Medicine. Capturing Social and Behavioral Domains in Electronic Health Records: Phase 1. Washington, DC: The National Academies Press, 2014.

“Description

Substantial empirical evidence of the contribution of social and behavioral factors to functional status and the onset and progression of disease has accumulated over the past few decades. Electronic health records (EHRs) provide crucial information to providers treating individual patients, to health systems, including public health officials, about the health of populations, and to researchers about the determinants of health and the effectiveness of treatment. Inclusion of social and behavioral health domains in EHRs is vital to all three uses. The Health Information Technology for Economic and Clinical Health Act and the Patient Protection and Affordable Care Act place new importance on the widespread adoption and meaningful use of EHRs. “Meaningful use” in a health information technology context refers to the use of EHRs and related technology within a health care organization to achieve specified objectives. Achieving meaningful use also helps determine whether an organization can receive payments from the Medicare EHR Incentive Program or the Medicaid EHR Incentive Program.

Capturing Social and Behavioral Domains in Electronic Health Records is the first phase of a two-phase study to identify domains and measures that capture the social determinants of health to inform the development of recommendations for meaningful use of EHRs. This report identifies specific domains to be considered by the Office of the National Coordinator, specifies criteria that should be used in deciding which domains should be included, identifies core social and behavioral domains to be included in all EHRs, and identifies any domains that should be included for specific populations or settings defined by age, socioeconomic status, race/ethnicity, disease, or other characteristics.”

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Social Determinants of Mental Health – UCL Institute of Health Equity and published by the World Health Organization and the Gulbenkian Foundation – June 2014

Posted on June 17, 2014. Filed under: Mental Health Psychi Psychol | Tags: , |

Social Determinants of Mental Health – UCL Institute of Health Equity and published by the World Health Organization and the Gulbenkian Foundation – June 2014

“This report was written by the UCL Institute of Health Equity and published by the World Health Organization and the Gulbenkian Foundation.

Its key messages are as follows:

– Mental health and many common mental disorders are shaped to a great extent by the social, economic, and physical environments in which people live.

– Social inequalities are associated with increased risk of many common mental disorders.

– Taking action to improve the conditions of daily life from before birth, during early childhood, at school age, during family building and working ages, and at older ages provides opportunities both to improve population mental health and to reduce the risk of those mental disorders that are associated with social inequalities.

– While comprehensive action across the life course is needed, scientific consensus is considerable that giving every child the best possible start will generate the greatest societal and mental health benefits.

– Action needs to be universal: across the whole of society, and proportionate to need in order to level the social gradient in health outcomes.

– This paper highlights effective actions to reduce risk of mental disorders throughout the life course, at the community level and at the country level. It includes environmental, structural, and local interventions. Such actions to prevent mental disorders are likely to promote mental health in the population.”

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Income and Children’s Outcomes in Canada – Canadian Research Data Centre Network – April 2014

Posted on April 29, 2014. Filed under: Child Health / Paediatrics | Tags: , , |

Income and Children’s Outcomes in Canada – Canadian Research Data Centre Network – April 2014

“What can we really expect from government transfers, such as child benefits, that increase household income? Do they really improve children’s outcomes? Annie McEwen et Jennifer Stewart review the evidence in the most recent CRDCN synthesis”

 

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Capturing Social and Behavioral Domains in Electronic Health Records Phase 1 – Committee on the Recommended Social and Behavioral Domains and Measures for Electronic Health Records; Board on Population Health and Public Health Practice; Institute of Medicine (US) – 2014

Posted on April 28, 2014. Filed under: Health Informatics, Public Hlth & Hlth Promotion | Tags: , , |

Capturing Social and Behavioral Domains in Electronic Health Records Phase 1 – Committee on the Recommended Social and Behavioral Domains and Measures for Electronic Health Records; Board on Population Health and Public Health Practice; Institute of Medicine (US) – 2014

“Description

Substantial empirical evidence of the contribution of social and behavioral factors to functional status and the onset and progression of disease has accumulated over the past few decades. Electronic health records (EHRs) provide crucial information to providers treating individual patients, to health systems, including public health officials, about the health of populations, and to researchers about the determinants of health and the effectiveness of treatment. Inclusion of social and behavioral health domains in EHRs is vital to all three uses. The Health Information Technology for Economic and Clinical Health Act and the Patient Protection and Affordable Care Act place new importance on the widespread adoption and meaningful use of EHRs. “Meaningful use” in a health information technology context refers to the use of EHRs and related technology within a health care organization to achieve specified objectives. Achieving meaningful use also helps determine whether an organization can receive payments from the Medicare EHR Incentive Program or the Medicaid EHR Incentive Program.

Capturing Social and Behavioral Domains in Electronic Health Records is the first phase of a two-phase study to identify domains and measures that capture the social determinants of health to inform the development of recommendations for meaningful use of EHRs. This report identifies specific domains to be considered by the Office of the National Coordinator, specifies criteria that should be used in deciding which domains should be included, identifies core social and behavioral domains to be included in all EHRs, and identifies any domains that should be included for specific populations or settings defined by age, socioeconomic status, race/ethnicity, disease, or other characteristics.”

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Including Health in Global Frameworks for Development, Wealth, and Climate Change: Workshop Summary – Institute of Medicine, Washington, DC: The National Academies Press, 2014

Posted on April 24, 2014. Filed under: Climate Change, Public Hlth & Hlth Promotion | Tags: , , , |

Including Health in Global Frameworks for Development, Wealth, and Climate Change: Workshop Summary – Institute of Medicine, Washington, DC: The National Academies Press, 2014

“Description

Including Health in Global Frameworks for Development, Wealth, and Climate Change is the summary of a three-part public webinar convened by the Institute of Medicine Roundtable on Environmental Health Sciences, Research, and Medicine and its collaborative on Global Environmental Health and Sustainable Development. Presenters and participants discussed the role of health in measuring a country’s wealth (going beyond gross domestic product), health scenario communication, and international health goals and indicators. The workshop focused on fostering discussion across academic, government, business, and civil society sectors to make use of existing data and information that can be adapted to track progress of global sustainable development and human health. This report examines frameworks for global development goals and connections to health indicators, the role for health in the context of novel sustainable economic frameworks that go beyond gross domestic product, and scenarios to project climate change impacts.”

 

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The equity action spectrum: taking a comprehensive approach. Guidance for addressing inequities in health – WHO – 2014

Posted on April 24, 2014. Filed under: Public Hlth & Hlth Promotion | Tags: , , |

The equity action spectrum: taking a comprehensive approach. Guidance for addressing inequities in health – WHO – 2014

“While population health indicators have improved across Europe overall, that improvement has not been experienced equally everywhere, or by all.

