Reclaiming the Commons Our Health and Our Education
- Slides: 41
Reclaiming the Commons: Our Health and Our Education Stephen Bezruchka, MD, MPH Departments of Global Health & Health Services School of Public Health University of Washington
POP HEALTH QUIZ True A 15 year old girl in the US a smaller chance of dying before reaching age 60 than a similarly aged girl in Sri Lanka. During the period of 1987 to 2007 life expectancy for women declined in about 30% of US counties (which was not so for the previous 20 years Maternal mortality in the US has increased 50% over the last 15 years According to the Central Intelligence Agency, Bosnia and Herzegovina has a longer life expectancy than the United States of America. A survey in US medical students in 2002 found that one third of them thought the US had the lowest infant mortality of all nations. False
POP HEALTH QUIZ True A 15 year old girl in the US a smaller chance of dying before reaching age 60 than a similarly aged girl in Sri Lanka. During the period of 1987 to 2007 life expectancy for women declined in about 30% of US counties (which was not so for the previous 20 years Maternal mortality in the US has increased 50% over the last 15 years According to the Central Intelligence Agency, Bosnia and Herzegovina has a longer life expectancy than the United States of America. A survey in US medical students in 2002 found that one third of them thought the US had the lowest infant mortality of all nations. False
Sri Lanka US Adult Female Mortality 1970 -2010
POP HEALTH QUIZ True A 15 year old girl in the US a smaller chance of dying before reaching age 60 than a similarly aged girl in Sri Lanka. During the period of 1987 to 2007 life expectancy for women declined in about 30% of US counties (which was not so for the previous 20 years Maternal mortality in the US has increased 50% over the last 15 years According to the Central Intelligence Agency, Bosnia and Herzegovina has a longer life expectancy than the United States of America. A survey in US medical students in 2002 found that one third of them thought the US had the lowest infant mortality of all nations. False X
POP HEALTH QUIZ True A 15 year old girl in the US a smaller chance of dying before reaching age 60 than a similarly aged girl in Sri Lanka. During the period of 1987 to 2007 life expectancy for women declined in about 30% of US counties (which was not so for the previous 20 years Maternal mortality in the US has increased 50% over the last 15 years According to the Central Intelligence Agency, Bosnia and Herzegovina has a longer life expectancy than the United States of America. A survey in US medical students in 2002 found that one third of them thought the US had the lowest infant mortality of all nations. False X
US County Life Expectancy Trends 1987 -2007 Female Male Ezzati et. al 2008
POP HEALTH QUIZ True A 15 year old girl in the US a smaller chance of dying before reaching age 60 than a similarly aged girl in Sri Lanka. During the period of 1987 to 2007 life expectancy for women declined in about 30% of US counties (which was not so for the previous 20 years Maternal mortality in the US has increased 50% over the last 15 years According to the Central Intelligence Agency, Bosnia and Herzegovina has a longer life expectancy than the United States of America. A survey in US medical students in 2002 found that one third of them thought the US had the lowest infant mortality of all nations. False X X
POP HEALTH QUIZ True A 15 year old girl in the US a smaller chance of dying before reaching age 60 than a similarly aged girl in Sri Lanka. During the period of 1987 to 2007 life expectancy for women declined in about 30% of US counties (which was not so for the previous 20 years Maternal mortality in the US has increased 50% over the last 15 years According to the Central Intelligence Agency, Bosnia and Herzegovina has a longer life expectancy than the United States of America. A survey in US medical students in 2002 found that one third of them thought the US had the lowest infant mortality of all nations. False X X
Australia, Canada, Japan, Sweden US Maternal Mortality 1970 -2010
POP HEALTH QUIZ True A 15 year old girl in the US a smaller chance of dying before reaching age 60 than a similarly aged girl in Sri Lanka. X During the period of 1987 to 2007 life expectancy for women declined in about 30% of US counties (which was not so for the previous 20 years X Maternal mortality in the US has increased 50% over the last 15 years X According to the Central Intelligence Agency, Bosnia and Herzegovina has a longer life expectancy than the United States of America. A survey in US medical students in 2002 found that one third of them thought the US had the lowest infant mortality of all nations. False
POP HEALTH QUIZ True A 15 year old girl in the US a smaller chance of dying before reaching age 60 than a similarly aged girl in Sri Lanka. X During the period of 1987 to 2007 life expectancy for women declined in about 30% of US counties (which was not so for the previous 20 years X Maternal mortality in the US has increased 50% over the last 15 years X According to the Central Intelligence Agency, Bosnia and Herzegovina has a longer life expectancy than the United States of America. A survey in US medical students in 2002 found that one third of them thought the US had the lowest infant mortality of all nations. False
POP HEALTH QUIZ True A 15 year old girl in the US a smaller chance of dying before reaching age 60 than a similarly aged girl in Sri Lanka. X During the period of 1987 to 2007 life expectancy for women declined in about 30% of US counties (which was not so for the previous 20 years X Maternal mortality in the US has increased 50% over the last 15 years X According to the Central Intelligence Agency, Bosnia and Herzegovina has a longer life expectancy than the United States of America. X A survey in US medical students in 2002 found that one third of them thought the US had the lowest infant mortality of all nations. False
POP HEALTH QUIZ True A 15 year old girl in the US a smaller chance of dying before reaching age 60 than a similarly aged girl in Sri Lanka. X During the period of 1987 to 2007 life expectancy for women declined in about 30% of US counties (which was not so for the previous 20 years X Maternal mortality in the US has increased 50% over the last 15 years X According to the Central Intelligence Agency, Bosnia and Herzegovina has a longer life expectancy than the United States of America. X A survey in US medical students in 2002 found that one third of them thought the US had the lowest infant mortality of all nations. False
1 st & 4 th yr US medical student knowledge of Population Health (2002) Question INCORRECT US has higher life expectancy than any other nation? 32% US has lower infant mortality than any other nation? 34% Agrawal, J. R. , J. Huebner, et al. (2005). "Medical students' knowledge of the U. S. health care system and their preferences for curricular change: a national survey. " Acad Med 80(5): 484 -8.
