Monday, May 19, 2008

[EQ] Health inequalities - Understanding the essentials

Health inequalities – Understanding the essentials

 

London Health Observatory LHO - Association of Public Health Observatories (APHO)

 

Website: http://www.lho.org.uk/HEALTH_INEQUALITIES/HealthInequalities.aspx

 

In order to tackle health inequalities together, we need to share a common understanding of what we mean when we talk of "inequity" and unfairness in health and health care. This introduction to tackling health inequalities aims to explain some of the thinking behind policy and practice on tackling health inequalities.

The London Health Observatory (LHO) has a national lead role on behalf of the Association of Public Health Observatories on health inequalities and ethnicity.

Types of inequality

Inequalities exist throughout the health system from causes to outcomes, and include inequalities in:

·         health outcomes such as the differences in life expectancy in the example, or in death or disease
http://www.lho.org.uk/viewResource.aspx?id=11106

·         access to services such as health care http://www.lho.org.uk/viewResource.aspx?id=10569

·         lifestyle factors which influence health, such as smoking or diet

1.       http://www.lho.org.uk/viewResource.aspx?id=9007

2.       http://www.lho.org.uk/viewResource.aspx?id=9044

3.       http://www.lho.org.uk/HIL/Determinants_Of_Health/Income.aspx

4.       http://www.lho.org.uk/HIL/Determinants_Of_Health/Housing.aspx

5.       http://www.lho.org.uk/HIL/Determinants_Of_Health/Employment.aspx

6.       http://www.lho.org.uk/HIL/Determinants_Of_Health/Education.aspx

The Dimensions of inequality

Within any level in the system, inequalities may be found between many types of community or population group, but national policy focuses on a few important ones:

·         Socio-economic status such as income, area based measures of deprivation or deprivation, such as the example from London’s Jubilee line.

·         Ethnicity: In London there were 5.8 deaths per 1,000 live births in the general population in 2001-2003, but 10.9 deaths per 1,000 live births to mothers born in West Africa and 8.5 in births to mothers born in the Caribbean commonwealth.http://www.lho.org.uk/Download/Public/12371/1/Infant_Mortality_ExecutiveSummary.pdf

·         Gender: Deaths from suicide and homicide in men greatly exceed the rate in women at every age.
http://www.lho.org.uk/viewResource.aspx?id=7956

·         Age: Older people have been shown to have poorer access to health services even when they have the same need as a younger person. http://www.dh.gov.uk/en/Policyandguidance/Healthandsocialcaretopics/Olderpeoplesservices/DH_4071271

·         Disability: People with disability in London have twice the level of unemployment as those without a disability. http://www.londonshealth.gov.uk/hinl2003.htm#Top

 

Policy and Interventions

Health Inequalities the intervention tool: http://www.lho.org.uk/HEALTH_INEQUALITIES/Health_Inequalities_Tool.aspx


Health Inequalities - Datasets & Reports

 

 

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information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
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