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Addressing Inequalities in Health and Wellbeing at Population Level. HINST Associates. Redcar and Cleveland (1) . Professor Chris Bentley Chris.firstname.lastname@example.org. Physiological risks High blood pressure High cholesterol Stress hormones Anxiety/depression. Well being and Health.
Redcar and Cleveland (1)
Professor Chris Bentley
High blood pressure
Well being and Health
Lack of activity
Risk conditions – e.g.:
Low social status
Poor educational attainment
Steep power hierarchy
services and support
Lack of social support
Poor social networks
Low perceived power
Loss of meaning/purpose of life
After Ronald Labonte
Different Gestation Times for Interventions
For example intervening to reduce risk of mortality in people with established disease such as CVD, cancer, diabetes
For example intervening through lifestyle and behavioural change such as stopping smoking, reducing alcohol related harm and weight management to reduce mortality in the medium term
For example intervening to modify the social determinants of health such as worklessness, poor housing, poverty and poor education attainment to impact on mortality in the long term
Local deprivation quintile by LSOA
Barnett, K et al. 2012
Multi-morbidity – the existence of several chronic health disorders in one individual – is a critical and increasing challenge for health and social services.
Buck, D; Frosini, F; 2012
Looking at combination of 4 key risk behaviours in 2008, i.e.:
Smoking; Excessive use of alcohol; Fruit and vegetable consumption;Physical exercise
King’s Fund 2012
Create an enabling society that maximises individual and community potential.
Ensure social justice, health
and sustainability are at heart of policies.
Give every child the best start in life.
Create fair employ-ment & decent work for all.
Create and develop
healthy and environment-ally sustainable places & communities.
Strengthen the role and impact of ill-health prevention.
Enable all children, young people & adults to maximise their capabilities & control their lives.
Ensure healthy standard of living for all.
Equality & health equity in all policies.
Effective evidence-based delivery systems.
High Q at 22m
Low Q at 22m
Source: Feinstein, L. (2003) ‘Inequality in the Early Cognitive Development of British Children in the 1970 Cohort’, Economica (70) 277, 73-97
Peer social skills
Habitual ways of responding
Graph developed by Council for Early Child Development (ref: Nash, 1997; Early Years Study, 1999; Shonkoff, 2000.)
% achieving 5+ A*-C GCSEs inc Maths and English
Income Deprivation Affecting Children Index (IDACI)
Source: DCFS 2009
Sources : 1. Gray R, Bonellie SR, Chalmers J, Greer I, Jarvis S, Kurinczuk JJ, et al. 2009. 2. Scottish Government. Growing Up in Scotland: Health inequalities in the early years. 2010. 3. Levin KA, Davies CA, Topping GV, Assaf AV, Pitts NB. 2009.4. Scottish Government 2003.
5. Scottish Government Health Analytical Services Division 2008.
Moser Report 1999
Skills for Life Survey 2011 (BIS)