SOCIAL EXCLUSION AND HEALTH INEQUALITIES IN THE TIME OF COVID-19

2021 ◽  
Vol 27 (6) ◽  
pp. 1563-1581
Author(s):  
Predrag Bejaković ◽  
Marinko Škare ◽  
Romina Pržiklas Družeta
Keyword(s):  
Social Exclusion ◽  
Health Inequalities ◽  
Social Life ◽  
Social Inequalities ◽  
Power Relationships ◽  
Health Crisis ◽  
Policies And Measures ◽  
Or Groups ◽  
Employment Education ◽  
Socially Excluded

Social exclusion as a process leads to a state of multiple relative deprivations in diverse areas of social life, like employment, education, healthcare, social ties, respect. Individuals or groups may have a worse position in several areas, particularly with other individuals or groups in society. Coronavirus pandemics disproportionately affect poorer communities and socially excluded people. Socially excluded are double victims; due to their position, they are more prone to infection by a coronavirus, further increasing their exclusion. The purpose of this contribution is to provide a conceptual framework for analyzing the relationship between social exclusion and health disparities during the COVID-19 pandemic. The goal is to comprehend the causes and consequences of unequal power relationships and offer critical assessments of current policies and measures to reduce health inequalities. Health and social inequalities are a significant constraint to economic revival and a successful fight against pandemics. The extent of the economic and health crisis caused by pandemic shock largely depends on past health and social inequality.

scholarly journals Linked data and inclusion health: Harmonised international data linkage to identify determinants of health inequalities

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Jesse Young ◽  
Rohan Borschmann ◽  
Ximena Camacho ◽  
Josh Knight ◽  
Fiona Kouyoumdjian ◽  
...  
Keyword(s):  
Health Disparities ◽  
Social Exclusion ◽  
Health Inequalities ◽  
Sex Workers ◽  
Data Linkage ◽  
Determinants Of Health ◽  
Linkage Studies ◽  
Health Response ◽  
International Data ◽  
Socially Excluded

A recent article in The Lancet establishing the principles of inclusion health, highlighted substantial gaps in our understanding of the drivers of health inequalities in socially excluded groups such as people with a history of incarceration, people who experience homelessness, sex workers, people with mental illness, and people who inject drugs1. Cross-sectoral data linkage of electronic health records with services working with socially excluded groups was one of the key recommendations of this article. The magnitude of health disparities observed in people that experience social exclusion necessitates an international public health response and addressing the determinants of social exclusion has been identified as a key component of closing the gap of Indigenous disadvantage2. This symposium will establish data linkage as a key component of the inclusion health and will complement the efforts of the Pan American Health Oranization's (PAHO) Commission on Equity and Health Inequalities in the Americas. Traditional survey methodology is costly and often results in studies that are highly parochial in nature. Due to difficulties recruiting and retaining marginalized groups, these studies are commonly forced to adopt methodological concessions, often selecting the most convenient participants (i.e., selection bias) or incurring increased rates of loss-to-follow-up (i.e., attrition bias). Conversely, global studies aimed at modelling the burden of disease are often not sufficiently nuanced to answer specific inferential research questions. Data-linkage has the potential to overcome these common biases and limitations. Thus, harmonised international data-linkage studies are an important component of the inclusion health response to identify the determinants of health inequalities in socially excluded groups and inform the global inclusion health agenda. This symposium will bring together facilitators from three countries with extensive experience conducting data linkage studies that generate evidence on health and social inequality in socially excluded groups. Using a current multinational study as an example, barriers to international data-linkage studies, methodological solutions, and distributed approaches to generating international comparative evidence will be presented. Innovative examples of cross-sectoral approaches to linkage with social service, correctional and national survey data will be discussed. The development of a novel framework for identifying social exclusion exposures and determinants of health inequalities typically not captured in administrative health data will also be discussed. The session will conclude with a discussion aimed at forming the foundation of an international data linkage project to address these current gaps identified in the inclusion health series and best practice for translation to policy and practice to address health disparities in socially excluded groups. References Aldridge et al. Morbidity and mortality in homeless individuals, prisoners, sex workers, and individuals with substance use disorders in high-income countries: a systematic review and meta-analysis. The Lancet. 2017;391(10117):241-250. https://doi.org/10.1016/S0140-6736(17)31869-X Greenwood M et al. Challenges in health equity for Indigenous peoples in Canada. The Lancet. 2018;Epub ahead of print. https://doi.org/10.1016/S0140-6736(18)30177-6

