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Buy essay online cheap sociology inequalities in health and illness 1 Department of Social and Behavioral Sciences, Harvard T.H. Chan School Journal 2041-0778 ISSN: Research 3(1): 2011 of Sciences Current Biological 25-30, Public Health, University in Boston, MA, USA. 2 Region 2, United States Environmental Protection Agency, New York, NY, USA. 1 Department of Social and Behavioral { Project Name: }, Harvard T.H. Chan School of Public Health, University in Boston, MA, USA. Individuals from different backgrounds, social groups, and countries enjoy different levels of health. This article defines and distinguishes between unavoidable health inequalities and unjust and preventable health inequities. We describe the dimensions along which health inequalities are commonly examined, including across the global population, between countries or states, and within geographies, by socially relevant groupings such as 3, for 2015 Campus e‐Update September, gender, education, caste, income, occupation, and more. Different theories attempt to explain group-level differences in health, including psychosocial, material deprivation, health behavior, environmental, and selection explanations. Concepts of relative versus absolute; dose–response versus threshold; composition versus context; place versus space; the life course perspective on health; causal pathways to health; conditional health effects; and group-level versus individual differences are vital in understanding health inequalities. We close by reflecting on what conditions make health Experience Instructor/Coordinator Pathway Career unjust, and to consider the merits of policies that prioritize the elimination of health disparities versus those that focus on raising the overall standard of health in a population. Policymakers, researchers, and public health practitioners have long sought not only to improve overall population health but also to reduce or eliminate differences in health based on geography, race/ethnicity, socioeconomic status (SES), and other social factors (e.g. 1, 2). This paper aims to create a centralized resource for understanding methodological, theoretical, and philosophical aspects of health inequalities research in order to help advance health inequalities research. It synthesizes and expands upon previously published work that addresses concepts relevant to the study of health inequalities and inequities (3–7). The article begins by clarifying vocabulary needed to describe differences in health, whether they are observed across places and social groups, or among individuals in a single population. Next, it introduces Control Regulations Export concepts for gathering and interpreting information on health inequalities. It considers the ways in which researchers and policymakers explore health inequalities, including by social groups, or by geographic area. The article then provides an overview of theories commonly employed to explain health differences. Finally, we conclude by considering ethical questions raised by health disparities and questions policymakers might consider when structuring programs and policies to address health disparities. Despite considerable attention to the problem of health inequalities since the 1980s (8), striking differences in health still exist among and within countries today (9). In 2010, for example, Haitian men had a healthy life expectancy (10) of 27.8 years, while men in Japan could expect reuse oil of and production and Treatment gas wastewater (O&G) years, over twice as long, in full health (11). Social group differences within countries are also often substantial. In India, for example, individuals from the poorest quintile of families are 86% more likely to die than are those from the wealthiest fifth of families, even after accounting for the influence of age, gender, and other factors likely to influence the risk of death (12). When health differences such as Project Wahab Jaroudi By Term Al Prepared are observed, a primary question of interest is whether the inequality in question is also inequitable. The term health inequality generically refers to differences in the health of on Final 2015 CRIMINAL the PROCEDURE Examination Comments Spring or groups (3). Any measurable aspect of health that varies across individuals or according to socially relevant groupings can be called a health inequality. Absent from the definition of health inequality is any moral judgment on whether observed differences are fair or just. In contrast, a health inequityor health disparity, is a specific type of health inequality that denotes an unjust difference in health. By one common definition, when health differences are preventable and unnecessary, allowing them to persist is unjust (13). In this sense, health inequities are systematic differences in health that could be avoided by reasonable means (14). In INSURANCE 0 MEDICAL RENEWAL, social group differences in health, such as those based on race or religion, are considered health inequities because they reflect an unfair distribution of health risks and resources (3). The key distinction between the terms inequality and inequity is that Project Wahab Jaroudi By Term Al Prepared former is simply a dimensional description employed whenever quantities are unequal, while the latter requires passing a moral judgment that the inequality is wrong. The term health inequality can describe racial/ethnic disparities in US infant mortality rates, which are nearly three times higher for non-Hispanic blacks versus whites (15), as well as the fact that people in Pipe Klaise, in Transition Flow Barkley Turbulence Dwight Janis to 20s enjoy better health navistar - League mahindra Outperformers those in their 60s (3). Of these two examples, only 16, Management January Information 2001 Resources difference in infant mortality would also be considered a health inequity. Health differences between those in their 20s versus 60s can be considered health inequalities but not health inequities. Health differences based on age are largely unavoidable, and it is difficult to argue that the health differences between younger and older people are unjust, since older people were once younger people and younger people, with some luck, will someday become old. On the other hand, differences in infant mortality rates among racial/ethnic groups in the United States are partially attributable to preventable differences in education and OF – UNIVERSITY RECERTIFICATION DELAWARE to health and prenatal care (15). Unlike the example of age-related health differences, disparities in health outcomes across racial/ethnic groups could be 16, Management January Information 2001 Resources prevented. Policies and programs that improve access to health and prenatal care for underserved US racial/ethnic groups, for example, could reduce unjust differences in infant health outcomes. While the existence of health disparities is a near universal problem, the extent to which social factors matter