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Social Determinants of Health

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Subject:
From:
Diana Liw <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Thu, 11 Jan 2007 06:38:57 -0800
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Debra-  If what you listed are true, I think that there is a need to
fundamentally change our higher education structure (college,
university, etc.).  I don't mean to be critical.  Do you think it
currently faciliates our young adults to develop skills such as you
suggested: "EXPOSURE TO TOPICS, READING, CRITICAL THINKING SKILLS, ETC."
 Or is it another form of promoting "class" in school?  Those that
conform with the current educational system, taking the "required"
classes, come up with a popularly "accepted" thesis and dessertation
topic, and do whatever statistical analyses necessary to finish up, get
their degrees.  And those that drop out, because of whatever reasons
(not wanting to confirm might be one) are viewed are failure?


>>> Debra Lafler <[log in to unmask]> 01/11/07 5:38 AM >>>
Regarding the correlation between long life and school (I apologize if
any
of these comments are redundant or obvious. I joined the listserv in
the
middle of the discussion). 

We may want to consider the following....

A professor of mine used to say: 
"Just because eating ice cream is highly correlated with hot outside
temperatures, we can't say that one really causes the other."
Correlation is
not always causal. Other factors may have to come into play.

So with education, we need to consider all the factors that come into
play
for people as they travel the education train. Some things might
include: 

EXPOSURE TO PEOPLE & OTHER SOCIAL PRACTICES
- exposure to more people, including people with various backgrounds
(this could be the ticket for people from lower income and lower
educational
family/social backgrounds - once in school, with others from more
educated,
more financially stable families/social systems - the exposure of
those
things can increase and positively influence people, such as different
nutrition habits/choices, different views on priorities, different
restaurants to go to, and so on. 

EXPOSURE TO TOPICS, READING, CRITICAL THINKING SKILLS, ETC.
- exposure to more topics, readings, projects, research, and so on
- increases in critical thinking skills
- increases in scientific thought and evaluation
- increases in reading higher level materials, such as research papers
- increases in understanding of socio-cultural-political systems
- increases in understanding of business-marketing-advertising markets

- increase in general literacy, and therefore comprehension of topics
written in magazines, books, in ads, and so on.
(This exposure and practice can create skills that transform how
people
read, comprehend and evaluate every day information from media,
advertising,
books, the internet, and so on.)

EXPOSURE TO HEALTH AND SOCIAL ISSUES WHILE AT COLLEGE/UNIVERSITY
- Further in colleges/universities today, student affairs and student
health
departments are growing in the education and services for students -
students today are exposed to various health and social issues starting
at
orientation, including education and support for alcohol and drug use,
impaired driving, sexual/reproductive health, relationships, safer
sex,
nutrition, fitness, emotional/behavioral health (depression, anxiety,
eating
disorders, etc.) [With this exposure on campus with peers, increases
in
general health habits, understanding of self and social health issues,
and
choices.] 

USING THE BRAIN
- we cant forget that just using the brain, participating in
education,
reading, critical thinking, and so on - has been shown to be related
to
living longer as well.

SALARY & FINANCIAL ABILITY
- as education level increases, so does salary, and with salary
increases,
so goes the availability of higher cost foods, restaurants, health
food
stores, vitamins, private fitness classes or training, and so on. 
- but equally, with salary increases, increases the chances that people
will
be in positions where they are exposed to others from various social
and
financial backgrounds, possibly supporting healthier choices.
- and to be "included" as part of this higher social class, the need to
know
about certain topics, do certain things/participate in certain
behaviors,
including health behaviors increases.

SALARY, EMPLOYEMENT & WHERE ONE LIVES & SOCIAL STATUS
- as educational level increases, employment options increase in
metropolitan areas, and neighborhoods that may require higher incomes
to
support living - including house prices, and neighborhood prices
(foods,
materials, services, etc.) 
- again with exposure to certain social neighborhoods, so does the
exposure
and social support for participating in lifestyle habits
- as one raises in social status, so does the social influence to also
participate in more lifestyle issues that can positively influence life
span
(friendship, education, critical thinking, health and behavior
services,
nutrition and physical activity choices, and so on).

NUTRITION & PHYSICAL ACTIVITY
- related to salary, as one can afford it, and are around others that
eat or
participate in certain activities, so do their own habits
- as nutrition and physical activity increase, all the health benefits
follow including physical and psychological well being.

Well, I am sure more can be said.....

I just wanted to share some thoughts.....

Very interesting topic! 

Debra Lafler, MA
Madison, WI 



-----Original Message-----
From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf
Of
Patrick Mbindyo
Sent: Wednesday, January 10, 2007 11:39 PM
To: [log in to unmask] 
Subject: Re: [SDOH] A Surprising Secret to a Long Life: Stay in School

Jeff/Raphael,

Thanks for your comments. 

It is interesting the way we take for granted and align/pattern
ourselves
with what society says is norm so that we can be part of the mainstream
and
ultimately benefit (psychologism reinforced sociologically). But, if
what
Mills states is true - that we need to consider the struture of
opportunities - i would think that any agent who, despite what
strucutre
does, is able to access the four forms of capital would be interesitng
to
consider. I am thinking of the many people who do not progress in the
educational system yet seem to have good health outcomes...how would
we
account for this? Would this now be informal education? 

Patrick


 
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