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.

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.

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

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.

Pneumococcal vaccination in older adults: An initial analysis of social determinants of health and vaccine uptake

Vaccine ◽  
2020 ◽  
Vol 38 (35) ◽  
pp. 5607-5617 ◽  
Author(s):  
Justin Gatwood ◽  
Sohul Shuvo ◽  
Kenneth C. Hohmeier ◽  
Tracy Hagemann ◽  
Chi-Yang Chiu ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Pneumococcal Vaccination ◽  
Determinants Of Health ◽  
Vaccine Uptake ◽  
Initial Analysis

scholarly journals Impact of COVID-19 Pandemic on Life-Space Mobility of Older Adults Living in Brazil: REMOBILIZE Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Monica R. Perracini ◽  
Juleimar Soares Coelho de Amorim ◽  
Camila Astolphi Lima ◽  
Alexandre da Silva ◽  
Francis Trombini-Souza ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Determinants Of Health ◽  
Health Inequalities ◽  
Social Determinants ◽  
Substantial Reduction ◽  
Community Dwelling ◽  
Determinants Of Health ◽  
Vulnerable Groups ◽  
Life Space ◽  
Social Restriction

Background: The COVID-19 pandemic hit Brazil in a scenario of substantial socioeconomic and health inequalities. It is unknown the immediate impact of social restriction recommendations (i.e., lockdown, stay-at-home) on the life-space mobility of older people.Objective: To investigate the immediate impact of COVID-19 pandemic on life-space mobility of community-dwelling Brazilian older adults and examine the social determinants of health associated with change in life-space mobility.Design: Baseline data from a prospective cohort study (REMOBILIZE Study).Setting: Community.Subject: A convenience snowball sample of participants aged 60 and older (n = 1,482) living in 22 states in Brazil.Methods: We conducted an online and phone survey using an adapted version of the Life-Space Assessment (LSA). Linear regression models were used to investigate social determinants of health on the change in LSA score.Results: Regardless of their gender and social determinants of health, participants showed a significant reduction in life-space mobility since COVID-19 pandemic outbreak. Life-space mobility reduction was higher among black individuals, those living alone and aged between 70 and 79. Other variables associated with change in life-space mobility, to a lesser extent, were sex, education and income.Conclusion: Social restriction measures due to pandemic caused substantial reduction in older adults' life-space mobility in Brazil. Social inequalities strongly affected vulnerable groups. Concerted actions should be put in place to overcome the deterioration in life-pace mobility amongst these groups. Failure in minimizing health inequalities amplified by the pandemic may jeopardize the desired achievements of the Decade of Healthy Aging.

scholarly journals Creation and Validation of a Polysocial Score for Mortality Among Community-Dwelling Older Adults in the United States

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 164-164
Author(s):  
Yongjing Ping ◽  
Chenkai Wu ◽  
Michelle Odden ◽  
Robert Stawski ◽  
Hoda Magid
Keyword(s):  
Older Adults ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Social Factors ◽  
The United States ◽  
Community Dwelling ◽  
Determinants Of Health ◽  
Stepwise Logistic Regression ◽  
Social Environments ◽  
Social Interventions

Abstract The interrelatedness between social determinants of health impedes researchers to identify important social factors for health investment. Since the older population had highly diverse social backgrounds, a new approach is needed to quantify the aggregate effect of social factors and develop person-centered social interventions. Participants ([n = 7383], 54.5% female) were aged 65 years or above who complete an additional psychosocial questionnaire in the Health and Retirement Study (HRS) at study entry in 2006 or 2008. Social determinants of health encompassing five social domains: economic stability, neighborhood and physical environment, education, community and social context, and health care system. Five-year mortality was calculated as the number of years from the interview date to the death date. We used the forward stepwise logistic regression to construct the polysocial score and multivariate logistic regressions to assess the associations between polysocial score and five-year mortality. Polysocial score (range: 7 to 59, mean±SD: 35.5±7.5) was created using 15 social determinants of health. Of the 7383 participants, 491 (30.8%), 599 (17.2%), and 166 (7.8%) deaths occurred over five years among participants with a low (0-29), intermediate (30-39), and high (40+) polysocial score, respectively. Participants with an intermediate (Odds Ratio [OR]=0.76; 95% CI, 0.65-0.89) or high (OR=0.46; 95% CI, 0.36-0.59) polysocial score had higher odds of death than those in the low category in the fully adjusted model, respectively. The polysocial approach may offer possible solutions to monitor social environments and suggestions for older adults to improve their social status for specific health outcomes.

