scholarly journals Recyclable waste pickers: life and work in light of the social determinants of health

2021 ◽  
Vol 74 (6) ◽  
Author(s):  
Alexa Pupiara Flores Coelho Centenaro ◽  
Carmem Lúcia Colomé Beck ◽  
Rosângela Marion da Silva ◽  
Andressa de Andrade ◽  
Marta Cocco da Costa ◽  
...  
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Participant Observation ◽  
Determinants Of Health ◽  
Labor Rights ◽  
Gender Inequalities ◽  
Structured Interviews ◽  
Occupational Risks ◽  
The Social ◽  
Waste Pickers

ABSTRACT Objectives: to know how the social determinants of health relate to the context of life and work of recyclable waste pickers. Methods: a qualitative study, derived from Convergent-Care Research, conducted with waste pickers from two recycling associations in the South of Brazil. We used systematic participant observation, semi-structured interviews, and convergence groups. The analysis followed the steps of Seizure, Synthesis, Theorization, and Transfer. Results: advanced age, precarious self-care, gender inequalities, violence, and family conflicts have shown to be elements linked to the individual, behavioral, and social network determinants. Determinants connected to living and working conditions were related to poor access to education and formal work, as well as to the daily occupational risks in recycling. The lack of labor rights and public policies represented macro-determinants. Final Considerations: social and economic deficiencies are potentiated in the context of life and work of waste pickers, strongly related to their determinants.

scholarly journals COVID-19 in Communities of Color: Structural Racism and Social Determinants of Health

2021 ◽  
Vol 26 (2) ◽  
Author(s):  
Lakisha Flagg ◽  
Lisa Campbell
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Structural Factors ◽  
Structural Racism ◽  
Economic Determinants ◽  
Occupational Risks ◽  
The Social ◽  
High Prevalence ◽  
Poor Outcomes

Black, Indigenous, People of Color (BIPOC) communities have a disproportionally high prevalence of COVID-19 and, subsequently, a higher mortality rate. Many of the root causes, such as structural racism and the social determinants of health, account for an increased number of preexisting conditions that influence risk for poor outcomes from COVID-19 as well as other disparities in BIPOC communities. In this article we address Structural Factors that Contribute to Disparities, such as economics; access to healthcare; environment and housing concerns; occupational risks; policing and carceral systems effects; and diet and nutrition. Further, we outline strategies for nurses to address racism (the ultimate underlying condition) and the social and economic determinants of health that impact BIPOC communities.

scholarly journals Social determinants of health and community health agent work

2020 ◽  
Vol 54 ◽  
Author(s):  
Daiane Broch ◽  
Deise Lisboa Riquinho ◽  
Letícia Becker Vieira ◽  
Adriana Roese Ramos ◽  
Vanessa Aparecida Gasparin
Keyword(s):  
Community Health ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Structured Interviews ◽  
The Social ◽  
District Management ◽  
Analytical Category ◽  
The City ◽  
Community Health Agent

Abstract Objective: To understand the social determinants of health from the perspective of the work of community health agents. Method: A qualitative study conducted in a Health District Management in the city of Porto Alegre/Rio Grande do Sul, Brazil, through focus groups and semi-structured interviews with community health agents. The analysis took place through thematic categorization, and the social determinants of health were adopted as the analytical category. Results: Twenty-five (25) community health agent workers participated. Overlapping individual and collective themes emerged, from violence and drug trafficking to lack of sanitation, improperly disposed garbage, illiteracy and the health problems themselves. Conclusion: The study revealed a complex relationship between the work of community health agents and the social determinants of health, reinforcing the need for a cohesive health team with intersectoral initiatives to address the different demands of the territories which are worked and lived in.

scholarly journals The feasibility and potential use of case-tracked client journeys in primary healthcare: a pilot study

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e024419 ◽  
Author(s):  
Elsa Barton ◽  
Toby Freeman ◽  
Fran Baum ◽  
Sara Javanparast ◽  
Angela Lawless
Keyword(s):  
Pilot Study ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Primary Healthcare ◽  
Determinants Of Health ◽  
Complex Nature ◽  
Structured Interviews ◽  
Aboriginal Community ◽  
Australian State ◽  
The Social

