Social Determinants: Working Upstream to Solve Health Problems Before They Start

2021 ◽  
pp. 73-85
Author(s):  
Sarah Bliss Matousek ◽  
Niko Lehman-White
Keyword(s):  
Social Determinants ◽  
Health Problems

scholarly journals Study of correlation between social determinants on mental health status of adolescent school students of Patna, Bihar, India

2020 ◽  
Vol 7 (7) ◽  
pp. 1561
Author(s):  
Anil Kumar Tiwari ◽  
Anil Kumar Jaiswal
Keyword(s):  
Mental Health ◽  
Social Determinants ◽  
Mental Health Problems ◽  
Well Being ◽  
Health Problems ◽  
School Students ◽  
Cross Sectional ◽  
The Status ◽  
Teachers And Parents ◽  
Mental Well Being

Background: The status of mental well-being is a function of emotional well-being, psychological well-being and social well-being, and includes aspects like cognitive and social skills, emotional capacity, empathy, ability to cope with adverse events, and capability to function within a society. Various studies have found strong correlations between a person’s immediate surroundings to how they perceive their well-being as well as their actual status of mental health. On one hand, social determinants affect the causation, severity and outcome of mental well-being, on the other hand the state of mental well-being affects the social determinants by affecting personal freedom, ability to make healthy life choices etc. This makes the study of social determinants of mental health very significant.Methods: A cross-sectional, exploratory study of qualitative nature was undertaken in Patna among School going students between the ages 13-17. A self-administered peer reviewed questionnaire was used for data collection.Results: Of 400 participants 19% have features of depression and other mental health problems. Females were more affected. Students of low socioeconomic group (41.6%) and of single parent family (40%) were affected.Conclusions: Mental health problems are very common in adolescent school students. Active steps must be taken to increase awareness about depression among teachers and parents. Early intervention can help prevent worsening of depression and its impact on life.

Associations Between Social Determinants of Health, Chronic Absence From School, and Teacher Ratings of Parents’ Engagement in Early Education

2021 ◽  
pp. 105984052110329
Author(s):  
Rachael E. Paulson ◽  
Corinne M. Plesko ◽  
Deborah Gross ◽  
Amie F. Bettencourt
Keyword(s):  
Public Schools ◽  
Child Health ◽  
Social Determinants Of Health ◽  
Parent Education ◽  
Social Determinants ◽  
Parent Engagement ◽  
Health Problems ◽  
Determinants Of Health ◽  
Equity In Education ◽  
And Child Health

This study examined associations between four indicators of social determinants of health (SDOH; parent education, poverty, material hardships, and child health problems), chronic school absence, and teachers’ ratings of parents’ engagement in their children's education. Surveys were collected from 304 parents and 26 teachers from eight Baltimore City Public Schools. Results revealed that teachers’ ratings of parent engagement were consistently lower among families experiencing adverse SDOH and/or whose children were chronically absent; however, there was no significant relationship between teachers’ ratings of parent engagement and child health problems. Additionally, chronic absence partially mediated the relationship between three SDOH indicators (total material hardships, parent education level, and child health problems) and teacher-rated parent engagement. Poverty was excluded from mediation analysis due to evidence of multicollinearity suppressive effects. Addressing the SDOH assessed in this study may be an effective strategy to reduce chronic absence, promote parent engagement, and foster equity in education.

scholarly journals The use of the "vulnerability" concept in the nursing area

2008 ◽  
Vol 16 (5) ◽  
pp. 923-928 ◽  
Author(s):  
Lucia Yasuko Izumi Nichiata ◽  
Maria Rita Bertolozzi ◽  
Renata Ferreira Takahashi ◽  
Lislaine Aparecida Fracolli
Keyword(s):  
Social Determinants ◽  
Health Problems ◽  
The Social