This is one of a series of policy briefs that describe practical actions to address health inequities, especially in relation to tobacco, alcohol, obesity and injury, the priority public health challenges facing Europe.

It offers policy-makers and public health professionals the tools and guidance to implement the Health 2020 vision – the new health policy framework for Europe developed by WHO/Europe – and the recommendations of the review of social determinants of health and the health divide led by Sir Michael Marmot and his team. This policy brief provides a framework that policy-makers at national, regional and local levels can apply to their own unique context, to help them consider the processes by which inequities occur and suggest policy interventions to address them.”

 

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Why Income Gaps Matter – Policy Quarterly – February 2014

Posted on April 16, 2014. Filed under: Health Economics, Public Hlth & Hlth Promotion | Tags: |

Why Income Gaps Matter – Policy Quarterly – February 2014

“The income gap between rich and poor, which is now much larger in most developed countries than it was 30 years ago, has become one of the more pressing problems facing both the public and policy makers. One approach to this problem of (in)equality is to argue that the income gaps themselves are concerning, and should be narrowed. If we think of the income distribution as a ladder, this is the equivalent of saying that the rungs on the ladder are too far apart. A second approach, however, is to say that income gaps per se are not of concern; what matters is whether people can move freely between those different incomes – whether they can jump, as it were, from one rung to another. There are still other approaches, of course, but the contrast between these two is very revealing and merits closer scrutiny.”

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Measuring the Level and Determinants of Health System Efficiency in Canada – Canadian Institute for Health Information – 10 April 2014

Posted on April 14, 2014. Filed under: Health Economics, Health Systems Improvement | Tags: , , |

Measuring the Level and Determinants of Health System Efficiency in Canada – Canadian Institute for Health Information – 10 April 2014

Public summary: Health system efficiency in Canada: A closer look

Press release: More efficient health system would save lives, money

“…the Canadian Institute for Health Information (CIHI) released a new study on the efficiency of the Canadian health system. Measuring the Level and Determinants of Health System Efficiency in Canada examines why health system efficiency varies across Canada, what could be done about it, and what a perfectly efficient health system might look like.

The study estimates the average level of inefficiency to be between 18% and 35%. This means that up to 24,500 premature deaths could be prevented every year—without additional spending.”

… continues on the site

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Applying a Health Lens to Decision Making in Non-Health Sectors: Workshop Summary – National Research Council – 2014

Posted on March 28, 2014. Filed under: Health Policy, Public Hlth & Hlth Promotion | Tags: |

Applying a Health Lens to Decision Making in Non-Health Sectors: Workshop Summary – National Research Council – 2014

National Research Council. Applying a Health Lens to Decision Making in Non-Health Sectors: Workshop Summary. Washington, DC: The National Academies Press, 2014.

“Description

Health is influenced by a wide range of factors, many of which fall outside of the health care delivery sector. These determinants of health include, for example, the characteristics of how people live, work, learn, and play. Decision and policy making in areas such as transportation, housing, and education at different levels of government, and in the private sector, can have far-reaching impacts on health. Throughout the United States there has been increasing dialogue on incorporating a health perspective into policies, programs, and projects outside the health field.

Applying a Health Lens to Decision Making in Non-Health Sectors is the summary of a workshop convened in September 2013 by the Institute of Medicine Roundtable on Population Health Improvement to foster cross-sectoral dialogue and consider the opportunities for and barriers to improving the conditions for health in the course of achieving other societal objectives (e.g., economic development, efficient public transit). The roundtable engaged members, outside experts, and stakeholders on three core issues: supporting fruitful interaction between primary care and public health; strengthening governmental public health; and exploring community action in transforming the conditions that influence the public’s health. This report is a discussion of health in all policies approaches to promote consideration for potential health effects in policy making in many relevant domains, such as education, transportation, and housing.”

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Validation of a deprivation index for public health: a complex exercise illustrated by the Quebec index – Public Health Agency of Canada – February 2014

Posted on March 25, 2014. Filed under: Public Hlth & Hlth Promotion | Tags: |

Validation of a deprivation index for public health: a complex exercise illustrated by the Quebec index – Public Health Agency of Canada – February 2014

“Abstract

Introduction: Despite the widespread use of deprivation indices in public health, they are rarely explicitly or extensively validated, owing to the complex nature of the exercise.

Methods: Based on the proposals of British researchers, we sought to validate Quebec’s material and social deprivation index using criteria of validity (content, criterion and construct validity), reliability and responsiveness, as well as other properties relevant to public health (comprehensibility, objectivity and practicality).

Results: We reviewed the international literature on deprivation indices, as well as publications and uses of the Quebec index, to which we added factual data.

Conclusion: Based on the review, it appears that the Quebec index responds favourably to the proposed validation criteria and properties. However, additional validations are required to better identify the contextual factors associated with the index.”

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How does money influence health? – Joseph Rowntree Foundation – March 2014

Posted on March 25, 2014. Filed under: Public Hlth & Hlth Promotion | Tags: , |

How does money influence health? – Joseph Rowntree Foundation – March 2014

“This report explores the association between income and health throughout the life course and within families.

Improving the income of the poorest members of society is often proposed as a way of improving their health, and hence reducing health inequalities. However, for this policy to be effective, it is important to understand how money influences health. Effective policy responses must take all the factors that link income and health into account.”

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Society at a glance 2014: OECD social indicators – Organisation for Economic Co-operation and Development – 18 March 2014

Posted on March 19, 2014. Filed under: Public Hlth & Hlth Promotion | Tags: , |

Society at a glance 2014: OECD social indicators – Organisation for Economic Co-operation and Development – 18 March 2014

DOI: 10.1787/soc_glance-2014-en

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How does money influence health? – Joseph Rowntree Foundation JRF – 10 March 2014

Posted on March 13, 2014. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: , , |

How does money influence health? – Joseph Rowntree Foundation – 10 March 2014

“This study looks at hundreds of theories to consider how income influences health. There is a graded association between money and health – increased income equates to better health. But the reasons are debated.

Researchers have reviewed theories from 272 wide-ranging papers, most of which examined the complex interactions between people’s income and their health throughout their lives.

