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Investing in Health: Is Basic Education Better than Medicine?

Investing in Health: Is Basic Education Better than Medicine?. Maxine Hayes, MD, MPH State Health Officer Washington State Department of Health December 11, 2007. We Know What Determines Health. Institute of Medicine 2001. National Research Council 2001.

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Investing in Health: Is Basic Education Better than Medicine?

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  1. Investing in Health:Is Basic Education Better than Medicine? Maxine Hayes, MD, MPH State Health Officer Washington State Department of Health December 11, 2007

  2. We Know What Determines Health Institute of Medicine 2001 National Research Council 2001 National Institutes for Health 2000 Institute of Medicine 2000

  3. Multiple levels of influence HEALTH Determinants of Health L I F E S P A N

  4. Medical Care is NOT the Primary Determinant of Health!

  5. What are Social Determinant of Health? • Social determinants of health refer to societal conditions that affect health and that potentially can be altered by informed action. • Job opportunities • Opportunities for education • Social norms – e.g., dropping out of school • Housing conditions and exposure to environmental hazards • Availability of services and access to resources

  6. Education is a Strong Social Determinant of Health

  7. “The one social factor that researchers agree is consistently linked to longer lives in every country where it has been studied is education. It is more important than race; it obliterates any effects of income.” THE NEW YORK TIMES

  8. THE NEW YORK TIMES A Surprising Secret to a Long Life: Stay in School By Gina Kolata January 3, 2007

  9. Death Rates by Age and Educational Level Washington State, 1997-1999 SOURCE: The Health of Washington State, 2002

  10. Table 1. National Graduation Rates, by Race or Ethnicity and Sex, United States, 2001 Source: Swanson CB A statistical portrait of public high school graduation, class of 2001. Washington DC: The Urban Institute; 2004 a Rate based on estimates that cover between 50% and 75% of the student population.

  11. Academic Achievement is Central to Achieving the Goal of Eliminating Health Disparities

  12. PREVENTING CHRONIC DISEASEPUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY SPECIAL TOPIC Reframing School Dropout as a Public Health Issue Nicolas Freudenberg, DrPH, Jessica Ruglis CDC Volume 4: No. 4, October 2007

  13. SOCIAL DETERMINANTS OF HEALTH: INFORMING POLICY DECISIONS Social conditions that affect health are amenable to population-based interventions that improve community health outcomes.

  14. Ranked by Potential to Improve Community Health Child development programs (Head Start, Healthy Start, etc.). Adequate public investment in education. “Living wages” to move working families above poverty. Access to quality health care for all ages. Mixed income neighborhoods to decrease segregation by SES. Programs to reintegrate stigmatized populations. Parenting classes in schools, churches, health agencies, etc. Neighborhood schools as site of numerous community support programs. Family-focused, one-stop health and human services centers . Adequate health benefits with employment. The Guide to Community Preventive Services. “Interventions in the Social Environment to Improve Community Health: A Systematic Review”AJPM April 2003

  15. What Influences Our Health Healthy 51% Behaviors 22% Environment Genetic 17% Makeup Health Care 10% 0% 20% 40% 60% 80% 100% Source: McGinnis, et. al, 2002 What Influences Our Health

  16. How We Spend Our Money

  17. “Investments in Education are Health Investments Investments in Health are Education Investments” Maxine Hayes

  18. Academic Achievement IMPACTS Adult Health Child & Adolescent Academic Achievement Child & Adolescent Health Status or Behaviors IMPACTS

  19. “You can’t educate a child who is not healthy and you can’t keep a child healthy who is not educated” Joycelyn Elders

  20. References • Evans, R.G., Barer, M.L., & Marmor, T.R. (Eds.). (1994). Why are some people healthy and others not? The determinants of health of populations. New York: Adline de Bruyter; US Department of Health and Human Services. (200). • House, J.S., & Williams, D.R. (2000). Understanding and reducing socioeconomic and racial/ethnic disparities in health (Paper contribution B to the Institute of Medicine Committee on Capitalizing on Social Science and Behavioral Research to Improve the Public’s Health). In B.D. Smedley & S.L. (Eds.), Promoting Health: Intervention strategies from social and behavioral research (pp.81-124). Washington, D.C: National Academy Press. Available: http://www.4.nas.edu/iom/iomhome.nsf. • US Preventive Services Task Force. (AJPM April, 2003). Sociocultural environment. In the guide to community preventive services: Systematic reviews and evidence-based recommendations. USDHHS. http://www.thecommunityguide.org

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