Friday, August 07, 2009

Health Equity: Our Global Responsibility

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>July 29th Update<

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Knowledge Networking Venue in support of the

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Thursday, August 06, 2009

Workplace Stress


Workplace Stress and Heart Disease

By Paual Rasich
Reviewed by Elizabeth Klodas, MD, FACC

CardioSmart News Logo For years medical research has steadily found tiny clues that chronic stress may takes a toll on your health and shorten your life. Now the first large-scale study illuminates the definitive links between long-term mental stress and heart disease./.../

Keyboard

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Social Stress

ScienceDaily (Aug. 5, 2009) — A new study done by researchers at Wake Forest University School of Medicine shows that social stress could be an important precursor to heart disease by causing the body to deposit more fat in the abdominal cavity, speeding the harmful buildup of plaque in blood vessels, a stepping stone to the number one cause of death in the world./.../

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Poverty

  • http://www.bristol.ac.uk/poverty/health%20inequalities.html
    The extent of health inequalities
    Both cross-sectionally and along the lifecourse with effective policies which can reduce these inequalities.

The main differences between our approach and a traditional ‘medical model’ of health are summarised below by comparing the Chief Medical Officer’s Top Ten Tips for Health and our alternative version:

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Tuesday, August 04, 2009

Desigualdade social: menor desde 2002

terça-feira, 4 de agosto de 2009, 18:24 | Estadão Online

Em junho, índice de Gini atingiu 0,493 pontos, o menor nível desde 2002, quando começou a ser apurado

Anne Warth, da Agência Estado

SÃO PAULO - Embora os efeitos da crise financeira internacional tenham gerado retração da economia no quarto trimestre de 2008 e no primeiro trimestre de 2009, a desigualdade social no Brasil diminuiu ao longo do primeiro semestre deste ano e registrou a maior redução contínua desde março 2002, início do levantamento realizado pelo Instituto de Pesquisa Econômica Aplicada (Ipea).

Em junho, o índice de Gini atingiu 0,493 pontos em junho, o menor nível desde 2002, quando começou a ser apurado pelo Ipea. O índice de Gini é um coeficiente criado pelo italiano Corrado Gini em 1912 para medir a desigualdade social, e varia de 0 a 1. Nesse cálculo, quanto mais próximo de 1, maior a desigualdade, e quanto mais próxima de zero, melhor a distribuição de renda. Entre janeiro e junho deste ano, a desigualdade caiu 4,1%, a maior queda ininterrupta da série histórica da pesquisa.

O índice de Gini é uma medida de desigualdade desenvolvida pelo estatístico italiano Corrado Gini e publicada em 1912. É comumente utilizada para calcular a desigualdade de distribuição de renda, mas pode ser usada para qualquer distribuição. Ele consiste em um número entre 0 e 1, onde 0 corresponde à completa igualdade de renda (onde todos têm a mesma renda) e 1 corresponde à completa desigualdade (onde uma pessoa tem toda a renda, e as demais nada têm).

O Ipea usou como base as informações sobre o rendimento da Pesquisa Mensal de Emprego (PME) do Instituto Brasileiro de Geografia e Estatística (IBGE), feita em seis das principais regiões metropolitanas do País - Recife (PE), Salvador (BA), Belo Horizonte (BH), Rio de Janeiro (RJ), São Paulo (SP) e Porto Alegre (RS).

Segundo o Ipea, desde março de 2002 a desigualdade social no País caiu 7,6% - na época, o índice de Gini era de 0,534. Desde dezembro de 2002, quando o coeficiente atingiu 0,545, o pior resultado da série, a redução da desigualdade foi de 9,5%. Em outros dois períodos de destaque na redução contínua da desigualdade social, o resultado foi inferior ao registrado de janeiro a junho deste ano. De abril a novembro de 2003, a desigualdade caiu 3,6%; e de março a outubro de 2007, 3,4%.

De acordo com o instituto, a redução do índice de Gini "pode estar relacionada tanto à perda de valor real das maiores rendas do trabalho como à proteção do conjunto dos rendimentos na base da pirâmide ocupacional nas regiões metropolitanas", diz o texto.

"De um lado, a crise se manifestou de forma mais concentrada no setor industrial, que geralmente paga os melhores salários. De outro lado, temos a proteção da renda na base da pirâmide social brasileira, com aumento do salário mínimo e políticas de transferência de renda previdenciárias e assistenciais", afirmou o presidente do Ipea, Marcio Pochmann.

Embora a redução da desigualdade tenha sido intensa no período, Pochmann ponderou que ela ainda não é suficiente. "Um índice de Gini acima de 0,4 ainda representaria péssima distribuição de renda. Há uma tendência de queda, mas ainda estamos longe de chegar a algo comparável a países mais avançados", admitiu.