Key points

This research identifies four main ways money affects people’s wellbeing:”

… continues on the site

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Unfair economic arrangements make us sick: How should Australia respond to the expanding financial inequities among its citizens? – Australia 21 – 2014

Posted on February 17, 2014. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: , |

Unfair economic arrangements make us sick: How should Australia respond to the expanding financial inequities among its citizens? – Australia 21 – 2014

Prepared by Sharon Friel, Professor of Health, Equity, National Centre for Epidemiology and Population Health, Australian National University and Richard Denniss, Executive Director, The Australia Institute

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Governance for health equity in the WHO European Region – WHO Regional Office for Europe – 2013

Posted on December 2, 2013. Filed under: Public Hlth & Hlth Promotion | Tags: , , , |

Governance for health equity in the WHO European Region – WHO Regional Office for Europe – 2013

ISBN 978 92 890 0055 0

“This report analyses why policies and interventions to address the social determinants of health and health inequities succeed or fail. It also discusses important features of governance and systems for service delivery that increase the likelihood of success in reducing inequities. The report presents a systems checklist for governing for health equity as a whole-of-government approach. This is intended for further discussion and as a framework to support countries in strengthening their governance for health equity in practice, through action on the social determinants of health.”

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Review of Social Determinants and the Health Divide in the WHO European Region – UCL Institute of Health Equity – 30 October 2013

Posted on October 31, 2013. Filed under: Health Status | Tags: , , , |

 

Review of Social Determinants and the Health Divide in the WHO European Region – UCL Institute of Health Equity – 30 October 2013

 

“The WHO Regional Office for Europe commissioned this review of social determinants of health and the health divide to identify actions needed to address health inequities within and between countries across the 53 Member States of the European Region. The conclusions and recommendations of the review informed the development of Health 2020, the new European policy framework for health and well-being – along with a companion study on governance for health in the 21st century.”

 

… continues on the site

Britain told social inequality has created ‘public health timebomb’ – guardian – 30 October 2013

 

“UK is failing its children, women and young people on a grand scale, says Marmot report on links between inequality and health”

 

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Review of social determinants and the health divide in the WHO European Region. Final report – WHO Regional Office for Europe – 2013

Posted on October 14, 2013. Filed under: Health Status | Tags: , , |

Review of social determinants and the health divide in the WHO European Region. Final report – WHO Regional Office for Europe – 2013

ISBN 978 92 890 0030 7

“The WHO European Region has seen remarkable health gains, though inequities persist both between and within countries. Much more is understood now about the extent and social causes of these inequities, particularly since the 2008 report of the Commission on Social Determinants of Health.

This review of inequities in health across the 53 Member States of the Region was commissioned to support the development of the new European policy framework for health and well-being, Health 2020. It builds on the global evidence and recommends policies to reduce health inequities and the health divide across all countries, including those with low incomes.

The report is presented in four parts. Part I provides the context and background to the review, and sets out the key principles underpinning the recommendations and the rationale for grouping them into four broad themes: life-course stages, wider society, the broader macro-level context, and governance, delivery and monitoring systems.

Part II summarizes current evidence on the magnitude of the health divide among European Region countries, describing the inequities in health and their social determinants.

Part III focuses on the four themes, making recommendations with supporting evidence.

Part IV outlines the implementation issues, summarizes the framework for action, discusses reasons for failure, provides guidance on good practice and summarizes the review’s conclusions and recommendations.

The review is a wake-up call to political and professional leaders alike, an opportunity for them to facilitate the work of those dedicated to improving health outcomes and narrow the health gap between and within the countries of the Region.”

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Review of social determinants and the health divide in the WHO European Region – 2013

Posted on September 18, 2013. Filed under: Health Status | Tags: , , |

Review of social determinants and the health divide in the WHO European Region – 2013

Final Report

Executive Summary

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Deep and Persistent Disadvantage in Australia – Productivity Commission – July 2013

Posted on July 24, 2013. Filed under: Research | Tags: , , , |

Deep and Persistent Disadvantage in Australia – Productivity Commission – July 2013

ISBN 978-1-74037-445-3
McLachlan, R., Gilfillan, G. and Gordon, J. 2013, Deep and Persistent Disadvantage in Australia, rev., Productivity Commission Staff Working Paper, Canberra.

“…this research paper has sought to find answers to a number of questions, including:
• what does it mean to be disadvantaged?
• how many Australians are disadvantaged and who are they?
• what is the depth and persistence of disadvantage in Australia?
• where do Australians experiencing disadvantage live?
• what factors influence a person’s risk of experiencing disadvantage?
• what are the costs of disadvantage and who bears them?”

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Critical Examination of Knowledge to Action Models and Implications for Promoting Health Equity – National Collaborating Centre for Determinants of Health, St. Francis Xavier University – May 2013

Posted on May 16, 2013. Filed under: Public Hlth & Hlth Promotion | Tags: , , |

Critical Examination of Knowledge to Action Models and  Implications for Promoting Health Equity – National Collaborating Centre for Determinants of Health, St. Francis Xavier University – May 2013

Davison, C.M. & National Collaborating Centre for Determinants of Health
ISBN: 978-1-926823-50-8

Extract from the Introduction:

“The purpose of this paper was to review and critically examine the usefulness of existing knowledge to action models for promoting health equity. Dramatic inequalities in health and social circumstances across Canada are well documented. Knowledge and effective interventions exist to address many of these inequities. However, awareness, uptake, and the use of interventions can be poor and poorer still with respect to interventions to improve the health of disadvantaged populations. This gap between knowledge and action to improve health equity is of increasing concern to public health researchers and practitioners, globally.”

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Aboriginal and Torres Strait Islander Health Performance Framework 2012 report – AIHW – 25 March 2013

Posted on March 27, 2013. Filed under: Aboriginal TI Health | Tags: , , |

Aboriginal and Torres Strait Islander Health Performance Framework 2012 report: Western Australia – AIHW – 25 March 2013

Aboriginal and Torres Strait Islander Health Performance Framework 2012 report: NSW – AIHW – 25 March 2013

Aboriginal and Torres Strait Islander Health Performance Framework 2012 report: Qld – AIHW – 25 March 2013

Aboriginal and Torres Strait Islander Health Performance Framework 2012 report: SA – AIHW – 25 March 2013

Aboriginal and Torres Strait Islander Health Performance Framework 2012 report: Vic – AIHW – 25 March 2013

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Physicians and Health Equity: Opportunities in Practice – Canadian Medical Association – 18 March 2013

Posted on March 22, 2013. Filed under: Public Hlth & Hlth Promotion | Tags: , |

Physicians and Health Equity: Opportunities in Practice – Canadian Medical Association – 18 March 2013

“Executive summary

Health equity is created when individuals have the opportunity to achieve their full health potential. Health equity is undermined when social and economic conditions, the social determinants of health, prevent or constrain people from taking actions or making decisions that would promote health. While the majority of these determinants fall outside of the traditional health sector, the implications for health services in Canada are enormous. Most major diseases including heart disease and mental illness follow a social gradient with those in lowest socio-economic groups having the greatest burden of illness.

