scholarly journals Associations between social determinants of health, perceived discrimination, and body mass index on symptoms of depression among young African American mothers

2020 ◽  
Author(s):  
Eugenia Millender ◽  
John P. Barile ◽  
Jessica R. Bagneris ◽  
Rachel M. Harris ◽  
Ludmila De Faria ◽  
...  
Keyword(s):  
Body Mass Index ◽  
African American ◽  
Social Determinants Of Health ◽  
Body Mass ◽  
Social Determinants ◽  
Perceived Discrimination ◽  
Determinants Of Health ◽  
African American Mothers ◽  
Symptoms Of Depression

scholarly journals Predictors healthy physical condition from Social Determinants in Colombian schoolchildren: Multicenter study

Retos ◽  
2020 ◽  
pp. 182-186
Author(s):  
Jose Armando Vidarte Claros ◽  
Alejandro Arango Arenas ◽  
Jose Hernán Parra Sánchez ◽  
Consuelo Velez ALvarez
Keyword(s):  
Body Mass Index ◽  
Social Determinants Of Health ◽  
Body Mass ◽  
Social Determinants ◽  
School Children ◽  
Physical Condition ◽  
The Body ◽  
Determinants Of Health ◽  
Predictive Capacity ◽  
The Social

Abstract. Today it is necessary to analyze health and living conditions with the so-called Social and Economic Determinants approach as relevant variables to determine the healthy physical condition behavior of school children. The objective was to estimate the best predictive model of the Social Determinants of Health and of the healthy physical condition of Colombian school children. The present was a socio-sport study, through a quantitative descriptive statistical analysis. A total of 3458 school children aged 10 to 18 from 10 cities in Colombia participated. A survey was applied to establish the Social Determinants of Health and the healthy physical condition was objectively evaluated through the extended version of the ALPHA FITNESS battery. As results, the following were obtained: a higher percentage of 15-year-old men had a healthy physical condition, age, being active, unhealthy habits, leisure activities and body mass index, and socioeconomic level, coexistence and educational level showed a statistically significant association with healthy physical condition. It is concluded that the body mass index (BMI), the permanence of the father, the number of daily meals, being a beneficiary of a school restaurant, the number of hours that he sleeps at night, are the social determinants of health that are associated with the healthy physical condition variable, in turn, the binary logit model has a good predictive capacity (70.1%). 

Social determinants of health affecting treatment of pediatric brain tumors

2019 ◽  
Vol 24 (2) ◽  
pp. 159-165
Author(s):  
Jillian M. Berkman ◽  
Jonathan Dallas ◽  
Jaims Lim ◽  
Ritwik Bhatia ◽  
Amber Gaulden ◽  
...  
Keyword(s):  
African American ◽  
Health Disparities ◽  
Brain Tumors ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Cns Tumor ◽  
Initial Symptoms ◽  
Caucasian Patients

OBJECTIVELittle is understood about the role that health disparities play in the treatment and management of brain tumors in children. The purpose of this study was to determine if health disparities impact the timing of initial and follow-up care of patients, as well as overall survival.METHODSThe authors conducted a retrospective study of pediatric patients (< 18 years of age) previously diagnosed with, and initially treated for, a primary CNS tumor between 2005 and 2012 at Monroe Carell Jr. Children’s Hospital at Vanderbilt. Primary outcomes included time from symptom presentation to initial neurosurgery consultation and percentage of missed follow-up visits for ancillary or core services (defined as no-show visits). Core services were defined as healthcare interactions directly involved with CNS tumor management, whereas ancillary services were appointments that might be related to overall care of the patient but not directly focused on treatment of the tumor. Statistical analysis included Pearson’s chi-square test, nonparametric univariable tests, and multivariable linear regression. Statistical significance was set a priori at p < 0.05.RESULTSThe analysis included 198 patients. The median time from symptom onset to initial presentation was 30.0 days. A mean of 7.45% of all core visits were missed. When comparing African American and Caucasian patients, there was no significant difference in age at diagnosis, timing of initial symptoms, or tumor grade. African American patients missed significantly more core visits than Caucasian patients (p = 0.007); this became even more significant when controlling for other factors in the multivariable analysis (p < 0.001). African American patients were more likely to have public insurance, while Caucasian patients were more likely to have private insurance (p = 0.025). When evaluating survival, no health disparities were identified.CONCLUSIONSNo significant health disparities were identified when evaluating the timing of presentation and survival. A racial disparity was noted when evaluating missed follow-up visits. Future work should focus on identifying reasons for differences and whether social determinants of health affect other aspects of treatment.

