c/o SDOH list "Liberal/Individualized Versus Materialist/Structuralist Approaches"

Abstract

Background: While consensus exists that the sources of health inequalities are social inequalities brought on by the experience of qualitatively different living and working conditions, means of addressing these conditions continue to be the subject of dispute. Whether to emphasis education or income as a social determinant of health is one such example of differing views on the sources of these inequalities and the means of addressing them. These different emphases are often justified through the narrow examination of the magnitude of statistical relationships between educational attainment and income with health outcomes.

Purpose: We offer a broader view, seeing these differing emphases as indicative of contrasting views of the nature of society and means of responding to these inequalities with emphasis on education representing a liberal reformist view of the issue while an emphasis on income representing a materialist structuralist view.

Research design and study sample: We examine, the validity of this hypothesis through an analysis of content of five representative publications that consider educational attainment as a social determinant of health and five that do so for income.

Analysis and results: We find that the emphasis on education as a social determinant of health focuses on the attributes of the individual and is generally accepting of the structures and processes of the existing economic and political order. In contrast, an emphasis on income – when placed within a materialist analysis – views existing systems as inequitably distributing income and other resources thereby requiring their reform or transformation.

Conclusion: Considering evidence of deteriorating living and working conditions for many in Canada and elsewhere, we see the latter emphasis as more useful for understanding and addressing these disturbing developments.

Ervin A, Raphael D. Liberal/Individualized Versus Materialist/Structuralist Approaches to Addressing Social and Health Inequalities: Education and Income as Social Determinants of Health. Community Health Equity Research & Policy. 2025;0(0). doi:10.1177/2752535X251316086

At present differentiating and conceptualising the individual and the collective (society) is ongoing. Ervin and Raphael's paper is helpful then:

'Grabb’s definition of social inequality leaves room for the importance of individuals’ attributes such as educational attainment and income – while Crossman’s definition directs explicit attention to the structures and processes of society9,10:'

Individual

|

      INTERPERSONAL    :     SCIENCES               

HUMANISTIC  --------------------------------------  MECHANISTIC      

 SOCIOLOGY  :    POLITICAL 

|

Group

'Social inequality can refer to any of the differences between people (or the socially defined positions they occupy) that are consequential for the lives they lead, most particularly for the rights or opportunities they exercise and the rewards or privileges they enjoy.9, p.1'	Physical processes Physical structures Infrastructures
'Social inequality is characterized by the existence of unequal opportunities and rewards for different social positions or statuses within a group or society. It contains structured and recurrent patterns of unequal distributions of goods, wealth, opportunities, rewards, and punishments.10'	Political processes  (bureaucracy) Political structures (inc. Institutional) Power

In Ervin and Rapahael (2025) there are also two tables:

Table 1. Four Primary Aspects of How Educational Attainment Comes to be a Social Determinant of Health.

Table 2. Five Primary Means of Conceptualizing How Income Comes to be a Social Determinant of Health.

- the main headings of which I have mapped to Hodges' model below.

Individual

|

      INTERPERSONAL    :     SCIENCES               

HUMANISTIC  --------------------------------------  MECHANISTIC      

 SOCIOLOGY  :    POLITICAL 

|

Group

Personal cognitive and decision-making skills (Cognitive) Access - Literacies	(Physical) Access to healthcare
Behavioural risk factors SOCIO-	Life Chances - Health Career -ECONOMIC status

To leave, manage or join list: https://listserv.yorku.ca/cgi-bin/wa?SUBED1=sdoh&A=1

Hodges' model? Simple: it's a rich, complicated, complex picture

In wider reading (relations, maths... and) drafting a post concerned with 'universal construction' I came across:

Rasanathan, K., Montesinos, E. V., Matheson, D., Etienne, C., & Evans, T. (2011). Primary health care and the social determinants of health: essential and complementary approaches for reducing inequities in health. Journal of Epidemiology and Community Health (1979-), 65(8), 656–660. http://www.jstor.org/stable/23050931

Figure 2 stood out for rather obvious reasons:

individual

|

INTERPERSONAL : SCIENCES

humanistic ------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

Figure 2 'works' and not merely because it is clearly 'all political', but I would have swapped 'leadership reforms' with 'service delivery forms'. Trying to emphasize leadership at the individual level empowered to actually effect change. This could quickly change as per the situation. I also appreciate the jigsaw graphic.

