Queering Environmental Justice: Unequal Environmental Health Burden on the LGBTQ+ Community

2022 ◽  
Vol 112 (1) ◽  
pp. 79-87
Author(s):  
Leo Goldsmith ◽  
Michelle L. Bell
Keyword(s):  
Public Health ◽  
Social Determinants Of Health ◽  
Environmental Exposure ◽  
Social Determinants ◽  
Access To Health Care ◽  
Social Institutions ◽  
Environmental Exposures ◽  
Determinants Of Health ◽  
Environmental Harm ◽  
Public Health Officials

The LGBTQ+ (lesbian, gay, bisexual, transgender/-sexual, queer or questioning, intersex, asexual, and all subsects) population has been the target of federal and state discriminatory policies leading to high levels of institutional discrimination in the housing, employment, and health sectors. Social determinants of health such as housing conditions, economic opportunities, and access to health care may negatively and disproportionately affect the LGBTQ+ population and reduce their capacity to respond to environmental harm (e.g., obtaining necessary medical care). Social determinants of health have been shown to be associated with unequal harmful environmental exposure, primarily along lines of race/ethnicity and socioeconomic status. However, chronic diseases, such as respiratory diseases, cardiovascular disease, and cancer, associated with environmental exposure have been shown to occur in higher rates in the LGBTQ+ population than in the cisgender, heterosexual population. We explore how environmental exposures may disproportionately affect the LGBTQ+ population through examples of environmental exposures, health risks that have been linked to environmental exposures, and social institutions that could affect resilience to environmental stressors for this population. We provide recommendations for policymakers, public health officials, and researchers. (Am J Public Health. 2022;112(1):79–87. https://doi.org/10.2105/AJPH.2021.306406 )

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.

scholarly journals Public Health capacities for action on the social determinants of health in Europe

2013 ◽  
Vol 23 (suppl_1) ◽  
Author(s):  
S van den Broucke ◽  
C Aluttis ◽  
K Michelsen ◽  
H Brand ◽  
C Chiotan ◽  
...  
Keyword(s):  
Public Health ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
The Social

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 Aiming for Health Equity: The role of Public Health Policy and Primary Healthcare Comment on "Universal Health Coverage for Non-Communicable Diseases and Health Equity: Lessons From Australian Primary Healthcare"

2021 ◽  
Author(s):  
Bo Burström
Keyword(s):  
Public Health ◽  
Social Determinants Of Health ◽  
Healthcare System ◽  
Health Equity ◽  
Social Determinants ◽  
Primary Healthcare ◽  
Communicable Diseases ◽  
Determinants Of Health ◽  
Non Communicable Diseases

This commentary refers to the article by Fisher et al on lessons from Australian primary healthcare (PHC), which highlights the role of PHC to reduce non-communicable diseases (NCDs) and promote health equity. This commentary discusses important elements and features when aiming for health equity, including going beyond the healthcare system and focusing on the social determinants of health in public health policies, in PHC and in the healthcare system as a whole, to reduce NCDs. A wider biopsychosocial view on health is needed, recognizing the importance of social determinants of health, and inequalities in health. Public funding and universal access to care are important prerequisites, but regulation is needed to ensure equitable access in practice. An example of a PHC reform in Sweden indicates that introducing market solutions in a publicly funded PHC system may not benefit those with greater needs and may reduce the impact of PHC on population health.

scholarly journals Addressing Social Needs in Health Care Settings: Evidence, Challenges, and Opportunities for Public Health

2020 ◽  
Vol 42 (1) ◽  
Author(s):  
Matthew W. Kreuter ◽  
Tess Thompson ◽  
Amy McQueen ◽  
Rachel Garg
Keyword(s):  
Public Health ◽  
Health Care ◽  
Social Determinants Of Health ◽  
Social Services ◽  
Social Determinants ◽  
Safety Net ◽  
Social Needs ◽  
Determinants Of Health ◽  
Health Improvement ◽  
Health Care Settings

There has been an explosion of interest in addressing social needs in health care settings. Some efforts, such as screening patients for social needs and connecting them to needed social services, are already in widespread practice. These and other major investments from the health care sector hint at the potential for new multisector collaborations to address social determinants of health and individual social needs. This article discusses the rapidly growing body of research describing the links between social needs and health and the impact of social needs interventions on health improvement, utilization, and costs. We also identify gaps in the knowledge base and implementation challenges to be overcome. We conclude that complementary partnerships among the health care, public health, and social services sectors can build on current momentum to strengthen social safety net policies, modernize social services, and reshape resource allocation to address social determinants of health. Expected final online publication date for the Annual Review of Public Health, Volume 42 is April 2021. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

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