There remains, however, limited published material on opportunities for physicians to address these issues. This lack of literature does not denote a lack of action. Many physicians are engaged in innovative practices to help address the needs of the most vulnerable. Recognizing this, the Canadian Medical Association (CMA) interviewed a number of physicians across the country. It was hoped that their experiences would highlight work being done, and provide strategies and tools to physicians interested in opportunities to address health equity within their practices.”

…continues

Press release: Toward Health and Equity for All: Canada’s Doctors Release Blueprint for Action

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Working for Health Equity: The Role of Health Professionals – UCL Institute of Health Equity – March 2013

Posted on March 19, 2013. Filed under: Health Status | Tags: , , |

Working for Health Equity: The Role of Health Professionals – UCL Institute of Health Equity – March 2013

“This report demonstrates that the healthcare system and those working within it have an important and often under-utilised role in reducing health inequalities through action on the social determinants of health. The health workforce are, after all, well placed to initiate and develop services that take into account and attempt to improve the wider social context for patients and staff.

The report discusses the best ways to reduce inequities through workforce education and training, practical actions to be taken during interactions with patients, ways of working in partnership, and the role of advocacy. It also includes a section on the health system, which analyses which mechanisms and structures are supportive of actions to reduce health inequality, and where further development might be needed.”

… continues on the site

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Re-orienting health systems: towards modern, responsive and sustainable health promoting systems – EuroHealthNet – December 2012

Posted on January 14, 2013. Filed under: Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: , |

Re-orienting health systems: towards modern, responsive and sustainable health promoting systems – EuroHealthNet – December 2012

“This position paper, commissioned by EuroHealthNet and authored initially by Nicoline Tamsma of RIVM, whom we sincerely thank, aims to succinctly capture the key aspects of the approaches needed for sustainable health and social protection systems across Europe, and to focus on the part that the EU can play. Its aim is to help stimulate debate and actions, together with other initiatives.”

… continues

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Tools and Approaches for Assessing and Supporting Public Health Action on the Social Determinants of Health and Health Equity – National Collaborating Centre for Healthy Public Policy [Canada] – November 2012

Posted on November 21, 2012. Filed under: Public Hlth & Hlth Promotion | Tags: , , , |

Tools and Approaches for Assessing and Supporting Public Health Action on the Social Determinants of Health and Health Equity – National Collaborating Centre for Healthy Public Policy [Canada] – November 2012

“This guide, co-produced by NCCDH and NCCHPP, presents tools and approaches used specifically to reduce (or at least to not increase) health inequalities.

A collaborative project between the National Collaborating Centres for Determinants of Health (NCCDH) and for Healthy Public Policy (NCCHPP), this document provides examples of the tools and approaches to health equity that have been adopted or applied by the public health sector.

All of the identified resources are summarized using a quick reference table format to help facilitate comparison and have been grouped into three broad areas: checklists and lenses, processes and support structures.

This document is intended for those working in the public health sector who are considering how to strengthen their approaches to addressing social determinants of health and advancing health equity.”

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Why inequality matters – My Fair London in association with the Equality Trust – September 2012

Posted on October 5, 2012. Filed under: Health Status | Tags: , , |

Why inequality matters – My Fair London in association with the Equality Trust – September 2012

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Tackling health inequalities in Sweden: An overview – Swedish National Institute of Public Health – 2012

Posted on October 4, 2012. Filed under: Public Hlth & Hlth Promotion | Tags: , , |

Tackling health inequalities in Sweden: An overview – Swedish National Institute of Public Health – 2012

“The Swedish government continues to embark on a number of measures and interventions to enhance the health of the population by strengthening the public health work at various levels. The Swedish National Institute of Public Health (SNIPH) has compiled a number of important on going public health events, activities and initiatives which have an impact on the government work of tackling health inequalities and social determinants of health in Sweden. The list is not exhaustive but captures significant efforts made at national, regional and local levels. Our compilation includes:”

… continues on the site

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Social distribution of health risks and health outcomes: preliminary analysis of the National Health Survey 2007-08 – AIHW – 28 August 2012

Posted on September 12, 2012. Filed under: Public Hlth & Hlth Promotion | Tags: , , , |

Social distribution of health risks and health outcomes: preliminary analysis of the National Health Survey 2007-08 – AIHW – 28 August 2012

“Where people are born, grow, live, work and age affects their health status. This paper explores the association between selected social and health risk factors on Australians’ health. It shows that people with higher household incomes and higher education qualifications are more likely to report better health and less likely to report smoking, and people living outside major cities are more likely to report being an unhealthy weight.”

ISBN 978-1-74249-333-6; Cat. no. PHE 165; 33pp

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Australia’s domestic response to the World Health Organization’s (WHO) Commission on Social Determinants of Health report “Closing the gap within a generation” – Senate Standing Committee on Community Affairs – 22 August 2012

Posted on August 28, 2012. Filed under: Public Hlth & Hlth Promotion | Tags: |

Australia’s domestic response to the World Health Organization’s (WHO) Commission on Social Determinants of Health report “Closing the gap within a generation” – Senate Standing Committee on Community Affairs – 22 August 2012

“Information about the Inquiry

On 22 August 2012 the Senate referred the following matter to the Senate Community Affairs Committees for inquiry and report.

Submissions should be received by 04 October 2012. The reporting date is 27 March 2013.”

… continues on the site

Will the Senate inquiry lead to action on the social determinants of health? – Croakey – 22 August 2012

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What can be done about the social determinants of health? – Flagpost – 5 July 2012

Posted on July 5, 2012. Filed under: Health Status, Public Hlth & Hlth Promotion | Tags: |

What can be done about the social determinants of health? – Flagpost – 5 July 2012

“Three recent reports: the Australian Institute of Health and Welfare (AIHW) report on perinatal depression, Australia’s Health 2012 (produced by the AIHW) and the Council of Australian Government (COAG) Reform Council performance report on the National Healthcare Agreement (2008) have highlighted the impact of the social determinants of health. These reports demonstrate the relationship between income, health status and access to health care. They clearly show that Australians with low incomes usually have poorer health outcomes.”

… continues on the site

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Better Health: An analysis of public policy and programming focusing on the determinants of health and health outcomes that are effective in achieving the healthiest populations – Canadian Health Services Research Foundation – 18 June 2012

Posted on June 27, 2012. Filed under: Health Status, Public Hlth & Hlth Promotion | Tags: , , , |

Better Health: An analysis of public policy and programming focusing on the determinants of health and health outcomes that are effective in achieving the healthiest populations – Canadian Health Services Research Foundation – 18 June 2012

Carles Muntaner, et al.

“Key Messages

Although major health inequalities exist in Canada, minimal action has been taken by municipal, provincial/territorial and federal levels of governments to narrow health inequalities through the social determinants of health (SDOH) and public policy.

