Socioeconomic inequalities and health

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Socioeconomic inequalities and health

• Michael de Looper

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The Black Report
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In Australia
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In Australia
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Recent AIHW involvement
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A tale of two cities socio-demographic profile,
2001
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A tale of two cities socio-economic status, 2001
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A tale of two cities deaths aged 075 per
100,000 population, 20002002
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A tale of two cities chronic disease per 1,000
population, 2001
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A tale of two cities risk factors per 1,000
population, 2001
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A tale of two cities

• City L1 Lindfield (Northern Sydney Division
  of General Practice)
• Data Source PHIDU 2005

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A tale of two cities

• City L2 Liverpool (Liverpool Division of
  General Practice)
• Data Source PHIDU 2005

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Index of relative socioeconomic disadvantage

• Fairfield, NSW (857)
• (Highest rates of GP services, diabetes,
  psychological distress, physical inactivity,
  lowest rates risk alcohol)
• Northern Sydney, NSW (1129)
• (Lowest rates of premature death, circulatory
  deaths, psychological distress, poor/fair
  self-assessed health, smokers)

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Social determinants of health

• Poor social and economic circumstances affect
  health throughout life...
• ...nor are the effects confined to the poor the
  social gradient in health runs right across
  society
• (Wilkinson and Marmot 1993)

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Conceptual framework
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Indicators of socioeconomic position

• Income or wealth
• Education
• Housing and amenities
• Employment status
• Occupation

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Inequity in health

• Differences in health that are not only
  unnecessary and avoidable, but, in addition, are
  considered unfair and unjust (Whitehead 1992)

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