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Widespread poverty represents a health risk on multiple levels because it may lead to lack of access to basic health services, safe housing and conditions, nutritious diets, clean water, adequate sanitation, protection from violence, stress, and grief; it may also lead to a lack of education about preventive health practices such as good nutrition, exercise, and vaccinations ( IMPLAN, 2015 ).
The structure and dynamics of other gases, namely water, influence how much heat is trapped by greenhouse gases. Both carbon dioxide and water are in the atmosphere in different proportions than they are in the earth’s crust. Carbon dioxide is approximately 40-60% of the total atmospheric concentration of greenhouse gases, whereas it is only about 0.04% in the earth’s crust. When carbon dioxide is present in the atmosphere it interacts with other gases, mainly water, creating a greenhouse effect called the water vapor feedback ( Pipkin, 1997 ). Greenhouse gases interact with one another in complex ways. Some of the major interactions include:
Community environments vary by characteristics and role. Chapters 4 through 6 describe these community characteristics and the chapters that follow in this report address the role of a community in health for all residents. It is important to focus on health in the broader context of community. Access to health care, clean water and nutritious food are just a few examples of the many things that influence a person’s ability to have good health. Community characteristics include broad social, economic, environmental, and physical environments. For example, a community’s physical environment includes parks, air, water, and soil. Social, economic, and built environment components also contribute to health.
Low-income and minority communities are also at greater risk for disasters that may cause or exacerbate the risk of exposure to toxic contaminants. Disasters that might be considered major include hurricanes, extreme storms, earthquakes, tornadoes, earthquakes, and other large events that may induce hazardous material spills and release toxic contaminants. Neighborhoods in California and other Western states have been identified as those most affected by natural disasters (eg, California Office of Emergency Services, 2009; Water Resources Research Group, 2016). Research is also needed to better understand the current and future impacts of disease and health inequities on vulnerable populations affected by disasters (Water Resources Research Group, 2016).
Health inequity is a term that is widely used in public health and medicine, in social and public policy, and in the media to describe unequal distributions of health outcomes within populations or along a continuum of social, economic, or other factors. Health inequity is also used to describe the unequal distribution of social, political, economic, or environmental factors, which may or may not be associated with health. Some of these factors are listed in Table 3-1. The essential difference between health inequity and health disparity is that health inequity refers to the unequal distribution of a health outcome, such as mortality, morbidity, ill health, or disability (McLaren et al., 2010). These differences are often the result of exposure to harmful conditions, programs, and policies. The term health inequity is sometimes used interchangeably with social inequality, social inequity, or social injustice (Geddes and Rich, 2009). Some sources use the term health inequity to refer to the inherent, justified, or unjustified difference in health that exists between people or groups (Nisbet and Meyer, 1999; Popay and Rotherham, 2004). As Nisbet and Meyer (1999) stated, health inequity occurs when some people or groups are denied the range of resources and freedoms needed to achieve health. Finally, health inequity occurs when some people or groups of people are not offered or not enabled by society and policy to enjoy the full range of freedoms and rights to which everyone else has access, such as the freedom to choose, in what they do and how they live.
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