The challenge of increasing community awareness about the broad determinants of health in a First Nation community-culturally appropriate community resource directory using a determinants of health model

2001 ◽  
Author(s):  
Elaine Rankin
2003 ◽  
Vol 48 (4) ◽  
pp. 242-251 ◽  
Author(s):  
Zahid Ansari ◽  
Norman J. Carson ◽  
Michael J. Ackland ◽  
Loretta Vaughan ◽  
Adrian Serraglio

2022 ◽  
Vol 75 (suppl 3) ◽  
Author(s):  
Nádia Cristine Coelho Eugenio Pedrosa ◽  
Carolina Almeida de Oliveira ◽  
Maria Izabel Tentes Côrtes ◽  
Renan Alves Silva ◽  
Marina Nolli Bittencourt ◽  
...  

ABSTRACT Objectives: to understand the determinants involved in the mental suffering of schoolchildren on the French-Brazilian border. Methods: a qualitative study was conducted with children from 6 to 12 years of age from four State schools in the municipality of Oiapoque, located on the French-Brazilian border. The data were obtained through interviews, analyzed by the IRAMUTEQ software, and interpreted in the light of the Dahlgren and Whitehead’s social determinants of health model. Results: data indicate that the mental suffering experienced by children, especially characterized by anxious symptoms, such as concern of becoming fat and worries, were permeated by social situations that children went through daily, such as family abandonment, domestic violence, and bullying. Final Considerations: social determinants can be predictors of mental suffering in children, especially in environments of extreme vulnerability, such as the border, in a context of financial difficulties, domestic violence, and absence of parenting.


Author(s):  
Adrian Bonner

This concluding chapter explains that in order to develop interrelationships and interdependencies across the various domains within a social determinants of health rainbow model, there needs to be a good understanding and respect for each of these contributions to the health and wellbeing of people and their communities. In the ten-year period of austerity preceding the COVID-19 crisis, many local authorities have radically reduced their social and health services for children and families and young people, concentrating solely on those with the most acute need, those whom they have a legal obligation to support. Indeed, local government has 'retreated from its historical position as the front-line of defence against social evils'. There remain major concerns about local authorities' ability to support their communities in the post-COVID-19 period. Ultimately, although there are large numbers of reports and reviews aimed at local commissioning policies and practices, there is very little evidence to support the interrelated and interdependent approaches utilising a social determinants of health model that specifically addresses 'wicked issues'.


Author(s):  
Anita Banerjee

The issue of the necessity to either mainstream the tribes or leave them in their present habitat has been taking place for quite some time. But efforts at ensuring their healthy existence have not been taken up seriously. Various committees have been constituted in the past to discuss about their status and providing them benefits. But the concerns regarding health which can be ensured through simple yet conscious means have been neglected. In the context of the people in the mainstream, often the importance of this model is advocated for healthier life. The same can also be extended to the tribal population with a little effort. The present study is an attempt to highlight through the social determinants of health model, how one such reclusive tribe residing in Andaman Islands, that is the Onges, can be made to live a better and healthier life.


2021 ◽  
Vol 4 (1) ◽  
pp. 38-44
Author(s):  
Akanksha Dadlani ◽  
Cooper T. Johnson ◽  
Rebecca Fischbein ◽  
Stacey L. Gardner-Buckshaw ◽  
Amy Lee ◽  
...  

Background: Social determinants of health have been well accepted as contributing to health outcomes. They are a vital aspect of health care delivery and must be a consideration, especially among free clinic populations. Social determinants of health have also become a required element of medical school curricula. The Student Outreach to Area Residents Student-Run Free Clinic based out of Northeast Ohio Medical University piloted a student-led program that implemented social determinants of health screening and community resource referral as a part of integrated health care delivery for all its patients. Methods: We described the development of a screening tool, protocol, and creation of community resource referral materials. We also described the tracking of patient-reported needs and mapping of location and accessibility of community resources. One hundred patients were surveyed through convenience sampling, and results were used for program improvement. Results/Conclusion: After collecting and analyzing survey results, it was found that the 2 most frequently requested determinants were mental health and utilities services, and the most available community resource was emergency food services. We also mapped these results by zip code and found gaps between need and distribution of services. We demonstrated the utility of mapping to identify points of improvement for the future. We also provided lessons learned related to effective social determinants of health screening, community resource referral, and overall program implementation in student-run free clinics. We further explained the benefits of including similar student-led programs as a way for students to gain practical experience related to social determinants of health.


