scholarly journals Planned Relocation and Health: A Case Study from Fiji

2021 ◽  
Vol 18 (8) ◽  
pp. 4355
Author(s):  
Celia McMichael ◽  
Teresia Powell
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Good Health ◽  
Determinants Of Health ◽  
Mental Wellbeing ◽  
Group Discussions ◽  
Housing Design ◽  
Context Specific ◽  
Climatic And Environmental Change ◽  
Depth Interviews

In Fiji, low-lying coastal villages are beginning to retreat and relocate in response to coastal erosion, flooding and saltwater intrusion. Planned relocation is considered a last resort as a form of adaptation to the impacts of climatic and environmental change. The health impacts of planned relocation are poorly understood. This paper draws on data from multi-year research with residents of the iTaukei (Indigenous) Fijian village of Vunidogoloa. We used qualitative research methods to examine experiences of planned relocation, including residents’ accounts of their health and quality of life. In-depth interviews and group discussions were conducted with villagers living in a site of relocation, at four points in time (2015, 2016, 2019, and 2020). Twenty-seven people in Vunidogoloa, Fiji, participated in in-depth interviews, several on more than one occasion. Six group discussions with between eight to twelve participants were also conducted. Qualitative analytic software (NVivo) was used to analyse interview transcripts and identify themes. Villagers report both health benefits and challenges following planned relocation. Key facilitators for good health include movement away from some environmental risks to health, adequate drinking water and sanitation, food security including through farms and kitchen gardens, livelihood opportunities, improved access to schools and health services, and appropriate housing design. However, residents also refer to unanticipated risks to health including increased consumption of packaged goods and alcohol, disruptions to social structures and traditional values, and disrupted place attachment following movement away from a coastal site of belonging with consequences for mental wellbeing. Therefore, planned relocation has altered the social determinants of health in complex ways, bringing both health opportunities and risks. These results highlight the need for context-specific planning and adaptation programs that include meaningful involvement of community members in ongoing decision making, and call for an understanding of diverse social determinants of health that emerge and evolve in contexts of planned relocation.

scholarly journals Research Capacity Strengthening in American Samoa: Fa’avaeina le Fa’atelega o le Tomai Sa’ili’ili i Amerika Samoa

2019 ◽  
Vol 50 (2) ◽  
pp. 525-547
Author(s):  
Va’atausili Tofaeono ◽  
Lana Sue I Ka’opua ◽  
Angela Sy ◽  
Tyran Terada ◽  
Rachelann Taliloa-Vai Purcell ◽  
...  
Keyword(s):  
Social Determinants Of Health ◽  
Health Equity ◽  
Social Determinants ◽  
Formative Evaluation ◽  
Research Capacity ◽  
American Samoa ◽  
Determinants Of Health ◽  
Capacity Strengthening ◽  
Research Capacity Strengthening ◽  
Context Specific

Abstract Capacity-building partnerships are central to the sustainable development goals (SDGs), the UN’s blueprint for achieving global health equity. The UN Permanent Forum on Indigenous Issues endorses the SDG and underscores the need for global partnerships that respect local leadership and culture. Innovations that weave or integrate Indigenous and Western knowledges are emphasised. These recommendations guided the INdigenous Samoan Partnership to Initiate Research Excellence (INSPIRE). INSPIRE is led by investigators from American Samoa and supported by US co-investigators. In project year one, INSPIRE queried: What weaving approaches are feasible for promoting community access to INSPIRE’s research hub and for training Indigenous researchers? Weaving procedures involved interlacing Samoan and Western knowledges. Cultural tailoring strategies were used to customise communications. Formative evaluation suggests the feasibility of INSPIRE’s efforts. Evidential tailoring provided information on American Samoa (A.S.) social determinants of health; trainees indicated increased research commitment. Linguistic and sociocultural relevance tailoring were positively received; trainees reported increased interest in research praxis and initiated an A.S. research capacity-strengthening model. Social work assured knowledge parity in development/delivery of the training curriculum and culturally safe discussions on social determinants of health, territorial status and Samoan survivance. Findings are context-specific yet offer considerations for capacity-strengthening partnerships seeking to advance health equity.

