Relationship between Social Determinants of Health and General Health Status of the Elderly in Alborz Province: Path Analysis

Author(s):  
Tayebeh Fasihi Harandi ◽  
Azam Mohamadloo ◽  
Mitra Rahimzadeh ◽  
Nooshin Ghavidel
2016 ◽  
Vol 4 (12) ◽  
pp. 354-365
Author(s):  
Sarmento. E. ◽  
◽  
Rego. A. ◽  
Monteiro. MJ ◽  
◽  
...  

PLoS ONE ◽  
2019 ◽  
Vol 14 (3) ◽  
pp. e0213901 ◽  
Author(s):  
Mostafa Shokoohi ◽  
Greta R. Bauer ◽  
Angela Kaida ◽  
Ashley Lacombe-Duncan ◽  
Mina Kazemi ◽  
...  

Medwave ◽  
2021 ◽  
Vol 21 (04) ◽  
pp. e8180-8180
Author(s):  
Teresa Balboa-Castillo ◽  
Omar Andrade-Mayorga ◽  
Gabriel Nasri Marzuca-Nassr ◽  
Gladys Morales Illanes ◽  
Manuel Ortiz ◽  
...  

The coronavirus disease 2019 (COVID-19) pandemic, produced by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has spread rapidly throughout the world. Latin American and the Caribbean countries have been harshly affected by the pandemic mainly due to less prepared healthcare systems and fragmented social safety nets. In the region, health status population-based indicators are worse than compared to the Organization for Economic Cooperation and Development. Recent evidence suggests that the progression and severity of COVID-19 are associated with the prior health status of individuals, and studies have shown that the case fatality rate is highly stratified among different populations. This narrative review aims to describe factors associated with adverse outcomes of COVID-19 in the context of social determinants of health in Latin American and Caribbean countries. In this review, we state that genetic and biological factors interact in a sophisticated way with social determinants of health, impacting the rapid spread of COVID-19 in Latin American and Caribbean countries. Behavioral factors, such as physical inactivity, smoking, and unhealthy diets, are related to chronic systemic inflammation. Also, air pollution can prolong inflammation and the hyper-activation of the immune system. Air pollutants could facilitate the spread of the virus. Finally, frailty and comorbidities can be associated with COVID-19 severity through increasing vulnerability to stressors and leading to more severe symptoms of COVID-19 disease, including a higher mortality risk. All these factors contribute to increasing the impact of COVID-19 in Latin American and Caribbean countries. We highlight the relevance of considering social determinants of health in Latin American and the Caribbean countries, not only in controlling the likelihood of getting the disease but also its progression and severity. All these social determinants can guide the design and implementation of tailored interventions promoting healthy lifestyle behaviors, which should lower the spread of the disease, its severity, and lethality.


2021 ◽  
pp. 089011712110449
Author(s):  
Candace C. Nelson

Purpose This study aims to assess the relationship between social determinants of health (SDoH) burden and overall health. Design Three years of Behavioral Risk Factor Surveillance System (BRFSS) data (2017–2019) were combined for this cross-sectional study. Setting Massachusetts. Subjects Out of a possible 21,312 respondents, 16,929 (79%) were eligible for inclusion. Measures To create the SDoH summary measure, items assessing social risk experiences including financial instability (1 item), housing instability (2 items), perceptions of neighborhood crime (1 item), and food insecurity (2 items) were summed to create a count of risk experiences. Outcome measures included self-rated general health, days of poor physical health, and days of poor mental health. Analysis Multivariable logistic regression was used to evaluate the association between each outcome and the SDoH summary measure, adjusting for demographic confounders. Results In adjusted analyses, respondents who reported experiencing 1, 2, 3, or 4+ SDoH had a 1.6 (95% CI: 1.3–2.0), 2.9 (95% CI: 2.3–3.7), 3.2 (95% CI: 2.4–4.3), or 5.3 (95% CI: 4.0–7.0) increased odds (respectively) of self-rated fair/poor health, compared to those who reported zero SDoH. The adjusted relationship between the SDoH summary measure and physical health and mental health was similar in magnitude and statistically significant. Conclusions These results demonstrate that the overall burden of risk due to SDoH is an important predictor of health.


