3.09 PH Review

Key Points:

• Epidemiology of CKD:

  • Stark inequalities - ethnicity, deprivation, M/F

• Think about why we see these inequalities

  • Lifecourse accumulation of damage as a result of social and environemetnal factors acting more on certain groups than others

  • Structural inequalities built into healthcare system

Life-course Pathways to Inequalities

How structural inequalities can be built into healthcare:

• UK recommendations for stopping adjustment for race/ethnicity in eGFR calculations

• Ethnicity and race are social contructs and do not match genetic categories as demonstrated by The Human Genome Project, which found more genetic diversity within racial groups than between them - ethnicity adjustments entrench inequalties.