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Socioeconomic Status and Young People's Health


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Health and Education Impact Young People.

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Socioeconomic Status and Young People's Health

  1. 1. OBJECTIVES • Define key terms related to social mobility, inequality, and privilege. • Describe how socioeconomic status impacts the health of young people and their future wellbeing. • Rationalize the need for structural interventions to improve adolescent health.
  4. 4. RIGHTS AND PRIVELEGES Spared Injustice Privilege of being spared injustice or disadvantage. Unjust Enrichment Privilege of benefiting from the injustices shown to others. Non-Justice-Related Privilege Privilege of receiving undeserved enrichment, but not in a way that the receipt of which is seeded in injustice.
  5. 5. WEALTH INEQUALITY Richest 20% Poorest 20% 83% of Wealth 12% of Wealth 2% of Wealth 2% of Wealth 1% of Wealth
  6. 6. SOCIAL MOBILITY Intergenerational Intragenerational
  7. 7. GENERATIONAL MOBILITY Percentile of Fathers Lifetime Earning Proportion Canada (32%) United States (40-50%) 0.0 0.5
  8. 8. GENERATIONAL MOBILITY “Great Gatsby Curve” Peru Brazil Chili China UK US New Zealand Australia CanadaNorway Sweden Germany France GINI (Inequality) IntergenerationalImmobility
  9. 9. GENERATIONAL MOBILITY 2009 1990 21% 21% 24% 21% 13% moved to top 20% moved to quintile 4 moved to quintile 3 moved to quintile 2 remained in lower 20% Of those in the bottom 20% in 1990…
  10. 10. GENERATIONAL MOBILITY $$$$$ $ $$$$ $$$ $$ - 36% 52% 70% 87% 36% 28% 20% 9% -
  11. 11. After correction for multiple testing, we found that low childhood SES was associated with DNAm in 3 stress- related genes (AVP, FKBP5, OXTR) and 2 inflammation- related genes (CCL1, CD1D), low adult SES was associated with DNAm in one stress-related gene (AVP) and 5 inflammation-related genes (CD1D, F8, KLRG1, NLRP12, TLR3), and social mobility was associated with DNAm in 3 stress-related genes (AVP, FKBP5, OXTR) and 7 inflammation-related genes (CCL1, CD1D, F8, KLRG1, NLRP12, PYDC1, TLR3). Low High Age Acceleration as a function of Self-Control & SES Disadvantage Self Control Low Medium High4 0 - 4
  12. 12. EPIGENETICS AND BIO-REGULATION C N C N C C H H O NH2 CH3 Methylation Prevents Transcription Factors from Binding to DNA, and thus inhibits gene activation. Histone Accessible DNA Inaccessible DNA Nucleosome
  13. 13. Children in poor health are also more likely to have poor health as adults, and their health as adults adversely affects their economic status. Case and Paxson note that eliminating income-related disparities in health problems in childhood would do little to reduce earnings disparities between richer and poorer adults. However, they emphasize that, for children in poor health, improvement in physical condition in childhood would lead to substantial improvement in economic circumstances Poor Adult Health Low Economic Attainment Poor Child Health
  14. 14. THE SYNDEMIC PRODUCTION OF POOR HEALTH Syndemic: Two or more health- related states or conditions that work synergistically to produce deleterious effects beyond those of the component’s summed effect. Risky Behaviour Biological Vulnerability Social Influence Socioeconomic Status
  16. 16. REDISTRIBUTIVE POLICIES Employment Insurance Children’s Benefits Medicare & Public Healthcare Progressive Taxation Social Housing & Assistance Canadian Pension Plan & Old Age Security Workers Comp & Disability Tax Credits Public Education
  17. 17. The “wellness revolution”, especially in terms of diet and exercise, has been affected by both scientific findings and cultural changes. Based on interviews with 54 self-identified wellness participants at a major university, we examine how health can be a moral discourse and the body a site for moral action. The paper suggests that wellness seekers engage in a profoundly moral discourse around health promotion, constructing a moral world of goods, bads and shoulds. Although there are some gender differences in particular wellness goals, engaging in wellness activities, independent of results, becomes seen as a good in itself. Thus, even apart from any health outcomes, the pursuit of virtue and a moral life is fundamentally an aspect of the pursuit of wellness.
  18. 18. SOCIOECONOMIC STATUS AND EDUCATION Black Hispanic White <HS HS Some College Associate Bachelor’s 100k 80k 60k 40k 20k Median Family Income By Educational Attainment Lack of Education Lack of Opportunity Low Income Hunger, Poor Health, and Substandard Living Education The Poverty Cycle
  19. 19. REMINDERS • Turn in Literature Review • Interview Notes Due on Canvas by Friday, March 2nd at 11:59 pm. • Outline and Annotated Bibliography due in tutorial during the week of March 6th.