2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 554-554
Author(s):  
M.M. Stival ◽  
L.R. Lima ◽  
S.S. Funghetto ◽  
C.G. Volpe ◽  
W.S. Santos ◽  
...  

Author(s):  
Ioanna Petraki ◽  
Natasa Kalpourtzi ◽  
Agapios Terzidis ◽  
Magda Gavana ◽  
Apostolos Vantarakis ◽  
...  

We aimed to assess the self-perceived health status and the presence of chronic diseases of adult Roma living in settlements in Greece, and to explore associated social determinants of health. Data were derived from the Hprolipsis Health Survey. Multivariable regression models were applied. In total, 534 adults, 287 women, and 247 men were recruited from twelve Roma settlements in four prefectures. Although 62% of the participants perceived their health status as good/very good, about half of them had been diagnosed with at least one chronic disease. Several structural and intermediary social determinants of health were found to be significantly associated with the health outcomes; prefecture, settlement type, sex, age group, living with a partner, presence of depression symptoms, food insecurity, and alcohol consumption were associated with self-perceived health status; settlement type, sex, age group, presence of anxiety symptoms, food insecurity and number of persons living in the house with the presence of a chronic disease. This is one of the few studies assessing the self-perceived health status and presence of chronic diseases in Roma settlements in Greece and investigating the associated social determinants of health in the world. Community-based participatory action research and health literacy programs are needed to mitigate health inequalities in Roma settlements.


2018 ◽  
Vol 41 (3) ◽  
pp. e218-e225
Author(s):  
Dennis Raphael

Abstract Background This article overviews Canadian work on the social determinants of oral and general health noting their affinities and differences. Methods A literature search identified Canadian journal articles addressing the social determinants of oral health and/or oral health inequalities. Analysis identified affinities and differences with six themes in the general social determinants of health literature. Results While most Canadian social determinants activity focuses on physical and mental health there is a growing literature on oral health—literature reviews, empirical studies and policy analyses—with many affinities to the broader literature. In addition, since Canada provides physical and mental health services on a universal basis, but does not do so for dental care, there is a special concern with the reasons behind, and the health effects—oral, physical and mental—of the absence of publicly financed dental care. Conclusions The affinities between the social determinants of oral health and the broader social determinants of health literature suggests the value of establishing a common research and action agenda. This would involve collaborative research into common social determinants of oral and general health and combined policy advocacy efforts to improve Canadians’ living and working conditions as means of achieving health for all.


2019 ◽  
Vol 13 (1) ◽  
pp. 3-17
Author(s):  
Juan Smart ◽  
Alejandra Letelier

Purpose The purpose of this paper is to do a systematic assessment and testing of identified human rights norms alongside social determinant approaches in relation to identified health issues of concern in four Latin American countries (Argentina, Chile, Paraguay and Uruguay) to show how social determinants and human rights frameworks improve population health. Design/methodology/approach To do so, in the first part the authors analyze the inequalities both between and within each of the selected countries in terms of health status and health determinants of the population. Then, in the second section, the authors analyze the level of recognition, institutionalisation and accountability of the right to health in each country. Findings From the data used in this paper it is possible to conclude that the four analysed countries have improved their results in terms of health status, health care and health behaviours. This improvement coincides with the recognition, institutionalisation and creation of accountability mechanisms of human rights principles and standards in terms of health and that a human rights approach to health and its relation with other social determinants have extended universal health coverage and health systems in the four analysed countries. Originality/value Despite of the importance of the relation between human rights and social determinants of health, there are few human right scholars working on the issues of social determinants of health and human rights. Most of the literature of health and human rights has been focussed specific relations between specific rights and the right to health, but less human right scholar working on social determinants of health. On the other hand, just a few epidemiologists and people working on social medicine have actually started to use a universal human rights frame and discourse. In fact, according to Vnkatapuram, Bell and Marmot: “while health and human rights advocates have from the start taken a global perspective, social medicine and social epidemiology have been slower to catch up”.


2012 ◽  
Vol 33 (7) ◽  
pp. 494-497 ◽  
Author(s):  
Jacquelyn H. Flaskerud ◽  
Carol Rose DeLilly ◽  
Jacquelyn H. Flaskerud

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