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The Determination of Health Across the Life Course and Across Levels of Influence » SPH

The Determination of Health Across the Life Course and Across Levels of Influence » SPH
In the first part of this Dean’s Note, I suggested that a life course perspective can be a useful and essential organizing approach for population health science. I have, in previous work, suggested that life course approaches and multilevel approaches may be the two most important paradigmatic shifts in population health science in recent decades. Building then on the first part of this note, here I comment on multilevel approaches. A multilevel approach to population health is predicated on the understanding that exposures at many levels of organization work together to produce health outcomes. Figure 1. Therefore, a multilevel approach teaches us to ask how it is that social relationships produce health behaviors that in turn may result in pathophysiologic manifestations of disease. Importantly, multilevel perspectives do not simply “add” isolated “risk factors” at other levels of influence to our prediction models. Figure 2. Figure 3. Why would this be? Figure 4. Warm regards, Related:  Multilevel Approaches to Understanding Health

Public Health Action Model for Cancer Survivorship In the Caribbean, colonialism and inequality mean hurricanes hit harder Hurricane Maria, the 15th tropical depression this season, is now battering the Caribbean, just two weeks after Hurricane Irma wreaked havoc in the region. The devastation in Dominica is “mind-boggling,” wrote the country’s prime minister, Roosevelt Skerrit, on Facebook just after midnight on September 19. The next day, in Puerto Rico, NPR reported via member station WRTU in San Juan that “Most of the island is without power…or water.” Among the Caribbean islands impacted by both deadly storms are Puerto Rico, St Kitts, Tortola and Barbuda. In this region, disaster damages are frequently amplified by needlessly protracted and incomplete recoveries. Nor were the effects of a 7 magnitude earthquake that rocked Haiti in 2010 limited to killing some 150,000 people. These are not isolated instances of random bad luck. Risk, vulnerability and poverty The country is among the Western Hemisphere’s poorest in large part because of imperialism. Geography and gender No place for politics

Alberta Health Services signs $459-million deal for massive new technology system The Alberta Health Services board has approved a $459-million deal with a U.S. technology giant to equip the health authority with an advanced clinical information system. The agreement with Wisconsin-based Epic Systems Corp. includes the installation of software that will form the new Connect Care network, along with ongoing support and staff training. “When you come to some of these large system implementations, there are really only a few vendors capable of doing something like this,” AHS president and CEO Verna Yiu said late Thursday following the board’s vote. “They (Epic) are very well-known and very well-established and they have a lot of expertise around big system implementation.” Epic’s website says the company currently supports electronic medical records for 190 million patients. For patients, the initiative is touted to provide a single medical record that can be accessed at any point in the health system, including by patients themselves. kgerein@postmedia.com

Social vulnerability from a social ecology perspective: a cohort study of older adults from the National Population Health Survey of Canada | BMC Geriatrics | Full Text We identified seven dimensions of social vulnerability (self-esteem, sense of control, living situation, social support, engagement, relations with others, and neighbourhood SES) in a sample of 2740 older Canadians and situated them within a social ecology framework of social vulnerability. The low percentage of variance explained by the seven dimensions is a limitation of our study and reflects the challenge of parsing many very different contributing factors to overall social vulnerability (from self esteem to SES to social supports and engagement) into distinct domains. As a result, one important interpretation of our findings is that a deficit accumulation approach, or social vulnerability index, is more appropriate for the conceptualization and study of social vulnerability. Nevertheless, our attempt at factor analysis does illustrate that inter-relationships between the social variables that contribute to overall social vulnerability have complex inter-connections.

Terms and Conditions of the Homelessness Partnering Strategy Terms and Conditions of the Homelessness Partnering Strategy (HPS) for 2014-2019 provide broad program parameters. On this page Introduction The Homelessness Partnering Strategy (HPS) is a unique community-based program aimed at preventing and reducing homelessness. It provides direct funding to communities across Canada to support their efforts in addressing local needs and specific homelessness priorities. Since its inception, the HPS has been encouraging communities to adopt a more mature approach to homelessness and has supported them in shifting away from emergency responses and focussing instead on longer-term solutions. Despite many successes in addressing homelessness over the past decade, homelessness remains a persistent issue. Evidence demonstrates that Housing First is an effective approach to reducing homelessness, and that it also often leads to a reduction in the use of other public services. These terms and conditions provide broad program parameters. 1.0 Authority Grants

Social Ecological Model Offers New Approach to Public Health | The Borgen Project People do not act in isolation, which is why it is important to understand the ways they interact with their communities and environments, in order to determine why they do what they do. One way of measuring these networks of interactions is the Social Ecological Model. This model, developed by sociologists in the 1970s, studies how behaviors form based on characteristics of individuals, communities, nations and levels in between. In examining these intervals and how they interact and overlap, public health experts can develop strategies to promote wellbeing in the U.S. and abroad. The Social Ecological Model is broad in scope. Different organizations use variations of the Social Ecological Model organizational hierarchies in a given society. Individual: An individual’s various traits and identities make up this level of the Social Ecological Model. The Social Ecological Model is useful in the creation of sustainable solutions for at-risk individuals and societies. – Sabine Poux

Multilevel Interventions To Address Health Disparities Show Promise In Improving Population Health Big data opens door to big possibilities in health care The average Canadian lives in a world filled with almost limitless digital connections. Activity trackers monitor our steps and heart rate. Smartphones track our habits and browsing history to bring us personalized ads from retailers. Even home appliances are going “smart” with many now transferring information online. In our digital age, information is the new currency. Now health innovators are taking the lessons learned in commerce and applying them to health care. “There is a complete revolution in health care on the way, and I don’t think many would disagree with that,” said Lawrence Richer, an associate dean of clinical research at the University of Alberta’s Faculty of Medicine & Dentistry. Richer is one of several researchers at the U of A dipping his toe into the deep waters of big data with the belief it will provide new solutions to difficult problems. What is big data? Big data is information that is huge and complex. “We are going there but we are not there yet.

Understanding Health and Its Determinants - Improving Health in the Community - NCBI Bookshelf Hospital Emergency Care & Homelessness | The Homeless Hub Access to health care is a human right. In Canada, we enjoy a system of universal health insurance and yet, many Canadians are left without services other Canadians can access with relative ease. For individuals experiencing homelessness, the ability to maintain one's health can be compromised by the impact of deteriorating health and obstacles, which often prevent them from getting the critical help they need. Health & Poverty In Canada, our publicly funded health care service is a cornerstone of our society -- it is central to the health and well-being of the general population. Canada Without Poverty provides us with a helpful snapshot by demonstrating the link between poverty and health: Health & Homelessness Considering the points provided above, it is obvious that poverty is strongly correlated with poor health and increased health care costs overall. Hospital Emergency Care & Homelessness Coupled with this, use of hospital emergency care is a costly expense. Considerations

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