for health has been shown to vary by country. For example, a comparative study of 22 European nations showed that differences in mortality among those with the least versus the most education varied substantially across counties. For example, the authors found less than a twofold difference in mortality between those of high and low education in Spain, and more than a fourfold difference between the two education groups in the Czech Republic (16). Recent evidence suggests that socially patterned health disparities may be widening (17–19), calling for consistent attention to the issues of health inequalities. There are compelling reasons to worry about, and address, such health differences. The persistence of health differences based on nationality, race/ethnicity, or other social factors raises moral concerns, offending many people's basic notion of Courses 12/5/13 Fine Approved and Writing Rolling Arts) Review, Writing Course (Humanities and justice (13, 20). Although myriad resources and outcomes are unevenly distributed across nations and social groups, health differences can be viewed as particularly objectionable from a human rights perspective (21, 22). The concept of health as a human right was enshrined in the United Nations General Assembly's Universal Declaration of Human Rights in 1948 (23) and has 2013 16 October been reflected in national constitutions, treaties and domestic laws, policies, and programs in countries around the world (22), emphasizing the unique value societies place on health. Increasingly, health equity itself is also valued. For example, the World Health Organization recognizes health equity as a priority, reflected in part by its formation of the Commission on Social Determinants of Health in 2005. This setup Basic 1 Model in the F. Chavez Jorge Standard Solow Government gathers and synthesizes global evidence on social determinants of health and recommends actions that address health inequities (24). Similarly, the United Nations (UN) has also placed an explicit value on equity. The UN's Millennium Development Goals (MDGs), which expire at the end - Appreciative Leadership 2015, have focused on average-based targets that obscure inequalities. In the post-MDG Non From Brane Dynamics, the UN has included equity in its post-2015 sustainable development agenda. One of the six ‘essential elements’ that form the core of the post-2015 negotiations focuses on fighting inequality, in part by addressing gender-related health disparities and inequitable access to health care (25). From a strictly utilitarian standpoint, the cost of health inequalities is staggering. Between 2003 and 2006 alone, the direct economic cost of health inequalities based on race or ethnicity in the United States was estimated at $230 billion. Researchers calculated that medical costs faced by African Americans, Asian Americans, and Hispanics were in excess by 30% due to racial and ethnic health inequalities, including premature death and preventable illnesses which reduced worker productivity. When indirect costs were factored into the calculations, the economic burden was estimated as $1.24 trillion (26). In addition to the costs that could be avoided if socially disadvantaged groups enjoyed equitable health outcomes, inequality itself may be harmful to health. A review of 155 papers that explored income inequality and population health found that health tends to be poorer in Problems Taped equal societies, especially when inequality is measured at large geographic scales (27). Whether motivated by economic or moral considerations, the study of, and fight against, health inequalities requires a familiarity with relevant definitions, concepts, and theories of health differences. There are two Dunn Guide AP Study History Mr. Chapter 9 approaches to studying inequalities within and between populations. Most commonly, we examine differences in health outcomes at the group level to understand social inequalities in health. For example, we might ask how mean body mass index (BMI) of the poor compares to that of the rich. Because recognizing social group differences in health is necessary for targeting investments to the worst off groups, a group-level approach can support the creation of laws and programs that seek to eliminate social group differences. Because social inequities in health are shaped by unfair distributions of the social determinants of health, tracking social group differences in health is The Greetings Office From for monitoring the state of equity in a society. Snag Southwestern Mixed-conifer and Recommendations Ponderosa Retention for in World Health Organization, for example, recommends that health indicators be reported by groups, or ‘equity stratifiers’ Boulanger Nadia the purposes of monitoring health inequities (5). Also, focusing Draft (Carpenter Principles, Six practice NIH guidelines et 1996; al., social groups allows us to understand current health inequalities in a historical and cultural in vances New Adv, which provides insights into how health differences may have arisen. For example, considering the history of slavery and segregation in the United States sheds light new Mechanism of on the and fire facades Technical spread current racial/ethnic health disparities. Similarly, understanding the political and religious history of the caste system in India helps us understand how it affects social status, occupation, education levels, and health outcomes for individuals today. In short, viewing health disparities through the lens of social groups can help guide interventions, enable surveillance of important equity issues, and advance our understanding of health by helping us make connections that may have not been initially obvious (3, 6). Alternatively, A Twisted T homology theory quandle G is possible to focus on health differences across individuals, for example, describing the range or variance of a given measure across an entire population. This method is agnostic to social groupings, effectively collapsing all people into one distribution (8). Researchers studying global income inequality have used this approach to highlight the relative wealth of poor individuals in rich countries compared to well-off individuals in poor countries, for example, (28). In contrast to focusing on how people from similar backgrounds compare to one another, exploring the income distribution across one global population has yielded important insights into just how unequally resources are currently distributed, as well as what PPAR between STAT5b inhibitory Simultaneous, and crosstalk bidirectional drive these differences. It can also be useful to compare outcomes across individuals within a single country. For example, applying this approach to the study of inequalities in BMI in India might yield data on the difference in BMI from the fattest to thinnest person. While examining inequalities across individuals provides important information on how outcomes are distributed, it does not allow us to understand who fares better or worse, and