You soon appreciate the complex nature of health care:

Primary, Secondary, Tertiary, Quaternary care and prevention. Add social care, welfare, all the fields of medicine, surgery, nursing, education, policy, information, literacies, human rights, consent, mental capacity, mental health law, forensic psychiatry, self-care, local, national and global health, urban, rural, remote, virtual environments, ethics, developed and developing nations, ecosystems and funding.

And this just scratches the surface ...

c/o HSE.ie - Model of Care for People with Mental Disorder and Co-existing Substance Use Disorder (Dual Diagnosis)

"The definition of Dual Diagnosis for this Model of Care is: ‘the co-morbid disorders due to substance use and/or addictive behaviours along with the presence of mental disorder(s)’. The disorders of substance use include disorders of alcohol use." p.10.

Model of Care for People with Mental Disorder and
Co-existing Substance Use Disorder (Dual Diagnosis)

INDIVIDUAL
|
INTERPERSONAL    :     SCIENCES              
HUMANISTIC --------------------------------------  MECHANISTIC
SOCIOLOGY :   POLITICAL
|
GROUP

mental disorder addictive behaviour - inc. gambling and gaming disorder lived experience recovery (here?) [cognitive access: orientation, insight, literacy, communication ..] training patient and	Demographics: Adult Dual Diagnosis team cover population of 300,000 Adolescent Dual Diagnosis teams 10 to 17 years lived experience data gathering p a th w  a ys [ physical access: place, time] e-health, therapeutic modules reablement, recovery (here?)
public involvement Carers Social Inclusion Social capital lived experience Vulnerable women, communities, homeless, ethnic minorities, refugees, recovery (here?) rehabilitation	Dual Diagnosis Service funding [ planned - in-patient beds ] TRAINING Service users lived experience interdepartmental discussion re. service provision for prison population probation services asylum seekers, immigrants Key Performance Indicators recovery (here?)

FOR: Economic, Educational, Environmental, Social, Political DETERMINANTS . .

READ: Cognitive, Physical, Social and Political ACCESS

My source: https://twitter.com/h2cm/status/1661299925391384576?s=20

New Voices Conference Women and their Body

Dear all,

Please find here the invitation for attending the Conference Women and their body in March 2023:

The conference Women and their Body aims at breaking the silence!

 Together, the Humanities and the Cultural Studies take a stand on the explosive topic Women’s right over their Own Body. Recent and even past events in numerous countries ask for a statement, formulated by many scholars from different research fields.

Recent events have shown that it is urgent and fundamentally important to shed new light, through philosophical, linguistic, literary, scientific, medical and artistic perspectives, on the female body and the position of women in relation to their body. Too often it seems that women do not have the right to determine their own body, although men have never been deprived of this right. The question of power over the body is strongly linked to the distinction between men and women. It seems that men have more rights and power on their own body than women. But how is this possible? What is the status of the female body in culture and society? Why is the female body both, an object of desire and a battlefield for demonstrating male power? To what extent have medicine and technology interfered in recent years with the female body and with what consequences?

On March 15^th, 16^th and 17^th 2023, the international, hybrid conference, organised by Dr. Jil Muller, at the Center for the History of Women Philosophers and Scientists in Paderborn, directed by Prof. Ruth E. Hagengruber, will shed light on this issue. Everyone is welcome to attend the conference, via Zoom or in person in Paderborn. Please note that the in-person places are limited.

