This 45 minute lecture attempts to answer the question of why so little is done to address the social determinants of health when so much is known of their importance. Raphael posits that this inaction is largely due to the fact that the social determinants of health are themselves determined by policy decisions, and explores the politics behind these decisions.

In this excerpt from his new book, Closing the Food Gap: Resetting the Table in the Land of Plenty, Mark Winne explains a growing split in the diets of the haves and have-nots; at the same time that the wealthy are coming to prefer organic and locally-grown foods, the poor have been losing geographical and economic access to healthy options. He also reports on a survey by the non-profit group Hartford Food System, which found that low-income consumers in the area would prefer to purchase organics and fresh foods, but simply couldn't access or afford them.

This report describes many of the ways in which being poor is bad for one’s health and points to policies that have the potential for restoring the prospect of good health to the lives of the poor. We present compelling evidence that poverty has an impact on not just the body politic but the body corporeal as well— that being poor leaves a broad footprint on the health of individuals. The health costs of poverty are high. Those among us who are poor tend to have

This paper is an outgrowth of ASTDN’s commitment to the elimination of health disparities and the achievement of health equity for all, and underscores the important role public health nurses play in eliminating inequities in health. Its purpose is to inspire public health nurses to serve as leaders and major contributing forces in the elimination of health inequities in the United States and its Territories.

This article makes the case that social reforms, not improvements in medical technology, have been largely responsible for the major improvements in population health over the past century. "Legislators, practitioners, and the public may deem it "heretical," but analysis of United States data shows that introduction of specific medical measures and expansion of services account for only a fraction of the decline in mortality since 1900. Even acknowledging that "mortality" and "health" are not synonymous, analysis of age- and sex-adjusted rates still suggests important trends and generates hypotheses for informed social action."

Available online by JSTOR subscription or purchase only.

 Assessing the wealth holdings of the same families for 23 years (1984-2007) shows that the wealth gap between whites and African Americans increased more than 4 times, from $20,000 in 1984 to $95,000 in 2003. This gap persisted for African Americans and white families in the same income range. For example, middle-income white households had greater gains in financial assets than high-income African Americans; by 2007, they had accumulated $74,000, whereas the average high-income African American family owned only $18,000. At least 25% of all African American families had no assets to turn to in times of economic hardship.

The focus of this chapter will be an examination of the relationship between traumatic stress in childhood and the leading causes of morbidity, mortality, and disability in the United States: cardiovascular disease, chronic lung disease, chronic liver disease, depression and other forms of mental illness, obesity, smoking, and alcohol and drug abuse.  To do this, the authors will draw on their experience with the Adverse Childhood Experiences (ACE) Study, a major American epidemiological study providing retrospective and prospective analysis in over 17,000 individuals of the effect of traumatic experiences during the first eighteen years of life on adolescent and adult medical and psychiatric disease, sexual behavior, healthcare costs, and life expectancy.4

This article, co-authored by 14 highly respected geneticists, sociologists, and anthropologists, presents some of the unintended consequences of the boom in genetic ancestry testing. They explain how these tests "have significant scientific limitations" yet may be "serious matters for many test-takers."

In her keynote lecture to the 29th Annual Minority Health Conference, Dr. Krieger explores how racism harms health and creates the very categories of "race." The idea that racial/ethnic health inequities are a biological expression of racism, that their origins lie in injustice, not biology, is not an ideological argument but a scientific statement that rests on rigorous scientific testing. Using ecosocial theory, Krieger explains the myriad ways racial inequality becomes biologically embodied over the lifecourse and across generations, through pathways including adverse exposure to: economic and social deprivation; toxic substances, pathogens, and hazardous conditions; social trauma; targeted marketing of harmful commodities; and inadequate and degrading medical care. In this presentation, Krieger discusses conceptual and methodological aspects of analyzing how racial and economic injustice produce health inequities, coupled with empirical examples drawn from her own research as a social epidemiologist.

In this study, the authors provide an overview of a broad range of existing measures that go beyond gross domestic product (GDP) to offer a more complete and accurate picture of how a society and its economy are faring. Particular attention is given to data still generally marginalized on the economic and social status of the majority of every society—women and children—and to how this correlates with both a nation’s quality of life and its economic success.  Based on a review of the literature and an analysis of major arguments and rationales for moving beyond GDP as a measure of national well-being, this report identifies 14 categories of national well-being. It synthesizes hundreds of indicators found in 28 reports1 that present alternative indices and systems of well-being into 79 indicators.

