Lecture 19 Flashcards
(12 cards)
Deprivation
A state of observable and demonstratable disadvantage relative to the local community or the wider society or nation to which an individual, family or group belongs
NZDep 2018 variables
- communication
- income
- income
- employment
- qualifications
- owned home
- support
- Living space
- Damp/mould
NZ Index of Multiple Deprivation (IMD)
- Employment
- Income
- Crime
- Housing
- Health
- Education
- Access
7 Domains of Interventions
Allows us to look at places and explain the different deprivation circumstances in different neighborhoods and what what might be driving deprivation in communities
Weighed to reflect the relative importance of each domain in representing the key determinants of socio-economic deprivation, the adequacy of their indicators and the robustness of the data that they use
Appropriate uses of NZDep 2018
Planning and resource allocation
Research
Advocacy
Ecological Fallacy
The error that arises when information about groups of people is used to make inferences about individuals
Ascribing the area characteristics to the individual.
Upstream interventions and Dahlgren and Whitehead Model
Upstream interventions tend to belong to the environment (outermost part of the arch)
while those outermost arches are where the interventions might live, they target or prioritize behavior at the individual, family or community level or indeed the environment.
Health environment
The physical, social or political setting(s) that prevent disease while enhancing human health and well-being
Elements of a health environment
- Clean air and water
- Appropriate housing
- Access to wholesome food
- Safe community spaces
- Access to transport
- Opportunities to incorporate exercise as a part of daily life (green prescription)
The built environment
All the buildings, spaces and products that are created or at least significantly modified by people
Includes: homes, schools and workplaces, urban design
Measuring built environment
- Measures are often context specific
- Urban density
- Land-use mix
- Street connectivity
- Community resources
7 mode study
How do air pollution exposures compare between modes of community