Please use the registration tool to register for the conference:
https://indico.uni-paderborn.de/event/21/

The preliminary program can be found here:
https://historyofwomenphilosophers.org/new-voices-conference-women-and-their-body/

For further information or any question, please feel free to send an email to
contact AT historyofwomenphilosophers.org

Dr. Jil Muller
Assistant Professor, Post-doc Researcher
Philosophy Department, Paderborn University:
https://kw.uni-paderborn.de/en/fach-philosophie/personal/personen/91668
Deputy Head and Researcher at the Center for the History of Women Philosophers and Scientists:
https://historyofwomenphilosophers.org/about/team/
Chair: Prof. Dr. Ruth Hagengruber

Universität Paderborn
Raum TP 21.2.31
Technologie Park 21
33100 Paderborn
Germany

My source:
Philos-L "The Liverpool List" https://www.liverpool.ac.uk/philosophy/philos-l/
Twitter @PhilosL. Department of Philosophy @LiverpoolPhi

ii The Jubilee Centre Framework for Character Education in Schools - 3rd edition

Some thoughts on the previous post ...

Regards, "Character is fundamental: it is the basis for human and societal flourishing;" and "Character is sought freely to pursue a better life;" p.7.

While education is rivalrous - character education is - should be non-rivalrous?

Philosophers have and continue to debate the meaning of 'success', 'good', and related concepts. At a time when students will be acutely aware of the socio-economic transformations needed to accept environmental limits and re-shape the global economy; the provision of tools for reflection, critical thinking, problem solving and 'Being well' should not be a constraint.

There is - must be - a place for a tool that invites, facilitates and rewards conceptual exploration, vocabulary development and the personal and social development that can follow.

Caught, Taught and Sought - are memes still a 'thing'? 

Hodges' model clearly has a hold here. 

Perhaps, you can embrace it too?

It is encouraging to see how character education draws in PSHE, Citizenship, general studies and more. We should not just acknowledge the role of the humanities in a well-rounded education, but as we turn-the-stones let's be aware of the corners too.

Here in the UK students study for O-Levels, A-Levels, T-Levels, BTEC and more. The government's policy to level up - demands that in education we run the gamut of the alphabet and much more. 

Given the global scope of education (usually*), with Hodges' model a product of Manchester Polytechnic now Manchester Metropolitan University, there are strong links between the healthcare sector, education and research - hence the sciences. The question now concerns the nature of these links. I feel they are bound to be strengthened. Even within healthcare, medicine, nursing and the allied health professions - on-the-ground it appears there is a need to do more to effect positive change through the sustainable development goals and not just draw attention to the social determinants of health, but to determine how we can act on them.

*https://theirworld.org/

University of Birmingham 2013, 2017, 2022
ISBN: 9780704429789
https://www.jubileecentre.ac.uk/527/character-education/framework

Cover image:

https://www.researchgate.net/publication/362745797_The_Jubilee_Centre_Framework_for_Character_Education_in_Schools_3rd_revised_version 

Schoolboy's guilt after controversial goal 50 years ago in Wirral football game finally put right:

ITV hub - https://www.itv.com/news/granada/2022-08-27/50-years-of-extra-time-for-schoolboy-football-match

 

 

Book - "Criminal: How Our Prisons Are Failing Us All"

INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

LIFE CHANCES LIFE SKILLS (mental) health learning disability acquired brain injury post traumatic disorder ...	Personalised medicine: "If you use substance 'x' or this class of drugs, then there is a 'y' probability that 'z' will happen." ... ... future ...? Traumatic Brain Injury Screening
Collective Life Chances Society ...? Life Skills 'fit' for 21st C. EDUCATION EDUCATION EDUCATION Pre-School! Pre-School!! Pre-School!!! equity Social Justice

I heard Angela Kirwin being interviewed about her book on Times Radio earlier today.