scholarly journals Impacting the Social Determinants of Health through a Regional Academic-Community Partnership: The Experience of the Mid-South Transdisciplinary Collaborative Center for Health Disparities Research

2017 ◽  
Vol 27 (Suppl 1) ◽  
pp. 277 ◽  
Author(s):  
Mona N. Fouad ◽  
Theresa A. Wynn ◽  
Richard Scribner ◽  
Yu-Mei M. Schoenberger ◽  
Donna Antoine-Lavigne ◽  
...  
Keyword(s):  
Health Disparities ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Academic Community ◽  
Chronic Illnesses ◽  
Regional Level ◽  
Determinants Of Health ◽  
Community Partnership ◽  
The Social ◽  
Over Time

<p class="Pa7">O<strong>bjective: </strong>The purpose of this article is to describe the background and experience of the Academic-Community Engagement (ACE) Core of the Mid-South Transdisci­plinary Collaborative Center for Health Disparities Research (Mid-South TCC) in impacting the social determinants of health through the establishment and implemen­tation of a regional academic-community partnership.</p><p class="Pa7"><strong>Conceptual Framework: </strong>The Mid-South TCC is informed by three strands of re­search: the social determinants of health, the socioecological model, and commu­nity-based participatory research (CBPR). Combined, these elements represent a science of engagement that has allowed us to use CBPR principles at a regional level to address the social determinants of health disparities.</p><p class="Pa7"><strong>Results: </strong>The ACE Core established state coalitions in each of our founding states— Alabama, Louisiana, and Mississippi—and an Expansion Coalition in Arkansas, Tennes­see, and Kentucky. The ACE Core funded and supported a diversity of 15 community engaged projects at each level of the socio­ecological model in our six partner states through our community coalitions.</p><p><strong>Conclusion: </strong>Through our cross-discipline, cross-regional infrastructure developed strategically over time, and led by the ACE Core, the Mid-South TCC has established an extensive infrastructure for accomplishing our overarching goal of investigating the so­cial, economic, cultural, and environmental factors driving and sustaining health dispari­ties in obesity and chronic illnesses, and developing and implementing interventions to ameliorate such disparities. <em></em></p><p><em>Ethn Dis. </em>2017;27(Suppl 1):277-286; doi:10.18865/ed.27.S1.277.</p>

The Social Determinants of Health in a Community Context: Lessons for Sociological Practice

2018 ◽  
Vol 12 (2) ◽  
pp. 67-81
Author(s):  
Tim Knapp ◽  
Lisa Hall
Keyword(s):  
Public Health ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Access To Health Care ◽  
Well Being ◽  
Community Context ◽  
Determinants Of Health ◽  
Physical And Mental Health ◽  
Sociological Practice ◽  
The Social

Much of the research on the social determinants of health has been done at national or international comparative levels. Findings from these studies highlight the importance of macro social factors that affect health outcomes, such as limited and unequal access to health care and the effects of racial discrimination, economic inequality, and patriarchy. However, such macro-level research provides limited information about how applied and clinical sociologists can address local social determinants of health and improve the well-being of individuals and community residents. Results from a county-level public health survey shed more specific light on how interpersonal networks, social activities, and neighborhood characteristics affect people’s physical and mental health. The results can be utilized by clinical and applied sociologists who counsel individuals and work to invigorate neighborhoods, and by public health officials who develop and reform community-level health policies and programs.

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