Income, housing, food insecurity and social exclusion are four major social determinants in generating and reproducing health inequalities over the life course (childhood, adulthood and the elderly stage).

Low-income individuals and families have significantly higher rates of mortality, morbidity and healthcare use as compared with middle- and high-income groups. Health inequalities between the richest 20% and the poorest 20% have decreased from 1971 to 1996 in Canada; however, continued monitoring is needed given that income inequality has increased over the past decade.

Food insecurity and unstable housing are associated with poor health and, in turn, mediate the link between income and health (hunger and unstable housing affect health and result from low income). Mortality rates among homeless and marginally housed individuals were much higher than expected on the basis of low income alone.

Social exclusion is a powerful determinant of health inequalities; however, its effects are dependent upon which groups are compared. The health consequences of social exclusion are most unequal between Aboriginal and non-Aboriginal groups. Immigrant health favours recent arrivals over long-term residents. Compared with non-minority ethnic groups, minority racial/ethnic groups are more likely to experience social and health disadvantages. However, no clear association exists for health inequalities between minority racial/ethnic groups.

Taking action on SDOH to narrow health inequalities offers new opportunities for the nursing profession to expand its role to include:

… continues on the site

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Assessing the impact and effectiveness of intersectoral action on the social determinants of health – National Collaborating Centre for Determinants of Health [Canada] – 2012

Posted on June 19, 2012. Filed under: Public Hlth & Hlth Promotion | Tags: , |

Assessing the impact and effectiveness of intersectoral action on the social determinants of health – National Collaborating Centre for Determinants of Health [Canada] – 2012

“This expedited systematic review is part of the NCCDH’s effort to explores “what works” to improve health equity through action on the social determinants of health. The purpose of the review is to examine the question, “What is the impact and effectiveness of intersectoral action as a public health practice for health equity through action on the social determinants of health?”

Use this resource to:

Gain an understanding of how public health works with other sectors to intervene on the social determinants of health and advance health equity.
Become familiar with the current state of research evidence on the impact of intersectoral action on health equity
Identify research gaps and opportunities to strengthen the evidence base for intersectoral action on health equity and the social determinants of health”

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The Cost of Inaction on the Social Determinants of Health – Catholic Health Australia – 4 June 2012

Posted on June 5, 2012. Filed under: Health Status, Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: |

The Cost of Inaction on the Social Determinants of Health – Catholic Health Australia – 4 June 2012

“An Australia-first study has found 500,000 people could avoid chronic illness, $2.3 billion in annual hospital costs could be saved, and the annual number of taxpayer-funded Pharmaceutical Benefits Scheme prescriptions could be cut by 5.3 million.

The study, The Cost of Inaction on the Social Determinants of Health, reveals avoidable chronic illness costs the Federal Government $4 billion each year in welfare payments and the national economy $8 billion in lost earnings.

Click here to read the study’s findings.

Catholic Health Australia (CHA) commissioned the University of Canberra’s National Centre for Social and Economic Modeling (NATSEM) to calculate savings the Federal Government could achieve if the 2008 World Health Organisation (WHO) action plan on social determinants of health was implemented.”

… continues on the site

Senate Committee to Consider Social Determinants of Health – Ministerial media release

Senate Standing Committees on Community Affairs

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Social determinants of health and well-being among young people. Health behaviour in school-aged children (HBSC) study: International report from the 2009 / 2010 survey – WHO Regional Office for Europe – 2 May 2012

Posted on May 15, 2012. Filed under: Child Health / Paediatrics, Health Status, Public Hlth & Hlth Promotion | Tags: |

Social determinants of health and well-being among young people. Health behaviour in school-aged children (HBSC) study: International report from the 2009 / 2010 survey – WHO Regional Office for Europe – 2 May 2012

Currie C et al., eds. Social determinants of health and well-being among young people. Health Behaviour in School-aged Children (HBSC) study: international report from the 2009/2010 survey. Copenhagen, WHO Regional Office for Europe, 2012 (Health Policy for Children and Adolescents, No. 6).
ISBN 978 92 890 1423 6

Extract from the introduction

“HBSC, a WHO collaborative cross-national study, collects data on 11-, 13- and 15-year-old boys’ and girls’ health and well-being, social environments and health behaviours every four years. Full contact details can be found on the HBSC web site (1).
HBSC uses findings at national and international levels:
• to gain new insight into young people’s health and well-being
• to understand the social determinants of health
• inform policy and practice to improve young people’s lives.
The first HBSC survey was conducted in 1983/1984 in five countries. The study has grown to include 43 countries and regions across Europe and North America. The table shows the growth in the international network over the eight survey rounds.”

Key findings

WHO site

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Social determinants of health and well-being among young people. Health Behaviour in School-aged Children (HBSC) study: international report from the 2009/2010 survey – WHO/Europe – 2 May 2012

Posted on May 4, 2012. Filed under: Child Health / Paediatrics, Health Status | Tags: , , |

Social determinants of health and well-being among young people. Health Behaviour in School-aged Children (HBSC) study: international report from the 2009/2010 survey – WHO/Europe – 2 May 2012

“Through this international report on the results of its most recent survey, the Health Behaviour in School-aged Children (HBSC) study supplies the up-to-date information needed by policy-makers at various levels of government, nongovernmental organizations, and professionals in sectors such as health, education, social services, justice and recreation.

The latest addition to a series of HBSC reports on young people’s health, this report presents findings from the 2009/2010 survey on the demographic and social influences on the health of young people (aged 11, 13 and 15 years) in 43 countries and regions in the WHO European Region and North America. Responding to the survey, the young people described their social context (relations with family, peers and school), physical health and satisfaction with life, health behaviours (patterns of eating, tooth brushing and physical activity) and risk behaviours (use of tobacco, alcohol and cannabis, sexual behaviour, fighting and bullying). Statistical analyses were carried out to identify meaningful differences in the prevalence of health and social indicators by gender, age group and levels of family affluence.

The aim was to provide a rigorous, systematic statistical base for describing cross-national patterns, in terms of the magnitude and direction of differences between subgroups, thus contributing to a better understanding of the social determinants of health and well-being among young people, and providing the means to help protect and promote their health.”

