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Social Determinants of Health

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Subject:
From:
"Adam P. Coutts" <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Tue, 10 Oct 2006 16:20:03 +0100
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http://www.dh.gov.uk/assetRoot/04/13/95/22/04139522.pdf

What the Health Profile shows.

A general improvement in health outcomes

The report shows recent improvements in a number of critical areas, eg: - 
declining mortality rates in targeted killers (cancers, all circulatory 
diseases and suicides) - increasing life expectancy, now at its highest 
ever level - reducing infant mortality, now at its lowest ever level.

However, in some areas particular challenges remain to achieve and sustain 
progress, eg: - rising rates of diabetes. Similarly for the determinants of 
health: although we are making improvements in some important areas, eg: - 
occurrence of smoking - quality of housing stock - child poverty

there are a number of areas of concern, eg:
- increasing levels of obesity in adults and children
- high levels of teenage pregnancy.

And even where we are seeing improvements, health inequalities are often 
present.

The report illustrates various inequalities by:
- geography - within England, across the UK, across Europe
- gender
- ethnicity
- socio-economic group
- age.

In some cases, these are improving over time, eg: - reducing absolute gap 
between disadvantaged areas and the national average for cancer and 
circulatory disease mortality rates.

But in others, gaps are static or widening, eg: - inequality in infant 
mortality between routine and manual workers and the national average - 
inequality in life expectancy at birth between disadvantaged areas and the 
national average - socio-economic inequality in childhood obesity.

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