The health Gradient dividually oriented preventive Health ds action hazards th ha duc a nutrition e food an n dequan Unemployment Poor Housing Poverty Source: adapted from Making Partners: intersectoral action for health
f Ten main social determinants of health I. The social gradient 2. Stress 3. Early life 4. Social exclusion 5. Work 6. Unemployment 7. Social support 8. Addiction 9. Food I0. Transport
Ten main social determinants of health 1. The social gradient 2. Stress 3. Early life 4. Social exclusion 5. Work 6. Unemployment 7. Social support 8. Addiction 9. Food 10. Transport
Socio-Ecological Model of Health (Policy rainbow) io-economic, cultural and envi Living and working conditions Work environment Unemploymen d community Education Aal lifest Water and sanitation Health care services Agriculture and food Age, sex and constitutional factors Source: Dahlgren and Whitehead, 1991
Socio-Ecological Model of Health (Policy Rainbow)
aCase Study 1 The experience of Eastern Europe Countries such as Poland, Hungary, bulgaria, and Russia experienced stea dy improvements in life expectancy after World War II In Russia life expectancy has fallen from 65 years in 1987 to 59 years in 1993 27May2018
Case Study 1 •Countries such as Poland, Hungary, Bulgaria, and Russia experienced steady improvements in life expectancy after World War II. •In Russia life expectancy has fallen from 65 years in 1987 to 59 years in 1993. The experience of Eastern Europe 27 May 2018 14
aCase Study 2 Economic growth and prosperity apan Between 1965 and 1990 it leaped ahead of all other industrialized countries despite increased dietary fat and increased smoking rates Life expectancy was 63. 6 years for males and 67.8 years for females in I955 .By 199I it had increased to 76.I for males and 82. I years for females 27May2018
Case Study 2 Japan •Between 1965 and 1990 it leaped ahead of all other industrialized countries despite increased dietary fat and increased smoking rates. •Life expectancy was 63.6 years for males and 67.8 years for females in 1955 •By 1991 it had increased to 76.1 for males and 82.1 years for females. Economic growth and prosperity 27 May 2018 15