Hang tight while we fetch the video data and transcripts. This only takes a moment.
Connecting to YouTube player…
Fetching transcript data…
We’ll display the transcript, summary, and all view options as soon as everything loads.
Next steps
Loading transcript tools…
The Social Determinants of Health. A Public Health framework. | Global Health with Greg Martin | YouTubeToText
YouTube Transcript: The Social Determinants of Health. A Public Health framework.
Skip watching entire videos - get the full transcript, search for keywords, and copy with one click.
Share:
Video Transcript
Video Summary
Summary
Core Theme
This content introduces a framework for understanding social determinants of health by categorizing the "social" aspect into environment, identity, and position, and then linking these to various factors that influence health outcomes. It emphasizes the interconnectedness of social structures and individual well-being, highlighting how inequality and inequity contribute to health disparities.
Mind Map
Click to expand
Click to explore the full interactive mind map • Zoom, pan, and navigate
welcome back to this Global Health
YouTube channel today we're going to be
talking about the social determinants of
health what I'm gonna do is I'm gonna
share with you a framework that I've
developed for thinking about the social
determinants of health my framework is
relatively simple and the reason is this
we basically just kind of look at two
things we're gonna say look let's try
and understand what it is that we mean
by the words social and then let's look
at the reasons that people get sick and
let's see if we can join the dots
between these two buckets so let's start
by thinking about what it is that we
mean by the words social and and of
course we all have an intuitive sense of
what the word means but I've divided the
word social or the idea of social into
three different categories or three
different buckets and I want us to look
at each of these so the three ways that
we can think about this idea of social
are firstly our social environment
secondly our social identity and thirdly
our social position or what we sometimes
call our socio-economic position and
let's look at each of these in a little
bit more detail so if we start with a
social environment this is the political
economic and cultural setting in which
we live so you might live in a country
whose health policy includes providing
free access to health care you might
live in an affluent or deprived
neighborhood you might live in a culture
that accepts and encourages gender
equity or you may not as the case may be
now let's talk about your social
identity social identity is a function
of the groups that you either
voluntarily or involuntarily are a part
of in other words that you identify with
or that you are identified with it could
be your family your gender your
ethnicity your race citizenship the
Tennis Club that you belong to your
language group etc etc and for each of
these groups there are a set of rules
that society has adopted and applied to
the us those that are part of a group
and the them those that are not part of
the group so in some parts of the world
whether or not you can access education
depends on your gender in other parts of
the world you might be denied access to
clean water or housing or healthcare
because of your ethnicity or race and in
each of these cases your access to
certain freedoms and certain
opportunities is affected by the groups
or the social delineations with which
you are identified now let's look at the
idea of socioeconomic status
or your social position of course our
gut feeling is that socioeconomic status
is just about how much money you have
and while that's a big part of it it's
not the whole picture
think for a minute about what money does
for you it's a sort of a discretionary
resource that you can exchange for
whatever you can afford and it gives you
the power of resources and opportunities
in other words it gives you options you
have a degree of what we call personal
agency but there are other things that
contribute to that agency things like
education occupation social status etc
and when we see differences in
socioeconomic status across these social
groups or these social delineations that
we talked about earlier we call that
inequality and when that difference is
because of a systematic and fairness in
the rules that apply to those groups
like racial or gender discrimination we
call that inequity so let me just
summarize inequality is the unequal
distribution of goods and opportunities
and freedoms across social groups and
inequity is the unfairness that leads to
inequality okay so now we've got a good
sense of what it is that we mean by the
word social next we're gonna take a look
at health and what did it what are the
things that cause people to be healthy
or unhealthy as the case may be and then
we're gonna join these two groups up and
see how they relate to each other but
before we carry on a big thank you to
USC for sponsoring this video he has a
quick message from USC and then we're
gonna get back into the teaching
hello from sunny California I'm dr.