Health Policy for Children and Adolescents, No. 6
ISBN 978 92 890 1423 6

Key findings and five fact sheets

Health Behaviour in School-aged Children (HBSC)

Media release:      What we publish – WHO report reveals teenagers do not get a fair deal on health

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Improving Equity in Health by Addressing Social Determinants – WHO – 2011

Posted on April 27, 2012. Filed under: Public Hlth & Hlth Promotion | Tags: , , |

Improving Equity in Health by Addressing Social Determinants – WHO – 2011

Edited by: The Commission on Social Determinants of Health Knowledge Networks, Jennifer H. Lee and Ritu Sadana
ISBN 978 92 4 150303 7

Extracts from the Preface

“During its tenure, the Commission on Social Determinants of Health focused on nine broad areas that contain within them major determinants of health. To support this work, theWorld Health Organization (WHO) invited leading academics, practitioners and advocates from a variety of disciplines and sectors to participate in Knowledge Networks (KN): early child development, employment conditions, globalization, women and gender equity, urban settings, priority public health conditions, measurement and evidence, social exclusion, and health systems. More than 350 individuals from around the world contributed to a tremendous body of literature for the
Commission.”

“In September 2011, WHO organized theWorld Conference on Social Determinants of Health, hosted by the Government of Brazil. Participating Member States adopted the Rio Political Declaration on Social Determinants of Health pledging to work towards reducing health inequities by taking action on five core areas:
adopt better governance for health and development
promote participation in policy-making and implementation
reorient the health sector towards reducing health inequities
strengthen global governance and collaboration
monitor progress and increase accountability.

Actions to reduce health inequities using methods consistent with these principles are synthesized across this book. There is a renewed commitment to achieve health equity and now is the opportunity to act.”

Chapters

1. Strengthening efforts to improve health equity
2. Globalization: the global marketplace and social determinants of health
3. Gender inequity in health
4. Social exclusion and health inequalities: definitions, policies and actions
5. Early child development: a powerful equilizer
6. Urban settings: our cities, our health, our future
7. Employment and working conditions as health determinants
8. Challenging inequity through health systems
9. Reducing health inequities through public health programmes
10. Measuring the social determinants of health: theoretical and empirical challenges
11. The way forward: acting on the evidence and filling knowledge gaps”

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Developmental Health Knowledge as a Catalyst for Healthy Family Policies in Canada – April 2012

Posted on April 4, 2012. Filed under: Child Health / Paediatrics, Public Hlth & Hlth Promotion | Tags: |

Developmental Health Knowledge as a Catalyst for Healthy Family Policies in Canada – April 2012

“This briefing note, prepared by the Saskatchewan Population Health and Evaluation Research Unit (SPHERU), defines developmental health, discusses its social determinants, shows some key figures for Canada and proposes a healthy family policy framework to support health for all Canadians.

Developmental science has shown the lifelong importance of early years on human learning, behaviour, and physical and mental health. Interventions that support developmental health from birth to age five contribute to establishing the foundations for a healthy life and a prosperous society.

This short document discusses how developmental health knowledge can act as a catalyst for family policies that support developmental health for all children in Canada and for the health of Canadian society more generally.”

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New institute to help narrow the health gap – Department of Health News [UK] – 21 November 2011

Posted on November 22, 2011. Filed under: Health Status | Tags: |

New institute to help narrow the health gap – Department of Health News [UK] – 21 November 2011

“A new UCL (University College London) Institute that aims to reduce health inequalities through action on the social determinants was launched today by the Health Secretary Andrew Lansley and Professor Sir Michael Marmot.

Speaking at the international Social Determinants of Health conference, the Health Secretary will set out the Government’s commitment to tackle health inequalities and to support the UCL Institute of Health Equity, which will be led by Sir Michael.   The Institute will receive £1 million funding from the Department of Health over the next three years to take forward action that will reduce health inequalities in England. The Institute will also be supported by UCL, the BMA and independently commissioned projects.

The UCL Institute for Health Equity will be new, authoritative and independent. It will collect the latest evidence, provide expert advice and share best practice both locally and internationally. It will build on previous world-renowned research and reviews led by Professor Marmot such as The Whitehall Study and the Fair Society, Healthy Lives review, which underpinned the recent Public Health White Paper.” 

 … continues

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Social determinants of health – what can doctors do? – British Medical Association – October 2011

Posted on October 19, 2011. Filed under: Health Status | Tags: , |

Social determinants of health – what can doctors do? – British Medical Association – October 2011

“Social determinants and health inequalities pose a significant challenge to governments around the world.

The BMA’s new report explains how doctors can use their expertise to act as community leaders to tackle this issue and explores how the social determinants of health are factors that impact on health and well-being for which there is little control, for example, where we are born, grow up, live, work and our gender and age.

While these factors are not usually directly responsible for illness they have been described as the causes of the causes of illness. For example, while smoking may lead to heart disease and lung cancer, it is the social, including cultural and environmental factors, that largely determines whether an individual is more or less likely to smoke, and if they do start to smoke whether they are likely to quit successfully.

The report emphasises that while not every doctor has the opportunity to change the life course of individual patients they can make a difference in others ways to reduce health inequalities on a local, regional, national and international level.

It highlights examples of work doctors and their teams are already involved in, these include the Bromley-by-Bow centre in East London where GPs refer patients to professionals from welfare, employment, housing and debt advice services so that the underlying causes of their health problems can be addressed.

Other examples of doctors linked to projects that deal with the needs of the homeless in Glasgow  and doctors initiating deaf awareness training so that the health needs of this group was given greater priority.”

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National Social Housing Survey: a summary of national results – AIHW – 7 October 2011

Posted on October 18, 2011. Filed under: Preventive Healthcare | Tags: , , |

National Social Housing Survey: a summary of national results – AIHW – 7 October 2011

“The majority of National Social Housing Survey respondents were either `satisfied’ or `very satisfied’ with living in either public housing or community housing. In addition, most respondents indicated that the amenity and location of their housing met the needs of their household. These respondents also recorded experiencing `benefits’ from living in social housing–around 90% felt more settled and over two-thirds felt they enjoyed better health. These findings are particularly noteworthy given that social housing is typically targeted at groups such as low income earners, those who were previously homeless and people who are otherwise disadvantaged in the housing market.”

ISSN 1446-9820; ISBN 978-1-74249-208-7; Cat. no. AUS 141; 16pp

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A Workshop on Inequalities Using the Escalators Metaphor – Presentation Kit – National Collaborating Centre for Healthy Public Policy [Canada] – September 2011

Posted on September 30, 2011. Filed under: Public Hlth & Hlth Promotion | Tags: , , |

A Workshop on Inequalities Using the Escalators Metaphor – Presentation Kit – National Collaborating Centre for Healthy Public Policy [Canada] – September 2011

“The resources in this Presentation Kit, created by Vivian Labrie, are based on a metaphor of up and down escalators. When used to animate a workshop, they provide an opportunity for different actors to share their thoughts about structural and social determinants of inequalities. The kit includes: a facilitator’s guide, a poster template and an introductory PowerPoint.”

