scholarly journals Towards the Development of an Intervention to Address Social Determinants of Non-Communicable Disease in Kerala, India: A Mixed Methods Study

2020 ◽  
Vol 17 (22) ◽  
pp. 8636
Author(s):  
Martin Webber ◽  
Jacques Joubert ◽  
Meredith Fendt-Newlin ◽  
Saju Madavanakadu Devassy ◽  
Lorane Scaria ◽  
...  
Keyword(s):  
Risk Factors ◽  
Mixed Methods ◽  
Social Determinants ◽  
Communicable Disease ◽  
Qualitative Interviews ◽  
Theory Of Change ◽  
Social Risk ◽  
Social Risk Factors ◽  
Social Risks ◽  
Holistic Understanding

In India, cardiovascular disease (CVD), with hypertension as its foremost risk factor, has the highest prevalence rate of non-communicable diseases (NCDs) and a rising mortality. Previous research has found a clustering of behavioural and social risks pertaining to NCDs, though the latter are infrequently addressed in public health interventions in India. This paper reaches toward the development of a social intervention to address social determinants of NCD relating to hypertension and diabetes. We used Theory of Change (ToC) as a theoretical approach to programme design. Mixed methods were used, including qualitative interviews with community members (n = 20), Accredited Social Health Activists (n = 6) and health professionals (n = 8), and a stakeholder workshop (n = 5 participants). The recruitment of participants from one local area in Kerala enabled us to map service provision and gain a holistic understanding of how to utilise the existing workforce to target social risk factors. The findings suggest that social interventions need to focus on ensuring health behaviour information reaches all parts of the community, and that those with more social risk factors are identified and supported to engage with treatment. Further research is required to test the resulting intervention model.

THE CONCEPT OF RISK FACTORS FOR THE HEALTH OF THE POPULATION

2016 ◽  
Vol 1 (62) ◽  
pp. 101-109 ◽  
Author(s):  
Ксения Сабирова ◽  
Kseniya Sabirova ◽  
Наталья Шитер ◽  
Natalya Shiter ◽  
Дмитрий Жигаев ◽  
...  
Keyword(s):  
Risk Factors ◽  
Human Health ◽  
Population Health ◽  
Social Factors ◽  
Social Risk ◽  
Social Risk Factors ◽  
Factors Affecting ◽  
Social Risks ◽  
Public Consciousness ◽  
Poor Nutrition

А systematic view on the concept of risk types of human health is presented; the main directions of the analysis of the influence of social factors on individual and population health are described. A number of approaches to the classification of risk factors take into account the form of exposure, the risk from exposure to environmental factors and social risk factors and their influence on an individual. There are five areas of analysis of the influence of social factors on individual and population health: essential-oriented; structured; detail-oriented; empirically-oriented; specially-oriented. Groups of risk factors affecting health equally relevant to men and women were distinguished: the first group was made based on socio-economic factors (low level of education; uncomfortable household; poor nutrition depending on material welfare and social status of the population (67% of the population); the second group of factors was formed according to the lifestyle (smoking, alcohol consumption, low physical activity, lack of prevention of the basic diseases (91% of the population); the third group included medical-biological factors (people older than 50, chronic diseases being a background of deteriorating health and the reason for new diseases development (52% of the population). The methods of management of social risks to human health which are the methods of influence on the person as an individual and on society and public consciousness in general are presented. Identification of risk factors for human health determines the direction of operation of health institutions in taking treatment, rehabilitation, preventive and anti-epidemic measures.

scholarly journals Social Risk Assessment and Management for Major Construction Projects in China Based on Fuzzy Integrated Analysis

Complexity ◽  
2019 ◽  
Vol 2019 ◽  
pp. 1-17 ◽  
Author(s):  
Junxia Miao ◽  
Dechun Huang ◽  
Zhengqi He
Keyword(s):  
Risk Factors ◽  
Construction Projects ◽  
Risk Level ◽  
Integrated Analysis ◽  
Social Risk ◽  
Social Risk Factors ◽  
Social Risks ◽  
The Social ◽  
Critical Social ◽  
Overall Risk

With the vigorous development of major engineering projects in China, the social risks associated with major construction projects not only challenge the success of projects but also threaten social harmony and stability. Therefore, it is of great practical significance to assess and manage social risks. This paper aims to identify and evaluate the social risk factors by conducting a survey and assess the overall risk level of major construction projects (MCPs) with fuzzy integrated approach. First, 35 social risk factors and related stakeholders were identified based on literature analysis and case study. Then, 18 critical social risk factors (CSRFs) were selected and classified into six groups (CSRGs) based on a questionnaire survey. Next, using fuzzy integrated method, the probability of occurrence (PO), magnitude of impact (MI), the integrated risk level (IRL) of each CSRF and CSRG, and the overall risk of MCPs were calculated. As a result, “unfair compensation for housing demolition and land requisition” was the most critical social risk factor, and “policy/legal risk” was the most critical social risk group. The overall risk of MCPs was between moderate and high. At last, a social risk synthetic management framework was established, which can provide reference for policymakers and project decision makers to effectively manage the social risks.

scholarly journals Social factors associated with chronic non-communicable disease and comorbidity with mental health problems in India: a scoping review

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e035590 ◽  
Author(s):  
Saju Madavanakadu Devassy ◽  
Anuja Maria Benny ◽  
Lorane Scaria ◽  
Anjana Nannatt ◽  
Meredith Fendt-Newlin ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Scoping Review ◽  
Mental Health Problems ◽  
Communicable Disease ◽  
Health Problems ◽  
Social Risk ◽  
Depression And Anxiety ◽  
Social Risk Factors ◽  
Factors Associated

