UNIT 9,10 and 16.
ASSINGMENT -EMPOWERING USERS OF HEALTH AND SOCIAL CARE SERVICES
SUBMITTED TO :- MR STEFAN ALEX.
SUBMITTED BY :- MISS PINKY PHILIP (BTEC LEVEL 4 OCT 2010 A&S TRAINING COLLEGE LONDON).
TASK 1
INTRODUCTION
Conceptual frameworks in a public health context shall in the best of worlds serve two equally important purposes: guide empirical work to enhance our understanding of determinants and
mechanisms and guide policy-making to illuminate entry points for interventions and policies. Effects of social determinants on population health and on health inequalities are characterized by working through long causal chains of mediating factors.
Many of these factors tend to cluster among individuals living in underprivileged conditions and to interact with each other. Epidemiology and biostatistics are therefore facing several new challenges of how to estimate these mechanisms. A key aim of the framework is to highlight the difference between levels of causation, distinguishing between the mechanisms by which social hierarchies are created, and the conditions of daily life which then result. This paper describes the review, how the proposed conceptual framework was developed, and identifies elements of policy directions for action implied by the proposed Bringing these various elements together, the CSDH framework, shows how social, economic and political mechanisms give rise to a set of socioeconomic positions, whereby populations are stratified according to income, education, occupation, gender, race/ethnicity and other factors; these socioeconomic positions in turn shape specific determinants of health statuconceptual framework and analysis of policy approaches.
Behavioural problems such as smoking, diet, alcohol consumption and physical exercise, are certainly important determinants of health. Moreover, since they can be unevenly distributed between different socioeconomic...