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Investing in Health: Is Basic Education Better than Medicine?. Maxine Hayes, MD, MPH State Health Officer Washington State Department of Health December 11, 2007. We Know What Determines Health. Institute of Medicine 2001. National Research Council 2001.

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investing in health is basic education better than medicine

Investing in Health:Is Basic Education Better than Medicine?

Maxine Hayes, MD, MPH

State Health Officer

Washington State Department of Health

December 11, 2007

we know what determines health

We Know What Determines Health

Institute of Medicine 2001

National Research Council 2001

National Institutes for Health 2000

Institute of Medicine 2000

what are social determinant of health

What are Social Determinant of Health?

  • Social determinants of health refer to societal conditions that affect health and that potentially can be altered by informed action.
    • Job opportunities
    • Opportunities for education
    • Social norms – e.g., dropping out of school
    • Housing conditions and exposure to environmental hazards
    • Availability of services and access to resources
slide7
“The one social factor that researchers agree is consistently linked to longer lives in every country where it has been studied is education. It is more important than race; it obliterates any effects of income.”

THE NEW YORK TIMES

the new york times
THE NEW YORK TIMES

A Surprising Secret to a Long Life: Stay in School

By Gina Kolata

January 3, 2007

slide9

Death Rates by Age and Educational Level

Washington State, 1997-1999

SOURCE: The Health of Washington State, 2002

table 1 national graduation rates by race or ethnicity and sex united states 2001
Table 1. National Graduation Rates, by Race or Ethnicity and Sex, United States, 2001

Source: Swanson CB A statistical portrait of public high school graduation, class of 2001. Washington DC: The Urban Institute; 2004

a Rate based on estimates that cover between 50% and 75% of the student population.

preventing chronic disease public health research practice and policy
PREVENTING CHRONIC DISEASEPUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY

SPECIAL TOPIC

Reframing School Dropout as a Public Health Issue

Nicolas Freudenberg, DrPH, Jessica Ruglis

CDC

Volume 4: No. 4, October 2007

slide13

SOCIAL DETERMINANTS OF HEALTH: INFORMING POLICY DECISIONS

Social conditions that affect health are amenable to population-based interventions that improve community health outcomes.

ranked by potential to improve community health

Ranked by Potential to Improve Community Health

Child development programs (Head Start, Healthy Start, etc.).

Adequate public investment in education.

“Living wages” to move working families above poverty.

Access to quality health care for all ages.

Mixed income neighborhoods to decrease segregation by SES.

Programs to reintegrate stigmatized populations.

Parenting classes in schools, churches, health agencies, etc.

Neighborhood schools as site of numerous community support programs.

Family-focused, one-stop health and human services centers .

Adequate health benefits with employment.

The Guide to Community Preventive Services. “Interventions in the Social Environment to Improve Community Health: A Systematic Review”AJPM April 2003

slide15

What Influences Our Health

Healthy

51%

Behaviors

22%

Environment

Genetic

17%

Makeup

Health Care

10%

0%

20%

40%

60%

80%

100%

Source: McGinnis, et. al, 2002

What Influences Our Health

slide17
“Investments in Education are Health Investments

Investments in Health are Education Investments”

Maxine Hayes

slide18

Academic

Achievement

IMPACTS

Adult Health

Child & Adolescent Academic Achievement

Child & Adolescent Health Status or Behaviors

IMPACTS

you can t educate a child who is not healthy and you can t keep a child healthy who is not educated
“You can’t educate a child who is not healthy and you can’t keep a child healthy who is not educated”

Joycelyn Elders

references
References
  • Evans, R.G., Barer, M.L., & Marmor, T.R. (Eds.). (1994). Why are some people healthy and others not? The determinants of health of populations. New York: Adline de Bruyter; US Department of Health and Human Services. (200).
  • House, J.S., & Williams, D.R. (2000). Understanding and reducing socioeconomic and racial/ethnic disparities in health (Paper contribution B to the Institute of Medicine Committee on Capitalizing on Social Science and Behavioral Research to Improve the Public’s Health). In B.D. Smedley & S.L. (Eds.), Promoting Health: Intervention strategies from social and behavioral research (pp.81-124). Washington, D.C: National Academy Press. Available: http://www.4.nas.edu/iom/iomhome.nsf.
  • US Preventive Services Task Force. (AJPM April, 2003). Sociocultural environment. In the guide to community preventive services: Systematic reviews and evidence-based recommendations. USDHHS. http://www.thecommunityguide.org