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Peter Goldblatt HEALTH EQUITY PILOT PROJECT Examples of health inequalities and improving health equity

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Page 1: Examples of health inequalities and improving health equity · Examples of health inequalities and improving health equity . disclaimer ‘The information and views set out in this

Peter Goldblatt

HEALTH EQUITY PILOT PROJECT

Examples of health inequalities and

improving health equity

Page 2: Examples of health inequalities and improving health equity · Examples of health inequalities and improving health equity . disclaimer ‘The information and views set out in this

disclaimer

‘The information and views set out in this

presentation are those of the author and do not

reflect the official opinion of the Commission. The

Commission does not guarantee the accuracy of the

data included. Neither the Commission nor any

person acting on the Commission’s behalf may be

held responsible for the use which may be made of

the information contained therein.’

HEALTH EQUITY PILOT PROJECT

Page 3: Examples of health inequalities and improving health equity · Examples of health inequalities and improving health equity . disclaimer ‘The information and views set out in this

Estimated odds of reporting poor or very poor general health by socioeconomic characteristics, 25 EU Member States*, 2010

0 2 4 6 8

0 items - BASELINE

1 item

2 items

3 items

4+ items

Highest decile - BASELINE

9th

8th

7th

6th

5th

4th

3rd

2nd

Lowest decile

Tertiary (5&6) - BASELINE

Post-secondary, non-tertiary (4)

Upper secondary (3)

Lower secondary (2)

Primary (ISCED 1)

None or pre-primary (0)

Odds ratio

One variable in the model Three variables in the model

1st-4th

5th-9th

Level of education

Income distribution

Material deprivation

Source: Health inequalities in the EU

3 variables in the model 1 variable in the model

Page 4: Examples of health inequalities and improving health equity · Examples of health inequalities and improving health equity . disclaimer ‘The information and views set out in this

Life-course pathway from early life origins to inequality in mortality

mediated by smoking, British 1946 birth cohort

Giesinger I, et al. J Epidemiol Community Health 2013

Page 5: Examples of health inequalities and improving health equity · Examples of health inequalities and improving health equity . disclaimer ‘The information and views set out in this

Percentage smoking by difficulties experienced in paying bills, 2012

Page 6: Examples of health inequalities and improving health equity · Examples of health inequalities and improving health equity . disclaimer ‘The information and views set out in this

PARTICIPATION ACCOUNTABILITY

COOPERATION Joint Responsibility Shared Benefits

Co Production

Page 7: Examples of health inequalities and improving health equity · Examples of health inequalities and improving health equity . disclaimer ‘The information and views set out in this

World Health Assembly Resolution May 2009

• All member states:

– Tackle health inequities through action on the social determinants of health

– Impact of polices and programmes on health inequities;

– Health equity in global development goals

Page 8: Examples of health inequalities and improving health equity · Examples of health inequalities and improving health equity . disclaimer ‘The information and views set out in this

UN sustainable development goals:

http://www.globalgoals.org/

Page 9: Examples of health inequalities and improving health equity · Examples of health inequalities and improving health equity . disclaimer ‘The information and views set out in this

Michael Marmot

Health is a human right

Do something

Do more

Do better

Page 10: Examples of health inequalities and improving health equity · Examples of health inequalities and improving health equity . disclaimer ‘The information and views set out in this

THANK YOU!

HEALTH EQUITY PILOT PROJECT