1.  Consider socio-ecological determinants of health  Process and share ideas about broader determinants of health  Practice mediating discussion 1

2. 2 Whilst it is essential to address the concerns of the individual (recognising that all students are unique individuals engaged in a search for personal meaning in a constantly changing world), a shift away from individualism still allows the acknowledgement of the individual within their wider social context. The behavioural, biological, cultural, economic, environmental and social factors which interact to enhance, or detract from personal well-being must be taken into account and in essence must be treated as having or contributing to real health effects. A socio- ecological perspective thus requires balance and integration between individual and societal considerations. It encourages self-reflection, critical thinking and critical action. It is designed to remove barriers to total or holistic wellbeing through the empowerment of individuals and communities to create societal conditions conducive to health for all, (Tasker, 2004, Rdg 6).

3. socio cultural / economic / historic / political / environmental 3

4. Self Self & others Community Community & society Social and physical environments Global 4

5. Identifying & understanding wider influences that impact on individual and public health – and over which we often have little control or choice… Socio-ecological influences:  Economics  Social determinants of health  Culture  Politics  History & tradition  Legalities & policy  Environment 5

6.  Where we live (geography)  Income & wealth  Race &/or ethnicity  Occupation & education  Gender? 6

7. 1. How does your chosen determinant link to health status? Explain your theory in NZ contexts. 2. Who experiences health advantages & disadvantages in this particular determinant? Why and how? 3. Find someone with a different determinant as you and share your information with them 7

8. Groups ? Determinants?  1  2  3  4  5 8

9.  Share ideas & information about your chosen determinant, so that you are informed about this determinant. Prepare a presentation for the class facilitate a discussion  Prepare to facilitate a discussion around your presentation, i.e.  Prepare some trigger questions that will initiate discussion / debate about socio- ecological determinants of health 9

10.  A key understanding of the socio-ecological approach to health education is that factors outside the individual can & do impact on individual and public health & wellbeing  How does this perspective relate to hauora?  Hauora is not just about the multi- dimensions of the individual; it also encompasses the social & environmental conditions within which individuals exist 10

11.  Wilkinson, R. & Marmot, M. (Eds.). (2003). Social determinants of health: the solid facts (2nd ed.) http://www.euro.who.int/en/publications/ab stracts/social-determinants-of-health.-the- solid-facts http://www.euro.who.int/en/publications/ab stracts/social-determinants-of-health.-the- solid-facts11