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Does income inequality cause health and social problems? – Joseph Rowntree Foundation – 22 September 2011

Posted on September 22, 2011. Filed under: Health Status, Public Hlth & Hlth Promotion | Tags: , , |

Does income inequality cause health and social problems? – Joseph Rowntree Foundation – 22 September 2011

Karen Rowlingson

“Should income inequality worry us?

The UK witnessed a dramatic growth in income inequality in the 1980s, and since then the level of inequality has increased further, though at a slower rate. But should we be concerned about this? This report provides an independent review of the evidence about the impact of inequality, paying particular attention to the evidence and arguments put forward in The Spirit Level by Richard Wilkinson and Kate Pickett (2009). The research examines:

whether or not there is a link between income inequality and health and social problems;
who might be most affected by income inequality; and
other possible impacts of income inequality, for example, on the economy.”

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Social exclusion monitor – Brotherhood of St Laurence

Posted on September 16, 2011. Filed under: Health Status | Tags: |

Social exclusion monitor

 “More than one million Australians experience deep social exclusion

Social exclusion occurs when someone experiences multiple, overlapping problems, such as unemployment, poor health and inadequate education, which stop them fully participating in society. Tackling social exclusion helps make Australia a better place to live for everyone.

The social exclusion monitor is a new approach to measuring social exclusion in Australia. Developed by the Brotherhood of St Laurence and the Melbourne Institute of Applied Economic and Social Research (MIAESR), it uses the annual Household, Income and Labour Dynamics in Australia (HILDA) Survey of 13,000 people.

The monitor finds that more than one million Australians deal with deep social exclusion. This means that they experience at least four different sorts of disadvantage in their lives, such as being on a low income, having little work experience, not being involved in community clubs or associations and not being socially active.

You can use the monitor to better understand who is missing out in Australia and to gauge the effectiveness of government social policy.”

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Income inequality: Trends and Measures – The Equality Trust Research Digest – 2011

Posted on September 6, 2011. Filed under: Health Status | Tags: , , |

Income inequality: Trends and Measures – The Equality Trust Research Digest

“Key Points

UK income inequality increased by 32% between 1960 and 2005. During the same period, it increased by 23% in the USA, and in Sweden decreased by 12%.
In the 1960s Sweden and the UK had similar levels of income inequality. By 2005 the gap between the two had increased by 28%.
Since the 1980s income inequality in the United States and the UK has increased substantially and has returned to levels not seen since the 1920s.
The growth in inequality in the last 30 years has been driven by the top 1% of wage incomes.
Inequality measures drawn from standard household surveys underestimate income inequality by as much as 10 percentage points, due to the under-representation of the top 1% of incomes.
There is scope for governments to tackle inequality. Large income inequalities are not inevitable; Sweden owes its high levels of equality to policies introduced since the 50s.”

… continues

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Transportation Policies and Health Inequalities – National [Canadian] Collaborating Centre for Healthy Public Policy – May 2011

Posted on May 31, 2011. Filed under: Public Hlth & Hlth Promotion | Tags: , , |

Transportation Policies and Health Inequalities – National [Canadian] Collaborating Centre for Healthy Public Policy – May 2011

“In May 2009, a workshop on health inequalities associated with transportation policies was jointly organized by the Population Health team of Edmonton’s regional health authority (formerly Capital Health), and François Gagnon from the NCCHPP.

The workshop brought together practitioners from the Edmonton region with interests in the areas of transportation, health, and health inequalities to learn about transportation as a determinant of population health as well as to consider effective policy responses.

The workshop was organized around two objectives with two corresponding series of activities:

1) Develop a collective understanding of health inequalities produced by transportation policies.
2) Collectively develop pathways to solutions aimed at mitigating or reducing the unequal effects of the policies in question.

This document presents a summary of the discussions that took place during this meeting and is not intended as a formal report or proceedings from the workshop. The analytical grids that were used for the small group discussions can be found as appendices in the document.”

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Global status report on noncommunicable diseases 2010 – WHO – April 2011

Posted on April 29, 2011. Filed under: Chronic Disease Mgmt, Health Status, Public Hlth & Hlth Promotion | Tags: , |

Global status report on noncommunicable diseases 2010 – WHO – April 2011

Description of the global burden of NCDs, their risk factors and determinants

Editors: World Health Organization
Number of pages: 176
Publication date: April 2011
ISBN: 978 92 4 156422 9

“Overview of the Global status report on NCDs

This report sets out the statistics, evidence and experiences needed to launch a more forceful response to the growing threat posed by noncommunicable diseases. While advice and recommendations are universally relevant, the report gives particular attention to conditions in low- and middle-income countries, which now bear nearly 80% of the burden from diseases like cardiovascular disease, diabetes, cancer and chronic respiratory diseases. The health consequences of the worldwide epidemic of obesity are also addressed.

The report takes an analytical approach, using global, regional and country-specific data to document the magnitude of the problem, project future trends, and assess the factors contributing to these trends. As noted, the epidemic of these diseases is being driven by powerful forces now touching every region of the world: demographic ageing, rapid unplanned urbanization, and the globalization of unhealthy lifestyles. While many chronic conditions develop slowly, changes in lifestyles and behaviours are occurring with a stunning speed and sweep.”

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Integrating Social Determinants of Health and Health Equity into Canadian Public Health Practice: Environmental Scan 2010 – published March 2011

Posted on April 27, 2011. Filed under: Public Hlth & Hlth Promotion | Tags: |

Integrating Social Determinants of Health and Health Equity into Canadian Public Health Practice: Environmental Scan 2010 – published March 2011

National Collaborating Centre for Determinants of Health. (2010). Integrating Social Determinants of Health and Health Equity into Canadian Public Health Practice: Environmental Scan 2010. Antigonish, NS: National Collaborating Centre for Determinants of Health, St. Francis Xavier University.

Extract from the executive summary:

“The NCCDH has requested this environmental scan to inform its future direction, priorities and activities through an analysis of the key challenges, needs, gaps, and opportunities in the determinants of health for public health. A four-member expert reference group was
established to provide strategic input into the conduct of the scan.

This environmental scan utilized four information gathering approaches: a focussed scan of the literature; 31 key informant interviews with practice and research experts; four focus group teleconferences to validate early emerging themes; and, an online survey with over 600  respondents. There was considerable convergence of the findings across the four information gathering approaches.”

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Early years interventions to address health inequalities in London – the economic case – Greater London Authority – January 2011

Posted on February 21, 2011. Filed under: Child Health / Paediatrics, Health Economics | Tags: |

Early years interventions to address health inequalities in London – the economic case – Greater London Authority – January 2011

ISBN 978-1-84781-416-6

“This report provides evidence for and analysis of the case for investment in early years interventions to address health inequalities in London. The evidence clearly shows that well designed and implemented early years programmes can have significant benefits in terms of life-long health, educational attainment, social, emotional and economic wellbeing and reduced involvement in crime that far outweigh their costs.”

