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Social Determinants of Health

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"Thompson, Kenneth" <[log in to unmask]>
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Wed, 28 Jun 2006 18:34:28 -0400
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in glasgow a couple of years ago, a young woman working in a bakery noticed my american accent and asked why i had come to scotland and glasgow in particular.  i said i was interested in the topic of health inequity..  just couldnt think of a way to be more concise.  so she said.   "achhh yess, we have a real problem with that.  the poor folks die here so young and its because of the way we have to live!!!!"

when will i have that kind of conversation in the us.

ken 
pittsburgh


-----Original Message-----
From: Social Determinants of Health on behalf of Dennis Raphael
Sent: Wed 6/28/2006 1:57 PM
To: [log in to unmask]
Subject: [SDOH] ideological barriers to addressing health inequalities at the local level
 
Health Policy xxx (2006) xxx.xxx

Knowledge into action?
Understanding ideological barriers to addressing
health inequalities at the local level
Patricia A. Collins a,., Julia Abelson b, John D. Eyles b,c
a Department of Geography, RCB 7230, Simon Fraser University, 8888 
University Drive, Burnaby, BC, Canada V5A 1S6
b Department of Clinical Epidemiology and Biostatistics, Centre for Health 
Economics and Policy Analysis,
McMaster University, 1200 Main St. W, Hamilton, Ont., Canada L8N 3Z5
c School of Geography and Geology, McMaster University, 1280 Main St. W, 
Hamilton, Ont., Canada L8S 4K1

Abstract
The objective of this studywas to explore the presence of ideological 
barriers to addressing local health inequalities in Hamilton, Ontario, 
Canada. A survey of active citizens revealed low levels of awareness of 
the social determinants of health (SDOH) framework, and some incongruence 
between understanding and attitudes towards the SDOH. Support for 
addressing health inequalities was associated with awareness of the SDOH 
framework, liberal value-systems, and a cluster of socio-demographic 
characteristics. Liberal leaning participants were also more politically 
active than their conservative counterparts. Ideological barriers included 
lack of SDOH awareness, narrow understandings of the relative influences 
of the SDOH, resistance to deprioritizing healthcare, and conservative 
values. Advancement of a SDOH policy agenda should incorporate wider 
dissemination efforts to citizens and local service providers to increase 
support for this framework, and utilization of existing support and 
political engagement from liberal-leaning demographics

http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B6V8X-4JRVFN2-2-7&_cdi=5882&_user=866177&_orig=browse&_coverDate=04%2F18%2F2006&_sk=999999999&view=c&wchp=dGLbVzb-zSkzS&md5=b7a20225d0bf5c4a4e39da9c3dcc135a&ie=/sdarticle.pdf

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