In my practice of Community Health Nursing, I have over 130 patients. Social determinants of health are something that I always take into consideration when I am developing a plan of care and service plan for these patients. I understand that Social Determinants are the circumstances that we born into, and develop in throughout out lives, including our jobs, and as we mature, it continues to affect us. These circumstances or situations also include our health care systems, and how they affect and contribute to our own
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The term social determinants of health, can be defined as a ‘set of conditions in which people are born, grow up, live and work.’ These conditions include housing, education, financial security and the environment along with the healthcare service. (http://www.rcn.org.uk/__data/assets/pdf_file/0007/438838/01.12_Health_inequalities_and_the_social_determinants_of_health.pdf) These factors are affected by the amount of money, power and resources that are available at a global, national and local level. Social determinants of health are linked to health inequalities according to the World Health Organisation, health inequalities are ‘the unfair and avoidable differences in health status seen within and between countries.’
The lecture, led by Dr. Christian Dimaano, discussed a variety of health disparities and then went into an in depth look at Henrietta Lacks, and the use of her cells in scientific research. He described health disparities as the differences of health problems between races, lifestyles, and mental processes. This was a very interesting topic for me, as a nursing major, I hadn’t really thought about health disparities before, so it was interesting to think about all of the potentially higher health risks that can occur simply because a patients race, or mental state. He also discussed the social determinants of heath and how things like your physical environment, economic stability, social community, and education can all influence your health. Dr. Dimaano also talked about how social determinants of health are health problems that you had no choice in, they are developed by factors such as sex, age, genes, medical care, and individual behaviors such as work and home life.
The state government has a responsibility to address these issues and improve the health of its citizens. “The structural determinants cause and operate through intermediary determinants of health—housing, physical work environment, social support, stress, nutrition and physical activity—to shape health outcomes.” (Solar, 2010) South Carolina is a state with diverse economic, social, and political determinants that shape the lives of its citizens. “Research shows that the social determinants can be more important than health care or lifestyle choices in influencing health.
There are a number of social, structural and environmental determinants that can affect the residents of 32114 area code. Moreover, the determinants of health such as food sources, exercise, transportation and access to health care are essential to health outcomes in this community. The Social determinant of health that I decided to emphasize is physical activity. The access to physical activity is a powerful determinant of health outcomes.
Social Determinants of Health Shelly Clavis Rutgers University School of Nursing Social Determinants of Health Defined Health concerns is an issue that most organizations have formed a pact to safely deal with the challenge. The main agenda focuses on the eradication of health inequalities that may exist in most countries. It is best suited that social determinants are accorded the much-needed attention since they affect a number of people. In assessing the factors that affect one’s health, genetic disposition, personal behaviors, ability to obtain healthcare and the overall environment in which an individual resides are to be considered. Social determinants of Health are issues that deals with the conditions that people have found constructed in a society and acts as a parcel in their lives, such as; growth, age and some of the more complex systems that construct a society which include economic policies and their systems that include social norms, development goals and the basic political system that they are indulged under (World Health Organization, 2008).
Social forms of racial oppression include exploitation and mistreatment that is socially supported. Systematic oppression of a race means that the law or police work to oppress a certain race. Institutionalized oppression refers to establishing laws, practices and customs that produce inequities based on race. Internalized oppression involves an oppressed group using the oppression they experience and using it against themselves and fellow members of their race. Examples of internalized oppression include internalized racism, sexism and
Health Care Disparities Health care disparities are unfortunate and being culturally competent is an essential step toward eliminating these inequalities. In this discussion, I will review what disparities are associated with the Appalachian culture and how they affect health status, employment, and education. I will also identify two nursing interventions that could be taken to help decrease the affect that health disparities have on the Appalachians and review what the biggest challenge would be when implementing the interventions. There are about 27 million people that live in the area defined as the Appalachian region, which spans 13 states.
