thanks David for opening this discussion.
1. My colleagues and I are currently reviewing how JSNAs across the country have
addressed race equality issues. If we can, I will share the results with this
group when we are done. (fyi:JSNAs are joint strategic needs assessments that
the primary care trusts and local governments in England must do for population
health planning).
2. A 'rift in discourses' suggested by David and by the Salway et al response to
Marmot appears to flow through to how health inequalities are understood locally
in English public health - although this is not exclusively true, there are
brilliant counter-examples, and our work is not at the point where conclusions
can be fairly made.
3. There are two other trends in practice and discussion that i am interested in
your thoughts on:
* the allure that very fixed categories of determinants seem to have; that
ethnicity, for example, could dislodge itself from the other social relations
that bestow meaning. The Lambeth study cited, for example, is a study of
association (deprivation with health v ethnicity with health), not cause nor is
it engaged in policy response.
* Similarly, ethnicity itself is given a biological immutability (gripping
firmly to the census 2001 categories). So ethnicity itself is described as a
determinant of health, as if the problem is principally within 'the ethnic' or
that racism and discrimination can be disappeared (because perhaps its not what
nice people really mean to do).
These are trends that seems equally evident in US & Canadian literature on the
social determinants of health, so all perspectives are welcome.
4. Martin, there are some excellent resources on ethnicity and health at the
uk-based: http://www.raceforhealth.org/ You or others may also be interested in
the excellent resources on culturally responsive service delivery developed by
the Australian-based Centre for Culture, Ethnicity and Health
(http://www.ceh.org.au/culturalcompetence.aspx).
5. By the way, the NAO reference to the lambeth study is at:
http://www.nao.org.uk/idoc.ashx?docId=37FD43BB-9AF2-4DE1-AC2E-C67BA0059FCD&version=-1
cheers
Dave Trudinger
Quoting HEALTH-EQUITY-NETWORK automatic digest system <[log in to unmask]>:
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> HEALTH-EQUITY-NETWORK Digest - 1 Jul 2010 to 2 Jul 2010 (#2010-92)
> Table of contents:
>
> England: Tackling inequalities in life expectancy in areas with the worst
> health and deprivation (6)
> DUNCAN MEMORIAL LECTURE, 7th July, Prof Jennie Popay
>
>
> England: Tackling inequalities in life expectancy in areas with the worst
> health and deprivation
> England: Tackling inequalities in life expectancy in areas with the worst
> health and deprivation (07/02)
> From: David McDaid <[log in to unmask]>
> Re: England: Tackling inequalities in life expectancy in areas with the worst
> health and deprivation (07/02)
> From: "Ingleby, J.D. (David)" <[log in to unmask]>
> Re: England: Tackling inequalities in life expectancy in areas with the worst
> health and deprivation (07/02)
> From: Martin Rathfelder <[log in to unmask]>
> Re: England: Tackling inequalities in life expectancy in areas with the worst
> health and deprivation (07/02)
> From: Mark Johnson <[log in to unmask]>
> Re: England: Tackling inequalities in life expectancy in areas with the worst
> health and deprivation (07/02)
> From: "James Stephen (Ealing PCT)" <[log in to unmask]>
> Re: England: Tackling inequalities in life expectancy in areas with the worst
> health and deprivation (07/02)
> From: "Ingleby, J.D. (David)" <[log in to unmask]>
> DUNCAN MEMORIAL LECTURE, 7th July, Prof Jennie Popay
> DUNCAN MEMORIAL LECTURE, 7th July, Prof Jennie Popay (07/02)
> From: alex scott-samuel <[log in to unmask]>
>
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