scholarly journals Roma health in Edirne: Social determinants of health and health status

2017 ◽  
pp. 136-149
Author(s):  
Muzaffer Eskiocak ◽  
Duygu Akbaşak
PLoS ONE ◽  
2019 ◽  
Vol 14 (3) ◽  
pp. e0213901 ◽  
Author(s):  
Mostafa Shokoohi ◽  
Greta R. Bauer ◽  
Angela Kaida ◽  
Ashley Lacombe-Duncan ◽  
Mina Kazemi ◽  
...  

Medwave ◽  
2021 ◽  
Vol 21 (04) ◽  
pp. e8180-8180
Author(s):  
Teresa Balboa-Castillo ◽  
Omar Andrade-Mayorga ◽  
Gabriel Nasri Marzuca-Nassr ◽  
Gladys Morales Illanes ◽  
Manuel Ortiz ◽  
...  

The coronavirus disease 2019 (COVID-19) pandemic, produced by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has spread rapidly throughout the world. Latin American and the Caribbean countries have been harshly affected by the pandemic mainly due to less prepared healthcare systems and fragmented social safety nets. In the region, health status population-based indicators are worse than compared to the Organization for Economic Cooperation and Development. Recent evidence suggests that the progression and severity of COVID-19 are associated with the prior health status of individuals, and studies have shown that the case fatality rate is highly stratified among different populations. This narrative review aims to describe factors associated with adverse outcomes of COVID-19 in the context of social determinants of health in Latin American and Caribbean countries. In this review, we state that genetic and biological factors interact in a sophisticated way with social determinants of health, impacting the rapid spread of COVID-19 in Latin American and Caribbean countries. Behavioral factors, such as physical inactivity, smoking, and unhealthy diets, are related to chronic systemic inflammation. Also, air pollution can prolong inflammation and the hyper-activation of the immune system. Air pollutants could facilitate the spread of the virus. Finally, frailty and comorbidities can be associated with COVID-19 severity through increasing vulnerability to stressors and leading to more severe symptoms of COVID-19 disease, including a higher mortality risk. All these factors contribute to increasing the impact of COVID-19 in Latin American and Caribbean countries. We highlight the relevance of considering social determinants of health in Latin American and the Caribbean countries, not only in controlling the likelihood of getting the disease but also its progression and severity. All these social determinants can guide the design and implementation of tailored interventions promoting healthy lifestyle behaviors, which should lower the spread of the disease, its severity, and lethality.


Author(s):  
Ioanna Petraki ◽  
Natasa Kalpourtzi ◽  
Agapios Terzidis ◽  
Magda Gavana ◽  
Apostolos Vantarakis ◽  
...  

We aimed to assess the self-perceived health status and the presence of chronic diseases of adult Roma living in settlements in Greece, and to explore associated social determinants of health. Data were derived from the Hprolipsis Health Survey. Multivariable regression models were applied. In total, 534 adults, 287 women, and 247 men were recruited from twelve Roma settlements in four prefectures. Although 62% of the participants perceived their health status as good/very good, about half of them had been diagnosed with at least one chronic disease. Several structural and intermediary social determinants of health were found to be significantly associated with the health outcomes; prefecture, settlement type, sex, age group, living with a partner, presence of depression symptoms, food insecurity, and alcohol consumption were associated with self-perceived health status; settlement type, sex, age group, presence of anxiety symptoms, food insecurity and number of persons living in the house with the presence of a chronic disease. This is one of the few studies assessing the self-perceived health status and presence of chronic diseases in Roma settlements in Greece and investigating the associated social determinants of health in the world. Community-based participatory action research and health literacy programs are needed to mitigate health inequalities in Roma settlements.


