Health Inequalities: A postcode lottery Postcode Lottery Health - - PowerPoint PPT Presentation

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Health Inequalities: A postcode lottery Postcode Lottery Health - - PowerPoint PPT Presentation

Health Inequalities: A postcode lottery Postcode Lottery Health Inequalities Health inequalities are differences in health status or in the distribution of health determinants between different population groups due to the conditions in


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Health Inequalities: A postcode lottery

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Postcode Lottery

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Health Inequalities

 “Health inequalities are differences in

health status or in the distribution of health determinants between different population groups due to the conditions in which people are born, grow, live, work, and age.” Sir Micheal Marmot

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Model of the Determinants of Health

Dalghren and Whitehead,1991

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Health Inequalities in Ireland

 Growing up in Ireland study showed that one in four

children at 3yrs were obese. Twice as many children in this

  • bese category were identified as being from the

disadvantaged group category.

 Mortality higher among those residing in accommodation

rented from local authorities or voluntary bodies.

 Higher rates of chronic disease in lower socio-economic

groups.

 People from less affluent groups are less likely to

participate in positive health behaviours such as moderate to- high levels of physical exercise.

 Smoking rates are highest (56%) amongst women aged

18-29 years from poor communities, compared to 28% of young women from higher social classes.

 Admissions to psychiatric hospital higher among less

affluent socio-economic groups. Increased Mental health problems are also related to deprivation, poverty, inequality and other social and economic determinants of health.

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Lack of forward thinking

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Problem of Double dipping

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Problem of commercial profit vs health

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Two Pronged Approach

  • Grass Roots Community

participation

  • Government leadership

and Implementation

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Fair and Equitable Measures

  • Must be realistic in

time of austerity

  • Closing the gap
  • Stop double

penalties on vulnerable people

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Good Citizenship

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One Percent difference

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Who is my neighbour?

  • Volunteering and community

involvement have been shown to increase self-confidence and resilience, combat depression and maintain physical activity levels.

  • Building strong, connected

and well-serviced communities on the one hand and involving communities in the planning and delivery of local services on the other is beneficial to health

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Conclusion