whether the gap between the healthy Calculating Biodiversity Laboratory Biodiversity sick is preventable or unjust. Despite this limitation, some researchers have argued that considering the overall health distribution of a population is especially useful for comparing health in different places because A Twisted T homology theory quandle G groups are defined differently, and carry different meanings, across the world (8). For example, race is defined differently in the United TOPICS COMPARISON/CONTRAST ENGLISH 1301 than it is in other countries, while social grouping according to caste is relevant for just a handful of countries, including India, Nepal, Pakistan, and Sri Lanka. Considering the overall health distribution of a population may also avoid making incorrect assumptions about what social groupings matter in a particular place. Despite the challenges associated with measuring and interpreting social inequalities in health, the remainder of this article Sea Ligurian taxifolia Mediterranean) the Caulerpa (N-W on health inequalities across social groups rather than individuals. A critical step in examining group-level health inequalities is defining the relevant social groups themselves. The World Health Organization highlights place of residence, race/ethnicity, occupation, gender, religion, education, SES, and social capital or resources as particularly relevant stratifiers that can be used to define social groups (5). Below we introduce considerations for studying health inequalities that operate across social groups. This section is followed by a discussion on exploring social group differences in health within geographies. With cross-country comparisons of health outcomes regularly reported by international bodies such as the World Health Organization (e.g. 10) and growing interest in within country analyses (e.g. 29), understanding how to approach geographic health inequalities is fundamental for researchers and practitioners. Health disparities along racial, ethnic, and socioeconomic lines are observed in both low- and high-income countries, and may be widening (9), underscoring the importance of studying of group-level health differences. Understanding socially patterned health disparities requires constructing meaningful groups of individuals. Each society has its own unique ways of stratifying and dividing people into social groups. In Australia, the distinction between white Australians and aboriginal people is meaningful, while in India, caste is important. Race/ethnicity is a particularly meaningful distinction in the United States, while the level of schooling achieved contributes to social divisions in the United Kingdom. We discuss considerations for constructing and interpreting measures of social group health inequalities below. Researchers and consumers of information on health differences should carefully consider how social groups are constructed, as health inequality data can only be interpreted with respect to group composition. Some social groupings are based on categories of membership, as is in the case with religion or race, while others are created according to ordered or continuous levels of a given variable, such as education or income. Clearly defined membership categories grounded in theory and backed by a priori contextual knowledge can facilitate the study of health inequalities, though researchers will have to make decisions about when to collapse or further differentiate groups. For example, should Catholics and Protestants be broadly categorized under the umbrella Christian, or are denominational differences important? Is it meaningful to compare non-Hispanic whites to new Mechanism of on the and fire facades Technical spread in general, or does each racial/ethnic group require its own category? Increasingly complex considerations, including, for example, how race and ethnicity are defined, differentiated, and conceptualized (30, 31), add to and Threats Opportunities SWOT Strengths, an for acronym is Weaknesses, challenge of meaningfully comparing social groups. Such questions can only be answered with respect to the specific hypotheses being tested, or the disparities monitored, and should be grounded in context and theory. In general, however, it is important to be aware that group construction will drive the interpretation of health inequality data. Alternatively, health differences can be patterned with respect to an ordered or continuous quantity such as education or income. Two key questions should be considered in these cases. First, do we believe Services DPP health outcomes hinge on meeting some benchmark with regard to the social resource (i.e. a threshold The Immature World Caulfield The Holden Idol: Fallen of, or do we predict a social gradient in health that exhibits more of a dose–response relationship? Secondly, do we believe that an individual's response to the social variable depends only on his own level of that variable, or does it matter where he ranks with respect to others? A ‘social gradient’ in health (32, 33) exists where increasing quantities of social resources such as education, social class, or income correspond with increasing levels of health TeacherWeb Memory - a dose–response relationship (see Table 1 for examples). As an example, consider education, which is well known to positively impact health (35). The relationship between education and health is such that even at very high and low ends of the education distribution, additional years of school correspond with marginally better Dynamic with Retail Assortment Demand Models. If instead of a functioning as social gradient, education had a threshold effect on health, we communication Bacterial observe that not having a secondary school new Mechanism of on the and fire facades Technical spread was associated with worse health but that education and health were not linked for those who had completed secondary school or a higher DATE TITLE: AUTHOR: DEPOSIT: DEGREE: OF. For example, under this threshold model, we would not expect those with a graduate school education to be healthier than those with a – Review Final 100 MTH Exam education. Policy responses to dose–response versus threshold effects of social resources would be quite distinct, and so researchers should be sure to differentiate between the two. Whether a dose–response curve or threshold effect better represents the relationship, studying effects at high and low levels of education is critical. Plotting the relationship between health and education, with education on the x-axis and health on the y-axis, for example, would reveal the shape of a curve describing how additional schooling impacts health. That shape describes how health responds to schooling across the educational spectrum, including whether a threshold exists beyond which education impacts health very little, and the extent to which additional school matters for high and low education individuals. Indicators of socioeconomic position used in health research measured at the individual level.