EPH2022 Case 10

what is the eco social theory? (4 factors)

embodiment - how we incorporate material and the world we live in into ourselves (biologically)

pathways to embodiment - societal arrangements (macro and meso level) of production, consumption and reproduction, options &. barriers by our biological makeup, ecological context, individual experiences

cumulative interplay between exposure, susceptibility & resistance - levels (micro, meso, macro) relating to ecological niches

accountability & agency - embodiment in terms of insitutions (government, businesses), households, individuals to explain health social inequalities (choose to talk to ignore about it) - studies should consider it

What is systems thinking?

looking at the big picture, how different factors interact with each other

vulnerability, what is it? (3 dimensions)

exposure to hazard

susceptibility (likely to being harmed)

capability to adapt & cope

vulnerability at the meso level examples

exposure in the environment, air pollution, climate change

what can be done with differential susceptibility?

target susceptible groups and identify the harmful exposures

what can be done with differential vulnerability?

identifying vulnerable groups and identify how to provide availability of resources for their adaptation and capability

what is differential exposure

disease spread unevenly in socioeconomic groups

what is a differential effect (for vulnerability & susceptibility)

the effect/outcome of the causes of disease across the different groups

e.g. higher mortality in low SES even though high SES drinks more

what are the 4 pathways how mediation & moderation tackle health inequalities

controlled direct effect SEP has direct effect on disease outcome (no mediator)

reference interaction SEP has indirect effect to disease outcome, a mediator is in the middle and depends on exposure of the mediator (smoking lifestyle choice) (vice versa, the mediator outcome depends on SEP, SEP does not influence exposure)

mediated interaction SEP has indirect effect to disease outcome, a mediator is in the middle (SEP influences the mediator exposure level)

pure indirect effect SEP has indirect effect to disease outcome, a mediator is in the middle to influence the outcome

what does the ecosocial model portray

how the societal patterns of disease make up ur biological consequences

(living poorly shapes your health poorly, from birth on)