WYKLUCZENIE SPOŁECZNE W KONTEKŚCIE UBÓSTWA I BEZDOMNOŚCI

2015 ◽  
Vol 5 (1) ◽  
pp. 55-64 ◽  
Author(s):  
Jacek Marek Nogowski
Keyword(s):  
Social Exclusion ◽  
Social Life ◽  
Moral Norms ◽  
Cause And Effect ◽  
Or Groups ◽  
The Social

The social exclusion is impossibilities determined in categories of participating in relevantaspects of the, economic, political social life and the cultural given society. The poverty is beingrelated to persons, families or groups of people, of which resources (financial, cultural andsocial) they are limited in such a step, that the level of their life is lowering beyond the acceptedminimum in the country of residence. A homelessness is both a cause and effect of other states ofthe poverty, lack of motivation, rejecting moral norms, lack of the ability, too pathological havingsocially recognised features. A poverty and a homelessness are one of social important issues ofcontemporary world which requires preventive concrete actions preventing of coming into existenceof this phenomenon in order not to lead to the social exclusion.

SOCIAL WITHDRAWAL OF YOUNG PEOPLE IN HONG KONG: A SOCIAL EXCLUSION PERSPECTIVE

2006 ◽  
Vol 40 (01n02) ◽  
pp. 61-91 ◽  
Author(s):  
VICTOR WONG ◽  
WINNIE YING
Keyword(s):  
Hong Kong ◽  
Young People ◽  
Social Exclusion ◽  
Social Inequalities ◽  
Social Withdrawal ◽  
Social Process ◽  
Critical Examination ◽  
Transitions To Adulthood ◽  
Definition Of ◽  
Socially Excluded

In the light of the social exclusion perspective, this paper discusses the indicators and different forms of social withdrawal experienced by young people in Hong Kong. The study examined the case records of 88 service users aged 13–24, and conducted 4 focus group interviews with a team of social workers involved in outreaching and reengaging the socially excluded users. Youth's personal agency exercised in their reaction to life events and crisis in the form of social withdrawal is arguably a complex social process, which is shaped, amongst other factors, by the hegemonic definition of youth trajectories and transitions to adulthood, and equally important by social exclusion at the institutional, cultural and relational levels. It is argued that both the structural and subjective dimensions of social withdrawal and reengagement work deserve critical examination in order not to further reproduce social inequalities and disadvantages.

scholarly journals The importance of addressing ageism in Swedish healthcare

2020 ◽  
Vol 40 (3) ◽  
pp. 113-115
Author(s):  
Katarina Sjögren Forss
Keyword(s):  
Older People ◽  
Health Inequalities ◽  
European Countries ◽  
Or Groups ◽  
Significant Class ◽  
Care For Older People

Ageism is discrimination against individuals or groups based on their age. In the Swedish healthcare context, the term is uncommon, despite the fact that older people are a significant class of users. One of every five individuals in Sweden is 65 years of age or older, and the proportion of older people in the population is rising. Therefore, ageism in healthcare warrants more awareness and focus. In three recent articles that we have published relating to nutritional, depression and continence care for older people, we found indications of ageism even though we did not aim to study it. There is a need to identify the manifestations of ageism and label them, and to become alert to both the visible and invisible expressions of ageism. This will help in the development of interventions and policies to eliminate ageism in healthcare. With health inequalities growing and seemingly becoming the norm rather than the exception in Sweden and other European countries, it has become imperative to address and eliminate health inequalities through a range of initiatives and mechanisms. Fighting ageism in different settings must be a part of this larger goal.

scholarly journals Antimicrobial Resistance and Social Inequalities in Health: Considerations of Justice

2020 ◽  
pp. 257-278
Author(s):  
Lynette Reid
Keyword(s):  
Global Health ◽  
Health Inequalities ◽  
Social Inequalities ◽  
Tertiary Care ◽  
Practical Importance ◽  
Social Inequalities In Health ◽  
Inequalities In Health ◽  
Catching Up ◽  
The Impact

