| Popis: |
In this dissertation, I seek to better understand health as the intersection of individual characteristics with broader historical and societal contexts by examining societal levels shocks as social determinants of health. In particular, I seek to understand pathways through which societal level shocks come to affect population health. The dissertation is organized as an anthology of selected research articles (some of which are already published in peer-reviewed journals). The core chapters seek to better understand recent trends in child health and mortality in Cambodia through examining intergenerational effects of traumas stemming from the Khmer Rouge genocide and famine. For these core chapters, I analyze varying levels of maternal exposure to the Khmer Rouge Era as potential determinants of child mortality, illness, and birth size using survival analysis and logistic regression. In published portions of the dissertation, I evaluated the relative impact of two additional societal ``shocks'' on demographic and health related outcomes. One of these shocks involved an environmental disaster in Merapi, Indonesia. For this research, I investigated internal displacement and other migration outcomes as social determinants of mental health in the aftermath of the disaster. The final research area investigates distance demolishing technologies as determinants of access to health care in South and Southeast Asia. Combined, these investigations highlight a variety of means whereby societal level shocks function as social determinants of health and contribute to scholarship in their respective fields of investigation. |