The objective of this article was to briefly retrieve the meaning of the vulnerability concept, which has been used in the healthcare area; also, to discuss how it has been used in the Nursing area. Amidst several different focuses and objects, studies have been attempting to overcome the classical reasoning of risk in epidemiology, advancing towards the discussion of the social determinants for the production of health problems.

scholarly journals A Public Mental Health Study Among Iraqi Refugees in Sweden: Social Determinants, Resilience, Gender, and Cultural Context

2021 ◽  
Vol 6 ◽  
Author(s):  
Önver A. Çetrez ◽  
Valerie DeMarinis ◽  
Maria Sundvall ◽  
Manuel Fernandez-Gonzalez ◽  
Liubov Borisova ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Gender Differences ◽  
Social Determinants ◽  
Mental Health Problems ◽  
Public Mental Health ◽  
Health Problems ◽  
Health Study ◽  
Iraqi Refugees ◽  
Mental Health Study

This public mental health study highlights the interactions among social determinants and resilience on mental health, PTSD and acculturation among Iraqi refugees in Sweden 2012-2013.Objectives: The study aims to understand participants' health, resilience and acculturation, paying specific attention to gender differences.Design: The study, using a convenience sampling survey design (N = 4010, 53.2% men), included measures on social determinants, general health, coping, CD-RISC, selected questions from the EMIC, PC-PTSD, and acculturation.Results: Gender differences and reported differences between life experiences in Iraq and Sweden were strong. In Sweden, religious activity was more widespread among women, whereas activity reflecting religion and spirituality as a coping mechanism decreased significantly among men. A sense of belonging both to a Swedish and an Iraqi ethnic identity was frequent. Positive self-evaluation in personal and social areas and goals in life was strong. The strongest perceived source of social support was from parents and siblings, while support from authorities generally was perceived as low. Self-rated health was high and the incidence of PTSD was low. A clear majority identified multiple social determinants contributing to mental health problems. Social or situational and emotional or developmental explanations were the most common. In general, resilience (as measured with CD-RISC) was low, with women's scores lower than that of men.Conclusions: Vulnerability manifested itself in unemployment after a long period in Sweden, weak social networks outside the family, unsupportive authorities, gender differences in acculturation, and women showing more mental health problems. Though low socially determined personal scores of resilience were found, we also identified a strong level of resilience, when using a culture-sensitive approach and appraising resilience as expressed in coping, meaning, and goals in life. Clinicians need to be aware of the risks of poorer mental health among refugees in general and women in particular, although mental health problems should not be presumed in the individual patient. Instead clinicians need to find ways of exploring the cultural and social worlds and needs of refugee patients. Authorities need to address the described post-migration problems and unmet needs of social support, together comprising the well-established area of the social determinants of health.

Environmental and Social Risk Factors in Depression

Depression ◽  
2019 ◽  
pp. 51-61
Author(s):  
Katherine Sanchez ◽  
Eduardo J. Sanchez
Keyword(s):  
Environmental Factors ◽  
Social Determinants ◽  
Life Stress ◽  
Mental Health Problems ◽  
Clinical Care ◽  
Significant Risk ◽  
Health Problems ◽  
Social Risk Factors ◽  
The Social ◽  
As Stress

An understanding of the social and environmental factors that contribute to risk for developing depression is important for illustrating the potential for primary prevention and identification of target groups and social contexts. The social determinants are thought to impact health indirectly through mechanisms such as stress associated with low socioeconomic status, experiences of disempowerment and violence, hopelessness, helplessness, and income insecurity. They impact health more directly through reduced access to health services for physical and mental health problems. Evidence from neurobiology and epidemiology suggests that early life stress and related adverse experiences cause enduring brain dysfunction and are a significant risk factor for the development and prevalence of a wide range of health problems throughout a person’s lifespan, including substance misuse/abuse, depression, and obesity. The practicing psychiatrist will be a better clinician by delivering evidence-based clinical care that is informed by individuals’ burden of social and environmental factors and by understanding and, in some instances, advocating for policies that can ease the burden of social determinants on populations.

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