Inequalities in health: challenges and opportunities in Europe

Inequalities in health:
challenges and
opportunities in Europe
Dr Zsuzsanna Jakab
WHO Regional Director for Europe
21st Co...

Better health for Europe
More equitable and sustainable

The new global framework:
United Nations 2030 Agenda for Sustainable Development

Towards a roadmap for implementation of
Sustainable Development Goals (SDGs) in the Region

We are on track to create
a healthier Europe
Premature mortalityLife expectancy

7
Yet challenges remain

What is Health 2020?
Health is a political choice
• Public health policy framework to improve
health and reduce inequities...

Countries are taking up the
Health 2020 challenge

Main aims:
• to report on progress
towards the Health 2020
targets (since 2010 baseline)
• to highlight new frontiers in
h...

Premature mortality
Although the European Region is on track to
achieve the Health 2020 target to reduce
premature mortali...

Regional trend
Indicator: age-standardized death
rate per 100 000 in people aged
30–69 for cardiovascular diseases,
cancer...

Country performance
0.0 100.0 200.0 300.0 400.0 500.0 600.0 700.0 800.0
Belarus
Russian Federation
Ukraine
Kazakhstan
Kyrg...

Inequalities in oral health

• Across Europe, a high relative risk of oral disease is
related to socioeconomic determinants.
• The major oral diseases ...

Inequities in health and health care
• Between countries
• Within countries
• Income
• Education
• Occupation
• Gender
• A...

Dr. PE Petersen, WHO 2012

Dr. PE Petersen, WHO 2012

Within-country inequalities in oral health
Percentage of Scottish 5-year-olds "free" of dental caries by deprivation
(DEPC...

0 10 20 30 40 50 60 70
Ukraine
Russia
Georgia
Bosnia-…
Sweden
Spain
Portugal
%
Percentage of people aged 65–74 having lost...

0
5
10
15
20
25
30
35
40
Primary
school
Secondary
school
High
school
College
Belgium
France
Sweden
UK
Percentage of adults...

0
5
10
15
20
25
30
Primary
school
Secondary
school
High
school
College
Bosnia-H
Greece
Italy
Spain
Percentage of adults (1...

0
5
10
15
20
25
30
35
40
45
Primary
school
High
school
Czech R
Hungary
Russia
Ukraine
Percentage of adults (18 yrs+) havin...

Within-country inequalities in oral health
Percentage of Danes aged 65+ years having lost all
natural teeth, by years of s...

Within-country inequalities in oral health
Percentage of Danes aged 65+ years with 20+
teeth, by years of schooling
0
20
4...

0
1
2
3
4
5
6
7
8
9
10
ASR(W)per100000
GLOBOCAN 2012 (IARC)
(16.11.2014)
Europe: lip and oral cavity cancer
ASR(W), both s...

0
5
10
15
20
25
5
most deprived
4 3 2 1
least deprived
Males
Females
Age-standardized incidence rates (2002) of oral and o...

Tobacco
Cancers
Respiratory diseases
Cardiovascular diseases
Obesity
Diabetes
Oral disease
Diet
Stress
Hygiene
Alcohol

Tackling inequities in oral health through:
• shared modifiable risk factors
• chronic diseases
• settings for health
• en...

Settings for health
• Health-promoting schools
Oral health through schools: children–youth–school
teachers–family–communit...

Environment for public health
Automatic fluoridation
• Vehicles are water, salt or milk
• Proper oral hygiene and effectiv...

Upstream interventions
• National policy for oral health
• Legalization and regulation
• Directives for oral health care
•...

0
20
40
60
80
100
Primary
school
Secondary
school
High
school
College
France
Italy
Portugal
Percentage of adults (18+ year...

0
20
40
60
80
100
Primary
school
Secondary
school
High
school
College
Russia
Latvia
Slovenia
Percentage of adults (18+ yea...

Universal primary oral health care
*
• Oral health care provided by dentists must
be financially fair
• Health is a public...

Challenges for reducing inequities
in health
• Lack of political interest
• Lack of political will
• Neglect of health ine...

Opportunities for equity in oral health
• Healthy diet and reducing sugars
• Tobacco and alcohol control
• Organizing publ...

Thank you!

Inequalities in health: challenges and opportunities in Europe

Inequalities in health: challenges and opportunities in Europe

Inequalities in health: challenges and opportunities in Europe

You are reading a preview.

Activate your 30 day free trial to continue reading.

Share SlideShare

Facebook
Twitter
LinkedIn

Embed

Size (px)

Show related SlideShares at end

WordPress Shortcode

Link

Share
Email

Contemporary health policy context ... by WHO Regional Offi... 662 views
The potential link between JA-CHROD... by WHO Regional Offi... 516 views
Towards a more equitable, healthier... by WHO Regional Offi... 978 views
Better health for Europe - equitabl... by WHO Regional Offi... 839 views
Migration and health in the Europea... by WHO Regional Offi... 734 views
Presentation - Working together for... by WHO Regional Offi... 823 views

Top clipped slide

1 of 40 Ad

1 of 40 Ad