US college students’ perceptions of social determinants of health, health equity and racial health disparities

2020 ◽  
Vol 79 (6) ◽  
pp. 700-711
Author(s):  
Rebecca Rich ◽  
Angelia Paschal
Keyword(s):  
College Students ◽  
Health Disparities ◽  
Social Determinants Of Health ◽  
Health Equity ◽  
Social Determinants ◽  
Good Health ◽  
Determinants Of Health ◽  
Racial Health Disparities ◽  
Cross Sectional ◽  
Convenience Sample

Objective: Healthy equity (HE) implies the highest possible standard of health for all people while giving special attention to the needs of those at greatest risk of poor health, based on social conditions. The social determinants of health (SDH) are conditions within the environment in which people live that shape their opportunity to attain good health. Despite efforts to promote HE and address SDH, there is limited research on college students’ perceptions of these concepts. The purpose of this study was to understand college students’ perceptions, awareness and education on HE and SDH with a specific focus on racial health disparities. Methods: A 28-item questionnaire was distributed electronically to a cross-sectional, campus-wide convenience sample of undergraduates at a large public university in the southeast USA. Results: While many students reported having knowledge or understanding about HE, SDH and related concepts, most had negative attitudes and beliefs about them. Students reported good understanding of these terms, but also believed that health disparities were due to individual behaviours. Conclusion: The contradiction in results show that while college students may think they have a good understanding of HE and SDH, their education on the topics could be improved. Study findings should encourage health education specialists to shift their focus from merely providing information to promoting the application of that knowledge. By so doing, students may be able to bridge the gap between understanding health equity and applying their knowledge in everyday life.

Addressing Social Determinants of Health through Community-Based Participatory Research: The East Side Village Health Worker Partnership

2002 ◽  
Vol 29 (3) ◽  
pp. 326-341 ◽  
Author(s):  
Amy J. Schulz ◽  
Edith A. Parker ◽  
Barbara A. Israel ◽  
Alex Allen ◽  
Maggie Decarlo ◽  
...  
Keyword(s):  
Social Determinants Of Health ◽  
Health Worker ◽  
Social Determinants ◽  
Process Model ◽  
Determinants Of Health ◽  
Stress Process ◽  
East Side ◽  
Stress Process Model ◽  
Context Specific ◽  
Village Health

The authors describe the use of a stress process model by the East Side Village Health Worker Partnership (ESVHWP), a project of the Detroit Community-Academic Urban Research Center, as a framework for understanding social determinants of health. Specifically, the authors describe the development by the ESVHWP Steering Committee of a context-specific stress process model for east side Detroit residents. The authors examine data from in-depth interviews to illuminate actions taken by community members to reduce stressors or minimize their impact on health. Finally, the authors describe the use of this context-specific stress process model and data gathered regarding actions to address community stressors to inform the development of interventions by the ESVHWP to reduce stressors or strengthen the conditioning factors that reduce the impact of stress on health. On the basis of these results, the authors discuss opportunities and challenges for partnership approaches to addressing social determinants of health in urban communities.

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.

648-P: Do Social Determinants of Health (SDoH) Influence Participant Outcomes of Those Enrolled in the Diabetes Prevention Program, Montana 2015-2018?

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 648-P
Author(s):  
DOROTA CARPENEDO ◽  
SONJA TYSK ◽  
MELISSA HOUSE ◽  
JESSIE FERNANDES ◽  
MARCI K. BUTCHER ◽  
...  
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Prevention Program ◽  
Diabetes Prevention ◽  
Diabetes Prevention Program ◽  
Determinants Of Health ◽  
Participant Outcomes
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