Abstract Within-country social inequalities in health have widened while global health inequalities have (with some exceptions) narrowed since the Second World War. On commonly accepted prioritarian and sufficientist views of justice and health, these two trends together would be acceptable: the wealthiest of the wealthy are pulling ahead, but the worst off are catching up and more are achieving sufficiency. Such commitments to priority or sufficiency are compatible with a common “development” narrative about economic and social changes that accompany changes (“transitions”) in population health. I set out a very simple version of health egalitarianism (without commitment to any particular current theory of justice) and focus on two common objections to egalitarianism. Priority and sufficiency both address the levelling down and formalism objections, but these objections are distinct: giving content to equality (I argue here) places in question the claimed normative superiority of priority and sufficiency. Using examples of the role of antimicrobials in both these trends – and the future role of AMR – I clarify (first) the multiple forms and dimensions of justice at play in health, and (second) the different mechanisms at work in generating the two current patterns (seen in life course narratives and narratives of political economy). The “accelerated transition” that narrowed global health inequalities is fed by anti-microbials (among other technology transfers). It did not accelerate but replaced the causal processes by which current HICs achieved the transition (growing and shared economic prosperity and widening political franchise). The impact of AMR on widening social inequalities in health in HICs will be complex: inequality has been fed in part by tertiary care enabled by antimicrobials; AMR might erode the solidarity underlying universal health systems as the well-off seek to maintain current expectations of curative and rehabilitative surgery and chemotherapy while AMR mounts. In light of both speculations about the impact of AMR on social and global health inequalities, I close with practical and with theoretical reflection. I briefly indicate the practical importance of understanding AMR from the perspective of health justice for policy response. Then, from a broader perspective, I argue that the content by which I meet the formalism objection demonstrates that the two trends (broadening within-country inequality and narrowing global inequality) are selective and biased samples of a centuries-long pattern of widening social inequalities in health. We are not in the midst of a process of “catching up”. In light of the long-term pattern described here, is the pursuit of sufficiency or priority morally superior to the pursuit of equality as a response to concrete suffering – or do they rationalize a process more objectively described as the best-off continuing to take the largest share of one of the most important benefits of economic development?

scholarly journals KRITIK SOSIAL BERMUATAN LOKAL BALI DALAM KUMPULAN CERITA NGUNTUL TANAH NUNULÉNGÉK LANGIT KARYA I MADE SUARSA/LOCAL BALINESE SOCIAL CRITICISTS IN THE STORIES COLLECTION OF NGUNTUL TANAH NULÉNGÉK LANGIT BY I MADE SUARSA

Aksara ◽  
2021 ◽  
Vol 32 (2) ◽  
pp. 223-234
Author(s):  
Ni Nyoman Tanjung Turaeni ◽  
Puji Retno Hardiningtyas
Keyword(s):  
Short Stories ◽  
Short Story ◽  
Social Life ◽  
Social Problems ◽  
Social Inequalities ◽  
Social Issues ◽  
Social Criticism ◽  
Formal Structure ◽  
The Social ◽  
Classi Cation

