What are we talking about? Health is determined in part by social factors Variation in social factors can lead to inequity in access to health services and inequity in health outcomes “The poor and disadvantaged experience worse health than the rich and powerful, have less access to services and die younger in all societies” (Kelly et al for WHO, 2007).
Links in the chain in understanding the social determinants of adolescent health
Key Data on Adolescence 2013 | Social determinants of health
Linking social determinants to specific health outcomes specifically for adolescents - Where are the data coming from?
ALSPAC Rowe et al (2013), Socioeconomic inequalities in child health & behaviour across adolescence Higher maternal education associated with: Health: taller height lower fat-mass (females only) lower cholesterol, systolic & diastolic blood pressure total body-less-head bone mineral density Behaviour:hyperactivity, conduct problems, peer problems Education:overall attainment, English, Maths, Science BUT: not for all health measures and do not increase during adolescence?
HBSC - Currie et al (2008) – Health related inequalities at national and cross national level in 30 countries in Europe and North America Consistent inequalities in: Self-reported health Psychosomatic symptoms Physical activity Aspects of eating behaviour
‘Take home’ questions Different effects on different types of health outcome? Relationships between material deprivation, behavioural factors and social/relationship factors? What really causes disadvantage at this age and how does that differ from other ages? What can we do about it? What protects against health inequalities arising from social determinants? How do peers play into the social determinants of health for this age group?
Summary of main messages A significant proportion of the UK’s young people experience factors that are known in other age groups to be related to health outcomes Messages about the relationship between social determinants & health outcomes for this age group not yet completely clear. However, seems likely that we need to keep an eye on subgroups who may be particularly prone to health inequalities, especially for some outcomes Need to be alert to the possibility that the relationships between risk & outcomes are different in adolescence
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