ObjectivesThe purpose of this study is to examine the existing literature of the major social risk factors which are associated with diabetes, hypertension and the comorbid conditions of depression and anxiety in India.DesignScoping review.Data sourcesScopus, Embase, CINAHL Plus, PsycINFO, Web of Science and MEDLINE were searched for through September 2019.Eligibility criteria for selecting studiesStudies reporting data on social risk factors for diabetes or hypertension and depression or anxiety in community-based samples of adults from India, published in English in the 10 years to 2019, were included. Studies that did not disaggregate pooled data from other countries were excluded.Data extraction and synthesisTwo independent reviewers extracted study aims; methods; sample size and description; demographic, social and behavioural risk factors and a summary of findings from each paper. Risk factors were synthesised into six emergent themes.ResultsTen studies were considered eligible and included in this review. Nine presented cross-sectional data and one was a qualitative case study. Six themes emerged, that is, demographic factors, economic aspects, social networks, life events, health barriers and health risk behaviours.ConclusionsLiterature relating to the major social risk factors associated with diabetes, hypertension and comorbid depression and anxiety in India is sparse. More research is required to better understand the interactions of social context and social risk factors with non-communicable diseases and comorbid mental health problems so as to better inform management of these in the Indian subcontinent.

scholarly journals Implementing screening for social determinants of health using the Core 5 screening tool

2021 ◽  
Vol 10 (3) ◽  
pp. e001362
Author(s):  
Alison Bradywood ◽  
Treasa "Susie" Leming-Lee ◽  
Richard Watters ◽  
Craig Blackmore
Keyword(s):  
Risk Factors ◽  
Health Outcomes ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Screening Tool ◽  
Social Needs ◽  
Social Risk ◽  
Social Risk Factors ◽  
Risk Screening ◽  
The Core

Social determinants of health (SDOH) have been documented to underpin 80% of overall health and are being increasingly recognised as key factors in addressing tertiary health outcomes. Yet, despite the widespread acceptance of the association of SDOH with health outcomes, more than two-thirds of hospitals do not screen for social risk factors that indicate individual-level adverse SDOH. Such screening for social risk factors represents the first step in connecting patients with resources and documents the prevalence of social needs. The aim of this project was to implement the Core 5 social risk screening tool and evaluate its efficacy and usability in identifying social risk factors in a presurgical spine population. Prior to this implementation, screening for social risk had not been performed. The Model for Improvement provided a framework for implementing and evaluating the Core 5 social risk screening tool. Methods included implementation of a patient self-report social risk screening tool, referral workflow to connect patients with needed resources and evaluation of staff feasibility in using the Core 5 tool. The results indicated that the screening tool identified patients with social risk factors and staff reported perceptions of efficacy and usability in clinical workflow. Overall, 52 of 88 (59%) of subjects in the presurgical spine population were effectively screened. Of these, five patients (10%) had identified social needs that needed to be addressed prior to surgery. The staff usability survey for the Core 5 tool demonstrated high acceptance and usability, with an average score of 4.4 (out of 5). Future work should evaluate the efficacy of the screening tool in other ambulatory and tertiary settings.

An Approach to Selecting Single or Multiple Social Risk Factors for Clinic-Based Screening

2021 ◽  
Author(s):  
John F. Steiner ◽  
Glenn K. Goodrich ◽  
Kelly R. Moore ◽  
Spero M. Manson ◽  
Laura M. Gottlieb ◽  
...  
Keyword(s):  
Risk Factors ◽  
Social Risk ◽  
Social Risk Factors

СОСТОЯНИЕ ПРОБЛЕМЫ НАРКОЛОГИЧЕСКИХ РАССТРОЙСТВ В КУРСКОЙ ОБЛАСТИ И СОПРЕДЕЛЬНЫХ ТЕРРИТОРИЯХ В 2014-2019 ГОДАХ

Innova ◽  
2021 ◽  
Vol 22 (1) ◽  
pp. 33-38
Author(s):  
Владимир Игоревич Тимошилов ◽  
◽  
Альберт Генрихович Ластовецкий
Keyword(s):  
Risk Factors ◽  
Drug Addiction ◽  
Epidemiological Data ◽  
Drug Prevention ◽  
Social Risk ◽  
Social Risk Factors ◽  
Social Instability ◽  
Lower Incidence Rate ◽  
Kursk Region ◽  
Active Substances

Period 2014-2019 characterized by a certain increase in social instability in Russia, which led to an increase of social risk factors for drug addiction. In the Kursk region, at the same time, there have been changes in the regulation of anti-drug prevention, a large number of specialists have been trained, and a movement of competent volunteers has developed. In this regard, the epidemiological data for 2014-2019 are of particular interest. For the period from 2005 to 2019 the primary incidence of alcohol use disorders in Russia decreased from 147.4 to 48.3, in the Kursk region – from 106 to 53.5 cases per 100 000 population per year. Of the adjacent regions in 2019, a lower incidence rate than in the Kursk region was noted only in the Belgorod region – 39.4 cases per 100,000 population. Primary incidence of disorders associated with the use of narcotic active substances, during 2014-2019 in Russia as a whole decreased from 15 to 9.8, in the Kursk region – from 11.3 to 4 new cases per 100 000 inhabitants per year. In 2019, the detection rate of primary incidence of drug addiction and substance abuse was significantly higher than in the Kursk region in Bryansk and Lipetsk. Despite favorable trends, it was noted that the coronavirus pandemic and the restrictions introduced to combat it can have a significant impact on the risk factors for drug addiction, which requires the adaptation of preventive programs to new conditions.

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