Social Determinants of Health, the ‘Control Factor’ and the Family Wellbeing Empowerment Program

2003 ◽  
Vol 11 (1_suppl) ◽  
pp. S34-S39 ◽  
Author(s):  
Komla Tsey ◽  
Mary Whiteside ◽  
Audrey Deemal ◽  
Teresa Gibson
2021 ◽  
Vol 3 (5) ◽  
pp. 3372-3383
Author(s):  
Luiz Cesar Rodrigues Vieira ◽  
Maria Angela Boccara Paula

Tendo em vista a aproximação da ESF com o social e a preocupação em promover o acesso a saúde voltando-se prioritariamente para os grupos sociais mais vulneráveis pretende-se com este artigo: discorrer sobre a questão social e sua relação com fenômeno da desigualdade social; identificar a contribuição da Estratégia de Saúde da Família no enfrentamento das desigualdades sociais e sua relação com os determinantes sociais da saúde. Trata-se de uma reflexão teórica sobre a questão social e a Estratégia de Saúde da Família como modelo para redução das iniquidades em saúde. Optou-se por uma revisão de literatura, do tipo narrativa em que os artigos selecionados abordaram os temas: determinantes sociais em saúde, questão social e estratégia de saúde da família. Os resultados apontam que a questão social está intimamente relacionada com capital e as relações sociais impostas pelo mesmo e que tal processo é histórico no que diz respeito ao desenvolvimento da sociedade brasileira. Tendo em vista a iniquidade em saúde como uma das faces da questão social, as políticas de saúde apontam a ESF como uma das formas de enfrentar a desigualdade social dado que, nos determinantes sociais encontramos a expressão da questão social, e com uma prática pautada nos princípios da territorialização, do diagnóstico comunitário, da intersetorialidade e da equidade tal modelo pode ser promissor e resolutivo frente as demandas sociais as quais se relacionam com a saúde.   Considering the approximation of the FHS to social issues and the concern with promoting access to health care focusing primarily on the most vulnerable social groups, this article aims to discuss the social issue and its relation to the phenomenon of social inequality; to identify the contribution of the Family Health Strategy in combating social inequalities and its relation to the social determinants of health. This is a theoretical reflection on the social issue and the Family Health Strategy as a model for reducing health inequities. We chose a narrative literature review, in which the selected articles addressed the following themes: social determinants of health, social issue, and family health strategy. The results point out that the social issue is closely related to capital and the social relations imposed by it, and that such a process is historical with respect to the development of Brazilian society. In view of the inequity in health as one of the faces of the social issue, health policies point to the ESF as one of the ways to face social inequality given that, in the social determinants we find the expression of the social issue, and with a practice based on the principles of territorialization, community diagnosis, intersectoriality and equity, such model can be promising and resolutive in the face of social demands which are related to health.


Author(s):  
Ramos–Morcillo ◽  
Moreno–Martínez ◽  
Susarte ◽  
Hueso–Montoro ◽  
Ruzafa–Martínez

Habits of personal hygiene are mostly acquired during childhood, and are, therefore, influenced by one’s family. Poor hygiene habits are a risk factor for preventable disease and social rejection. Social Determinants of Health (SDH) consist of contextual factors, structural mechanisms, and the individual’s socioeconomic position, which, via intermediary determinants, result in inequities of health and well–being. Dysfunctional family situations may, therefore, be generated by an unequal distribution of factors determining SDH. Little attention has been paid to the influence of the family on personal hygiene and the perception of social rejection in children. We designed a study to examine differences in personal hygiene and in the perception of social rejection between children in reception centers and children living in a family setting. A validated questionnaire on children’s personal hygiene habits was completed by 51 children in reception centers and 454 children in normal families. Hygiene habits were more deficient among the children in reception centers than among the other children in all dimensions studied. Deficient hygiene habits were observed in the offspring of families affected by the main features of social inequality, who were more likely to perceive social rejection for this reason and less likely to consider their family as the greatest influence on their personal hygiene practices.


2019 ◽  
Vol 101 (4) ◽  
pp. 357-395 ◽  
Author(s):  
Saty Satya-Murti ◽  
Jennifer Gutierrez

The Los Angeles Plaza Community Center (PCC), an early twentieth-century Los Angeles community center and clinic, published El Mexicano, a quarterly newsletter, from 1913 to 1925. The newsletter’s reports reveal how the PCC combined walk-in medical visits with broader efforts to address the overall wellness of its attendees. Available records, some with occasional clinical details, reveal the general spectrum of illnesses treated over a twelve-year span. Placed in today’s context, the medical care given at this center was simple and minimal. The social support it provided, however, was multifaceted. The center’s caring extended beyond providing medical attention to helping with education, nutrition, employment, transportation, and moral support. Thus, the social determinants of health (SDH), a prominent concern of present-day public health, was a concept already realized and practiced by these early twentieth-century Los Angeles Plaza community leaders. Such practices, although not yet nominally identified as SDH, had their beginnings in the late nineteenth- and early twentieth-century social activism movement aiming to mitigate the social ills and inequities of emerging industrial nations. The PCC was one of the pioneers in this effort. Its concerns and successes in this area were sophisticated enough to be comparable to our current intentions and aspirations.


Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 648-P
Author(s):  
DOROTA CARPENEDO ◽  
SONJA TYSK ◽  
MELISSA HOUSE ◽  
JESSIE FERNANDES ◽  
MARCI K. BUTCHER ◽  
...  

2019 ◽  
Vol 24 (2) ◽  
pp. 159-165
Author(s):  
Jillian M. Berkman ◽  
Jonathan Dallas ◽  
Jaims Lim ◽  
Ritwik Bhatia ◽  
Amber Gaulden ◽  
...  

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.


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