scholarly journals Frailty in older adults and their association with social determinants of Health. The SABE Colombia Study

2019 ◽  
pp. 89-101 ◽  
Author(s):  
José M Ocampo Chaparro ◽  
Carlos A Reyes Ortiz ◽  
Ximena Castro Flórez ◽  
Fernando Gómez
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Determinants Of Health ◽  
Cross Sectional ◽  
Childhood Health ◽  
The Social ◽  
Urban And Rural Areas ◽  
The Relationship

Objective: To estimate the prevalence of frailty and evaluate the relationship with the social determinants of health in elderly residents in urban and rural areas of Colombia. Methods: The SABE (Health, Wellbeing, and Aging) Colombia project is a cross-sectional study, carried out in 2014-2015, involving 24,553 men and women aged 60 years and older who live in the community in Colombia. For this analysis, we used data from 4,474 participants included as a subsample with grip strength measurements. The frailty syndrome was diagnosed according to the Fried criteria (weakness, low speed, low physical activity, exhaustion, and weight loss). The independent variables were grouped as (a) biological and genetic flow, (b) lifestyle (adverse conditions in childhood) (c) social networks and community, and (d) socio-economic, cultural and environmental conditions. Multiple logistic and linear regression analyses were used to assess the prognostic value of frailty for the outcomes of interest. Results: The prevalence of frailty was 17.9%. The factors significantly associated with frailty were older age, being women, living in rural areas, having low education, a greater number of medical conditions, insufficient current income, childhood health problems and a poor economic situation in childhood. Conclusions: Our results support the need to include frailty prevention programs, to improve the socioeconomic health conditions of infants to avoid future development of frailty.

scholarly journals Social determinants of health related to adhesion to mammography screening

2018 ◽  
Vol 71 (1) ◽  
pp. 97-103 ◽  
Author(s):  
Camila Brasil Moreira ◽  
Ana Fátima Carvalho Fernandes ◽  
Régia Christina Moura Barbosa Castro ◽  
Rosy Denyse Pinheiro de Oliveira ◽  
Ana Karina Bezerra Pinheiro
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Health Belief ◽  
Cross Sectional Study ◽  
Determinants Of Health ◽  
Cross Sectional ◽  
The Social ◽  
Health Related ◽  
Health Model ◽  
Belief Model

ABSTRACT Objective: To identify proximal, intermediary and individual social determinants related to mammography adherence, according to the Social Determinants of Health model proposed by Dahlgren and Whitehead. Method: Correlational cross-sectional study, carried out with a sociodemographic and clinical data questionnaire and the Champion's Health Belief Model Scale, translated and adapted for use in Brazil. Data analyzed by multiple linear regression, from the domains scale, and sociodemographic and clinical variables were used as predictors. Results: The age group of 60-64 years (55.0%) was highlighted, 22 (55.0%) women had a stable partner; and 14 (65.0%) completed higher education. The domain with the greatest influence on adhesion to mammography was perceived barriers. Conclusion: The social determinants of health are directly related to the levels of adherence to the exam among women, as well as the perceived benefits, susceptibilities and barriers.

scholarly journals Developing a critical realist informed framework to explain how the human rights and social determinants of health relationship works

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Fiona Haigh ◽  
Lynn Kemp ◽  
Patricia Bazeley ◽  
Neil Haigh
Keyword(s):  
Human Rights ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Critical Realism ◽  
Determinants Of Health ◽  
Construction Of Knowledge ◽  
Critical Realist ◽  
Significant Relationships ◽  
The Social ◽  
The Relationship