Prisons have changed. Haven't they? Prison reform 'happened'. It is a fact of history after all - Elizabeth Fry et al.? At least according to Social and Economic History GCSE in the 1970s.

Mental asylums changed. They have closed. 

Prisons have (apparently) changed markedly since the 19th - 20th century.

With the 'asylum system' of institutionalised 'care' they share a few things in common..

The 'estate' was Victorian (Winwick Hospital is long gone - leaking, cockroach infested, red carpet at the main entrance - with frequent reference to custodial care and how to change - challenge this.).

Now community care, or care in the community (take your pick) holds sway. 

We are a fifth of the way into the 21st century - can you believe it?

Decades from now will they look at the prison system now and see it as archaic as we see the 'lunatic asylums' pre-20th century (terrible for much of the 20th in fact), and yet we often forget the rationale for their original establishment?

From a mental health perspective what do the social determinants (of health) mean?

Mechanistically speaking, it seems determinism is very much doing its work - too many enter the political system and it's not the one - to represent the community in Parliament.

I've viewed Hodges' model as a resource to highlight parity of esteem at an individual level (physical AND mental health).

Increasing in relevance, I can see its utility in the pursuit of collective parity of esteem.

The most troubling commonality here: care in the community is unfinished. It sort of got started. It fledged, but never took flight.

There were many compassionate, caring, professional staff in the asylums. Exceptional role models. They saw the theory - practice gap. Pointing it out. Aptitude - Attitude. They were the heart in the Victorian shell, even as science struggled (and still does) with the ghost in the machine.

Historically speaking the ‘workhouse’ is closer than we think.

The UK rightly lauds its National Health Service, created in 1948. The Poor Law was also abolished in 1948 (Hillam and Bone, 1999).

Prisons, mental health care, preventive health, health education and community care .. so much still to do.

This sounds an interesting new book too! :-)

Hillam, Christine., and J.M. Bone. THE POOR LAW AND AFTER: workhouse hospitals and public welfare. Liverpool: Liverpool Medical History Society, 1999. ISSN 1364-999x

RSPH Sparks Debates - Geopolitical determinants of health

The Royal Society for Public Health 

Thu, 11 November 2021, 15:00 – 16:00 GMT

Online event

 

Individual
|

INTERPERSONAL : SCIENCES

humanistic ------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

Group

i m p a c t	GEO-
SOCIAL determinants of health	POLITICAL determinants of health

 

My source:

https://twitter.com/R_S_P_H/status/1446469190198628376?s=20

https://twitter.com/R_S_P_H/status/1445011311478325249?s=20

#RSPHSparksDebate

Be healthful and careful ...

In the series of posts about the book:

Review: i Fundamentals of Person-Centred Healthcare Practice 

- the word/concept of 'healthful' stood out (Introduction, chapter 4 pp.33-40). Revisiting this I noticed there aren't any entries in the index, or I've missed them. 

Healthful stands out in the context of Hodges' model with:

• health
• illness
• disease
• strength
• disability
• ability
• ... [blog's tag list]

- and thinking about care, careful, carefulness. 

 

As included in the posts, chapter 17 concerns the socio-political context in person-centred practice. The index is very good, comprehensive but the social determinants of health or the sustainable development goals are not discussed even in a cursory manner. This is why I believe the 'political' is a default care domain.

 

 

Another book (I bought) by The Care Coalition 'The Care Manifesto' in their introduction and having just begun to read, central to their argument is the fact that at present (nationally and internationally) carelessness reigns. They write:

"What, we now ask, would 

happen if we were to begin 

instead to put care at the 

very centre of life?" p.5

Yes, what would happen?

 

 

 

The Care Coalition (2020) The Care Manifesto, The Politics of Interdependence, Verso

 

A window on social history ...

