What are the social determinants of health? Healthy People 2030 Key Social Determinants of Health
- Education access and quality
- Health care access and quality
- Economic Stability
- Social and Community context
- Neighborhood and built environment
What are the determinants of health?
- Biology
- Behavior
- Social Environment
- Physical environment
- Policies and interventions
- Economics
What are social determinants of health?
Structural and economic conditions in which people are born, live, work, and age (Commission on Social determinants of Health, 2008).
Why is it important for students or healthcare professionals to address SDOH?
- So we can meet people where they are, address their needs, and provide culturally competent care.
- We can begin to understand, address, then remove systemic and unfair barriers to practicing healthy behaviors.
- We can identify and address health disparities when we consider these structural or economic conditions that may harm a patient’s quality of life.
What components determine education?
- Literacy
- Language
- Early Childhood Education
- Vocational Training
- Higher Education
What components determine economic stability?
- Employment
- Income
- Expenses
- Debt
- Medical Bills
- Support
What components determine social and community context?
- Social Integration
- Support Systems
- Community Engagement
- Discrimination
- Stress
What components determine health and healthcare?
- Health coverage
- provider availability
- Provide linguistic and cultural competency
- Quality of care
What components determine the neighborhood and built environment?
- Housing
- Transportation
- Safety
- Parks/Playgrounds
- Walkability
- Zip Code/Geography
Define Health Disparities.
The CDC defines Health disparities as preventable differences in the burden of disease, injury, violence, or in opportunities to achieve optimal health experienced by socially disadvantaged racial, ethnic, and other population groups, and communities. SDOH are those social factors usually outside of the individual’s control that contribute to these disparities.
Among what populations do health disparities have the greatest impact?
- Blacks
- Hispanics and
- Native American
They have higher rates chronic disease, mortality rates
Define social justice
- treating people fairly
- equal societal bearing of burdens and reaping of benefits,
- social justice is the foundation of public health nursing
- distribution of resources that benefits marginalized populations
- holds in check the self-interest of more privileged populations.
- Impartiality is the goal
(Rector, 2018).
(Drevdahl, 2013).
Describe the convictions of a community health nurse.
- broad and holistic views of health
- healthcare is a basic human right
- improving the health of communities is an example of social justice
- include socially marginalized and vulnerable populations
- Not to do so would constitute discrimination and would be morally indefensible
(Rosoff & DeCamp, 2011)
Describe equality vs. equity.
Consider the following:
- equity in their access to health education and information?
- the diversity of demographically changing country
- materials are available for non–English speaking clients
- strategies, programs, and interventions to reduce the discovery-to-delivery disconnect
- reduce the demands of the healthcare system and implement navigation strategies
