Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal...
Transcript of Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal...
![Page 1: Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal Resources Human, social, & financial: Standard of living Culture and history Social](https://reader033.fdocuments.in/reader033/viewer/2022053011/5f0f04987e708231d442145b/html5/thumbnails/1.jpg)
Social Determinants of Health
Mindy Thompson Fullilove, MDNYSPI at Columbia University
November 18, 2011
![Page 2: Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal Resources Human, social, & financial: Standard of living Culture and history Social](https://reader033.fdocuments.in/reader033/viewer/2022053011/5f0f04987e708231d442145b/html5/thumbnails/2.jpg)
Environmental foundation of health: Disease rates fall before antibiotics or
vaccines
![Page 3: Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal Resources Human, social, & financial: Standard of living Culture and history Social](https://reader033.fdocuments.in/reader033/viewer/2022053011/5f0f04987e708231d442145b/html5/thumbnails/3.jpg)
![Page 4: Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal Resources Human, social, & financial: Standard of living Culture and history Social](https://reader033.fdocuments.in/reader033/viewer/2022053011/5f0f04987e708231d442145b/html5/thumbnails/4.jpg)
www.inequality.org
![Page 5: Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal Resources Human, social, & financial: Standard of living Culture and history Social](https://reader033.fdocuments.in/reader033/viewer/2022053011/5f0f04987e708231d442145b/html5/thumbnails/5.jpg)
www.inequality.org
![Page 6: Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal Resources Human, social, & financial: Standard of living Culture and history Social](https://reader033.fdocuments.in/reader033/viewer/2022053011/5f0f04987e708231d442145b/html5/thumbnails/6.jpg)
www.inequality.org
![Page 7: Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal Resources Human, social, & financial: Standard of living Culture and history Social](https://reader033.fdocuments.in/reader033/viewer/2022053011/5f0f04987e708231d442145b/html5/thumbnails/7.jpg)
How is inequality created?
• Segregation• Dispossession• Profits over people
– Moving industry to low wage places– Cutting taxes for wealthy– Shifting costs to working people
![Page 8: Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal Resources Human, social, & financial: Standard of living Culture and history Social](https://reader033.fdocuments.in/reader033/viewer/2022053011/5f0f04987e708231d442145b/html5/thumbnails/8.jpg)
Segregation
• Urban ghetto is a location within which members of a group must live
• Not synonymous with slum• First ghetto in Italy forced Jews to live in
a walled sector of the city• People survived by making strong
communities that could stand up for them and solve problems
![Page 9: Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal Resources Human, social, & financial: Standard of living Culture and history Social](https://reader033.fdocuments.in/reader033/viewer/2022053011/5f0f04987e708231d442145b/html5/thumbnails/9.jpg)
Two parts of segregation
• Spatial separation• Repeated forced displacement
![Page 10: Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal Resources Human, social, & financial: Standard of living Culture and history Social](https://reader033.fdocuments.in/reader033/viewer/2022053011/5f0f04987e708231d442145b/html5/thumbnails/10.jpg)
Segregation in Pittsburgh
![Page 11: Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal Resources Human, social, & financial: Standard of living Culture and history Social](https://reader033.fdocuments.in/reader033/viewer/2022053011/5f0f04987e708231d442145b/html5/thumbnails/11.jpg)
Redlining
• System of preferential investment• Investment “most likely to succeed” if directed at
“green area”: white people and new buildings• Investment downgraded if directed at red area: old
buildings and non-white people• Differences in investment compound leading to very
large differences over time• Redlining triggers a cascade of other policies that
injure cities
![Page 12: Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal Resources Human, social, & financial: Standard of living Culture and history Social](https://reader033.fdocuments.in/reader033/viewer/2022053011/5f0f04987e708231d442145b/html5/thumbnails/12.jpg)
Redlining inSyracuse
![Page 13: Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal Resources Human, social, & financial: Standard of living Culture and history Social](https://reader033.fdocuments.in/reader033/viewer/2022053011/5f0f04987e708231d442145b/html5/thumbnails/13.jpg)
![Page 14: Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal Resources Human, social, & financial: Standard of living Culture and history Social](https://reader033.fdocuments.in/reader033/viewer/2022053011/5f0f04987e708231d442145b/html5/thumbnails/14.jpg)
![Page 15: Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal Resources Human, social, & financial: Standard of living Culture and history Social](https://reader033.fdocuments.in/reader033/viewer/2022053011/5f0f04987e708231d442145b/html5/thumbnails/15.jpg)
![Page 16: Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal Resources Human, social, & financial: Standard of living Culture and history Social](https://reader033.fdocuments.in/reader033/viewer/2022053011/5f0f04987e708231d442145b/html5/thumbnails/16.jpg)
![Page 17: Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal Resources Human, social, & financial: Standard of living Culture and history Social](https://reader033.fdocuments.in/reader033/viewer/2022053011/5f0f04987e708231d442145b/html5/thumbnails/17.jpg)
![Page 18: Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal Resources Human, social, & financial: Standard of living Culture and history Social](https://reader033.fdocuments.in/reader033/viewer/2022053011/5f0f04987e708231d442145b/html5/thumbnails/18.jpg)
HILL DEMOLITION
![Page 19: Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal Resources Human, social, & financial: Standard of living Culture and history Social](https://reader033.fdocuments.in/reader033/viewer/2022053011/5f0f04987e708231d442145b/html5/thumbnails/19.jpg)
![Page 20: Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal Resources Human, social, & financial: Standard of living Culture and history Social](https://reader033.fdocuments.in/reader033/viewer/2022053011/5f0f04987e708231d442145b/html5/thumbnails/20.jpg)
![Page 21: Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal Resources Human, social, & financial: Standard of living Culture and history Social](https://reader033.fdocuments.in/reader033/viewer/2022053011/5f0f04987e708231d442145b/html5/thumbnails/21.jpg)
![Page 22: Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal Resources Human, social, & financial: Standard of living Culture and history Social](https://reader033.fdocuments.in/reader033/viewer/2022053011/5f0f04987e708231d442145b/html5/thumbnails/22.jpg)
Becoming Strong Again
![Page 23: Social Determinants of Health - New Jersey...Health Determinants Equity and Social Justice Societal Resources Human, social, & financial: Standard of living Culture and history Social](https://reader033.fdocuments.in/reader033/viewer/2022053011/5f0f04987e708231d442145b/html5/thumbnails/23.jpg)
Beginning of the fight against eminent domain in Brooklyn, June, 2004.