It seems to be gone!
dr
-----Original Message-----
From: Social Determinants of Health <[log in to unmask]> On Behalf Of Lara Mylly
Sent: Wednesday, September 19, 2018 10:38 AM
To: [log in to unmask]
Subject: Re: [SDOH] Canadian alternative in a similar format??
Many thanks to all who have shared comments and resources.
I appreciate some of the alternatives offered and will make those suggestions to my co-worker as well as share some of the commentary and exchange from this Network.
Lara
Lara Mylly, Health Promoter
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-----Original Message-----
From: Social Determinants of Health <[log in to unmask]> On Behalf Of Tarani Chandola
Sent: September 19, 2018 4:28 AM
To: [log in to unmask]
Subject: Re: [SDOH] Canadian alternative in a similar format??
Dear colleagues,
I completely agree with Jennie's sentiments. My worry is that this figure will start being referenced and the figures allocated to "different social determinants of health" will become reified. Can we ask Wikipedia to edit (delete) this figure on the basis that the methodology underpinning is dodgy?
Apparently it is derived from referenced sources (including an NEJM paper from 2007! I am not sure NEJM is the best source of SDH evidence, let alone a paper from 2007) and face to face interviews with public policy analysts, health IT experts, and clinical professionals (what about the social scientists?) https://www.goinvo.com/features/determinants-of-health/#methodology
All the best,
Tarani
From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf Of Popay, Jennie
Sent: 18 September 2018 18:16
To: [log in to unmask]
Subject: Re: [SDOH] Canadian alternative in a similar format??
I don't usually comment on this network but this type of diagrammatic representation of what we know to be very complex interrelated pathways to health and particularly to health inequalities drives me bananas. It is one of the worst example of the quantification of 'risk' pathways I have seen -and I have seen quite a few over my career. Representations like this are deceptively 'simple' - and because of that simplicity (for which read simplistic) too many people love them and hence they further reinforce the lifestyle drift tendency of so much professional health 'work'. Where to start with the problems - well maybe with the fact that we know from much research that many health related behaviours are shaped by, and deeply embedded in, socio-economic conditions in which people live and work and over which many of those with the worse health have little if any control. So how can the contribution of these two key aspects of the life scape to an individual's health be given
separate weights in any kind of meaningful way. I find this kind of
graphic so very depressing.
Jennie
Jennie Popay
Professor of Sociology & Public Health
Director of Engagement NIHR CLAHRC NW Coast http://www.clahrc- nwc.nihr.ac.uk/index.php Division of Health Research Faculty of Health & Medicine Lancaster University Furness Building Bailrigg Lancaster LA1 4YG
Tel: 01524 593377
From: Social Determinants of Health <[log in to unmask]> on behalf of Lara Mylly <[log in to unmask]>
Reply-To: Social Determinants of Health <[log in to unmask]>
Date: Tuesday, 18 September 2018 at 14:33
To: "[log in to unmask]" <[log in to unmask]>
Subject: [SDOH] Canadian alternative in a similar format??
Hello all:
One of the M.D.'s on our team sent me this graphic and link.
The format and content resonated with her and she is interested in working with me to facilitate an event targeting our other medical staff team members to engage them in identifying one project or theme that our team might work on.
She would like to use this diagram to review with the team and I wonder about the origin and accuracy of this, as well as the volume of info. In this specific resource.
Are there any suggestions for an alternative resource that is Canadian and is represented in graphic form, as this is a format she would like to use?
Thoughts and suggestions?
Source:
https://commons.wikimedia.org/wiki/File:Social_Determinants_of_Health_In
foviz.jpg
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