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Young people and health: expanding the idea of social determinants. John Coleman University of Oxford. Thinking a bit more broadly. The family The school The peer group The digital world. The family. The Cheltenham study of drug users Various studies of smoking in young people

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young people and health expanding the idea of social determinants

Young people and health: expanding the idea of social determinants

John Coleman

University of Oxford

thinking a bit more broadly
Thinking a bit more broadly
  • The family
  • The school
  • The peer group
  • The digital world
the family
The family
  • The Cheltenham study of drug users
  • Various studies of smoking in young people
  • Sexual health
  • International studies showing the more parents talk, the less sexual risk-taking
  • The FPA and Speakeasy
where else might the family be influential
Where else might the family be influential?
  • Exercise?
  • Eating behaviour?
  • Attendance at primary care?
  • Transition?
the school
The school
  • The health-promoting school
  • Chris Bonell and others “Improving school ethos may reduce substance abuse and teenage pregnancy”
  • The Gatehouse project in Australia
  • The Healthy Schools initiative in the UK
  • Why schools can make a difference
the peer group
The peer group
  • It seems obvious, yet very little research has highlighted the role of the peer group.
  • One exception - studies of smoking
  • We know from studies of anti-social behaviour that there is a reciprocal influence between behaviour and membership of a peer group
  • But we know little about how this works where health is concerned
  • MORE RESEARCH!
the digital world
The digital world
  • The positives: access to information, staying in touch with services, highlighting issues on social media (e.g. prostitution)
  • The negatives: pornography, internet addiction, grooming, cyber-bullying.
  • Where is the balance?
  • As health professionals we have to become engaged
  • But MORE RESEARCH!
conclusion
Conclusion
  • All four factors clearly impact on young people’s health
  • Yet, to a large extent, these factors are not linked to health outcomes and to the delivery of services
  • An opportunity for some exciting new thinking
  • Let’s expand the notion of social determinants of health to include some of the things I have discussed this morning.