ObjectivesTo determine the feasibility of case-tracking methods in documenting client journeys at primary healthcare (PHC) services in order to investigate the comprehensiveness of service responses and the experiences of clients.DesignProspective pilot study. Quantitative and qualitative case management data were collected from staff via questionnaire or interview.SettingFive Australian multidisciplinary PHC services were involved including four South Australian state-managed and one Northern Territory Aboriginal community-controlled PHC service.ParticipantsClients using services for depression (95) or diabetes (185) at the PHC services were case tracked over a 12-month period to allow construction of client journeys for these two conditions. Clients being tracked were invited to participate in two semi-structured interviews (21) and complete a health log.ResultsThough a number of challenges were encountered, the case-tracking methods were useful in documenting the complex nature of client journeys for those with depression or diabetes accessing PHC services and the need to respond to the social determinants of health. A flexible research design was crucial to respond to the needs of staff and changing organisational environments.ConclusionsThe client journeys provided important information about the services’ responses to depression and diabetes, and about aspects unique to comprehensive PHC such as advocacy and work that takes into account the social determinants of health.

scholarly journals A Atuação dos Profissionais da Atenção Primária Acerca das Práticas de Promoção e dos Determinantes Sociais da Saúde

2018 ◽  
Vol 86 (24) ◽  
Author(s):  
Camilla Costa Cypriano Schmitz ◽  
Ivonete Teresinha Shulter Buss Heinemann ◽  
Michelle Kuntz Durand
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Daily Routine ◽  
Structured Interviews ◽  
Primary Health ◽  
The Social

Pesquisa qualitativa, exploratório-descritiva que objetiva desvelar a atuação dos profissionais da Atenção Primáriaà Saúde acerca dos Determinantes Sociais de Saúde das práticas de promoção da saúde. A coleta de dados foirealizada de julho a outubro de 2015, com entrevistas semiestruturadas. Participaram 25 profissionais queatuavam na rede de Atenção Primária em Saúde do Município de Florianópolis, SC. Os dados foram analisados apartir da análise temática de Minayo e discutidos à luz da Promoção da Saúde e dos Determinantes Sociais. Osresultados indicaram que, tanto a academia quanto os gestores estão investindo na formação para a promoçãoda saúde, porém, ainda muito focada nos estilos de vida e pouco articulada com os Determinantes Sociais deSaúde. Os profissionais relataram atuar muito pouco sobre os dados determinantes e alguns não sabem o conceitode Determinação Social da Saúde. Observa-se que há carência de métodos que auxiliem a avaliação e efetividadeda atuação sobre a promoção da saúde, porém, os profissionais já conseguem visualizar mudanças positivas nasaúde da população. Conclui-se que os trabalhadores da Atenção Primária à Saúde têm consciência da necessidadede realizar e manter as práticas de promoção em sua rotina diária, a partir da interdisciplinaridade eintersetorialidade, considerando os Determinantes Sociais de Saúde da população.Palavras-chave: Promoção da Saúde; Determinantes Sociais da Saúde; Atenção Primária à Saúde; Estratégia Saúdeda Família.AbstractExploratory-descriptive qualitative research, which aims to reveal the performance of Primary Health Careprofessionals about the Social Determinants of Health promotion practices. Data collection was carried out fromJuly to October 2015, with semi-structured interviews. Participated 25 professionals who acted on the network ofPrimary Health Care in the city of Florianópolis, SC. Data were analyzed from the thematic analysis of Minayo anddiscussed in the light of the health promotion and social determinants. The results indicated that both theAcademy and managers, are investing in training for the health promotion, however, still very focused on lifestylesand little coordinated with the Social Determinants of Health. The professionals have reported too little acting ondeterminants data and some do not know the Social Determination of Health concept. It is observed that there isa lack of methods to aid the evaluation and effectiveness of action on health promotion, however, professionalscan show positive changes in the population’s health. It is concluded that the Primary Health Care workers areaware of the need to achieve and maintain promotional practices in your daily routine, from the interdisciplinaryand intersectoral approach, considering the Social Determinants of Health of the population.Keywords: Health Promotion; Social Determinants of Health; Primary Health Care; Family Health Strategy

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.

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 The ADI-3: a revised neighborhood risk index of the social determinants of health over time and place

2021 ◽  
Author(s):  
Kristen A. Berg ◽  
Jarrod E. Dalton ◽  
Douglas D. Gunzler ◽  
Claudia J. Coulton ◽  
Darcy A. Freedman ◽  
...  
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Risk Index ◽  
Determinants Of Health ◽  
The Social ◽  
Neighborhood Risk ◽  
Over Time
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