Abstrak Kritik sosial sebagai sebuah ide atau berbagai bentuk gagasan yang bertolak belakang dengan kenyataan yang tidak sesuai dengan tujuan dan harapan dari tatanan dalam masyarakat. Penelitian ini bertujuan membahas aspek sosial yang meliputi struktur cerita, masalah sosial dan kritik sosial bermuatan lokal Bali yang tercermin dalam kumpulan cerita pendek berbahasa Bali Nguntul Tanah Nulengék Langit karya I Made Suarsa. Metode analisis yang digunakan dalam penelitian ini adalah deskriptif kualitatif dan teknik interpretatif. Dalam pengolahan data dilakukan tahapan klasifikasi, pendeskripsian, penerjemahan, dan penganalisisan data. Untuk mengetahui masalah sosial dan kritik sosial dalam cerpen tersebut, digunakan teori sosiologi sastra dan teori struktural untuk mengetahui struktur formal yang membangun cerita tersebut. Hasil dan pembahasan penelitian ini menunjukkan bahwa kritik sosial yang dapat terhimpun dalam cerita tersebut adalah kritik sosial terhadap kemiskinan, kritik sosial disorganisasi keluarga dan kritik terhadap adat dan tradisi serta serta kehidupan sosial masyarakat Bali. Dengan demikian, lahirnya cerpen karya I Made Suarsa ini memperlihatkan kemegahan pariwisata, masih terdapat ketimpangan sosial dalam masyarakat Bali. Kata kunci: cerpen, kritik sosial, masalah sosial, muatan lokal Bali Abstract Social criticism as an idea or various forms of ideas that are contrary to reality is not in accordance with the goals and expectations of the order in society. This study aims to discuss the social aspects which include story structure, social issues and social criticism with local Balinese content as re ected in a collection of short stories in Balinese language “Nguntul Tanah Nulengék Langit” by I Made Suarsa. The method used in this research is descriptive qualitative and note taking techniques. In data processing, the stages of classi cation, description, translation and data analysis are carried out. To nd out the social problems and social criticism in the short story, the sociology approach of Sapardi Djoko Damono’s view is used and is assisted by a structural approach to determine the formal structure that builds the story. The results of the study show that the social criticisms that can be collected in the story are social criticism of poverty, social criticism of family disorganization and criticism of customs and traditions as well as the social life of Balinese people who seem famous by tourism, but in fact there are still social inequalities in Balinese society. Keywords: social problems, social criticism, short stories 

scholarly journals Praca wychowawcza z dziewczętami wykluczonymi społecznie – w ujęciu bł. Marii Karłowskiej (1865–1935)

2021 ◽  
Vol 7 ◽  
pp. 337-348
Author(s):  
Katarzyna Wasilewska-Ostrowska
Keyword(s):  
Young People ◽  
Social Exclusion ◽  
Young Women ◽  
Educational System ◽  
Risky Behaviors ◽  
Educational Work ◽  
The Social ◽  
Universal Values ◽  
Socially Excluded ◽  
Work Education

Educational Work with Socially Excluded Girls – in Terms of the Blessed Maria Karłowska (1865–1935) This text presents the concept of education developed by Blessed Maria Karłowska (1865–1935). The foundress of the Congregation of the Shepherds of Divine Providence worked all her life with socially excluded people, especially girls and young women who were prostitutes. She established care and educational centers for them, where, together with her colleagues, she helped them to overcome their life crises. Several important assumptions can be distinguished in the educational system introduced by Karłowska. First of all, the social and moral development of the pupil was important. Much emphasis was placed on apprenticeship and work. Education to freedom, independence, and citizenship was also a priority, which was based on the assumptions of the pedagogy of dialogue and love. The educators had to show patience and understanding, work on the resources of the charges, and also prevent risky behaviors. Despite the passage of time, this concept has not lost its importance as it is based on universal values that are fundamental in educational work with young people at risk of social exclusion.

scholarly journals La exclusión social en el discurso educativo: un análisis basado en un programa de investigación

2012 ◽  
Vol 20 ◽  
pp. 24
Author(s):  
Juan Carlos González Faraco ◽  
Antonio Luzón Trujillo ◽  
Mónica Torres Sánchez
Keyword(s):  
Social Exclusion ◽  
Social Solidarity ◽  
Cultural Perspective ◽  
Students At Risk ◽  
Institutional Practices ◽  
Children And Young People ◽  
Education Governance ◽  
Cultural Differentiation ◽  
Or Groups ◽  
Analytical Approaches

The aim of this article is to show the theoretical and methodological foundations and stages of a research program that began more than ten years ago. This program emphasizes the complex relationship between social exclusion and education, and specifically between inclusion/exclusion and the governance of education in the framework of general policies and institutional practices. This program combines two analytical approaches: the approach of equity and the approach of knowledge, according to a political and cultural perspective. Both have epistemological and even ideological differentiated roots, but not contradictory. Both, in one way or another, are presented in three successive projects of this program’s research: 1. Education Governance and Social Integration and Exclusion in Europe (EGSIE); 2. Students at Risk of Educational Exclusion in Compulsory Secondary Education; 3. Social and Educational Exclusion in Children and Young People with AIDS. First, this program is based on the idea that certain changes in the governance of education can become mechanisms of inclusion/exclusion, in terms of social and cultural differentiation and stratification. It means that changes in educational policy can severely affect the ability of education to combat social exclusion. We argue about changes that concern the construction of social solidarity and political thinking in order to establish ways of understanding individuals, that is, their politics of knowledge. Using several concepts and categories such as transition and narration, we try to examine how the changes are produced or the principles that order politics, pedagogy, school success or even statistics are modified. In other words, how some systems of reason are introduced to play their role in an unequal field, including some rules of action that reward or punish, qualify or disqualify, integrate or marginalize individuals or groups.

