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Author: Michael Marmot
Publisher: Bloomsbury Publishing
ISBN: 1408857987
Category : Medical
Languages : en
Pages : 426
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Book Description
'Punchily written ... He leaves the reader with a sense of the gross injustice of a world where health outcomes are so unevenly distributed' Times Literary Supplement 'Splendid and necessary' Henry Marsh, author of Do No Harm, New Statesman There are dramatic differences in health between countries and within countries. But this is not a simple matter of rich and poor. A poor man in Glasgow is rich compared to the average Indian, but the Glaswegian's life expectancy is 8 years shorter. The Indian is dying of infectious disease linked to his poverty; the Glaswegian of violent death, suicide, heart disease linked to a rich country's version of disadvantage. In all countries, people at relative social disadvantage suffer health disadvantage, dramatically so. Within countries, the higher the social status of individuals the better is their health. These health inequalities defy usual explanations. Conventional approaches to improving health have emphasised access to technical solutions – improved medical care, sanitation, and control of disease vectors; or behaviours – smoking, drinking – obesity, linked to diabetes, heart disease and cancer. These approaches only go so far. Creating the conditions for people to lead flourishing lives, and thus empowering individuals and communities, is key to reduction of health inequalities. In addition to the scale of material success, your position in the social hierarchy also directly affects your health, the higher you are on the social scale, the longer you will live and the better your health will be. As people change rank, so their health risk changes. What makes these health inequalities unjust is that evidence from round the world shows we know what to do to make them smaller. This new evidence is compelling. It has the potential to change radically the way we think about health, and indeed society.
Author: Michael Marmot
Publisher: Bloomsbury Publishing
ISBN: 1408857987
Category : Medical
Languages : en
Pages : 426
Get Book Here
Book Description
'Punchily written ... He leaves the reader with a sense of the gross injustice of a world where health outcomes are so unevenly distributed' Times Literary Supplement 'Splendid and necessary' Henry Marsh, author of Do No Harm, New Statesman There are dramatic differences in health between countries and within countries. But this is not a simple matter of rich and poor. A poor man in Glasgow is rich compared to the average Indian, but the Glaswegian's life expectancy is 8 years shorter. The Indian is dying of infectious disease linked to his poverty; the Glaswegian of violent death, suicide, heart disease linked to a rich country's version of disadvantage. In all countries, people at relative social disadvantage suffer health disadvantage, dramatically so. Within countries, the higher the social status of individuals the better is their health. These health inequalities defy usual explanations. Conventional approaches to improving health have emphasised access to technical solutions – improved medical care, sanitation, and control of disease vectors; or behaviours – smoking, drinking – obesity, linked to diabetes, heart disease and cancer. These approaches only go so far. Creating the conditions for people to lead flourishing lives, and thus empowering individuals and communities, is key to reduction of health inequalities. In addition to the scale of material success, your position in the social hierarchy also directly affects your health, the higher you are on the social scale, the longer you will live and the better your health will be. As people change rank, so their health risk changes. What makes these health inequalities unjust is that evidence from round the world shows we know what to do to make them smaller. This new evidence is compelling. It has the potential to change radically the way we think about health, and indeed society.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309452961
Category : Medical
Languages : en
Pages : 583
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Book Description
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030918570X
Category : Medical
Languages : en
Pages : 210
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Book Description
In early 2007, the Institute of Medicine convened the Roundtable on Health Disparities to increase the visibility of racial and ethnic health disparities as a national problem, to further the development of programs and strategies to reduce disparities, to foster the emergence of leadership on this issue, and to track promising activities and developments in health care that could lead to dramatically reducing or eliminating disparities. The Roundtable's first workshop, Challenges and Successes in Reducing Health Disparities, was held in St. Louis, Missouri, on July 31, 2007, and examined (1) the importance of differences in life expectancy within the United States, (2) the reasons for those differences, and (3) the implications of this information for programs and policy makers.
Author: Timothy Evans
Publisher: Oxford University Press
ISBN: 019513740X
Category : Medical
Languages : en
Pages : 365
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Book Description
This text provides a unique view of global inequities in health status and health sytems. Emphasizing socioeconomic conditions, it combines chapters on conceptual and measurement issues with case studies from around the world.
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241548630
Category : Health & Fitness
Languages : en
Pages : 123
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Book Description
"The Handbook on health inequality monitoring: with a special focus on low- and middle-income countries is a resource that enables countries to do just that. It presents a comprehensive yet clear overview of health inequality monitoring in a user-friendly manner. The handbook succeeds in giving those involved in health inequality monitoring an appreciation of the complexities of the process, as well as building the practical knowledge and skills for systematic monitoring of health inequalities in low- and middle-income countries. The use of the handbook will enable countries to better monitor and evaluate their progress and performance with a high degree of accountability and transparency, and allow them to use the results to formulate evidenced-based policies, programmes and practices to tackle inequalities in an effective manner."--Publisher's description.