Adewale Troutman stated that he advocates “individual responsibility, but always within the context of social determinants” linking the two thoughts together. Fundamentally, he is saying that it is up to one to make their health within the means they have. There are aspects of life that people have no control over or don’t have the resources to fix, but there are still ways they can improve their health. Social determinants are conditions that people grow, work, live, age and the factors that shape their daily lives.
Before we look at the different Social/Psychological Determinants of Health it is important firstly to define what a social determinant of health is. According to the World Health Organization (2017) “The social determinants of health are the conditions in which people are born, grow, live, work and age.” These conditions are as a result of a wide range of factors that are ultimately governed by the way in which money, power and specific resources are shared at different levels including those at global, national and local levels. We have all been a part of and will experience different social determinants of health throughout our lives but it is the standard at which we experience these determinants that will ultimately lead onto them affecting our health or ultimately leaving us unaffected. The Social Determinants of Health which I am going to examine include • Education • Unemployment • Stress • Living Conditions • Cultural Norms.
The Biopsychosocial model (Suls & Rothman, 2004) is one of the earliest multi-dimensional models of the health field. This model demonstrates the interaction between biological and social factors in regard to disease analysis. It displays levels above and below a person arranged from global systems at the top and genetic systems at the bottom. In the Social and Behavioral Foundations of Public Health, Coreil (2010) describes how the biopsychosocial is more concerned with the biological systems within the human body and pays greater attention to this interplay. In the case study, Cockerham (2013) details how social conditions act as the ultimate causes of diabetes and diabetes related fatalities in the community of East Harlem.
The Affordable Care Act has shifted focus on health and wellness of patient populations urging hospitals to do a community needs assessment and come up with a strategy to address these needs. Hospitals most often partner with community and professional organizations to address the health need (Stempniak, 2014). This is an example of how the four spheres are all interrelated. Nurses are at the heart of this movement, providing the necessary skills, experience and expertise to address the needs of the population being served (Shamian,
INTRODUCTION Health is the foremost need of every human being and there are various factors influencing it. Social determinants of health are the emerging topic in present scenario where they have to be considered to ensure good health to everyone. This essay shall focus on this aspect with a detailed description of SDOH in the first section followed by the reasons that exist behind considering income, housing and environment as the major factors. The last section shall deal with real time examples on such factors and their impacts on health conditions. SOCIAL DETERMINANTS OF HEALTH (SDOH)
Department of Health and Human Services, Office of Disease Prevention and Health Promotion, Healthy People (2015), these factors underlie preventable disparities in health status and disease outcomes. Poor health outcomes are often the result of the interaction between individuals and their social and physical environment. Policies that result in changes to the social and physical environment can affect entire populations over extended periods of time, while simultaneously helping people to change individual-level behavior. Improving the conditions in which people are born, live, work, and age will ensure a healthier population, thereby improving national productivity, security, and prosperity through a healthier nation. The importance of social determinants of health is growing initiatives to address these determinants of health.
The individual lifestyles are the decisions, and habitat that usually result in health, illness, or even death. Some examples are cigarette smoking, diets, and physical activities (Evans & Stoddart, 1990). The environment is the elements or events that relate to health which are external to the body. In environmental determinants of health, the individual may have little or no control, which comprise of physical and social dimensions example are individual social class, being born in to a high class family, very rich or well to individuals ((Evans & Stoddart, 1990). Lastly is the organization of health care services variable consists of the quality, quantity, availability of resources, and personal relationships in the delivery of health care.
These factors are known as the Social Determinants of health. “The social determinants of health are the conditions in which people are born, grow, live, work and age, including the health system” (WHO). Dalgren & Whitehead (1991) image of the social determinants of health aims to show the relationship between the person, their environment and their health. The modifiable factors, people’s age, gender and race lie in the centre surrounded by non modifiable factors like profession, housing, education and public policy. There is a direct relationship between people’s environment and their health, e.g. people who live in damp housing have a higher incidence of respiratory health problems (Farell et al.