Am I My Brother’s Keeper? African American Men’s Health Within the Context of Equity and Policy

2014 ◽  
Vol 10 (1) ◽  
pp. 73-81 ◽  
Author(s):  
Okechuku Kelechi Enyia ◽  
Yashika J. Watkins ◽  
Quintin Williams
Keyword(s):  
African American ◽  
Social Determinants Of Health ◽  
Health Equity ◽  
Social Determinants ◽  
African American Men ◽  
Men’S Health ◽  
Policy Implications ◽  
Determinants Of Health ◽  
Critical Examination ◽  
Men's Health

African American men’s health has at times been regarded as irrelevant to the health and well-being of the communities where they are born, grow, live, work, and age. The uniqueness of being male and of African descent calls for a critical examination and deeper understanding of the psycho-socio-historical context in which African American men have lived. There is a critical need for scholarship that better contextualizes African American Male Theory and cultural humility in terms of public health. Furthermore, the focus of much of the social determinants of health and health equity policy literature has been on advocacy, but few researchers have examined why health-related public policies have not been adopted and implemented from a political and theoretical policy analysis perspective. The purpose of this article will be to examine African American men’s health within the context of social determinants of health status, health behavior, and health inequalities—elucidating policy implications for system change and providing recommendations from the vantage point of health equity.

scholarly journals Social Determinants of Health and Health Care Delivery: African American Women’s T2DM Self-Management

2020 ◽  
pp. 105477382091698
Author(s):  
Judith M. Ochieng ◽  
Janice D. Crist
Keyword(s):  
Health Care ◽  
African American ◽  
Social Determinants Of Health ◽  
Health Care Delivery ◽  
Social Determinants ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Determinants Of Health ◽  
Self Management

African American (AA) women have high prevalence of Type 2 diabetes mellitus (T2DM) and complications. No studies have been conducted about how social determinants of health and health care delivery affect their T2DM self-management. The purpose was to describe how social determinants of health and healthcare delivery may influence AA women’s T2DM self-management using qualitative descriptive methodology ( N = 10). Ten participants were interviewed. Participants’ geographical location, education, level of income, health literacy, and systemic racism, that is, healthcare delivery services, for example, inadequate healthcare services, providers’ assumptions about the patient’s knowledge of diabetes, providers’ attitudes toward patients, and stigma related to diabetes as a disease were identified. Understanding the role of social determinants of health and the health care delivery system in influencing T2DM self-management is a powerful tool for providers and practitioners for improving practice and health care policies to decrease health disparities and improve health outcomes among AA women with T2DM.

scholarly journals Neighborhood Socioeconomic Disadvantage and Health Status Among African Americans Living in Low-Income Housing

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 577-578
Author(s):  
Adrienne Aiken-Morgan ◽  
Dextiny McCain ◽  
Karon Phillips ◽  
Keith Whitfield
Keyword(s):  
Older Adults ◽  
African American ◽  
Health Status ◽  
African Americans ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Low Income ◽  
Socioeconomic Disadvantage ◽  
Determinants Of Health ◽  
African American Older Adults

Abstract Research has shown the importance of social determinants of health in explaining racial/ethnic disparities in many health outcomes; however, less attention has been given to within-group differences in social determinants of health among low-income African American older adults. The Physical and Cognitive Health Pilot Study (n=50) was utilized to examine associations between level of neighborhood socioeconomic disadvantage and self-reported health in African American older adults living in public housing in Durham, NC and Annapolis, MD. Results from ANOVA showed that Durham participants living in more disadvantaged neighborhoods had statistically significantly worse cardiovascular health, higher depression symptoms, worse sleep quality, and higher alcohol use (p=.05) than Annapolis participants living in a more resource-rich neighborhood. These findings suggest that among low-income African American elders, greater neighborhood/state socioeconomic disadvantage is associated with worse health status. Future research should consider neighborhood context as an essential variable when assessing health status among aging African Americans.

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