MODEL OF RELATIONS BETWEEN THE SOCIAL DETERMINANTS OF HEALTH ASSOCIATED WITH OBESITY IN THE ELDERLY

ABSTRACT Objective To review the influence of social determinants of health in the nutritional status of the elderly assisted in a primary care Unit in a Recife, Pernambuco, Brazil, community. Methods This was a cross-sectional study with an analytical approach. The universe was composed of 129 elderly attending a family health unit in Recife, Pernambuco, Brazil. The data were collected according to a protocol. The effect of the association of independent variables with the body mass index was estimated using hierarchical logistic regression models, simple and multiple multinomial. The significance level was set at 5%. Results There was a higher percentage of elderly people with excess weight (52.34%) in the assessment of body mass index. On analysis of the Mini nutritional assessment, the risk of malnutrition was 38.76%. On analysis of the calf circumference 13.39% of the elderly were malnourished. In the final model, the criteria for maintaining the elderly patients were the following: excess weight, marital status, hypertension, osteoarthritis and sewer destination. Elderly widowers had a higher chance (OR=5.17) of having excess weight and not to have sewage network serving their home and be hypertense (OR=2.71 e 2.83). The fact that the elderly have osteoarthritis also indicated a greater chance (OR=3.76) that they present excess weight. Conclusion Among the social determinants of health, the nutritional status of the elderly was associated with marital status, high blood pressure, osteoarthritis and basic sanitation. The social setting of the elderly is associated with their nutritional status.

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Suicide in the elderly: approach to social determinants of health in the Dahlgren and Whitehead model

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2020-0332 ◽

2020 ◽

Vol 73 (suppl 3) ◽

Author(s):

Mariana Lustosa de Carvalho ◽

Ana Paula Cardoso Costa ◽

Claudete Ferreira de Souza Monteiro ◽

Maria do Livramento Fortes Figueiredo ◽

Fernanda Valéria Silva Dantas Avelino ◽

...

Keyword(s):

Social Determinants Of Health ◽

Social Determinants ◽

Psychiatric Service ◽

The Elderly ◽

Stressful Events ◽

Determinants Of Health ◽

The Social ◽

Health Related ◽

History Of ◽

Previous Suicide Attempt

ABSTRACT Objective: Identify in literature the social determinants of health related to suicide in the elderly, according to the model proposed by Dahlgren and Whitehead. Method: Integrative review of articles indexed in the databases BDENF, CINAHL, LILACS, and MEDLINE, with the following main descriptors: aged, suicide, social determinants of health, and risk factors. Primary studies were included which addressed social determinants of health and suicide in the elderly. Results: From the 19 articles analyzed, three categories emerged: proximal social determinants of health (male gender, mental disorders, physical illnesses, white race, 70-74 years old); intermediate social determinants of health (substance abuse, use of alcohol or psychotropic drugs, marital status, marital, social, and family problems, violence, previous suicide attempt, history of admission to psychiatric service); and distal social determinants of health (schooling, economic issues, sanitation, stressful events). Conclusion: Proximal determinants have more effects on suicide. Intermediate determinants are composed mainly of changeable factors. Distal determinants showed lesser associations.

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Exploring civil society leadership to advance action on the social determinants of health

PsycEXTRA Dataset ◽

10.1037/e515722013-001 ◽

2008 ◽

Author(s):

Susan McCunn

Keyword(s):

Civil Society ◽

Social Determinants Of Health ◽

Social Determinants ◽

Determinants Of Health ◽

The Social

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Uncovering the social determinants of health

PsycEXTRA Dataset ◽

10.1037/e673532010-001 ◽

2010 ◽

Author(s):

Lydia Buki

Keyword(s):

Social Determinants Of Health ◽

Social Determinants ◽

Determinants Of Health ◽

The Social

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Addressing the Social Determinants of Health

Southern California Quarterly ◽

10.1525/scq.2019.101.4.357 ◽

2019 ◽

Vol 101 (4) ◽

pp. 357-395 ◽

Cited By ~ 1

Author(s):

Saty Satya-Murti ◽

Jennifer Gutierrez

Keyword(s):

Twentieth Century ◽

Los Angeles ◽

Social Determinants Of Health ◽

Social Determinants ◽

Social Activism ◽

Determinants Of Health ◽

Medical Attention ◽

Community Center ◽

Early Twentieth Century ◽

The Social

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.

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

The Oxford Handbook of Public Health Ethics ◽

10.1093/oxfordhb/9780190245191.013.24 ◽

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.

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