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We are going to discuss health inequalities (first 30 minutes) We are going to play a game (The Last Straw) on social determinants of health This will be an Interactive Class
Gross inequality exists across the world Gross inequality in health achievement exists within New Zealand Is this inequality unFAIR?
Unnecessary, avoidable, unjust, unfair situations resulting in health inequalities also lead to inequity in health
Social conditions powerfully influence both the onset and response to treatment of the major killer infectious diseases
How Do We Explain?
Rawlsian Framework: Socioeconomic disparities in health status reflect underlying inequities in distribution of primary goods
Spillover effects
Inequalities Affect everyone Interventions to reduce social inequalities will have other benefits, benefits other than or more than just health Sanitary Reforms of 19th Century Conditions that lead to marked health disparities are detrimental to Everyone When Inequalities in health are reduced, everyone benefits
Utilitarian principle: maximize health gain for all, increase average health for all
Should we strive to achieve a more even share of good health, beyond improving the average health status of the population?
What happens if the social situation is such that a person may take a wrong step out of his free will but there are situations in the society that makes it easy for him to take a wrong step? Who is responsible?
When one is responsible for an unhealthy decision that then leads to ill health, and in turn health inequality, can that inequality be labelled as unfair?
Zealand
The NZDep2006 index of deprivation ordinal scale ranges from 1 to 10, In the score, 1 represents the areas with the least deprived scores and 10 the areas with the most deprived scores