Shobha Kumar and a professor and
director of the master of Public Health
online program at USC the USC online mph
program is 100% online and delivered
through state-of-the-art technology that
allows students to engage with
classmates and professors in live online
sessions we have a fantastic curriculum
with lots of choices and taught by
world-class faculty this program can
prepare you for an exciting career in
public health so if you're interested
just click on the link below this video
to learn more we offer three start dates
per year and look forward to welcoming
you so we've looked at the idea of
social now we're gonna look at health
and we're gonna ask the question why do
people get sick or why do people remain
healthy as the case may be and then
we're gonna look at these two ideas and
see how they can connect up firstly
there's simply your biology your age or
sex your genes etc next your access to
things like nutritious food safe
drinking water clean air shelter next
exposure to hazards things like violence
conflict war natural disasters
infectious disease agents then of course
there are unhealthy behaviors things
like poor diet smoking sedentary
lifestyle then there's your access to
health services and of course that
includes services to treat you if you're
sick and it includes preventative
Services like vaccinations services and
health promotion and finally there are
psychosocial factors so let's take a
look at each of these and ask the
question what are the social
determinants that can affect them the
first determinants of health is of
course your biology your age your sex
your genes etc now this is the one
determinants of health that is not
really affected by your social
environment your social position your
social identity etc so we're not going
to talk a lot about your biology as a
determinant of health because it's kind
of quite disconnected from the social
determinants except to say that some of
your biology like to age or your sex can
have implications for your social
identity your social position and your
social environment as can any of the
other determinants of health
in fact even being healthy or unhealthy
or disabled can impact on your social
identity your social environment your
social position etc so I want you to see
how this into
can actually happen in both directions
access to nutritious food safe drinking
water at clean air shelter people living
in abject poverty or unable to access
even the most basic amenities needed to
be healthy there are about 3.1 million
children that die every year due to
malnutrition now globally there are more
than enough resources to address the
basic needs of the very poor but we as
society choose not to we hide behind
physical and social distance between
them and us and we use that to obfuscate
any real moral responsibility to act
exposure to hazards like violence and
conflict and natural disasters and
infectious disease agents violence and
conflict are the quintessential example
of people applying different rules to
people in the other group the not as to
them so much so that in times of war we
not only deny those people that group
the right to be protected from violence
but we take deliberate actions to harm
them and even kill them unhealthy
behaviors like poor diet smoking in
their sedentary lifestyle drinking a
gluten-free Kalyan radish smoothie after
45 minutes of yoga followed by the steam
bath the local gym this might be an
incredibly healthy way to live but let's
be honest it's a luxury people living in
poverty or in lower socioeconomic strata
are far more likely to engage in
unhealthy behaviors because they need to
respond to and prioritize the immediate
pressures of life over the future
possibility of cardiovascular disease
for example next access to health
services including prevention like
vaccinations services and health promotion
promotion
how the state provides access to health
services dramatically impacts on the
health outcomes of a population and the
people who are most vulnerable are as
always the poor I am a huge fan of
universal health coverage and I've got
another video on that if you want to
watch it please do and finally
psychosocial factors so your social
environment and your social identity and
your socio-economic position of course
as we've discussed can affect your
physical health but all of these things
can affect your mental health your sense
of who you are your sense of well-being
your psychological well-being they
affect the way we see ourselves they
affect the pressures that we face they
affect the agency that we have to deal
with problems and of course they affect
our access to the mental health services
that we might need and I find
quite problematic that in a lot of the
discussion around the social
determinants of health psychosocial
factors and psychological and mental
health is often under addressed or not
addressed at all thanks for watching I
hope you found this useful stay and
watch another video if you've got the time
time
subscribe to this YouTube channel if you
haven't already until next time take care
Click on any text or timestamp to jump to that moment in the video
Share:
Most transcripts ready in under 5 seconds
One-Click Copy125+ LanguagesSearch ContentJump to Timestamps
Paste YouTube URL
Enter any YouTube video link to get the full transcript
Transcript Extraction Form
Most transcripts ready in under 5 seconds
Get Our Chrome Extension
Get transcripts instantly without leaving YouTube. Install our Chrome extension for one-click access to any video's transcript directly on the watch page.