Abstract Background That there is a relationship between human rights and health is well established and frequently discussed. However, actions intended to take account of the relationship between human rights and social determinants of health have often been limited by lack of clarity and ambiguity concerning how these rights and determinants may interact and affect each other. It is difficult to know what to do when you do not understand how things work. As our own understanding of this consideration is founded on perspectives provided by the critical realist paradigm, we present an account of and commentary on our application of these perspectives in an investigation of this relationship. Findings We define the concept of paradigm and review critical realism and related implications for construction of knowledge concerning this relationship. Those implications include the need to theorise possible entities involved in the relationship together with their distinctive properties and consequential power to affect one another through exercise of their respective mechanisms (ways of working). This theorising work enabled us identify a complex, multi-layered assembly of entities involved in the relationship and some of the array of causal mechanisms that may be in play. These are presented in a summary framework. Conclusion Researchers’ views about the nature of knowledge and its construction inevitably influence their research aims, approaches and outcomes. We demonstrate that by attending to these views, which are founded in their paradigm positioning, researchers can make more progress in understanding the relationship between human rights and the social determinants of health, in particular when engaged in theorizing work. The same approaches could be drawn on when other significant relationships in health environments are investigated.

scholarly journals Collection of social determinants of health in the community clinic setting: a cross-sectional study

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Sheila V. Kusnoor ◽  
Taneya Y. Koonce ◽  
Suzanne T. Hurley ◽  
Kalonji M. McClellan ◽  
Mallory N. Blasingame ◽  
...  
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Cross Sectional Study ◽  
Determinants Of Health ◽  
Sectional Study ◽  
Cross Sectional ◽  
Community Clinic ◽  
Clinic Setting

scholarly journals Quality of life of men with AIDS and the model of social determinants of health

2015 ◽  
Vol 23 (2) ◽  
pp. 183-191 ◽  
Author(s):  
Gilmara Holanda da Cunha ◽  
Maria Luciana Teles Fiuza ◽  
Elucir Gir ◽  
Priscila de Souza Aquino ◽  
Ana Karina Bezerra Pinheiro ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Cross Sectional Study ◽  
Determinants Of Health ◽  
University Hospital ◽  
Cross Sectional ◽  
Institutional Review ◽  
One Year

OBJECTIVE: to analyze the quality of life (QoL) of men with AIDS from the perspective of the model of social determinants of health (MSDH). METHOD: cross-sectional study conducted in an outpatient infectious diseases clinic from a Brazilian university hospital over the course of one year with a sample of 138 patients. A form based on the MSDH was used to collect sociodemographic data addressing individual, proximal, intermediate determinants and the influence of social networks together with an instrument used to assess the QoL of people with HIV/AIDS. The project was approved by the Institutional Review Board (Protocol No. 040.06.12). RESULTS: according to MSDH, most men with AIDS were between 30 and 49 years old (68.1%), mixed race (59.4%), heterosexual (46.4%), single (64.5%), Catholic (68.8%), had a bachelor's degree (39.2%), had no children (61.6%), and had a formal job (71.0%). The perception of QoL in the physical, level of independence, environment, and spirituality domains was intermediate, while QoL was perceived to be superior in the domains of psychological and social relationship. A perception of lower QoL was presented by homosexual (p=0.037) and married men (p=0.077), and those with income below one times the minimum wage (p=0.042). A perception of greater QoL was presented by those without a religion (p=0.005), living with a partner (p=0.049), and those who had a formal job (p=0.045). CONCLUSION: social determinants influence the QoL of men with AIDS.

scholarly journals Relevance of Gender and Social Support in Self-Rated Health and Life Satisfaction in Elderly Spanish People

2019 ◽  
Vol 16 (15) ◽  
pp. 2725 ◽  
Author(s):  
M. Pilar Matud ◽  
M. Concepción García ◽  
Demelza Fortes
Keyword(s):  
Social Support ◽  
Life Satisfaction ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Determinants Of Health ◽  
High Educational Level ◽  
Cross Sectional ◽  
Self Rated Health