Author: Richard G. Wilkinson
Publisher: Psychology Press
ISBN: 9780415372695
Category : Health & Fitness
Languages : en
Pages : 355
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Book Description
In this book, pioneering social epidemiologist Richard Wilkinson, shows how inequality affects social relations and well-being. In wealthy countries, health is not simply a matter of material circumstances and access to health care; it is also how your relationships and social standing make you feel about life. Using detailed evidence from rich market democracies, the book addresses people's experience of inequality and presents a radical theory of the psychosocial impact of class stratification. The book demonstrates how poor health, high rates of violence and low levels of social capital all reflect the stresses of inequality and explains the pervasive sense that, despite material success, our societies are sometimes social failures. What emerges is a new conception of what it means to say that we are social beings and of how the social structure penetrates our personal lives and relationships.
Author: James Matheson
Publisher: CRC Press
ISBN: 1351013890
Category : Medical
Languages : en
Pages : 326
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Book Description
Addressing health inequalities is a key focus for health and social care organizations. This book explores how best frontline health workers in areas of deprivation can address these problems. Aimed at doctors and their wider multidisciplinary teams, this book provides key knowledge and practical advice on how to address the causes and consequences of health inequalities to achieve better outcomes for patients. Considering the psychological, financial and social aspects of well-being as well as health concerns, this book offers a concise but comprehensive overview of the key issues in health inequalities and, most importantly, how practically to address them. Key Features Comprehensively covers the breadth of subjects identified by RCGP’s work to formulate a curriculum for health inequalities The first book to address the urgent area of causes and consequences of health inequalities in clinical practice. Chapters are authored by expert practitioners with proven experience in each aspect of health care. Applied, practical focus, demonstrating approaches that will work and can be applied in ‘every’ situation of inequality. Provides evidence of how community based primary care can make a change.
Author: Carol M. Black
Publisher: The Stationery Office
ISBN: 9780117025134
Category : Business & Economics
Languages : en
Pages : 132
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Book Description
Around 175 million working days were lost to illness in 2006. Some 7 per cent of the working population is workless and receiving benefits because of long-term health conditions or disabilities. This represents a significant cost to the economy - in cost of benefits, healthcare, forgone taxes, lost production, sickness absence, informal care - estimated at between £103 and £129 billion. The review's vision for health and work in Britain is based on three principal objectives: prevention of illness and promotion of health and well-being; early intervention for those who develop a health condition; an improvement in the health of those out of work. The review establishes the first baseline for the health of the working population. It then examines the role of the workplace in health and well-being. Work is good for both physical and mental health (Waddell & Burton, 2006, "Is work good for your health and well-being?" TSO, ISBN 9780117036949). Employers, trade unions, employees, safety and health practitioners should all promote the benefits of investment in health and well-being. The review calls of a fundamental shift in the perception of fitness for work, to move away from it being inappropriate to be at work if not 100 per cent fit. Early intervention can prevent short-tem sickness becoming more serious, and pilot trials of a new Fit for Work service are proposed. More health support for workless people on incapacity benefits is recommended. Professional expertise for working age health is needed, and occupational health should be in the mainstream of healthcare provision. To safeguard the future health of the working population, young people should understand the benefits of a life in work. The review closes with proposals for taking the agenda forward.
Author: Bambra, Clare
Publisher: Policy Press
ISBN: 1447344855
Category : Medical
Languages : en
Pages : 288
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Book Description
Available Open Access under CC-BY-NC licence. How has austerity impacted on health and wellbeing in the UK? Health in Hard Times explores its repercussions for social inequalities in health. The result of five years of research, the book draws on a case study of Stockton-on-Tees in the north-east of England, home to some of the starkest health divides. By placing individual and local experiences in the context of national budget cuts and welfare reforms, it provides a holistic perspective on countrywide inequalities. Edited by a leading expert, this is an important book for anyone seeking to understand one of today’s most significant determinants of health.
Author: Donald A. Barr
Publisher: Johns Hopkins University Press
ISBN: 1421432587
Category : Medical
Languages : en
Pages : 377
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Book Description
Challenging students to think critically about the complex web of social forces that leads to health disparities in the United States. The health care system in the United States has been called the best in the world. Yet wide disparities persist between social groups, and many Americans suffer from poorer health than people in other developed countries. In this revised edition of Health Disparities in the United States, Donald A. Barr provides extensive new data about the ways low socioeconomic status, race, and ethnicity interact to create and perpetuate these health disparities. Examining the significance of this gulf for the medical community and society at large, Barr offers potential policy- and physician-based solutions for reducing health inequity in the long term. This thoroughly updated edition focuses on a new challenge the United States last experienced more than half a century ago: successive years of declining life expectancy. Barr addresses the causes of this decline, including what are commonly referred to as "deaths of despair"—from opiate overdose or suicide. Exploring the growing role geography plays in health disparities, Barr asks why people living in rural areas suffer the greatest increases in these deaths. He also analyzes recent changes under the Affordable Care Act and considers the literature on how race and ethnicity affect the way health care providers evaluate and treat patients. As both a physician and a sociologist, Barr is uniquely positioned to offer rigorous medical explanations alongside sociological analysis. An essential text for courses in public health, health policy, and sociology, this compelling book is a vital teaching tool and a comprehensive reference for social science and medical professionals.