Pobreza

Ainda segundo a pesquisa, a taxa de pobreza chegou a 31,1% da população em junho deste ano nas seis regiões metropolitanas, atingindo 14,5 milhões de pessoas. Em março de 2002, a taxa de pobreza era de 42,5% da população e atingia 18,5 milhões de habitantes. Nesse período de sete anos, quatro milhões de brasileiros deixaram a pobreza, uma redução de 26,8%. De janeiro de 2007 a junho de 2009, a pobreza caiu 6,1%, de forma ininterrupta, a uma média mensal de 0,35%.

A pobreza desde 2002 diminuiu mais fortemente em Belo Horizonte, onde a queda foi de 35,5%, Porto Alegre (-33,6%) e Rio de Janeiro (-31,2%), e de forma mais lenta, abaixo da média nacional de 26,8%, em São Paulo (-25,2%), Salvador (-23,9%) e Recife (-14,1%). Em junho, a maior taxa de pobreza foi registrada em Recife (51,1%), e a menor em Porto Alegre (25,7%). Em São Paulo, ela chegou a 27%; no Rio, 29,6%; em Belo Horizonte, 30%; e em Salvador, 44,3%.

No Rio, 1,4 milhão de pessoas deixaram a pobreza; em São Paulo, 1,3 milhão; em Belo Horizonte, 600 mil; em Porto Alegre, 400 mil; em Salvador, 200 mil; no Recife, 100 mil pessoas.

No comunicado, o Ipea destaca que os indicadores sociais apresentaram um comportamento diferente nessa crise em comparação ao que normalmente ocorria em períodos de retração da economia.

"A situação atual apresenta algo de novo em relação a outros momentos de grave manifestação de crise econômica no Brasil. Ao contrário dos períodos de 1982/83, 1989/90 e de 1998/99, quando a inflexão econômica implicava aumento da pobreza nas regiões metropolitanas, não se observa crescimento na taxa de pobreza desde o último trimestre de 2008", diz o texto.

A instituição ressalta que ainda é preciso analisar o que motivou essa mudança, mas afirma que "a interferência da política anticíclica deve também estar resultando em efeitos compensatórios suficientes para evitar o agravamento social nas regiões metropolitanas".

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Making sense of health statistics

(http://www.who.int/bulletin/volumes/87/8/09-069872.pdf)
Gerd Gigerenzera
a Hardnig Center for Risk Literacy, Max Planck Institute for Human Development, Lentzeallee 94, 14195 Berlin, Germany.
Correspondence to Gerd Gigerenzer (e-mail: gigerenzer@mpib-berlin.mpg.de).
Many physicians, patients, health journalists and politicians do not understand
health statistics. Yet we make little effort to educate our children in statistical thinking or our medical students in understanding health statistics.
This collective statistical illiteracy has resulted in serious consequences for health./.../

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Sunday, August 02, 2009

Social Determinants of Health/Disease

Estão aqui referências das postagens feitas no Blog Principal, compatíveis com as palavras chave "Social Determinants".

O propósito é de facilitar o acesso aos interessados.

MONDAY, JULY 20, 2009

What We Mean by Social Determinants of Health

From: Ruggiero, Mrs. Ana Lucia (WDC) to EQUIDAD

Vicente Navarro, Department of Health Policy and Management

Johns Hopkins University Bloomberg School of Public Health

keynote address was given at the Eighth IUHPE European Conference on September 9, 2008,

in Turin, Italy, and was originally published in IUHPE – Global Health Promotion, Vol. 16, No. 1, 2009, SAGE Publications

International Journal of Health Services, Volume 39, Number 3, Pages 423–441, 2009 doi: 10.2190/HS.39.3.a

Available online as PDF file [19p.] at: http://baywood.com/hs/ijhs393A.pdf

Focus on overall health

Appointed by Dr. Maria Ines Reinert Azambuja
Published: August 01, 2009 12:00 PM
Ask yourself, “What is more important to my health: being able to find a doctor, or having a good paying job?” If you answered “the job,” then you’re already thinking about a concept researchers call the social determinants of health.

