scholarly journals Aging, Social Determinants of Health in the Case of Persons With Disabilities and Refugees

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 81-81
Author(s):  
Jean-Francois Trani
Keyword(s):  
Life Course ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Social Groups ◽  
Cognitive Disorders ◽  
Determinants Of Health ◽  
Knowledge Generation ◽  
Persons With Disabilities ◽  
Prejudice And Discrimination ◽  
The Life Course

Abstract Structural and social determinants of health differentially impact on social groups. Among those particularly disadvantaged during the life course are both persons with disabilities and refugees. Because of the way society treats these two populations, both persons with disabilities and refugees may face physical, social, economic and environmental barriers that impede them from benefiting from the same opportunities accessible to other social groups. As a result, these populations have less access to education, higher unemployment, are more likely to be deprived and excluded from social benefits. In other words, public stigma —prejudice and discrimination voiced and practiced by the general population— translates to a life course characterized by daily stressors that result in a higher likelihood of cognitive disorders and dementia. Measuring and analyzing SSDoH inclusive of disability and refugee experiences are essential to efforts aimed at recruitment and retention and knowledge generation in ADRD research.

scholarly journals INTEREST GROUP SESSION—MENTAL HEALTH PRACTICE AND AGING: INTEGRATION OF SOCIAL DETERMINANTS OF HEALTH IN DEFINING HEALTH BEHAVIORS AND OUTCOMES AMONG DIVERSE OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S393-S393
Author(s):  
Jacquelyn Minahan ◽  
Tamara A Baker
Keyword(s):  
Older Adults ◽  
Health Behaviors ◽  
Life Course ◽  
Life Span ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Chronic Illnesses ◽  
Community Context ◽  
Determinants Of Health ◽  
The Life Course

Abstract Social determinants of health (SDoH) are conditions in which individuals live, learn, work, and play. Specifically, they are influenced by the distribution of resources, money, and power, and have significant implications on health behaviors and outcomes across the life span. Existent data show the influence these indictors may have in the onset and progression of chronic illnesses. However, much of these data focus on the effect of race and health, as social determinants, but fail to adequately address the myriad other factors (e.g., health care, social and community context) that influence the social patterning across the life course. This symposium presents findings from several studies highlighting the nuanced role of SDoH across diverse populations of older adults. Scholars will present findings on the influence that identified determinants, such as social networks, lifestyle behaviors, and gender, have in defining health outcomes across the life course. Minahan presents the relationship between chronic illnesses and depression and compares depressive symptomatology according to disease cluster in a nationally-representative sample of older adults. Atakere discusses determinants of well-being among African American males with chronic illnesses and the challenges associated with this marginalized population. Booker examines spirituality as a mechanism for pain management among older African Americans and presents this as a crucial determinant of health. This symposium will expand on the existing body of literature by emphasizing social and cultural determinants, aside from race, that influence health behaviors and outcomes across the life span.

Social Determinants of Health in Asthma Through the Life Course

2022 ◽  
Author(s):  
Michelle Trivedi ◽  
Andrea A. Pappalardo ◽  
Mfonobong Udoko ◽  
Arvin Garg ◽  
Wanda Phipatanakul ◽  
...  
Keyword(s):  
Life Course ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
The Life Course

Health Disparities and the Social Determinants of Health: Ethical and Social Justice Issues

2019 ◽  
pp. 265-276
Author(s):  
Sridhar Venkatapuram
Keyword(s):  
Health Disparities ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Global Justice ◽  
Social Epidemiology ◽  
Social Groups ◽  
Determinants Of Health ◽  
Housing Conditions ◽  
Early Infant ◽  
The Social

The term health disparities (also called health inequalities) refers to the differences in health outcomes and related events across individuals and social groups. Social determinants of health, meanwhile, refers to certain types of causes of ill health in individuals, including lack of early infant care and stimulation, lack of safe and secure employment, poor housing conditions, discrimination, lack of self-respect, poor personal relationships, low community cohesion, and income inequality. These social determinants stand in contrast to others, such as individual biology, behaviors, and proximate exposures to harmful agents. This chapter presents some of the revolutionary findings of social epidemiology and the science of social determinants of health, and shows how health disparities and social determinants raise profound questions in public health ethics and social/global justice philosophy.

scholarly journals Social inequalities and access to health: challenges for society and the nursing field

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Regina Celia Fiorati ◽  
Ricardo Alexandre Arcêncio ◽  
Larissa Barros de Souza
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Social Inequalities ◽  
Determinants Of Health ◽  
Critical Hermeneutics ◽  
Access To Health ◽  
The Social ◽  
Dialectical Relationship ◽  
The Right ◽  
The Life Course

Objective to present a critical reflection upon the current and different interpretative models of the Social Determinants of Health and inequalities hindering access and the right to health. Method theoretical study using critical hermeneutics to acquire reconstructive understanding based on a dialectical relationship between the explanation and understanding of interpretative models of the social determinants of health and inequalities. Results interpretative models concerning the topic under study are classified. Three generations of interpretative models of the social determinants of health were identified and historically contextualized. The third and current generation presents a historical synthesis of the previous generations, including: neo-materialist theory, psychosocial theory, the theory of social capital, cultural-behavioral theory and the life course theory. Conclusion From dialectical reflection and social criticism emerge a discussion concerning the complementarity of the models of the social determinants of health and the need for a more comprehensive conception of the determinants to guide inter-sector actions to eradicate inequalities that hinder access to health.