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

Ask a child to draw a house ..?	Light Air*
A row of coal miners' houses with no windows to the street, Halifax, 1937 by Bill Brandt	HUMAN RIGHTS

 

Source:

A row of coal miners' houses with no windows to the street, Halifax, 1937 by Bill Brandt. Nostalgia is a seductive liar. pic.twitter.com/zrpzQySRjt

— Davenant 📸 (@MarcDavenant) March 29, 2021

 

https://www.billbrandt.com/bill-brandt-archive-print-shop/sp03-coal-miners-houses-with-no-windows-to-the-street-c1937

*and its quality

Fully funded PhD opportunity: Power

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

	'Power' How power is exercised here ...

[The above is my addition, and is not an endorsement]

Power as a social determinant of health inequalities (supervised by Mhairi Mackenzie and Sharon Greenwood at the University of Glasgow and Dr Gerry McCartney, Head of the Scottish Public Health Observatory at Public Health Scotland).

This PhD aims to deliver academic and policy learning about how power shapes health and health inequalities at a societal level and methodological learning about collaborative autoethnography as a means of generating data from/with elite participants. The findings will be used to develop learning materials for those engaged in the health inequalities field and to contribute to Public Health Scotland’s ongoing work programme in understanding power as a fundamental driver of health inequalities (HI).

In its proposed focus and methodological approach, the PhD draws on three ideas within the health inequalities literature:

• Power is not properly understood as a determinant of health and HI – it appears as a relatively amorphous concept whose multiple mechanisms have not been sufficiently delineated; this means that potential policy levers remain obscured.
• Those working within HI themselves sit within power structures and, as such, are a group whose understanding of power is important to explore. They have opportunities to influence policy debates, experience barriers created through power structures and, it is argued, despite commitment to resolving the problem, themselves benefit from the so-called ‘poverty industry’.
• Researching concepts such as HI with professional elites is difficult when professionals have well-practiced repertoires of responses.

There is evidence that using non-standard research approaches in the field of HI can bring original perspectives to bear.

Using a novel methodological approach (collaborative autoethnography) the study will:

• Explore how academic/policy elites working within the HI field:

1. Understand the mechanisms through which different types of power impact on health outcomes and HI.
2. Reflect on and conceptualise the power which they deploy or otherwise benefit from within their own personal/professional lives.

• Generate learning about hidden and actionable levers of power relevant to HI. 
• Develop learning sets for use with professionals in the HI field.
• Generate learning about researching with elite participants.
  

https://www.sgsss.ac.uk/studentship/power-as-a-social-determinant-of-health/

Mhairi Mackenzie,
Professor of Public Policy,
Urban Studies, School of Social & Political Sciences, University of Glasgow,
Email: mhairi.mackenzie AT glasgow.ac.uk

AND:

Deputy Director (Studentships and External Communications) of the Scottish Graduate School Social Sciences: Doctoral Training Partnership
Sgoil Cheumnaichean Saidheans Sòisealta na h-Alba: Com-pàirteachas Trèanaidh Dotaireachd
University of Edinburgh


A selection of recently published papers:

Mackenzie, M., Skivington, K., Fergie, G. (2020) “The State They’re In”: Unpicking Fantasy Paradigms of Health Improvement Interventions as Tools for Addressing Health Inequalities. Social Science & Medicine. 256. https://doi.org/10.1016/j.socscimed.2020.113047

Mackenzie, M., Gannon, M., Stanley, N., Cosgrove, K., Feder, G. (2019) ‘You certainly don't go back to the doctor once you've been told, “I'll never understand women like you.”’ Seeking candidacy and structural competency in the dynamics of domestic abuse disclosure. Sociology of Health & Illness 41(6): 1159-1174. https://doi.org/10.1111/1467-9566.12893

Mackenzie, M., Bradley, L., Gannon, M., Cosgrove, K., Barton, D., Feder, G., Stanley (N) (2019) What might normalisation process theory bring to policy implementation studies? Learning lessons and uncovering questions through a case study of the profound implementation failure of a new policing policy’. Social Policy & Administration 53 (3): 449-463 DOI: 10.1111/spol.12467

