90.15 Social capital: Making a difference in global public health

Wednesday, April 29, 2009
Sadrivaan A and B (The Hilton Istanbul Hotel )
Claire R. Brown, PhD Griffith University, Australia
Background
Looking at population health on a global level major differences in terms of healthy life expectancy are obvious. Much research has been done demonstrating associations between a variety of predictors and healthy life expectancy, however, much of this work has analysed predictors from only one sphere of health related predictors. The current project analysed data from all three fields of predictors (environment, health care system and lifestyle choices) as developed by Lalonde (1974).
Method
Using multiple logistic regression to analyse international data sets it has been possible to determine the major predictors of healthy life expectancy across the globe.
Results
Using Lalonde’s 1974 model of health determinants it becomes clear that the major predictor of healthy life expectancy is the economic, physical and social environment of a population rather than the available health care system.
Discussion
The results suggest that human resources in health care are perhaps misplaced in terms of meeting Millennium Development Goals. The implications of this for targeted investment in global public health are profound.

Learning Objectives: 1. Hard evidence regarding the importance of the social environment in predicting healthy life expectancy. 2. Enhance decision making regarding promotion of global public health. 3. Develop an active programme to most cost effectively enhance healthy life expectancy.

Sub-Theme: Social determinants of health and disease