Are Social Injustice and Racism Killing People on a Grand Scale?
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Transcript of Are Social Injustice and Racism Killing People on a Grand Scale?
Are Social Injustice & Racism Killing People on a Grand Scale Across the Globe?
Barbara J Hatcher, PhD, MPH, RN, FAANNational Black Nurses’ Association37th Annual Institute and ConferenceToronto, CanadaAugust 3, 2009
©2009
Of all forms of inequality, injustice in health care is the most shocking and inhumane.
Martin Luther King, Jr.
Presentation Objectives
At the conclusion of this presentation participants will be able to: Discuss the social determinants of
health and their importance of their inclusion in NBNA’s policy agenda
Discuss the role of public policy in shaping the social and economic environment to improve health outcomes
Social Determinants of Health
* based on work of Michael Marmot
The Top 10 Determinants of Poor Health* Low social
status Relentless
stress Adversity in
early life Social exclusion Stress at work
Unemployment Absence of
social support Addiction Poor nutrition Environment
that promotes physical inactivity
INEQUALITIES BETWEEN COUNTRIES
(Source: Angus Deaton & as used in Sir Michael Marmot presentation)
TRENDS IN LIFE EXPECTANCY
78.9
68.2
49.1
62.9
72.2
71.1
66.7
71.7
68.7
46
50.3
61.2
60.6
51.9
40 50 60 70 80 90
OECD
CEE and CIS
Sub-Saharan Africa
South Asia
Latin America and Caribbean
East Asia and Pacific
Arab States
2000-2005 1970-75
Human Development Report 2007/2008
INEQUALITIES IN THE US
Across America, Differences in How Long & How Well We Live
Robert Wood Johnson Foundation, Commission to Build a Healthier America www.commissiononhealth.org
WHAT SOCIAL FACTORS MATTERS TO HEALTH?
EARLY LIFE EXPERIENCES MATTER!
EDUCATION MATTERS!
INCOME MATTERS!
WORK MATTERS!
HOUSING MATTERS!
COMMUNITY MATTERS!
A Short Distance to Large Disparities in Health: Washington, D.C.
www.commissionhealth.org
RACE & ETHNICITY MATTERS!
THE ECONOMY MATTERS!
Call to Action