Letter Report to Sir Michael Marmot on the Social Determinants of Health (2006) / Chapter Skim
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Letter Report
Letter Report
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Richard Suzman, director of the Division of the Behavioral and Social Research Program at the National Institute on Aging, the U.S. National Research Council's Committee on Population convened a panel of leading social and behavioral researchers with expertise in population aging and adult health to review the initial analytical and strategic documents of the Commission's nine "knowledge networks." (See Attachment A for the list of panel members.)
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Although this research is not the central focus of any of the Commission's nine knowledge networks, it is nonetheless extremely important and can inform and strengthen the work of the Commission. For example, the Commission has not established a knowledge network that is focused specifically on the role of education as a determinant of health: yet the developing world has achieved dramatic progress in both school participation and attainment over the last several decades and studies on the determinants of social and economic differences in health and disability in later life have stressed the importance of compositional changes in older peoples' educational attainment for explaining disability and mortality trends and differentials in later life (Elo and Preston, 1996; Freedman and Martin, 1999; Mirowsky and Ross, 2003; Minkler, Fuller-Thompson, and Guralnik, 2006)
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The latter approach may be threatened, however, due to changes in the global economy, combined with the demographic changes outlined above as well as the HIV/AIDS epidemic, which threaten to reduce traditional sources of economic security for older people in much of the developing world. These changes may generate higher rates of poverty among older adults and so undermine the Commission's good efforts.
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. Furthermore, laws to secure employment and safety for older workers in the workplace will promote longer employment, potentially easing the burden on social support mechanisms as populations age (The International Longevity Center, 2006)
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Health Behaviors To some extent, the social gradient in health in later life reflects differences in group health behaviors, such as diet, exercise, tobacco use and alcohol consumption. Consequently, well-targeted public education programs aimed at reducing certain risk behaviors, such as smoking or alcohol consumption, or promoting beneficial behaviors, such as maintaining a balanced diet or exercising regularly, can be extremely important.
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When asked, older people define successful aging as having life satisfaction, social participation, financial security, community involvement, and health and physical functioning, among other things (Bowling and Dieppe, 2005)
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individual, community, and national-level behavioral health interventions designed to either reduce particular health risks, such as falling, reduce certain risk behaviors, such as smoking or drinking, or promote beneficial health behaviors, such as maintaining a balanced diet or exercising regularly. Should it be of use to the Commission to have additional information and references on the topics outlined in this letter, the National Research Council is available and willing to identify terms of reference and potential authors to provide the Commission with papers that would further develop some of the points made above.
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, President and CEO, International Longevity Center -- USA, Ltd, New York, NY Susan M Allen, assistant professor, Department of Community Health and Sociology, and deputy director, Center for Gerontology and Health Care Research, Brown University George Alleyne, director emeritus, Pan American Health Organization Robert W
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ATTACHMENT B Open Meeting of the Panel on the Social Determinants of Adult Health and Mortality National Academy of Sciences National Research Council 500 Fifth Street, NW KECK Building, Room 204 Washington, DC 20001 July 12-13, 2006 AGENDA Wednesday, July 12, 2006 OPEN SESSION 9:30 am CONTINENTAL BREAKFAST (provided in meeting room) 10:00 Welcome and Introduction Barney Cohen, Study Director Michael Feuer, Executive Officer DBASSE Robert Butler, Chair 10:15 Sponsor's Perspective Richard Suzman, National Institute on Aging 10:30 Statement of Task and Discussion of Charge and Schedule Robert Butler and Barney Cohen 11:15 Overview of Commission on Social Determinants of Health and Timeline Sebastian Taylor, University College of London 11:30 General Discussion: The CSDH and the Knowledge Networks: Ways that Research on Aging Is Currently Being Incorporated 12:30 pm LUNCH 1:00 Group Discussion: Ways that Current Research on Aging Intersects with the CSDH's Knowledge Networks
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5:30 ADJOURN 6:30 GROUP DINNER Thursday, July 13, 2006 8:00 am CONTINENTAL BREAKFAST (provided in meeting room) OPEN SESSION 8:30 Overview of Previous Day Robert Butler, Chair 8:45 Reactions Michael Marmot, University College London 9:00 General Discussion: How the Panel Might Be Able to Support the Work of the Knowledge Networks and the Commission
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§ PreparationofinterimletterreporttotheCommission § PresentationtotheCommissionersbythechairofthepanelonthe work of this group § Organizationofaone-dayworkshop. (Proceedings fromthat workshop to be presented to the Commission for their use in preparation of their final report.)
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July 13, 2006. Analytic Reports NOTE: The reports listed here were prepared by the knowledge networks and the Commission on Social Determinants of Health Early Child Development Analytic and Strategic Review Paper: International Perspectives on Early Child Development Knowledge Network for Early Child Development: Interim Report Globalization and Social Determinants of Health: Analytic and Strategic Review Paper First Interim Report Globalization Knowledge Network Commission on Social Determinants of Health Health Systems Knowledge Network Discussion Document No.
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American Journal of Cardiology 82:22T-29T. Bowling, A., J
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L Murray, and Comparative Risk Assessment Collaborating Group 2003 Estimates of global and regional potential health gains from reducing multiple major risk factors.
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Murray (eds.) 2006 Global Burden of Disease and Risk Factors.
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Barker 2000 Fetal, infant, and childhood growth are predictors of coronary heart disease, diabetes, and hypertension in adult men and women. Environmental Health Perspectives 108:545-553.
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Li 2001 Age variation in the relationship between community socioeconomic status and adult health. Research on Aging 23:234-259.
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Cacioppo 2006 Objective and perceived neighborhood environment, individual SES and psychosocial factors, and self-rates health: An analysis of older adults in Cook County, Illinois. Social Science and Medicine 63(10)
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