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FHWA Health and Health Inequalities

FHWA Health and Health Inequalities

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FHWA Health and Health Inequalities

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  1. FHWAHealth and Health Inequalities Dr Gina Radford DPH

  2. SMRs, Fife, 1995 - 2004

  3. All cause mortality rate per 100000 population aged under 65, by interzone, Fife and Scotland, 2006 Scotland Fife Interzone

  4. Determinants of health

  5. Reducing Health Inequalities Health varies in Fife in relation to • Socio-economic status • Gender • Ethnicity • Place of residence • Other inequalities

  6. Risk factors for teenage pregnancy • Poor attendance rates and dislike of school • Poor educational attainment

  7. Feeling like they belong somewhere, like they’re living their life.

  8. More likely to reduce inequalities Improving accessibility of services Prioritising disadvantaged groups Offering intensive support Starting young

  9. Disadvantaged groups tend : • to be harder to reach • to find it harder to change behaviour • to receive less benefit from lifestyle change or access to services interventions with more disadvantaged groups may need to be much more intensive and targeted than might be appropriate for more advantaged groups: information based approaches such as food labelling, pamphlets in doctors’ surgeries, and mass media campaigns, or those which require people to take the initiative to sign up for, may be less effective among more disadvantaged groups

  10. An intervention which, in general, works (e.g. dental health education) might have no effect on health inequalities if all SES groups benefit equally increase health inequalities if the rich benefit more reduce health inequalities if the poor benefit more

  11. Less likely to reduce inequalities • Information based campaigns • Written materials • Campaigns reliant on people taking the initiative to opt in • Campaigns/messages designed for the whole population • Whole school health education approaches

  12. Young people are the future generation so we need to help them before they become useless to society. What use is a twenty-five year old man with no qualifications, no job and messes around with alcohol and drugs?

  13. Priority areas for Fairer Scotland Fund Health Inequalities funding – the context • SOA • Community Plan • Fairer Fife Framework • FSF principles • JHIP • Equally Well

  14. What people told us

  15. What people told us

  16. What people told us

  17. Integrated approaches Improving access to services Early intervention across lifestages Clusters of disadvantage/identified families not geographical areas What people told usOther issues

  18. Vulnerable families Mental health & wellbeing Homelessness & housing issues Alcohol Disadvantaged life circumstances 5 areas emerged

  19. Seasons Greetings

  20. You have three votes Vote once for each of your top three priorities from the list Your votes are worth 3 points, 2 points and 1 point Use more points for your higher priority List Disadvantage (Areas and/or Individual Circumstances) Mental health and wellbeing  Alcohol  Vulnerable families Homelessness and housing issues Consensus Voting