2018 ◽  
Vol 71 (suppl 1) ◽  
pp. 625-630 ◽  
Author(s):  
Vanessa da Frota Santos ◽  
Samyla Citó Pedrosa ◽  
Priscila de Souza Aquino ◽  
Ivana Cristina Vieira de Lima ◽  
Gilmara Holanda da Cunha ◽  
...  

ABSTRACT Objective: To analyze the social support of people with HIV/AIDS from the perspective of the Social Determinants of Health Model. Method: This was a cross-sectional study conducted in 2015 in an infectious disease outpatient clinic. The sample was made up of 116 people with HIV/AIDS. The data was collected through interviews, using a sociodemographic form and a social support scale. The data was analyzed using descriptive statistics, and Student’s t-tests and Mann-Whitney tests were performed to determine the association between social support and the social determinants of health. Results: Total social support was satisfactory, emotional support was influenced by smoking (p=0.0432) and instrumental support, by the number of people in the household (p=0.0003). The main source of instrumental and emotional support was relatives living outside the household, corresponding to 66.7% and 56.1%, respectively. Conclusion: It was found that smokers havelower emotional support and people living alone received less instrumental support.


2019 ◽  
Vol 14 (2) ◽  
pp. 39-53 ◽  
Author(s):  
Cindy Peltier ◽  
Louela Manankil-Rankin ◽  
Karey D McCullough ◽  
Megan Paulin ◽  
Phyllis Anderson ◽  
...  

Working with Indigenous communities involves responsibility, relationship, respect, and reciprocity (Kirkness & Barnhardt, 2016). Our research consists of a partnership with Nipissing First Nation to explore their citizens’ understanding of wellness. Our aim is to tell a collective story of wellness based on the experiences of Nipissing First Nation citizens. As part of our relational process, our research team engaged in an exercise of self-location in preparation for working with Nipissing First Nation stories. This process involved looking back into our own stories of wellness from three temporal points: as children, youth, and adults. Our collective perspective of wellness involved three main themes of relationship, identity, and determinants of health. This exercise helped researchers become aware of their own subjective lenses about wellness. Awakening to our own stories helped us to recognize the ethical space that existed between us as researchers, the stories we will gather, and the perspectives of our community advisory committee. Engaging in this exercise illuminated the need for a continual reflexive stance, consistently being mindful about the privilege we hold as researchers and the invisible stories that creep into an analysis. The process of self-location was an essential element in beginning our research journey. It prepared us for working respectfully and reciprocally with the community that honours the ethical space we collectively share.


2013 ◽  
Vol 6 (1) ◽  
pp. 6
Author(s):  
Holly Graham ◽  
Lynnette Leeseberg Stamler

Currently, there is limited literature demonstrating awareness of how contemporary Aboriginal Peoples understand and define health, address their health concerns, and perceive barriers to obtaining optimal health. This knowledge is an important and essential first step in program planning for delivering effective health care for all aspects of health. An additional challenge is to effectively address and meet these needs in a timely manner which is critical to overall Indigenous wellness. The primary researcher, who is Indigenous (Plains Cree), wondered whether the social determinants of health were reflective and an appropriate framework to address the existing health disparities between Aboriginal and non-Aboriginal Peoples of Canada, and more specifically, the Plains Cree people from Thunderchild First Nation. This paper examines the results from a qualitative descriptive research study completed in Thunderchild First Nation, Saskatchewan. There were four predominant themes that were derived from the data: health was consistently described in relation to physical, mental (intellectual), emotional, and spiritual wellness; value of health; factors related to the environment; and factors related to economics. Collectively, there does appear to be a holistic perception of health, similar to the teachings from the Medicine Wheel. Pursuing and maintaining health included a combination of information and practices from both the western and Traditional Indigenous world. This data supports that the determinants of health may be an appropriate framework to address the health needs of Indigenous Peoples, and an appropriate frame for federal, provincial and local policy makers to implement structural changes necessary to decrease the health disparities between the Indigenous Peoples and the rest of Canada.


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