lecture 15 - inequities and inequalities Flashcards
inequalities
-measurable differences or variations in health
-differences in health experiences or outcomes between different population groups by age, SEP, area, gender, disability, ethnic group
-social gradient
inequities
-ineuqalities which are deemed to be unfair or stemming from some form of injustice
-differences in the distribution of resources/services across populations which do not reflect health need
-relations of unequal and equal power political social economic as well as justice and injustice)
equity MOH definitions
in new zealand, people have differences in health which are not only avoidable but also unfair and unjust
equity recognises that different people with different levels of advantage require different approaches and resources to get equitable health outcomes
PROGRESS stands for
Place of residence
Race/ethnicity/culture
Occupation
Gender/sex
Religion
Education
Social Capital
Socioeconomic status
measures of association effect
absolute measure difference:
no association =0
negative association <0
relative measure:
no association = 1
negative association <1
why reduce inequities
unfair
avoidable
affect everybody
reducing inequities can be cost effective
lorenz curve
-the more concave the greater the income inequality and gini coefficient
-compares cumulative shares of wealth within population
6 implications of inequities
-unequal society
-less social cohesion
-less trust between groups
-increased stress
-reduced economic productivity
-poorer health outcomes