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.

Am I My Brother’s Keeper? African American Men’s Health Within the Context of Equity and Policy

2014 ◽  
Vol 10 (1) ◽  
pp. 73-81 ◽  
Author(s):  
Okechuku Kelechi Enyia ◽  
Yashika J. Watkins ◽  
Quintin Williams
Keyword(s):  
African American ◽  
Social Determinants Of Health ◽  
Health Equity ◽  
Social Determinants ◽  
African American Men ◽  
Men’S Health ◽  
Policy Implications ◽  
Determinants Of Health ◽  
Critical Examination ◽  
Men's Health

African American men’s health has at times been regarded as irrelevant to the health and well-being of the communities where they are born, grow, live, work, and age. The uniqueness of being male and of African descent calls for a critical examination and deeper understanding of the psycho-socio-historical context in which African American men have lived. There is a critical need for scholarship that better contextualizes African American Male Theory and cultural humility in terms of public health. Furthermore, the focus of much of the social determinants of health and health equity policy literature has been on advocacy, but few researchers have examined why health-related public policies have not been adopted and implemented from a political and theoretical policy analysis perspective. The purpose of this article will be to examine African American men’s health within the context of social determinants of health status, health behavior, and health inequalities—elucidating policy implications for system change and providing recommendations from the vantage point of health equity.

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.

Reducing Incarceration Rates in Australia Through Primary, Secondary, and Tertiary Crime Prevention

2021 ◽  
Vol 32 (6) ◽  
pp. 618-645
Author(s):  
Samantha Battams ◽  
Toni Delany-Crowe ◽  
Matthew Fisher ◽  
Lester Wright ◽  
Michael McGreevy ◽  
...  
Keyword(s):  
Social Determinants Of Health ◽  
Crime Prevention ◽  
Social Determinants ◽  
Policy Reform ◽  
Policy Implications ◽  
Determinants Of Health ◽  
Strong Focus ◽  
Causes Of Crime ◽  
High Level

In Australia, incarceration rates have steadily increased since the 1980s, providing an imperative for crime prevention. We explored the extent to which Australian justice sector policies were aimed at preventing crime, using a framework for “primary, secondary and tertiary” crime prevention. We analyzed policies and legislation ( n = 141) across Australian jurisdictions (a census was undertaken from May to September 2016, with policies spanning from 1900 to 2022). We found a strong focus on tertiary crime prevention, with recidivism rather than root causes of crime problematised. We also found little focus on primary crime prevention, despite some high-level cross sectoral strategies designed to prevent crime. In this paper, we will use the framework of Bacchi’s “what’s the problem?” approach, considering levels of crime prevention, social determinants of health, and discourses surrounding crime. We discuss policy implications and make suggestions for policy reform and accountability mechanisms to reduce crime and incarceration.

Policy Implications of Social Determinants of Health

2016 ◽  
pp. 93-114 ◽  
Author(s):  
Jason Q. Purnell ◽  
Sarah Simon ◽  
Emily B. Zimmerman ◽  
Gabriela J. Camberos ◽  
Robert Fields
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Policy Implications ◽  
Determinants Of Health

Addressing the Social Determinants of Health

2019 ◽  
Vol 101 (4) ◽  
pp. 357-395 ◽  
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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