Mackenzie, M., Hastings, A., Babbel, B., Simpson, S. and Watt, G. (2017) Proportionate universalism as a route to mitigating health inequalities? Exploring political, policy and practice uncertainties in times of austerity. In: Fee, D. and Kober-Smith, A. (eds.) Inequalities in the UK: New Discourses, Evolutions and Actions. Emerald Publishing Limited. ISBN 9781787144804,

Mackenzie, M., Collins, C., Connolly, J., Doyle, M. and McCartney, G. (2017) Working-class discourses of politics, policy and health: 'I don't smoke; don't drink. The only thing wrong with me is my health'. Policy and Politics, 45(2), pp. 231-249. (doi:10.1332/030557316X14534640177927)

Mackenzie, M., Hastings, A., Babbel, B., Simpson, S. and Watt, G. (2017) Tackling and mitigating health inequalities – policymakers and practitioners 'talk and draw' their theories. Social Policy and Administration, 51(1), pp. 151-170. (doi:10.1111/spol.12154)

My source: POHG

Social Determinants of Health: The Canada Facts

SDoH: The Canadian Facts

 

Ten years ago we made available Social Determinants of Health: The Canada Facts to fill the vacuum created by Canadian governments and public health agencies on the social causes of illness and health.  In contrast these issues of health inequalities and their causes are front and centre in the European Union. 

Despite virtually no media coverage the document was downloaded over 1,200,000 times over the decade, 85% of which were by Canadians. It penetrated into just about every civil society and public health agency documents and gets 7560 hits in a google search.

 

https://www.google.com/search?q=%22social+determinants+of+Health:+the+canadian+facts%22&rlz=1C1CHBD_en-GBCA750CA750&ei=xos2X8ahJMSeytMP-Iab8As&start=0&sa=N&ved=2ahUKEwjGnLzy4JrrAhVEj3IEHXjDBr44ChDy0wN6BAgMECw&biw=1097&bih=541

We have now produced a second edition, available here https://thecanadianfacts.org/

Of special interest to you may be the Epilogue that places all of the disturbing information into a political economy perspective that examines the imbalance in power between the corporate and business sectors and the rest of us and how this skews public policymaking.

Best wishes,

Dennis

https://yfile.news.yorku.ca/2020/08/12/york-professor-continues-to-shift-conversation-on-factors-shaping-health-in-canada/

 

My source:

Politics of Health Group Mail List Messages

Visit the PoHG website for lots of interesting links and publications: http://www.pohg.org.uk/

Visit PoHG on Facebook: https://www.facebook.com/282761111845400

Follow us on Twitter: @pohguk

Paper: Rose, G. "Sick Individuals and Sick Populations" 1985

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group - population

Sick Individuals	Sick Individuals
Sick Populations	Sick Populations

Geoffrey Rose, Sick individuals and sick populations, International Journal of Epidemiology, Volume 30, Issue 3, June 2001, Pages 427–432, https://doi.org/10.1093/ije/30.3.427


My source - with thanks:
Stewart Brock - message on FutureNHS Collaboration Platform

An update papers, Hodges' model, website...

Here is an update on writing projects ...

WEBSITE - DRUPAL:

A few months ago I decided to cancel the web hosting. The same provider and for the second time. Lack of progress is nothing to do with them. Despite best intentions, the account was essentially redundant, apart from one occasion when I was ready to start transfer of a site including Brian Hodges' lecture notes, as part of what would be an archive. I still have the pages - HTML all ready to 'go' - somewhere... The host company were very good, offering to take me through the process. I will git back on the horse. The journey is still very enjoyable, even if frustrating.

Last weekend at the Northwest (England) Drupal User Group - NWDUG Unconference in Manchester, I gave an eleven slide presentation on the ultimate in vapour ware. Even with no site the day was very useful, the community great. At month end I will be following online DrupalCon Amsterdam. Really disappointed not to be there, but the currency situation nails it, on top of my not having earned the trip.