POP HEALTH QUIZ True A 15 year old girl in the US a smaller chance of dying before reaching age 60 than a similarly aged girl in Sri Lanka. False X During the period of 1987 to 2007 life expectancy for women declined in about 30% of US counties (which was not so for the previous 20 years X Maternal mortality in the US has increased 50% over the last 15 years X According to the Central Intelligence Agency, Bosnia and Herzegovina has a longer life expectancy than the United States of America. X A survey in US medical students in 2002 found that one third of them thought the US had the lowest infant mortality of all nations. X
POP HEALTH QUIZ True A 15 year old girl in the US a smaller chance of dying before reaching age 60 than a similarly aged girl in Sri Lanka. False X During the period of 1987 to 2007 life expectancy for women declined in about 30% of US counties (which was not so for the previous 20 years X Maternal mortality in the US has increased 50% over the last 15 years X According to the Central Intelligence Agency, Bosnia and Herzegovina has a longer life expectancy than the United States of America. X A survey in US medical students in 2002 found that one third of them thought the US had the lowest infant mortality of all nations. X
Playing Game of Health without a scoreboard
Measures of health of populations?
How healthy is the US? Health Olympics Number one Gold 1 -5 _______ 6 -10 _______ 11 -15 _______ 16 -20 21 -25 26 -30 31+ _______
Life expectancy HEALTH OLYMPICS 2011 5 10 15 20 25 30 United Nations Human Development Report 2011
US County Life Expectancy Trends 1961 -1983 Female Male Ezzati et. al 2008
US County Life Expectancy Trends 1987 -2007 Female Male Ezzati et. al 2008
Trends FEMALE life expectancy age 50 from 1955 -2007 Glei et al. 2010
In Phillips County, Arkansas, the birth rate among teenage girls in 2000 was 127 births per 1, 000 w omen aged 15 to 19 - a rate higher than in 94 developing countries. A fifth of 20 -yr old women in the US gave birth in their teens SCF State of the World's Mothers 2004
Youth violence Olympics—Homicide rates among youth aged 10 -29 (most recent year available) from the World Health Organizations’ World Report on Violence and Health, 2002* *Austria, Finland, Ireland, Norway, Sweden and Switzerland had fewer than 20 deaths reported and therefore rates were not calculated. checking indicators
Population Health Concepts Health has been improving most of the last century Health improvements are not shared equally Poorer people have poorer health Early life is most critical period for health
Population Health Concepts Health has been improving most of the last century Health improvements are not shared equally Poorer people have poorer health Early life is most critical period for health
US MORTALITY RATES BY ZIP CODE INCOME Wilkinson & Pickett 2009 Spirit Level
Survival Rate on the Titanic 60 % 40 % 25 % 24 %
Health and Social Problems are Worse in More Unequal Countries Index of: • Life expectancy • Math & Literacy • Infant mortality • Homicides • Imprisonment • Teenage births • Trust • Obesity • Mental illness – incl. drug & alcohol addiction • Social mobility Source: Wilkinson & Pickett, The Spirit Level (2009) www. equalitytrust. org. uk
"more egalitarian societies (i. e. , those with a less steep differential between the richest and the poorest) have better average health" pg. 59
Deaths attributable to excess income inequality 1/3 Kondo et al. 2009
Health and Education – an epiphenomenon, not root cause – (we have most education of all countries) – Marsh, J. (2011). Class dismissed : why we cannot teach or learn our way out of inequality. New York, N. Y. , Monthly Review Press. Introduction Unintended Consequences: 9 -23
BETTER HEALTH World Bank WDR 2006 Data are for 2000 and line tracks changes 1985 -2000
BETTER HEALTH World Bank WDR 2006 Data are for 2000 and line tracks changes 1985 -2000
- Fundamental of care
- Reclaiming the mind ministries
- Similarities between health education and health promotion
- Difference between health education and health propaganda
- Our awareness of ourselves and our environment
- Our awareness of ourselves and our environment
- Our awareness of ourselves and our environment.
- Awareness of ourselves and our environment is:
- Health and social component 3
- Hình ảnh bộ gõ cơ thể búng tay
- Slidetodoc
- Bổ thể
- Tỉ lệ cơ thể trẻ em
- Chó sói
- Tư thế worms-breton
- Chúa yêu trần thế
- Môn thể thao bắt đầu bằng chữ f
- Thế nào là hệ số cao nhất
- Các châu lục và đại dương trên thế giới
- Công thức tiính động năng
- Trời xanh đây là của chúng ta thể thơ
- Cách giải mật thư tọa độ
- Phép trừ bù
- độ dài liên kết
- Các châu lục và đại dương trên thế giới
- Thể thơ truyền thống
- Quá trình desamine hóa có thể tạo ra
- Một số thể thơ truyền thống
- Cái miệng nó xinh thế
- Vẽ hình chiếu vuông góc của vật thể sau
- Biện pháp chống mỏi cơ
- đặc điểm cơ thể của người tối cổ
- V cc cc
- Vẽ hình chiếu đứng bằng cạnh của vật thể
- Fecboak
- Thẻ vin
- đại từ thay thế
- điện thế nghỉ
- Tư thế ngồi viết
- Diễn thế sinh thái là
- Các loại đột biến cấu trúc nhiễm sắc thể
- Bảng số nguyên tố lớn hơn 1000