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      Education as a Social Determinant of Health: Issues Facing Indigenous and Visible Minority Students in Postsecondary Education in Western Canada

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          Abstract

          The level of educational attainment is increasingly being recognized as an important social determinant of health. While higher educational attainment can play a significant role in shaping employment opportunities, it can also increase the capacity for better decision making regarding one’s health, and provide scope for increasing social and personal resources that are vital for physical and mental health. In today’s highly globalized knowledge based society postsecondary education (PSE) is fast becoming a minimum requirement for securing employment that can afford young adults the economic, social and personal resources needed for better health. Canada ranks high among OECD countries in terms of advanced education, with 66% of Canadians having completed some form of postsecondary education. Yet youth from low income indigenous and visible minority (LIIVM) backgrounds continue to be poorly represented at PSE levels. The current study aimed to understand the reasons for this poor representation by examining the experiences of LIIVM students enrolled in a postsecondary program. Findings show that the challenges they faced during the course of their study had an adverse impact on their health and that improving representation of these students in PSE will require changes at many levels.

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          The social determinants of health: coming of age.

          In the United States, awareness is increasing that medical care alone cannot adequately improve health overall or reduce health disparities without also addressing where and how people live. A critical mass of relevant knowledge has accumulated, documenting associations, exploring pathways and biological mechanisms, and providing a previously unavailable scientific foundation for appreciating the role of social factors in health. We review current knowledge about health effects of social (including economic) factors, knowledge gaps, and research priorities, focusing on upstream social determinants-including economic resources, education, and racial discrimination-that fundamentally shape the downstream determinants, such as behaviors, targeted by most interventions. Research priorities include measuring social factors better, monitoring social factors and health relative to policies, examining health effects of social factors across lifetimes and generations, incrementally elucidating pathways through knowledge linkage, testing multidimensional interventions, and addressing political will as a key barrier to translating knowledge into action.
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            The influence of ethnic discrimination and ethnic identification on African American adolescents' school and socioemotional adjustment.

            Do experiences with racial discrimination at school predict changes in African American adolescents' academic and psychological functioning? Does African American ethnic identity buffer these relations? This paper addresses these two questions using two waves of data from a longitudinal study of an economically diverse sample of African American adolescents living in and near a major East Coast metropolis. The data were collected at the beginning of the 7th grade and after the completion of the 8th grade. As expected, experiences of racial discrimination at school from one's teachers and peers predicts declines in grades, academic ability self-concepts, academic task values, mental health (increases in depression and anger, decreases in self-esteem and psychological resiliency), and increases in the proportion of one's friends who are not interested in school and who have problem behaviors. A strong, positive connection to one's ethnic group (our measure of ethnic identity) reduced the magnitude of the association of racial discrimination experiences with declines in academic self-concepts, school achievement, and perception of friends' positive characteristics, as well as the association of the racial discrimination experiences with increases in problem behaviors.
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              Education, Personal Control, Lifestyle and Health: A Human Capital Hypothesis

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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                28 August 2013
                September 2013
                : 10
                : 9
                : 3908-3929
                Affiliations
                [1 ]Faculty of Social Work, University of Calgary, 444 11044, 82 Avenue, Edmonton, AB T6G0T2, Canada; E-Mails: stan@ 123456ucalgary.ca (S.T.); gavincares@ 123456gmail.com (G.L.)
                [2 ]Department of Community Studies, Faculty of Health and Community Studies, NorQuest College, Edmonton, AB T5J 1L6, Canada; E-Mail: eugene.ip@ 123456norquest.ca
                [3 ]School of Public Health, University of Alberta, Edmonton, AB T6G 1C9, Canada; E-Mails: ekhalema@ 123456ualberta.ca (E.K.); rzulla@ 123456ualberta.ca (R.T.Z.)
                [4 ]Human Sciences Research Council (HSRC), Private Bag X41, Pretoria 0001, South Africa
                [5 ]Department of Built Environment, Population and Development Studies, University of Kwazulu-Natal, Durban, KZN, 4001, South Africa
                [6 ]Department of Sociology, University of Ottawa, Ottawa, ON K1N 6N5, Canada; E-Mail: jennifer.couture@ 123456uottawa.ca
                Author notes
                [* ] Author to whom correspondence should be addressed; E-Mail: jshankar@ 123456ucalgary.ca ; Tel. +1-780-492-0409.
                Article
                ijerph-10-03908
                10.3390/ijerph10093908
                3799536
                23989527
                29b1a6d0-3411-4319-8530-6ab1890b5a5a
                © 2013 by the authors; licensee MDPI, Basel, Switzerland.

                This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license ( http://creativecommons.org/licenses/by/3.0/).

                History
                : 01 June 2013
                : 11 July 2013
                : 19 August 2013
                Categories
                Article

                Public health
                low income minority youth,postsecondary education,social determinants of health

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