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Inventing our future Collective action for a sustainable economy

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54<br />

Figure 4.2: Summary table highlighting the relationship<br />

between different determinants of health as they relate<br />

to the East of England at key transitions in the life c<strong>our</strong>se<br />

Babies<br />

and young<br />

children<br />

(0-5 years)<br />

and their<br />

families<br />

Young<br />

people<br />

(c.16-22<br />

years)<br />

Older<br />

people<br />

General socio-economic, cultural<br />

and environmental conditions Living and working conditions<br />

• Some 200,000 children are estimated<br />

to be living in poverty in the East of<br />

England. Factors associated with low<br />

income families include worklessness,<br />

single parenthood, disability, a head<br />

of household from an ethnic minority,<br />

and lower age of mother<br />

• There is some evidence that children<br />

within poorer families are badly affected<br />

by emissions from traffic as ‘rat runs’,<br />

etc. are close to their homes<br />

• One challenge <strong>for</strong> the Region is to<br />

enc<strong>our</strong>age young people to remain in<br />

education post-16: there are lots of low<br />

paid jobs available, particularly in those<br />

parts of the Region that are growing<br />

quickly and in rural areas<br />

• Many young people in the Region have<br />

high aspirations career-wise but end<br />

up in jobs which they consider to be<br />

disappointing; this is a cause of low<br />

self esteem and it can have adverse<br />

implications <strong>for</strong> their health<br />

• Many of the young people that do<br />

complete Further Education/Higher<br />

Education (FE/HE) c<strong>our</strong>ses have<br />

substantial debt. Particularly if they end<br />

up in relatively poorly paid employment,<br />

this can be problematic<br />

• People of older working age are coming<br />

under experiencing increased stress<br />

within the workplace and yet people<br />

within the Region are likely to need<br />

to work <strong>for</strong> longer<br />

• Poor housing has adverse impacts<br />

on the health of young children<br />

• Evidence suggests that early years<br />

learning can improve educational<br />

per<strong>for</strong>mance in later life and this<br />

has important implications <strong>for</strong> health<br />

• Young children need to have scope<br />

<strong>for</strong> an h<strong>our</strong> or more of physical<br />

activity every day. This means that<br />

playgrounds, etc., that are safe need<br />

to be provided<br />

• Evidence suggests that participation<br />

in physical activity drops off sharply –<br />

particularly <strong>for</strong> women – once it is not<br />

a compulsory school activity. ‘Designing<br />

in’ exercise is there<strong>for</strong>e likely to be<br />

especially important <strong>for</strong> this group<br />

• Homelessness can be a particular<br />

problem <strong>for</strong> young people and<br />

currently, access to relevant services<br />

is poor <strong>for</strong> this age group<br />

• The incidence of teenage pregnancies<br />

tends to cluster around particular<br />

schools suggesting that support from<br />

and through schools might have<br />

a significant impact on teenage<br />

conception rates. This in turn<br />

has long-term health implications<br />

• Older people – many of whom are<br />

home owners – may be living in poor<br />

housing conditions. Particularly <strong>for</strong><br />

older, single, women in isolated rural<br />

areas, this is a concern<br />

• Fear of crime tends to be especially<br />

acute among older people and<br />

this can limit access to services

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