As posted last Tuesday -

Book: "The Empty Space"

- I've been crossing the Pennines and enjoyed visits to see Mr Hodges at his home. It would be marvellous to get to a point were I can 'demonstrate' some progress on the web front. The Drupal community continue to try to improve the migration and update processes. This can certainly help me. A Drupal developer questioned me a while ago if I'm being too loyal. Is Drupal the right tool? I am considering this ...

PAPERS:

As to papers I'm determined to try to clear the desks of draft papers. I'm not duty-bound to write, just learning-bound. In May a journal editor invited me to write about Hodges' model. The brief was more specific, write about the model but not in general terms. I was directed to relate the model to at least two public health themes.*

Trying to put a map on the map is challenging.
Everyone wants data, evidence, findings, method ...

Last month I arrived at a final draft and am now advised to answer my own queries and then submit. So sounds positive thus far. I really will diligently check the submission requirements.

The other paper is a bit of a saga, having started before the Part 1 - MRES studies at Lancaster in 2014. The paper overall concerns Hodges' model, threshold concepts and deprivation of liberty safeguarding. It is now in two-parts, feedback on part one has been favourable but still seeking people with time to read and critique- so hopefully on-track with this too.

*Public mental health is always also implied as far as I am concerned.

as CLEAR as Hodges' model?

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group - population

ASK  about underlying social problems	TREAT  the immediate health problem ...
REFER to local social support resources	ADVOCATE for

McGill University - CLEAR Collaboration


My source:
Davidson, K.W., McGinn, T. (2019) Screening for Social Determinants of Health: The Known and Unknown. JAMA.Published online August 29, 2019.

New Special Issue from Global Public Health

From: Global Public Health
Sent: Monday, May 20, 2019 10:41 AM
Subject: New Special Issue from Global Public Health

Please join Global Public Health in celebrating the launch of our newest special issue:

Social inequities and contemporary struggles for collective health in Latin America

This special issue considers the legacy of the Latin American Social Medicine and Collective Health (LASM-CH) movements and other key approaches—including human rights activism and popular opposition to neoliberal governance—that have each distinguished struggles for collective health in Latin America during the 20th and now into the 21st century.

At a time when global health worldwide has been pushed to adopt increasingly conservative agendas in the wake of global financial crisis, the rise of radical-right populist politics, and the rupture of liberal democratic regimes, attention to legacies of Latin America’s epistemological innovations and social movement action are especially warranted. Examining the nexus of activism, policy, and health equity, the collection advances understanding of health politics in the region and the lessons they offer.

This special issue includes four Free Access articles. We invite you to share the links to these articles (see below) and details about the special issue across your networks.

Richard Parker, Editor in Chief

Featuring 4 Free Access Papers

Social inequities and contemporary struggles for collective health in Latin America
Emily E. Vasquez, Amaya Perez-Brumer, and Richard G. Parker

Social Medicine and International Expert Networks in Latin America, 1930-1945
Eric Carter

Latin American social medicine across borders: South–South cooperation and the making of health solidarity
Anne-Emanuelle Birn & Carles Muntaner

Revisiting the social determinants of health agenda from the global South
Elis Borde & Mario Hernández

My source:
Spirit of 1848 Listserve. WWW.SPIRITOF1848.ORG

Earth Day & Night

We need coherent vision to do the right things ...

We need not just to look, but to see, envision and act ...

As Earth Day turns to Night -

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group - population

- we should not allow people 
to be kept in the dark about 
the things that really matter ...

Climate Change

Universal Health Coverage

Universal Access to Health

Health Information for All

The Social Determinants of Health

Open Access ...

