Are Social Injustice and Racism Killing People on a Grand Scale?

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Are Social Injustice & Racism Killing People on a Grand Scale Across the Globe? Barbara J Hatcher, PhD, MPH, RN, FAAN National Black Nurses’ Association 37th Annual Institute and Conference Toronto, Canada August 3, 2009 ©2009
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This presentation addresses the social determinants of health.

Transcript of Are Social Injustice and Racism Killing People on a Grand Scale?

Page 1: 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

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Of all forms of inequality, injustice in health care is the most shocking and inhumane.

Martin Luther King, Jr.

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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

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Social Determinants of Health

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* 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

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INEQUALITIES BETWEEN COUNTRIES

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(Source: Angus Deaton & as used in Sir Michael Marmot presentation)

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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

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INEQUALITIES IN THE US

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Across America, Differences in How Long & How Well We Live

Robert Wood Johnson Foundation, Commission to Build a Healthier America www.commissiononhealth.org

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WHAT SOCIAL FACTORS MATTERS TO HEALTH?

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EARLY LIFE EXPERIENCES MATTER!

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EDUCATION MATTERS!

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INCOME MATTERS!

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WORK MATTERS!

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HOUSING MATTERS!

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COMMUNITY MATTERS!

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A Short Distance to Large Disparities in Health: Washington, D.C.

www.commissionhealth.org

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RACE & ETHNICITY MATTERS!

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THE ECONOMY MATTERS!

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Call to Action