Conclusion

2020 ◽  
pp. 421-426
Author(s):  
Adrian Bonner
Keyword(s):  
Young People ◽  
Health Services ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Children And Families ◽  
Local Authorities ◽  
Health And Wellbeing ◽  
Large Numbers ◽  
Health Model

This concluding chapter explains that in order to develop interrelationships and interdependencies across the various domains within a social determinants of health rainbow model, there needs to be a good understanding and respect for each of these contributions to the health and wellbeing of people and their communities. In the ten-year period of austerity preceding the COVID-19 crisis, many local authorities have radically reduced their social and health services for children and families and young people, concentrating solely on those with the most acute need, those whom they have a legal obligation to support. Indeed, local government has 'retreated from its historical position as the front-line of defence against social evils'. There remain major concerns about local authorities' ability to support their communities in the post-COVID-19 period. Ultimately, although there are large numbers of reports and reviews aimed at local commissioning policies and practices, there is very little evidence to support the interrelated and interdependent approaches utilising a social determinants of health model that specifically addresses 'wicked issues'.

A public health model of the social determinants of health

2003 ◽  
Vol 48 (4) ◽  
pp. 242-251 ◽  
Author(s):  
Zahid Ansari ◽  
Norman J. Carson ◽  
Michael J. Ackland ◽  
Loretta Vaughan ◽  
Adrian Serraglio
Keyword(s):  
Public Health ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Public Health Model ◽  
The Social ◽  
Health Model

scholarly journals Social determinants of health that permeate the mental suffering of children on the french-brazilian border

2022 ◽  
Vol 75 (suppl 3) ◽  
Author(s):  
Nádia Cristine Coelho Eugenio Pedrosa ◽  
Carolina Almeida de Oliveira ◽  
Maria Izabel Tentes Côrtes ◽  
Renan Alves Silva ◽  
Marina Nolli Bittencourt ◽  
...  
Keyword(s):  
Domestic Violence ◽  
Qualitative Study ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Social Situations ◽  
Financial Difficulties ◽  
Health Model ◽  
State Schools

ABSTRACT Objectives: to understand the determinants involved in the mental suffering of schoolchildren on the French-Brazilian border. Methods: a qualitative study was conducted with children from 6 to 12 years of age from four State schools in the municipality of Oiapoque, located on the French-Brazilian border. The data were obtained through interviews, analyzed by the IRAMUTEQ software, and interpreted in the light of the Dahlgren and Whitehead’s social determinants of health model. Results: data indicate that the mental suffering experienced by children, especially characterized by anxious symptoms, such as concern of becoming fat and worries, were permeated by social situations that children went through daily, such as family abandonment, domestic violence, and bullying. Final Considerations: social determinants can be predictors of mental suffering in children, especially in environments of extreme vulnerability, such as the border, in a context of financial difficulties, domestic violence, and absence of parenting.

Commissioning and social determinants: evidence and opportunities

2020 ◽  
pp. 269-282
Author(s):  
Chris O’Leary ◽  
Chris Fox
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Local Area ◽  
Determinants Of Health ◽  
Purchasing Power ◽  
Local Authorities ◽  
The Social ◽  
The Uk ◽  
Conceptual Confusion

This chapter argues that local authorities can and should use their purchasing power strategically to address the social determinants of health that affect their local area. It examines commissioning and procurement as local authority functions, defining these concepts and exploring the conceptual confusion between the two. The chapter then looks at the evidence of current practice of local authorities (with a particular focus on local authorities in the UK) in strategic use of their purchasing power. Core to the argument is the role of local voluntary organisations and small and medium-sized enterprises (SMEs), so there is a particular focus on the commissioning experience of these types of organisations. Finally, the chapter makes the case for the role that voluntary sector organisations can play in addressing social determinants of health, before drawing some broad conclusions about the way forward.

