Great points. I was seeing this as a way for those who do the individual and biological research to engage in how social structures impact down to the molecular level. This could become more description on how social inequity impacts health, but it could also move the discussion toward individual interventions.
Thanks for the discussion,
Enrique Cardiel
Urban Health Extension Coordinator
505-925-7393
It's time we made it possible for all Americans to afford to see a doctor,
but it's also time we made it less likely that they need to!
-----Original Message-----
From: Social Determinants of Health on behalf of Melissa Raven
Sent: Wed 1/26/2011 5:50 AM
To: [log in to unmask]
Subject: Re: [SDOH] New 7 minute video summarising recent early life brain science and its implications for public health, programs and policy.
What bothers me about this video, and about a lot of discourse in the SDOH
field, is the narrowing of focus to the
biological/physiological/neurological.
SDOHers reject individualism [Schwartz & Diez-Roux (2001, p. 439): 'One
cannot, as an individual, simply choose to be healthy or to behave in a way
that increases one's health'].
But increasingly SDOHers seem to embrace *individualisation* of risk with
alacrity, locating risk within individual bodies (and often more
specifically locating it within individual brains).
Rightly rejecting behavioural explanations that foster victim-blaming and
ignore structural factors, many SDOHers happily substitute biological
mediation explanations that restrict the focus on structural factors to a
narrow range of (unquestionably important) factors and a critical period of
exposure (also unquestionably important), ignoring the influence of many
other determinants that operate at other stages of life.
I am an enthusiastic advocate of early childhood intervention. It is more
effective and more cost-effective than later intervention, and it ticks a
lot of humanitarian boxes. But I think it is a serious mistake to focus so
narrowly on the physiological effects of early childhood, and even more
narrowly on brain development.
Early childhood experiences aren't just biologically embedded. They also
influence life trajectories. Children who miss out on learning/education can
be physically healthy but condemned to hazardous lives in violent
neighbourhoods and dangerous work environments.
The toxic stress model is relevant to chronic diseases, but much of the
excess morbidity and mortality associated with social disadvantage is
related to acute exposures.
And biological mediation explanations lend themselves to biomedical fixes as
opposed to social change.
Social determinants advocates gain legitimacy by emphasising biological
mediation (which lends itself to objective measurement and 'scientific
evidence'), but at a real cost, I think.
Melissa
Melissa Raven
Adjunct Lecturer, Department of Public Health, Flinders University,
Adelaide, South Australia
_____
From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf Of M S
Sent: Wednesday, 26 January 2011 9:49 AM
To: [log in to unmask]
Subject: Re: [SDOH] New 7 minute video summarising recent early life brain
science and its implications for public health, programs and policy.
Yes, Thanks for sending this. I really appreciate the information
transmitted in this video and summary. Like all links provided on this
professional list, by professionals, as usual as they are informative.
I have read the article by Dr. Clyde Hertzman in addition to others on this
topic as well, and have always been a skeptic. I will try post questions on
this at a later time on the list for you or anyone who can perhaps answer
them.
Best,
Mona
On Mon, Jan 24, 2011 at 11:00 PM, Malcolm Lewis
<[log in to unmask]> wrote:
If you are not convinced does that mean that you want to read something
longer than a 2 page summary or see something longer a than a 7 minute
online video?
I'd be interested in what about it does not convince you?
Thanks for your sceptical thinking.
Cheers
Malcolm
Malcolm Lewis.
Mental Health Promotion Officer
Darling Downs Public Health Unit
Southern Regional Services,
Division of the Chief Health Officer
Queensland Health
Phone 07 46319801
Fax: 07 4639 4772
Email: [log in to unmask]
Address: 3 Bell St, Toowoomba QLD 4350
Postal Address: PO Box 1775, Toowoomba QLD 4350 Australia
>>> M S <[log in to unmask]> 25/01/2011 2:15 pm >>>
I am not convinced.
Cheers,
Mona
On Mon, Jan 24, 2011 at 3:28 PM, Malcolm Lewis
<[log in to unmask]> wrote:
New 7 minute online video summarising recent brain science and its
implications for public health, programs and policy.
I like the way it covers the nutrition/town planning agenda in a way that I
have not seen linked elsewhere.
I love the line they use the line "Early experiences are built into our
bodies, creating
biological ?memories? that shape development, for better or for worse."
It is also a good rationale for work to create child friendly cities
communities.
It is from the Harvard Universities' Centre for the Developing Child.
If you are unfamiliar with this importance evidence this is a quick and
effective introduction.
If you are familiar with these ideas, then these are good resources to use
to build support for policy/program change needed to create healthier, more
productive and more equal futures.
I'm going to put a like to it in my Facebook page so my friends and
colleagues can better understand why I work on what I work on.
Please share in the ways that are effective for you.
Online Video bit.ly/gONXhE
There is also concise two page written summary of the science
http://bit.ly/hzojbs
Malcolm Lewis.
Mental Health Promotion Officer
Darling Downs Public Health Unit
Southern Regional Services,
Division of the Chief Health Officer
Queensland Health
Phone 07 46319801
Fax: 07 4639 4772
Email: [log in to unmask]
Address: 3 Bell St, Toowoomba QLD 4350
Postal Address: PO Box 1775, Toowoomba QLD 4350 Australia
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Mona Shoker
Interdisciplinary Program in Political Science, Sociology and Health
Major in Psychology
Delegate, Vice Chair | VAPA
Chair, Philanthropy | VKAT
The University of British Columbia
Vancouver, BC Canada V6T 1Z4
email: [log in to unmask] <mailto:[log in to unmask]>
[log in to unmask]
"Love life, engage in it, give it all you've got. Love it with a passion,
because life truly does give back, many times over, what you put into it" -
Maya Angelou
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