TUESDAY, MAY 19, 2009

THURSDAY, FEBRUARY 05, 2009

Reducing health inequities through action on the social determinants of health

From: Ruggiero, Mrs. Ana Lucia (WDC)

WHO 124th Session EB124.R6 - Agenda item 4.6 - 23 January 2009

WHO Executive Board, Having considered the Secretariat’s report on the final report of the Commission on Social Determinants of Health,1

SUNDAY, FEBRUARY 15, 2009

Medical Humanities Blog

On Bioethics (& the Social Determinants of Health)

SATURDAY, NOVEMBER 03, 2007

The social determinants of health:Developing an evidence base for political action

FRIDAY, MAY 30, 2008

Social determinants of health: a call for papers

Appointed by Dr. Maria Ines Reinert Azambuja

The Lancet: Social determinants of health: a call for papers
From the Lancet website:
SATURDAY, MAY 31, 2008

2385 - AMICOR11 - 31/05/2008

Saturday, May 31, 2008

The inflammation paradigm: Towards a consensus to explain coronary disease mortality in the 20th century.
CVD Prevention and Control (2008) 3, 69–76
Maria Ines Azambuja a,*, Aloyzio Achutti b, Richard Levins c.

Fumacê..., por Aloyzio Achutti*
Artigos - Fumacê..., por Aloyzio Achutti*

Tuesday, May 27, 2008

Can metabolic syndrome usefully predict cardiovascular disease and diabetes?
Prof
Naveed Sattar FRCPathBackground


SUNDAY, AUGUST 31, 2008

Closing the gap in a generation: Health equity through action on the social determinants of health

http://www.who.int/entity/social_determinants/final_report/csdh_finalreport_2008.pdf
Executive summaryEnglish [pdf 5.34Mb]
http://www.who.int/entity/social_determinants/final_report/csdh_finalreport_2008_execsumm.pdf

FRIDAY, MAY 30, 2008

Our cities, our health, our future

From: ruglucia@PAHO.ORG
Our cities, our health, our future
Report to the WHO Commission on Social Determinants of Health from the Knowledge Network on Urban Settings (KNUS) 2008
Chair and Lead Writer: Tord Kjellstrom
Available online as PDF file [199p.] at:
http://www.who.int/social_determinants/resources/knus_final_report_052008.pdf

MONDAY, NOVEMBER 12, 2007

2370 - AMICOR10 - 12/11/2007

enMonday, November 12, 2007
Health in the Americas: Brazil
Capítulo sobre Condições de Saúde no BR 2007. Há um capítulo para cada país da América e outro temático
para o conjunto
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Brazil;
posted by Aloyzio Achutti at
12:33 AM 0 comments

Wednesday, November 07, 2007
Our Greatest Challenge? Global Inequalities in CV Care
Low and middle income countries suffer more than 80% of the global burden of cardiovascular disease, but more than 80% of global expenditure on cardiovascular health care occurs in high income countries, according to Stephen MacMahon from The George Institute for International Health in Sydney, Australia.
Sessions Science OnDemand®.

Why has healthcare reform failed?
To make it work, lawmakers need to understand the barriers that have blocked reform.By Henry Aaron November 6, 2007Every 15 years or so, proposals to reform the entire U.S. healthcare system seize national attention. It suggests that even if it succeeds, healthcare reform will not come from a single bill that transforms a $2.5-trillion industry but from repeated legislation of modest scope enacted over many years.

Shaping the world to illustrate inequalities in health
Shaping the world to illustrate inequalities in healthDanny Dorling a, Anna Barford aVisualizing inequalities in health at the world scale is not easily achieved from tables of mortality rates. Maps that show rates using a colour scale often are less informative than many map-readers realize. Labels: inequality
posted by Aloyzio Achutti at
12:09 PM 0 comments
AHA President: Disparities in health care

Conner Lecturer: Social inequality
Conner Lecturer: Social inequalityboosts heart diseasePoverty is widely recognized as a risk factor for poor health and lower life expectancy, but lack of income is not the main determinant of health.

Saturday, November 03, 2007
The social determinants of health:Developing an evidence base for political action

SATURDAY, SEPTEMBER 29, 2007

Achieving health equity: from root causes to fair outcomes

Achieving health equity: from root causes to fair outcomes
Professor Sir Michael Marmot, International Institute for Society and Health, University College London, UKThis paper is an abridged version of the Interim Statement of the Commission on Social Determinants of Health The Lancet, Volume 370, Number 9593,
29 September 2007
Website:
http://www.thelancet.com/journals/lancet/article/PIIS0140673607613853/abstract
WHO website:
http://www.who.int/social_determinants/en/

TUESDAY, JANUARY 27, 2009

A conceptual framework for public health: NICE's emerging approach

Ruggiero, Mrs. Ana Lucia (WDC) to EQUIDAD
M.P. Kelly, E. Stewart, A. Morgan, A. Killoran, A. Fischer, A. Threlfall and J. Bonnefoy