Background: Gender and social support are important social determinants of health, but the relevance of such variables in older people’s health has raised less scholarly attention than in younger age groups. This study examines the relevance of gender and social support in the self-rated health and life satisfaction of elderly Spanish people. A cross-sectional study with a sample of 702 men and 754 women aged between 60 and 94 years was conducted. All participants were evaluated through questionnaires that assess gender role traits, social support, and life satisfaction. Results: Men scored higher than women in masculine/instrumental trait and in life satisfaction whereas women scored higher than men in feminine/expressive trait. Results from multiple regression analyses indicated that women and men presenting higher social support had better self-rated health and higher life satisfaction. High scores in masculine/instrumental trait also proved to be an important predictor of men’s and women’s high life satisfaction and of women’s better self-rated health, whereas the high feminine/expressive trait predicted better self-rated health in the men group. A high educational level was associated in the women’s group with better self-rated health and higher life satisfaction. Conclusions: We conclude that gender and social support are important social determinants of health among older people.

scholarly journals Social determinants of health and vulnerabilities to sexually transmitted infections in adolescents

2019 ◽  
Vol 72 (6) ◽  
pp. 1595-1601
Author(s):  
Maria Isabelly Fernandes da Costa ◽  
Tamires Rebeca Forte Viana ◽  
Patrícia Neyva da Costa Pinheiro ◽  
Maria Vera Lúcia Moreira Leitão Cardoso ◽  
Lorena Pinheiro Barbosa ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Home Ownership ◽  
Cross Sectional Study ◽  
Social Determinant ◽  
Determinants Of Health ◽  
Cross Sectional ◽  
Significance Level ◽  
Sexually Transmitted

ABSTRACT Objective: To verify the association between social determinants of health and the vulnerability of adolescents to Sexually Transmitted Infections (STIs). Method: Cross-sectional study, performed with 287 students aged 11 to 17 years, in the outskirts of Fortaleza, Ceará, Brazil, from August do September 2016. Two instruments were used, one destined to social determinants of health and another to investigating the vulnerability to STIs. The magnitude of associations was expressed through odds ratio and interval of confidence, considering a 5% significance level. This research was approved by the Research Ethics Committee of the Federal University of Ceará. Results: 212 (73.9%) adolescents were considered more vulnerable, with a score ≥ 4. The intermediate social determinant “housing (home ownership)” obtained significant association with with the vulnerability to STIs (p of 0.022; CI 1.1 to 3.3; OR 1.9). Conclusion: The intermediate social determinant “type of housing” influences the vulnerability to STAs.

scholarly journals What competencies do environmental health graduates need to manage social determinants of health?

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Athar Omid ◽  
Fateme Sepyani ◽  
Nikoo Yamani ◽  
Hamidreza Pourzamani ◽  
Pejman Aghdak
Keyword(s):  
Environmental Health ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Delphi Technique ◽  
Expert Knowledge ◽  
Cross Sectional Study ◽  
Determinants Of Health ◽  
Cross Sectional ◽  
The Third ◽  
Knowledge Reasoning

Abstract Background Graduates of environmental health engineering should be able to manage Social Determinants of Health (SDH) and acquire the essential competencies during their studies at university. This study was performed to determine the expected competencies of environmental health graduates in a way to be able to manage environmental and Social Determinants of Health according to their job description. Methods This descriptive cross-sectional study was performed using Delphi technique. First, the literature review was done and the Delphi technique was performed in three rounds. The purposeful sampling was used and 50 people were selected among the specialists in the field of environmental health engineering and SDH. Participants answered an open-ended question, for the first round. Then, a questionnaire with 8 areas was designed based on the results of the first round and distributed for the second round. Data analysis was performed using descriptive statistics. The third round was done to reach the agreement on final items. Results The agreement on the items of the third round of Delphi was more than 70%. The final results showed eight competency areas under which 29 competencies were defined. Competency areas included expert knowledge, reasoning and planning, advocacy, system-based practice, professionalism, instructional expertise, social and personal skills and, research and self-development. The first three priorities of the required competency areas were expert knowledge (4.46 ± 0.55), professionalism (4.42 ± 0.64), and advocacy (4.32 ± 0.77). Conclusions It is necessary that environmental health engineers achieve necessary competencies regarding managing SDH, upon their graduation. It is suggested to integrate these competencies into the curriculum of environmental and health engineering in Iran universities.

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