NURS 101: SDOH

Question 1

Define SDOH

Answer 1

Social Determinants of Health - social and environmental conditions that affect peoples health outcomes

Question 2

What is Health

Answer 2

Is a resource for everyday living not the object of living

Question 3

Illness vs. Disease

Answer 3

Illness = subjective
Disease = objective

Question 4

Health as stability

Answer 4

Health as a state, process or adaptation to homeostasis

Question 5

Health as actualization

Answer 5

the actualization of human potential

Question 6

Health as actualization and stability

Answer 6

Harmony of social and physical environments

Question 7

Health as a resource

Answer 7

meet your demands/fulfill your role

Question 8

Health as a unity

Answer 8

reflecting the whole person

Question 9

Three historical approaches to health in Canada?

Answer 9

1. Medical approach
2. Behavioural approach
3. Socioenvironmental approach

Question 10

Medical Approach

Answer 10

Focus on treating the disease/illness

Question 11

Behavioural Approach

Answer 11

Focuses on the individual and lifestyle choices (diet, exercise, smoking)

Lalonde report - Concluded the current medical approach was inadequate and that “further improvements to environment, reductions in self-imposed risks and greater knowledge of human biology” was necessary

Question 12

Socioenvironmental Approach

Answer 12

Focuses on broader social, economic and environmental conditions that shape health.

Question 13

Foundation documents

Answer 13

Lalonde report
Ottawa charter
Epp report
Strategies for population health
Jakarta declaration
Bangkok charter
Toronto charter

Question 14

Lalonde Report

Answer 14

1974

“broadly defined health determinants as lifestyle, environment, human biology, and the organization of health care”

Question 15

Ottawa charter for health promotion

Answer 15

WHO 1986

“identified prerequisites for health as peace, shelter, education, food, income, a stable ecosystem, sustainable resources, social justice, equity”

Question 16

Epp report

Answer 16

1986

identified 3 major challenges: reducing inequities, increasing prevention & enhancing coping skills as specific challenges to achieving health

Question 17

Toronto charter

Answer 17

2002

identified 12 determinants of health (including 2 non modifiable factors (culture & gender) and “separates” environment into social & physical environments

Question 18

Social Determinants of Health Approach

Answer 18

Looks at how conditions of daily life like income, education, housing, work and social support shape health more than medical care or individual choices alone

Question 19

Definition of Social Determinants of Health

Answer 19

Health is seen as a resource for everyday living not the object of living.

Question 20

What are the 16 Social Determinants of Health

Answer 20

1. Income and income distribution**
2. Education
3. Unemployment and job security
4. Employment and working conditions
5. Early childhood development
6. Food insecurity
7. Environment
8. Housing
9. Social exclusion
10. Social safety network
11. Health services
12. Indigenous Status
13. Gender
14. Culture, race and racism
15. Disability
16. Social Environments