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Social Determinants of Health

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Subject:
From:
Maria Inês Reinert Azambuja <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Sun, 9 Jan 2005 22:01:50 -0200
Content-Type:
text/plain
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From the Document health, United States, 2004:
http://www.cdc.gov/nchs/data/hus/hus04.pdf

Health, United States, 2004, identifies major areas where

disparities in health and health care exist by race, ethnicity,

and socioeconomic status. Persons living in poverty are

considerably more likely to be in poor health and less likely

than nonpoor persons to have used many types of health

care. In 2002 the percentage of persons reporting their health

status as fair or poor was more than three times as high for

persons living below the poverty level as for those with family

income more than twice the poverty level (table 57). Poor

persons were four times as likely as nonpoor persons to

report serious psychological distress (table 58).

Large disparities in infant mortality rates remain among racial

and ethnic groups (table 19), and the gap in life expectancy

between the sexes and between the black and white

populations has been narrowing, but persists (table 27).

Disparities in access to health care, risk factors, and

morbidity also persist among persons under 65 years of age

of Hispanic origin, and American Indians who are more likely

to be uninsured than are those in other racial and ethnic

groups. Obesity, a major risk factor for many chronic

diseases, also varies by race (figure 17 and tables 69 and

70). Diabetes, which is associated with obesity, rises sharply

with age and is more common among non-Hispanic black and

Mexican persons than non-Hispanic white persons (table 55).

While many aspects of the health of the Nation have

improved as a whole, the health of some subpopulations has

lagged behind. The large differences in health status by race

and Hispanic origin documented in this report may be

explained by several factors including socioeconomic status,

health practices, psychosocial stress and resources,

environmental exposures, discrimination, and access to health

care (4). Socioeconomic and cultural differences among racial

and ethnic groups in the United States will likely continue to

influence patterns of disease, disability, and health care use

in the future.

 p. 26.

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