TUESDAY, NOVEMBER 06, 2007

Conner Lecturer: Social inequality

FRIDAY, JANUARY 18, 2008

Investment for Health: Integrating Health in All Policies

Investment for Health: Integrating Health in All PoliciesVenice, 9th-14th, March 2008
General Information

WEDNESDAY, SEPTEMBER 03, 2008

WHO’s Commission on Social Determinants of Health: Inequities are Killing People on a Grand Scale at The Social Medicine Portal

WHO’s Commission on Social Determinants of Health: Inequities are Killing People on a Grand Scale at The Social Medicine Portal:
"On Thursday, August 28th the WHO’s Commission on the Social Determinants of Health issued its final report: Closing the Gap in a Generation: Health Equity through Action on the Social Determinants of Health.

MONDAY, OCTOBER 29, 2007

Social Determinants of the Premature Cardiovascular Mortality

De: Ruggiero, Mrs. Ana Lucia (WDC) [mailto:ruglucia@paho.org]

Enviada em: segunda-feira, 29 de outubro de 2007 18:38

Assunto: Presentacion: Factores Sociales Determinantes de la Muerte Prematura debida a Enfermedades cardiovascularesPorto Alegre – Brazil
Prof. Sergio Luiz Bassanesi
Departamento de Medicina Social
Facultad de Medicina Universidad Federal de Rio Grande do Sul - Brazil
https://sas.elluminate.com/p.jnlp?psid=2007-10-29.1009.M.1BC839C524B0BA4B8BF53A3EC0770F.vcr

Link to: PPT presentation:
http://portal.paho.org/sites/IKM/WorkSpaces/ikmbrownbag/Documents/Cardiovascular%20Diseases%20OPAS.ppt

WEDNESDAY, JUNE 01, 2005

[ProCOR] Conference report: 6th ICPC "Protecting the heart of global development"

WEDNESDAY, DECEMBER 26, 2007

2375 – AMICOR10 – 26/12/2007

"You are responsible, forever, for what you have tamed."

(Antoine Marie Roger de Saint-Exupery
June 29, 1900 - July 31st, 1944.)

Monday, December 24, 2007

HEALTH PROMOTION

RELATED SITES

- Health promotion
-
Chronic diseases and health promotion
-
Health promotion (African Region)
-
Move for health
-
Health promotion (Western Pacific Region)
-
School health and youth health promotion
- Health promotion (European Region)

Thursday, December 20, 2007
Walk, don't run, to prevent or reverse metabolic syndrome

Johnson JL, Slentz CA, Houmard JA, et al. Exercise training amount and intensity on metabolic syndrome (from Studies of a Targeted Risk Reduction Intervention through Defined Exercise). Am J Cardiol 2007; 100:1759-1766.
Related links
Fitness linked to reduced mortality, even in obese subjects[HeartWire > Prevention; Dec 04, 2007]
"Fat and fit": Less abdominal obesity than unfit counterparts, better metabolic profiles [HeartWire > News; Aug 02, 2007]
Amount of exercise at least as important as intensity, new study shows [HeartWire > News; Oct 10, 2005]

ESC Congress 2008: 30 August 2008 - 03 September 2008

Tuesday, December 18, 2007

Socioeconomic Gradients in Immune Response to Latent Infection

Heart Disease and Stroke Statistics 2008 Update. A Report From the American Heart Association Statistics Committee and Stroke Statistics Subcommittee -- Rosamond et al., 10.1161/CIRCULATIONAHA.107.187998 -- Circulation

Thursday, November 01, 2007

Excess Body Fat Associated with Increased Risk for Six Cancers

By Peggy Peck, Executive Editor, MedPage Today Reviewed by Robert Jasmer, MD; Associate Clinical Professor of Medicine, University of California, San Francisco October 31, 2007
Add Your Knowledge™
Additional Other Cancers Coverage


Walter C. Willett, M.D.Harvard Medical School
WASHINGTON, Oct. 31 -- Obesity is on course to overtake tobacco as the leading risk factor for cancer in America, according to a report issued today.

Poverty Collection

PLoS Journals : Poverty Collection: "Poverty Collection The Council of Science Editors has organized a Global Theme Issue on Poverty and Human Development on October 22, 2007. More than 200 science and health journals, including three PLoS journals, are participating by publishing new articles. We have also collected together related articles with a poverty theme from the archive of all the PLoS journals. Global Theme Issue Related PLoS Articles "

Tuesday, October 30, 2007

Cesar Victora

(Na série especial de ZH "Mentes Iluminadas" está um AMICOR:)

Monday, October 29, 2007

Genome-wide association with select biomarker traits in the Framingham Heart Study

Emelia J Benjamin1,