scholarly journals Socially Excluded Persons in Ireland Have an Increased Annual Risk of Hospitalisation Due to Venous Thromboembolic Disease

Blood ◽  
2019 ◽  
Vol 134 (Supplement_1) ◽  
pp. 4702-4702
Author(s):  
Karl Ewins ◽  
Fionnuala Ni Ainle ◽  
Eoghan Dunlea ◽  
Sarah Kelliher ◽  
Vicky Sandys ◽  
...  
Keyword(s):  
Board Of Directors ◽  
Social Exclusion ◽  
Research Funding ◽  
Hospital Admissions ◽  
Significant Proportion ◽  
Service Planning ◽  
Hospital Inpatient ◽  
Care Provision ◽  
Advisory Committees ◽  
Socially Excluded

Introduction Social exclusion in Ireland is strongly associated with injecting drug use, particularly injection of opiates into the groin: a strong risk factor for venous thromboembolism (VTE) (O'Reilly et al, 2015). Ní Cheallaigh et al (2017) reported a high burden of disease in socially excluded individuals in Ireland that can be effectively addressed by dedicated service planning and care provision. VTE in socially excluded persons has been identified by our group as a key knowledge gap. We have generated preliminary data demonstrating that socially excluded people account for a significant proportion of patients presenting with VTE in Dublin. Methods We extracted national Hospital InPatient Enquiry (HIPE) data from Health Atlas Ireland using the methods outlined in Kevane et al (2019). We identified individuals as "socially excluded persons" if their records contained one or more of the variables identified by Aldridge et al (2018): homeless individuals, prisoners, sex workers and individuals with substance use disorders. We identified all emergency inpatient hospital admissions for those with any diagnosis of VTE during 2017 using VTE-associated ICD-10 codes. Results There were 494,972 emergency inpatient admissions in patients >16 years during this 12 month period, of which 5,717 (1.2%) had a VTE diagnosis (55% of which were DVTs). 306 (5.3%) of hospital episodes with VTE occurred in socially excluded individuals. Applying maximum and minimum assumptions on the estimated population denominator we estimated that overall the annual incidence rate of VTE-related hospitalisation per person was approximately 10-fold higher in socially excluded individuals when compared to the general population (in which it was 0.12%). Conclusions This is the first time that an approximately ten-fold increase in the risk of hospitalisation due to VTE has been shown to be associated with social exclusion. This information was generated from national data, using surrogate identifiers for socially excluded persons. We hypothesise that detailed characterisation of VTE events in socially excluded clients will permit improved service planning and care provision for these vulnerable patients, enabling better VTE prevention and management. This may save lives and prevent the disabling and common long-term consequence of post-thrombotic syndrome with debilitating leg ulcers, which in this population results in numerous admissions and severe mobility issues. Planning such initiatives has the potential to reduce morbidity and mortality, improve quality of life but also to reduce hospital admissions (which are hugely over-represented in this patient group), save costs and resources and most importantly results in more equitable health care for socially excluded patients. Disclosures Ewins: Amgen: Other: Conference Fees & Travel Expenses; Bayer: Other: Conference Fees & Travel Expenses. Ni Ainle:BMS: Membership on an entity's Board of Directors or advisory committees; Daiichi Sankyo: Membership on an entity's Board of Directors or advisory committees; Bayer: Membership on an entity's Board of Directors or advisory committees, Research Funding; Boehringer: Membership on an entity's Board of Directors or advisory committees; Leo Pharma: Research Funding; Actelion: Research Funding. Cliona:Pfizer: Research Funding; MSD: Other: Travel Expenses.

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