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
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.
While the explanation of the Drift theory suggest that a person’s health can cause a change in their social position. This means that if you are in poor health then you would and should be less likely to find a position at a company that will sustain you and your family. People who have moderate to severe health issues that are constantly in and out of different doctors’ offices are less reliable employees and therefore not able to support the “work team” like a healthy person would. A person who has to go in to a treatment center for infusion therapy of some sort, while that could possibly be a life saving treatment for them, means the company is short one worker, which means less work is done, which causes the company to lose money, which causes them to cut back people or hours, or worse yet change their health insurance plans to ones that do not cover needed treatments (Conley, 2017). Finally, the theory about social determinants says that one’s social position is tied to one’s own health.
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.
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 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
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).
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.’
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 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,
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.
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.
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.
Sub-Saharan Africa is believed to be one of the continents worst altered by HIV/Aids worldwide. There are complex reasons for this nevertheless; precise sociocultural factors have been recognized as accountable for the quick range of the disease. These include the following, Gender inequality and male dominance, Violence and sexual violence, Stigma and discrimination, Poverty lack of knowledge and misconceptions about HIV/Aids Cultural beliefs and practices Gender inequality and male dominance. Nevertheless some of these cultural factors can somehow sustain the spread of HIV. This essay seeks to explore some of the socio cultural factors that precipitate and sustain the Aids pandemic and some recommendations of containing the spread of HIV and Aids will be presented.
helped enrich the author’s investigation. Sociodemographic. Sociodemographic factors are defined as a “variety of socioeconomic (e.g. income, education, occupation) and demographic factors (e.g. age, race, ethnicity, primary language)” (National Academies of Sciences, Engineering, and Medicine, Institute of Medicine and Board on Health Care Services, Board on Health Care Services, Board on Population Health and Public Health Practice and Committee on Accounting for Socioeconomic Status in Medicare Payment Programs, 2016 p. 3).