Lesson Starter Health inequalities are result of poor lifestyle CHOICES rather than poor lifestyle CHANCES. Do you agree with this statement? Why/ why not?

What will I learn? To identify how lifestyle choices can lead to health inequalities. Understand how to answer a 12 mark analysis question. 2

Success Criteria I can… Provide evidence of health inequalities in Scotland and the UK in terms of Lifestyle choices Understand how to answer a 12 mark analysis question.

Lifestyle Issues Poverty is a major contributing factor explaining health inequalities. However this does not explain why the health of Scots is worse. Unhealthy diets and obesity, smoking, drugs and alcohol- all lifestyle choices- play a crucial role in one’s health. The rise in the number of overweight children is a huge problem.

Lifestyle Issues Social Class and Obesity Lifestyle and Smoking Alcohol and Drug Abuse

1. Social Class and Obesity Obesity is a class issue. The lowest social class has levels of obesity that match American levels. While the highest social class have the lowest obesity levels. Lifestyle choices include levels of exercise, diet, eating junk food, alcohol consumption and smoking. Only one quarter of women ate the recommended 5 a day. Linked to income- 13% of women in the most deprived 20% of the population ate five portions of fruit and veg- compared to 28% in the top 20%.

2. Lifestyle and Smoking Smoking is an issue that is linked to social class and poverty. 2012-36% of adults in the most deprived areas of Scotland were smokers. Linked to poverty (reduction from 45% in 1999). More women die from lung cancer in Glasgow and Liverpool than anywhere else in the UK. Used to be men but the pattern has changed. It is clear that smoking is one factor that explains the different mortality rates between the social classes.

3. Alcohol and drug abuse Excessive consumption of alcohol leads to ill health with increased likelihood of illnesses such as high blood pressure. 2010 NHS health survey showed that Scots are more likely to be drinkers than anywhere else in the UK. More likely to binge drink. Increase in young people who drink. The youngest person found to have alcohol-related liver damage was a 17 year old boy who started drinking at the age of 12. http://www.scotland.gov.uk/Publications/2013/09/4693/1

Research task Find 3 up-to-date facts on each of the following lifestyle choices that you could use in an essay: Obesity (exercise, siet, junk food etc) Smoking (male vs female, rates across the UK, related issues) Alcohol Consumption (rates, links to disease, etc)

Analyse the different lifestyle choices that may result in poor health Knowledge Points Poor lifestyle choices include smoking, excess alcohol consumption, lack of exercise, a diet high in salt and fat, drug misuse, or other risk-taking activities Failure to make best use of preventative care services Reference to government policies or health initiatives where it is acknowledged that these are a response to poor lifestyle choices, e.g. minimum alcohol pricing Reference to official reports, e.g. Equally Well 2008 (and Inequalities Task Force Report 2010) Statistical examples that highlight poor health in Scotland or the UK

In pairs, think about what KU points you would include in this answer. Analysis Analysis is how the reader knows that you have understood the question. KU is facts Analysis is when you answer the question. You also need to give an EVALUATIVE comment. In pairs, think about what KU points you would include in this answer. Bad diet Smoking Alcohol

Analyse Now do the same for BAD DIET AND ALCOHOL Take your KU point and add an analysis point for each. For example: Knowledge Points Analysis Some people continue to smoke cigarettes despite numerous government health warnings. In recent years the Scottish Government have introduced a smoking ban in public places as well as the barring of displaying cigarettes in retail outlets. (2 marks) So how does this result in poor health? This would be your ANALYSIS As a consequence of smoking an individual is more likely to suffer from respiratory illness or lung cancer. Evidence shows that there is a strong link between smoking and lung cancer deaths. Around 90% of all lung cancer deaths are linked to people who smoked before they died. (2 marks analysis) Now do the same for BAD DIET AND ALCOHOL

I can… Identify how lifestyle choices can lead to health inequalities. Understand how to answer a 12 mark analysis question. 13