Prepared biennially since 1988, EPI's flagship publication sums up the problems and challenges facing American working families, presenting a wide variety of data on family incomes, taxes, wages, unemployment, wealth, and poverty — data that enables the book's authors to closely examine the impact of the economy on the living standards of the American people. The State of Working America 2006/2007 is an exhaustive reference work that will be welcomed by anyone eager for a comprehensive portrait of the economic well-being of the nation.

In this paper we examine the dominant public health models of Canada, USA, UK, and Sweden and argue that the extent to which governments, public health agencies and public health workers use public policy to address broader determinants of health depends upon the model of health adhered to within each jurisdiction. And whether a health model is adopted depends upon the ideological and political context within which a nation is situated.
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This entertaining and often surprising 20 minute video explains in easy language how "stuff" is produced, distributed, sold, and disposed of - and why the current system is in crisis. The Web site then offers tips for what you can do to help change the destructive chain, and inspiration for how to get involved in a wide variety of possible ways.
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This report synthesizes the insights and recommendations of a group of leading academic researchers and advocates working at the panerai replica intersection of transportation policy, equity, and public health identify opportunities for creating transportation systems that promote health and equity.

Rev. Dr. Jackson, executive director of the UCC Commission for Racial Justice, presents the history of the U.S. relationship to the Marshall Islands and makes a case for our continuing obligation to Marshallese citizens.replica uhren

What difference does wealth make in terms of your life opportunities? Over recent years, magazines and newspapers have run a variety of articles that explore why middle-class Black children don't do as well in school as white children from families with similar socio-economic backgrounds. These "achievement gap" articles are based on studies that relate achievement to family incomes. But the findings from these studies, argues one researcher, are highly misleading--because they simply fail to factor in what may be the key determinant to socio-economic status: family wealth.

The Work, Family, and Equity Index has been developed to measure governmental performance around the world in meeting the needs of working families in general and and low- and middle-income working families in particular. The policies used to comprise the index have achieved widespread recognition based on the weight of the research evidence or consensus in global policy and international agreements.

Wypijewski discusses the the history and current status of the U.S. military presence in the Marshall Islands.

Full text available only to subscribers.

This 2009 report prepared for presentation to the Institute of Medicine Roundtable on Health Disparities presents 32 recommendations for strengthening communities, improving quality health care access, developing our health system, and supporting local efforts.

In Bayview-Hunters Point, the stress created by environmental problems, racism, poverty and crime may explain why so many babies die young. Infant mortality is twice as high here as in the rest of San Francisco.

TFAH has identified 10 key policy areas where government action could improve the health of the U.S. population and lower the costs associated with treating people after they're already sick:

• Promoting Disease Prevention
• Combating the Obesity Epidemic
• Preventing Tobacco Use and Exposure
• Preventing and Controlling Infectious Diseases
• Preparing for Potential Health Emergencies and Bioterrorism Attacks
• Recognizing the Relationship Between Health and U.S. Economic Competitiveness
• Safeguarding the Nation's Food Supply
• Planning for Changing Health Care Needs of Seniors
• Improving the Health of Low-Income and Minority Communities
• Reducing Environmental Threats fake ysl

And a crosscutting recommendation for:
• Holding Government Accountable for Protecting the Health of Americans

Madeline Drexler's article, published in the quarterly magazine of Harvard's Nieman School of Journalism, Nieman Reports, about the under-reported importance of the social determinants of health equity and production of the UNNATURAL CAUSES series.

The Spring 2009 issue overall (21st Century Muckrakers: Investigating Medical and Health Issues) includes several other great articles on health and medical reporting: http://www.nieman.harvard.edu/reports.aspx

Extreme racial/ethnic disparities exist in children’s access to "opportunity neighborhoods." We need to move beyond conventional public health and health care approaches to consider policies to improve access to opportunity-rich neighborhoods through enhanced housing mobility, and to increase the opportunities for healthy living in disadvantaged neighborhoods.

An update on the 1987 report on the racial and socioeconomic characteristics of communities with hazardous waste sites. Co-sponsored by Center for Policy Alternatives, NAACP, and United Church of Christ Commission for Racial Justice

Overview of the environmental health threats to the Pacific Islands, including Hawaii and other U.S.-associated islands.