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Housing and Health – UK Parliamentary Office of Science and Technology – January 2011

Posted on February 16, 2011. Filed under: Health Status | Tags: , |

Housing and Health – UK Parliamentary Office of Science and Technology – January 2011

“The Decent Homes Programme aimed to refurbish all social sector homes to a minimum standard between 2000 and 2010. The government will invest a further £1.6 billion to improve housing in the public sector. However, housing quality is poorest in the private rented sector; homes in this sector housing people on benefits are not supported under the new initiative. This briefing looks at the impact of poor housing on health and examines the implications for housing policy.”

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New inequalities data: Marmot indicators for Local Authorities in England – February 2011

Posted on February 14, 2011. Filed under: Health Status, Public Hlth & Hlth Promotion | Tags: , |

New inequalities data: Marmot indicators for Local Authorities in England – February 2011

“The London Health Observatory and Marmot Review Team have produced baseline figures for some key indicators of the social determinants of health, health outcomes and social inequality that correspond, as closely as is currently possible, to the indicators proposed in Fair Society, Healthy Lives.”

http://www.lho.org.uk/LHO_Topics/national_lead_areas/marmot/marmotindicators.aspx
“Fair Society, Healthy Lives: The Marmot Review report was published in February 2010. The report included some suggested indicators to support monitoring of the overall strategic direction in reducing health inequalities. The London Health Observatory and the Marmot Review Team have produced baseline figures for some key indicators of the social determinants of health, health outcomes and social inequality that correspond, as closely as is currently possible, to the indicators proposed in Fair Society, Healthy Lives.”

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Health Lies in Wealth – Health inequalities of Australians of working age – National Centre for Social and Economic Modelling for Catholic Health Australia – September 2010

Posted on September 28, 2010. Filed under: Health Status, Public Hlth & Hlth Promotion | Tags: , , |

Health Lies in Wealth – Health inequalities of Australians of working age – National Centre for Social and Economic Modelling for Catholic Health Australia – September 2010

CHA-NATSEM Report on Health Inequalities
Prepared by:  Professor Laurie Brown and Doctor Binod Nepal

“This report conclusively finds that the health of working aged Australians is affected by socio-economic status. Household income, level of education, household employment, housing tenure and social connectedness all matter when it comes to health.”

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How doctors can close the gap. Tackling the social determinants of health through culture change, advocacy and education – Royal College of Physicians policy statement – June 2010

Posted on June 29, 2010. Filed under: Health Systems Improvement, Public Hlth & Hlth Promotion | Tags: , |

How doctors can close the gap. Tackling the social determinants of health through culture change, advocacy and education – Royal College of Physicians policy statement – June 2010

ISBN 978-1-86016-383-8

“The inequalities in health that persist today in the UK are not inevitable. All sectors have a role to play in reducing the gap in health between the richest and the poorest in our society. Doctors are one of the linchpins in this endeavour and, within an enabling policy framework, must initiate, involve themselves in and advocate for programmes of action to tackle the social determinants of health and reduce health inequality.

This policy statement and the recommendations contained within it are a synthesis of the ideas and proposals that emerged from a series of policy dialogues organised by the Royal College of Physicians (RCP). The aims of these dialogues were to identify what role doctors can play in reducing health inequality in the UK by acting on the social determinants of health, and how they can best be trained to do this.”   …continues

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Social Determinants of Health: The Canadian Facts – May 2010

Posted on May 19, 2010. Filed under: Health Status, Public Hlth & Hlth Promotion | Tags: |

Social Determinants of Health: The Canadian Facts – May 2010

Juha Mikkonen and Dennis Raphael
Foreword by Hon. Monique Bégin (Former Minister of National Health & Welfare of Canada)
Published in May 2010. ISBN 978-0-9683484-1-3 – 62 pp

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Health in the European Union: trends and analysis – WHO on behalf of the European Observatory on Health Systems and Policies – 2009

Posted on February 9, 2010. Filed under: Chronic Disease Mgmt, Health Status, Public Hlth & Hlth Promotion | Tags: , , |

Health in the European Union: trends and analysis

ISBN 978 92 890 4190 4

“Prepared for DG Employment, Social Affairs and Equal Opportunities of the European Commission, this report investigates differences in health status within and between European countries. The relationship between living conditions, socioeconomic factors and health is discussed and analysed with the objective of stimulating a debate and policy action for creating a healthier and more equitable society.

While the goal to improve average levels of population health is important for any government, there has been an increasing focus on disparities at national and European levels. Improvements have been seen over the past few decades in both health status and living and working conditions in Europe. However, the level of heterogeneity in characteristics of living conditions has widened tremendously in the European Union and will continue to do so as it goes through the enlargement process. The diversity in living conditions has translated into diversity in patterns of health across the region. Inequalities in income, education, housing and employment affect population health, both directly (for example, good housing reduces risks associated with poor health) and indirectly through psychosocial factors (such as stress).”

The authors:   Philipa Mladovsky, Research Officer at the London School of Economics and Political Science and
European Observatory on Health Systems and Policies    et al

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An Economic Framework for Analysing the Social Determinants of Health and Health Inequalities – October 2009

Posted on November 17, 2009. Filed under: Health Economics, Public Hlth & Hlth Promotion | Tags: , |

An Economic Framework for Analysing the Social Determinants of Health and Health Inequalities – October 2009
CHE Research Paper 52 – University of York – Centre for Health Economics

“Summary

Reducing health inequalities is an important part of health policy in most countries. This paper discusses from an economic perspective how government policy can influence health inequalities, particularly focusing on the outcome of performance targets in England, and the role of sectors of the economy outside the health service – the ‘social determinants’ of health – in delivering these targets.”

This paper is the outcome of work commissioned by the Department of Health and the Review of Health Inequalities in England.

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A Healthy, Productive Canada: A Determinant Of Health Approach – Senate Committee report – 4 Jun 2009

Posted on June 8, 2009. Filed under: Public Hlth & Hlth Promotion | Tags: |

“Ottawa, June 4, 2009 – Today, the Subcommittee on Population  Health of the Standing Senate Committee on Social Affairs, Science and Technology tabled its report, “A Healthy, Productive Canada: A Determinant Of Health Approach”.With the release of this final report, the subcommittee has come to the end of a long journey that began in February 2007, during the 1st session of the 39th Parliament, when the subcommittee received a mandate from the Senate “to examine and report on the impact of the multiple factors and conditions that contribute to the health of Canada’s population – referred to collectively as the determinants of health.” ”   …continues on the website

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