Unequal Lives: Health and Socioeconomic Inequalities - by Graham, H., Community Health and Wellbeing: Action research on health inequalities- by Cropper, S., Porter, A., Williams, G., Carlisle, S., Moore, R., O.Neill, M., Roberts, C. and Snooks, H. and Ch

BackgroundAlthough there is evidence for socioeconomic inequalities in health and health behaviour in adolescents, different indicators of socioeconomic status (SES) have rarely been compared within one data sample. We examined associations of five SES indicators with self-rated health (SRH) and smoking (ie, a leading cause of health inequalities) in Europe.MethodsData of adolescents aged 14–17 years old were obtained from the 2013 SILNE survey (smoking inequalities: learning from natural experiments), carried out in 50 schools in 6 European cities (N=10 900). Capturing subjective perceptions of relative SES and objective measures of education and wealth, we measured adolescents’ own SES (academic performance, pocket money), parental SES (parental educational level) and family SES (Family Affluence Scale, subjective social status (SSS)). Logistic regression models with SRH and smoking as dependent variables included all SES indicators, age and gender.ResultsCorrelations between SES indicators were weak to moderate. Low academic performance (OR=1.96, 95% CI 1.53 to 2.51) and low SSS (OR=2.75, 95% CI 2.12 to 3.55) were the strongest indicators of poor SRH after adjusting for other SES-indicators. Results for SSS were consistent across countries, while associations with academic performance varied. Low academic performance (OR=5.71, 95% CI 4.63 to 7.06) and more pocket money (OR=0.21, 95% CI 0.18 to 0.26) were most strongly associated with smoking in all countries.ConclusionsSocioeconomic inequalities in adolescent health were largest according to SES indicators more closely related to the adolescent’s education as well as the adolescent’s perception of relative family SES, rather than objective indicators of parental education and material family affluence. For future studies on adolescent health inequalities, consideration of adolescent-related SES indicators was recommended.

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Using Participatory Action Research to Address Community Health Issues

Critical Health Psychology ◽

10.1007/978-0-230-21630-3_12 ◽

2004 ◽

pp. 187-202 ◽

Cited By ~ 7

Author(s):

Mary Brydon-Miller

Keyword(s):

Action Research ◽

Community Health ◽

Participatory Action Research ◽

Health Issues ◽

Participatory Action

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An Assessment of Magnitudes and Patterns of Socioeconomic Inequalities across Various Health Problems: A Large National Cross-Sectional Survey in Korea

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15122868 ◽

2018 ◽

Vol 15 (12) ◽

pp. 2868 ◽

Cited By ~ 1

Author(s):

Ji-Yeon Shin ◽

Jiseun Lim ◽

Myung Ki ◽

Yeong-Jun Song ◽

Heeran Chun ◽

...

Keyword(s):

Mental Health ◽

Health Inequalities ◽

Suicide Attempts ◽

Mental Health Problems ◽

Subjective Health ◽

Health Problems ◽

Socioeconomic Inequalities ◽

Mental Illnesses ◽

Cross Sectional Survey ◽

Cross Sectional

Magnitudes of health inequalities present consequences of socioeconomic impact on each health problem. To provide knowledge on the size of health problems in terms of socioeconomic burden, we examined the magnitudes and patterns of health inequalities across 12 health problems. A total of 17,292 participants older than 30 years were drawn from the Korea National Health and Nutrition Examination Survey (KNHANES, 2010–2012). The age-adjusted prevalence ratios were compared across socioeconomic positions (SEPs) based on income, education, and occupation. The magnitudes of socioeconomic inequalities varied across 12 health problems and, in general, the patterns of socioeconomic inequalities were similar among groups of health problems (i.e., non-communicable diseases (NCDs), mental health, and subjective health states). Significant health inequalities across NCDs, such as diabetes, hypertension, ischemic heart disease, and arthritis, were observed mainly in women. Socioeconomic inequalities in mental health problems, such as depression, suicidal ideation, and suicide attempts, were profound for both genders and across SEP measures. Significant socioeconomic inequalities were also observed for subjective health. No or weak associations were observed for injury and HBV infection. The patterns of socioeconomic inequalities were similar among groups of health problems. Mental illnesses appeared to require prioritization of socioeconomic approaches for improvement in terms of absolute prevalence and relative socioeconomic distribution.

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Affective energy, authentic power, transforming communities: toward a phenomenology of collaboration

Global Discourse ◽

10.1332/204378919x15755394184230 ◽

2020 ◽

Vol 10 (1) ◽

pp. 11-35 ◽

Cited By ~ 1

Author(s):

Darrin Hicks

Keyword(s):

Community Health ◽

Group Cohesion ◽

Considerable Influence ◽

High Quality ◽

Collaborative Process ◽

Community Initiatives ◽

Health And Wellbeing ◽

Collaborative Processes ◽

Phenomenological Account

This essay advances the proposition that the quality of the collaborative process can exercise considerable influence on the success and sustainability of community initiatives, especially those addressing community health and wellbeing. The force and direction of this influence, the essay argues, is largely accounted for by stakeholders’ perceptions of their collective power and whether the collaborative process feels authentic. Further, this influence can last for many years, flowing downstream from stakeholders participating in early stages of the collaborative process to those giving and receiving care. The essay offers a phenomenological account of collaboration – as animated by the flow and force of affective energy – to address several critical questions: what motivates collaboration; what sustains group cohesion; what are the features of high-quality collaborative processes; and what makes a collaborative process authentic? The essay concludes with an affective re-specification of authenticity – grounded in vitality, not essence – to explain why some collaboratives are more successful than others.

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