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5. Section B: Social issues in the uk. Study Theme 2: Wealth and Health in the UK. CONNECT: Empathy-builder. ‘Taxes for the rich will be scrapped tomorrow and replaced with voluntary philanthropy’ - How might a millionaire feel about this? A person on average income?
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5. Section B: Social issues in the uk Study Theme 2: Wealth and Health in the UK
CONNECT: Empathy-builder ‘Taxes for the rich will be scrapped tomorrow and replaced with voluntary philanthropy’ - How might a millionaire feel about this? • A person on average income? • Someone receiving income support?
Learning Intentions: • Understand the causes of health inequalities • Be able to give examples of causes • Be able to give evidence, linked to examples of health inequalities • Be able to demonstrate understanding of the conflicting explanations of the causes of poor health
Causes: • Poverty • Geography • Lifestyle Choices • Gender • Age • Race
Link between Poverty and Poor health Those from lower socioeconomic groups have poorer outcomes when diagnosed with cancer with the result that mortality rates are higher for deprived groups, with unskilled workers twice as likely to die from cancer as professionals.
Causes: Glasgow case study Why is Glasgow so bad? David Walsh – the history of industrial decline and ingrained deprivation. Greater alienation, family breakdown, gender relations and parenting differences, sectarianism, climate, the concentration of deprivation and even genetic factors play a part. Some suspect the city's poor climate and diet affects Glaswegians' vitamin D levels. Average pay for men in Glasgow in 2010 was £23,356, compared with £87,516 in Kensington and Chelsea
Illustrate: using pictures only, explain the reasons why health is so poor in Glasgow.
Cause: Geography • Geographic location has an impact on health, because of economic factors such as employment and health service provision. Location will also have a bearing on lifestyle choices. • Inequalities in health outcomes are apparent between areas with different levels of deprivation, with premature mortality from cancer and from coronary heart disease (CHD) 15% higher for those living in the most deprived areas compared to the rest of the population. • Between 2000 and 2009, CHD mortality rates in the under 75s fell by 45% in Scotland overall, but only by 36% in the most deprived areas.
Postcode lottery is a term to describe geographic inequalities in health… Inequalities in service provision such as doctor, dentist and hospital provision vary throughout the UK. Decisions made by health trusts about which operations, treatments and drugs to fund mean that people with the same health problems in neighbouring areas may receive differing levels of treatment. Health is better in London and the South of England compared to other parts of the UK this is because this area has the highest incomes and the lowest unemployment and it is well served by the NHS. The life expectancy of a man in Greater Glasgow and Clyde is 4 years shorter than a man in the Borders…
Lifestyle Choices • There are other factors which do result from individual choice, such as lifestyle choices, diet and smoking and personal circumstances, such as unemployment and wealth. • Higher mortality rates are due to a range of factors; poorer diets, poor housing leading to illnesses such as asthma and hypothermia and increased rates of smoking. • These disadvantages start young. Mothers who do not have a good diet when they are pregnant or who smoke or abuse alcohol or drugs or who do not get sufficient medical attention during pregnancy are at greater risk of still births. • Diet – diabetes, heart disease, stroke, cancer • Smoking – all of the above • Lack of exercise – all of the above
Gender • Men tend to have a poorer approach to their diet than women. • They consume less fruit and vegetables and their salt intake is significantly higher, resulting in health problems. • About 64% of Scottish adult men and 57% of Scottish adult women are either overweight or obese. • The higher percentage of obese men means that greater numbers of men are at risk from the effects of illnesses associated with being overweight.
Age • Healthiest people, both male and female, are those aged 16-45. • Effects of a lifetime of work, physical activity and consumption take their toll as people get older. • 98% of dementia sufferers are over 65. • People aged 75 or more have demand levels for resources that are twice the average. • 25% of those over 75 attend the hospital compared to just 14% of the rest of the population. • In Scotland, the elderly are entitled to free personal care.
Race or Ethnicity • Some races are more susceptible to certain diseases than others. • Infant mortality rates are often affected by ethnicity. • Cultural differences – smoking or alcohol consumption as well as poverty, harassment and discrimination also generate differences in standards of health. • Health Survey for England 2000 – smoking rates among Bangladeshi men are nearly twice as high as the general population.
Reflect Provide a summary of what you learnt this cycle . In the style of a news report.