scholarly journals 263Disability and inequality on the social determinants of health: data, data gaps, and policy implications

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Nicola Fortune ◽  
Hannah Badland ◽  
Shane Clifton ◽  
Emeritus Eric Emerson ◽  
Emeritus Roger Stancliffe ◽  
...  
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Labour Force ◽  
Policy Implications ◽  
Determinants Of Health ◽  
National Data ◽  
Persons With Disabilities ◽  
Data Gaps ◽  
People With Disability ◽  
Disability Identification

Abstract Focus of Presentation People with disability experience inequality in relation to social determinants of health such as employment, education and housing. Under the UN Convention on the Rights of Persons with Disabilities, Australia must collect data to assess fulfilment of its Convention obligations and to identify and address barriers faced by people with disability in exercising their rights. The objective of our research was to determine the extent to which such data are currently available. Findings With input from people with disability, we developed a monitoring framework and indicators to measure inequalities between Australians with and without disability in relation to social determinants of health. National data sources that included a disability identifier were available to report on 73% of the 128 indicators. For example, in the domain ‘Employment’, national data were available for indicators of labour force status, long-term unemployment, leave entitlements, and employment in high-skill jobs. Data were not available for the following indicators: under-employment, access to job design modifications, and disability-related discrimination in the workplace. Conclusions/Implications It is currently not possible to quantify inequalities between Australians with and without disability, track change over time, or identify factors that can inform effective policy responses for indicators where we lack national data that include a disability identifier. Key messages Addressing data gaps, including by facilitating disability identification in existing data collections, is essential for tackling disability-related inequalities on social determinants of health and meeting our obligations under the UN Convention on the Rights of Persons with Disabilities.

scholarly journals Health Disparities in Staphylococcus aureus Transmission and Carriage in a Border Region of the United States Based on Cultural Differences in Social Relationships: Protocol for a Survey Study (Preprint)

2019 ◽  
Author(s):  
Talima Pearson ◽  
Steven D Barger ◽  
Monica Lininger ◽  
Heidi Wayment ◽  
Crystal Hepp ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Social Network ◽  
Data Collection ◽  
Social Determinants Of Health ◽  
Social Relationships ◽  
Social Determinants ◽  
Social Groups ◽  
Biological Data ◽  
Determinants Of Health ◽  
Sampling Procedures

BACKGROUND Health care–associated <italic>Staphylococcus aureus</italic> infections are declining but remain common. Conversely, rates of community-associated infections have not decreased because of the inadequacy of public health mechanisms to control transmission in a community setting. Our long-term goal is to use risk-based information from empirical socio-cultural-biological evidence of carriage and transmission to inform intervention strategies that reduce <italic>S aureus</italic> transmission in the community. Broad differences in social interactions because of cultural affiliation, travel, and residency patterns may impact <italic>S aureus</italic> carriage and transmission, either as risk or as protective factors. OBJECTIVE This study aims to (1) characterize <italic>S aureus</italic> carriage rates and compare circulating pathogen genotypes with those associated with disease isolated from local clinical specimens across resident groups and across Hispanic and non-Hispanic white ethnic groups and (2) evaluate social network relationships and social determinants of health-based risk factors for their impact on carriage and transmission of <italic>S aureus</italic>. METHODS We combine sociocultural survey approaches to population health sampling with <italic>S aureus</italic> carriage and pathogen genomic analysis to infer transmission patterns. Whole genome sequences of <italic>S aureus</italic> from community and clinical sampling will be phylogenetically compared to determine if strains that cause disease (clinical samples) are representative of community genotypes. Phylogenetic comparisons of strains collected from participants within social groups can indicate possible transmission within the group. We can therefore combine transmission data with social determinants of health variables (socioeconomic status, health history, etc) and social network variables (both egocentric and relational) to determine the extent to which social relationships are associated with <italic>S aureus</italic> transmission. RESULTS We conducted a first year pilot test and feasibility test of survey and biological data collection and analytic procedures based on the original funded design for this project (#NIH U54MD012388). That design resulted in survey data collection from 336 groups and 1337 individuals. The protocol, described below, is a revision based on data assessment, new findings for statistical power analyses, and refined data monitoring procedures. CONCLUSIONS This study is designed to evaluate ethnic-specific prevalence of <italic>S aureus</italic> carriage in a US border community. The study will also examine the extent to which kin and nonkin social relationships are concordant with carriage prevalence in social groups. Genetic analysis of <italic>S aureus</italic> strains will further distinguish putative transmission pathways across social relationship contexts and inform our understanding of the correspondence of <italic>S aureus</italic> reservoirs across clinical and community settings. Basic community-engaged nonprobabilistic sampling procedures provide a rigorous framework for completion of this 5-year study of the social and cultural parameters of <italic>S aureus</italic> carriage and transmission.

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