"What if we were to rethink it from the perspective of sick people and decide that the work of knowledge creation isn’t finished until it’s been disseminated to all of them?" @ePatientDave gives his thoughts on the open access debate https://t.co/cCsAZGI0Pd

— The BMJ (@bmj_latest) April 22, 2019

Earth Day 2019

Word use & implications for research - 'Population health' by Canales, Drevdahl & Kneipp (2019)

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group - POPULATION

individual health a. INTERVENTION in Individual behaviour 4Ps - PURPOSE My word use - (contribution to and affected by a community of practice)    scale Begin: Planetary Health End:	interventions   Length and quality of life  academia - evidence-base b. INTERVENTION in a healthcare sector Public Health as a discipline - word use SMALL-scale:  health promotion and disease prevention FROM: individual CLINICAL - sub-groups TO: group - population  A data dictionary? 4Ps - PROCESS
language use - 'pop. health' meaning? Social and Society Does the community have a role in local health population management? a. and b. insufficient to address - social determinants and health inequities root - societal and structural levels History Community activists for Social Determinants of Health 4Ps - PRACTICE SOCIO-	TOTAL POP. [health systems Pop.] population health management 4Ps - POLICY political & economic systems low-income LARGE-scale: community initiatives that attempt to reduce inequities by challenging poverty and racism SDOH - inc: food supply, housing, economic and social relationships, transportation, education, and health care -ECONOMIC

Canales, M.K., Drevdahl, D.J., Kneipp, S.M., (2019) Moving Words, Moving Meanings: The Discourse of Population Health, Journal of Professional Nursing, 35, 2, 71-73, ISSN 8755-7223,
https://doi.org/10.1016/j.profnurs.2019.02.007
(http://www.sciencedirect.com/science/article/pii/S8755722319300201)

A vision for population health: Towards a healthier future - c/o The King's Fund

To improve health and reduce inequalities, local and national action is required across four pillars of #populationhealth. Resources currently focus on the health system. We need to rebalance this: https://t.co/q06pK8NxQM pic.twitter.com/ZNGlEhM0N6

— The King's Fund (@TheKingsFund) December 1, 2018

I have taken the four pillars above and mapped these to Hodges' model, essentially a horizontal flip -

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group - population

Health behaviours  and lifestyles	Wider determinants  of health
The places and communities  we live in, and with	Integrated health  and care system

Guidelines: Health Literacy & Immigration c/o National Academy of Sciences

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

Building the Case for Health Literacy

The Financial Case "The health literacy field has a long history of forecasting the potential cost savings of addressing health literacy from a societal standpoint. An early systematic review reported a range of an additional 3–5 percent in total health costs attributable to limited health literacy for the health care system and a range of $143–$7,798 of additional expenditures for individual patients with low/limited health literacy compared to those with adequate health literacy (Eichler et al., 2009)." p.106.

"Immigration can thus be both a consequence of social determinants and a social determinant in its own right, said Castañeda. Understanding this relationship may require going beyond the hold of individualism and behaviorism in scientific studies and interventions and instead tackling a wider sphere of upstream structural factors that affect health, including living and working conditions; income inequalities and poverty; access to care; immigration policies and enforcement practices; and gender, race, and ethnic hierarchies. This approach draws insights from political economy, critical race theory, structural violence, structural vulnerability, and intersectionality, but it tries to avoid strict delineations of variables upon operationalization. “The more we fix and make permanent the specific factors in our definitions, the more likely we are to lose the big picture and the radical reframing that needs to be done,” she explained." p.21. "Uchendu recalled the “double battle” that some groups have to undertake because they are immigrants while also dealing with another issue. “In health equity, we talk about the intersection of vulnerabilities,” she explained. For example, immigrants can have mental health disabilities or be dealing with other issues. “Again, it comes back to that connection about the holistic individual,” she noted." p.40.

Immigration as a Social Determinant of Health

National Academy of Sciences

Building the Case for Health Literacy: Proceedings of a Workshop

Immigration as a Social Determinant of Health: Proceedings of a Workshop