Social Determinants of Health and the Onges of Andaman Islands

2019 ◽  
Vol 19 (2) ◽  
pp. 300-309
Author(s):  
Anita Banerjee
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Andaman Islands ◽  
Tribal Population ◽  
The Past ◽  
The People ◽  
The Social ◽  
Health Model

The issue of the necessity to either mainstream the tribes or leave them in their present habitat has been taking place for quite some time. But efforts at ensuring their healthy existence have not been taken up seriously. Various committees have been constituted in the past to discuss about their status and providing them benefits. But the concerns regarding health which can be ensured through simple yet conscious means have been neglected. In the context of the people in the mainstream, often the importance of this model is advocated for healthier life. The same can also be extended to the tribal population with a little effort. The present study is an attempt to highlight through the social determinants of health model, how one such reclusive tribe residing in Andaman Islands, that is the Onges, can be made to live a better and healthier life.

Using Community-Level Mental Health Surveillance Data to Examine the Relationship of Depression Prevalence to Social Determinants of Health and Access to Mental Health Services

2013 ◽  
Vol 32 (1) ◽  
pp. 43-57 ◽  
Author(s):  
Shawn R. Currie ◽  
Kirsten Fiest ◽  
Lindsay Guyn
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Low Income ◽  
Community Level ◽  
Determinants Of Health ◽  
Treatment Access ◽  
Depression Prevalence

The effect of social determinants of health on depression prevalence and treatment access was examined using community survey and administrative data on mental health service users in the Calgary Health Region (CHR). Consistent with national prevalence data, depression was significantly associated with female gender, younger age, and health risk factors such as smoking, hypertension, and obesity. The prevalence of depression causing interference in daily functioning across 19 social districts (subregions within the CHR) was significantly related to community-level indicators of single-parent status, low-income families, and low educational achievement in each district. Disparities in treatment access were also found with persons living in the most impoverished districts having the lowest rates of accessing professional mental health services.

scholarly journals Measuring social determinants of health and their impact on service use and medical complexity

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Dan Chateau ◽  
Alan Katz ◽  
Chelsey McDougall ◽  
Carole Taylor ◽  
Scott McCulloch
Keyword(s):  
Primary Care ◽  
Health Services ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Social Complexity ◽  
Primary Care Providers ◽  
Determinants Of Health ◽  
Care Providers ◽  
Complex Patients ◽  
Medical Complexity

IntroductionPopulation based data on the social determinants of health are not widely available, despite a wide body of evidence pointing to their importance. The Mantioba Population Research Data Repository offers a unique opportunity to leverage data from multiple government departments to assess the relationship between measurable social determinants and health. Objectives and ApproachUsing population based data from health, small area level census survey questions, social assisitance, education, social housing, child protective services and justice, linked at the individual level, we measured indicators of social complexity and mapped them in the province of Manitoba. Individuals with high level of social complexity were then compared with indicators of medical complexity and/or high use of medical services to determine the degree of overlap between these attributes of individuals. A matched group of individuals without any of the measured social complexities was developed and the number and reason for visits to primary care providers was compared. ResultsThe rate of individuals having three or more social complexities varied from a low of ~7% to a high of 35%, depending on the geographic location. High residential mobiity, involvement with the justice system and history of social assistance were the most frequent (>15%). Individuals with social complexities tended to be younger and live in poorer neighbourhoods than medically complex individuals or high users of health services. Socially complex persons had on average 5.5 primary care visits annually, compared to only ~3.5 for matched individuals with no social complexities. The overlap with high users of health services was slight (14.4%) and depended on the characteristics of the population. The overlap with medically complex patients ws higher (16.2%), particularly when medical complexity included mental health related diagnoses (20.4%). Conclusion/ImplicationsThe proportion of individuals with social complexities is large, and a substantial number have multiple risk factors. These individuals are for the most part a unique group, distinct from medically complex patients. Different strategies for care may be necessary to promote and sustain mental and physical health and wellbeing.

Sign in / Sign up

Export Citation Format

Share Document