2019 ◽  
Vol 13 (1) ◽  
pp. 3-17
Author(s):  
Juan Smart ◽  
Alejandra Letelier

Purpose The purpose of this paper is to do a systematic assessment and testing of identified human rights norms alongside social determinant approaches in relation to identified health issues of concern in four Latin American countries (Argentina, Chile, Paraguay and Uruguay) to show how social determinants and human rights frameworks improve population health. Design/methodology/approach To do so, in the first part the authors analyze the inequalities both between and within each of the selected countries in terms of health status and health determinants of the population. Then, in the second section, the authors analyze the level of recognition, institutionalisation and accountability of the right to health in each country. Findings From the data used in this paper it is possible to conclude that the four analysed countries have improved their results in terms of health status, health care and health behaviours. This improvement coincides with the recognition, institutionalisation and creation of accountability mechanisms of human rights principles and standards in terms of health and that a human rights approach to health and its relation with other social determinants have extended universal health coverage and health systems in the four analysed countries. Originality/value Despite of the importance of the relation between human rights and social determinants of health, there are few human right scholars working on the issues of social determinants of health and human rights. Most of the literature of health and human rights has been focussed specific relations between specific rights and the right to health, but less human right scholar working on social determinants of health. On the other hand, just a few epidemiologists and people working on social medicine have actually started to use a universal human rights frame and discourse. In fact, according to Vnkatapuram, Bell and Marmot: “while health and human rights advocates have from the start taken a global perspective, social medicine and social epidemiology have been slower to catch up”.


2012 ◽  
Vol 33 (7) ◽  
pp. 494-497 ◽  
Author(s):  
Jacquelyn H. Flaskerud ◽  
Carol Rose DeLilly ◽  
Jacquelyn H. Flaskerud

Author(s):  
Manu Gupta

Social determinants like income level, nutrition, education, occupation, gender, and poverty influence the health status of individual, resulting in wide disparities in the health status of different socio-economic groups. Efforts to reduce health inequities can be strengthened by incorporating a Social Determinants of Health approach in creating Health Care policy. This will require an increase in the number of scientists in low and middle-income countries, with the necessary skills. This chapter focuses on a novel capacity building approach, adopted by a European Union funded project, entitled “Asian Regional Capacity Development for Research on Social Determinants of Health”. The project uses innovative educational technologies to deliver education and training that would be helpful in building new research training capacity on social determinants of health, in low and middle-income countries. The capacity building approach adopted by the project, will reduce brain drain, is more climate friendly and also encourage gender equity within low and middle-income country-based training.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
E Spoel ◽  
K Accoe ◽  
S Heymans ◽  
P Verbeeren ◽  
X de Béthune

Abstract Background WHO and some other authors consider migration as a social determinant of health. MdM identifies it being composed of different factors such as living conditions, exposure to violence and access to healthcare. Methods We analysed a comparative quali-quantitative survey in 4 locations, in Niger, Morocco and Tunisia, based on questionnaires and focus groups, with basic statistical tests and a complementary qualitative analysis. Results 461 migrants were interviewed, 59% women, median age 28 year, 98.5% sub-Saharan African origin, 63% with no legal documents. 46% travelled for more than 6 months, 47% stayed in the country of interview more than 12 months, even if most of them wanted to go on. 83.8% faced violence during their life, 61% during migration. 58% of violence was psychological in nature, confiscation of money and/or documents, or violence by police or army. The types of violence’s vary according to gender and localization. Only 39% did not face barriers to access to healthcare. The 3 main barriers are financial, lack of understanding of the health system and discrimination. 50% of migrants considered their health status as medium, bad or very bad, what is insufficient for such a young population. Conclusions Some events are always part of migration: long duration, violence, barriers to access healthcare, with an overall negative impact on health. Recommendations: Authorities should address the structural factors of violence against migrants. The health needs of migrants should be taken into account in policies at all levels. Health services should always consider migrants’ needs: determinants of health, mental health, consequences of violence and difficult access to healthcare. Research needs: What are the specific social determinants of health in migration? Key messages The health status of migrants seems to get worse along the road. Some migration events should be considered as social determinants of health and addressed by health services.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 577-578
Author(s):  
Adrienne Aiken-Morgan ◽  
Dextiny McCain ◽  
Karon Phillips ◽  
Keith Whitfield

Abstract Research has shown the importance of social determinants of health in explaining racial/ethnic disparities in many health outcomes; however, less attention has been given to within-group differences in social determinants of health among low-income African American older adults. The Physical and Cognitive Health Pilot Study (n=50) was utilized to examine associations between level of neighborhood socioeconomic disadvantage and self-reported health in African American older adults living in public housing in Durham, NC and Annapolis, MD. Results from ANOVA showed that Durham participants living in more disadvantaged neighborhoods had statistically significantly worse cardiovascular health, higher depression symptoms, worse sleep quality, and higher alcohol use (p=.05) than Annapolis participants living in a more resource-rich neighborhood. These findings suggest that among low-income African American elders, greater neighborhood/state socioeconomic disadvantage is associated with worse health status. Future research should consider neighborhood context as an essential variable when assessing health status among aging African Americans.


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