scholarly journals Living in Roma Settlements in Greece: Self-Perceived Health Status, Chronic Diseases and Associated Social Determinants of Health

2021 ◽  
Vol 18 (16) ◽  
pp. 8403
Author(s):  
Ioanna Petraki ◽  
Natasa Kalpourtzi ◽  
Agapios Terzidis ◽  
Magda Gavana ◽  
Apostolos Vantarakis ◽  
...  
Keyword(s):  
Health Status ◽  
Social Determinants Of Health ◽  
Chronic Diseases ◽  
Social Determinants ◽  
Perceived Health ◽  
The Self ◽  
Determinants Of Health ◽  
Age Group ◽  
Perceived Health Status ◽  
Settlement Type

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.

Sleep quality mediates the relationship between work-family conflicts and the self-perceived health status among hospital nurses

2018 ◽  
Vol 27 (2) ◽  
pp. 381-387 ◽  
Author(s):  
Shun-Yi Cheng ◽  
Pi-Chu Lin ◽  
Yu-Kai Chang ◽  
Yen-Kuang Lin ◽  
Pi-Hsia Lee ◽  
...  
Keyword(s):  
Health Status ◽  
Sleep Quality ◽  
Perceived Health ◽  
The Self ◽  
Hospital Nurses ◽  
Perceived Health Status ◽  
Family Conflicts ◽  
Work Family ◽  
The Relationship

scholarly journals Social determinants of health and self-rated health status: A comparison between women with HIV and women without HIV from the general population in Canada

PLoS ONE ◽  
2019 ◽  
Vol 14 (3) ◽  
pp. e0213901 ◽  
Author(s):  
Mostafa Shokoohi ◽  
Greta R. Bauer ◽  
Angela Kaida ◽  
Ashley Lacombe-Duncan ◽  
Mina Kazemi ◽  
...  
Keyword(s):  
Health Status ◽  
General Population ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Self Rated Health ◽  
Women With Hiv

scholarly journals Pre-existing conditions in Latin America and factors associated with adverse outcomes of COVID-19: A review

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 ◽  
...  
Keyword(s):  
Health Status ◽  
Social Determinants Of Health ◽  
Latin American ◽  
Social Determinants ◽  
Adverse Outcomes ◽  
Determinants Of Health ◽  
Factors Associated ◽  
The Caribbean ◽  
The Impact ◽  
Latin American And Caribbean

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.

scholarly journals The Role of the Health Coach in a Global Pandemic

2021 ◽  
Vol 10 ◽  
pp. 216495612110394
Author(s):  
Meg A Jordan
Keyword(s):  
Public Health ◽  
Social Determinants Of Health ◽  
Chronic Diseases ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Cultural Competencies ◽  
Health Initiatives ◽  
Health Coaches ◽  
Professional Health ◽  
Public Health Initiatives

Background While medical teams were perplexed about the novel SARS-CoV-2 infection, transmission and impairment of organ systems and immune function, viral infections spread worldwide. Complex intersectional issues of co-morbidities coupled with marginalized, diverse ethnic/racial populations emerged as significant risks to contracting severe COVID-19. Objective Since a healthy lifestyle is fundamental for lowering risk to chronic diseases, public health initiatives to manage this and future pandemics should include strategies that assist individuals to improve health status through targeted behavior changes. This conceptual paper builds a case for certified professional health coaches as primary actors in future preventive strategies, with expanded skills in addressing social determinants of health and “next generational” cultural competencies. Methods This concept paper primarily synthesizes fast-tracked research in 2020 regarding the demographic impact of COVID-19, specifically those groups suffering the highest morbidity and mortality rates. Exploring these intersectional issues through a conceptual lens provides strategies for certified health coaches to contribute their expertise in behavioral change within the larger contextual settings of racial/ethnic disparities and social inequities. Results As the co-morbidities and other chronic conditions related to COVID-19 among individuals and families in low-income communities are worsened by dual forces (lifestyle/behavioral choices and ingrained structural inequities), adding the support of certified health coaches to build trust, provide more convenient access to address vaccine hesitancy, and dispell falsehoods, is an effective means for advancing health and wellbeing. Group coaching and one-on-one coaching can work in tandem with public health initiatives for reducing chronic disease burden and addressing social determinants of health (SDoH). Skills are identified in coaching SDoH with expanded cultural competencies for health coaches. Conclusion Certified professional health coaches can make a positive impact on general risk reduction of chronic diseases within ethnic/racial minorities, thereby supporting population health in facing future contagions with greater health resilience.

Epidemiological Transition and Population Health: Understanding Social Determinants of Health in China

2016 ◽  
Vol 26 (3) ◽  
pp. 223-246
Author(s):  
Soma Hewa ◽  
Bo Liu
Keyword(s):  
Health Promotion ◽  
Social Determinants Of Health ◽  
Chronic Diseases ◽  
Population Health ◽  
Social Determinants ◽  
Social Epidemiology ◽  
Determinants Of Health ◽  
Effective Population ◽  
Future Health ◽  
Mortality And Morbidity

This article has twin objectives: First, the article briefly examines major theoretical interpretations of disease causations in Western medicine, their limitations in understanding social epidemiology, and the gradual development of the population health approach to health promotion and disease prevention in the context of chronic diseases in Western industrialized societies. Second, the article examines the current epidemiological trends in China and the relevance of population health perspectives and strategies to promote health. While analyzing some recent findings on social determinants of health in China, the article argues that effective population health strategies for health promotion must be based on a social epidemiology that provides information necessary to promote health. Although infectious diseases still make a significant contribution to China’s mortality and morbidity figures, the incidence of chronic diseases such as malignancies, heart disease, respiratory disease, and cerebrovascular disease is steadily increasing. Finally, in view of the current epidemiological trend, and the need to tackle the multiple health challenges, this discursive analysis proposes a number of key research areas within the broader context of social epidemiology that may facilitate future health policies in China.

scholarly journals Self-Assessment of Cultural Competence and Social Determinants of Health within a First-Year Required Pharmacy Course

Pharmacy ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 6
Author(s):  
Ulyana Kucherepa ◽  
Mary Beth O’Connell
Keyword(s):  
Cultural Competence ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
The Self ◽  
Determinants Of Health ◽  
First Year ◽  
Healthcare Education ◽  
Self Assessment ◽  
Likert Scales ◽  
Before And After

As social determinants of health (SDOH) and health disparities are integrated with cultural competence in healthcare education, tools assessing multiple topics are needed. The Self-Assessment of Perceived Level of Cultural Competence (SAPLCC) survey is validated in student pharmacists and includes SDOH. The research objective was to determine if the SAPLCC survey can quantify cultural competence and SDOH course learning. First-year student pharmacists (N = 87) completed the SAPLCC survey anonymously before and after a social and administrative sciences course. The survey had 75 items with 1–4 Likert scales (4 high, total 300 points). All items were summed for the total score. Each item was assigned to a domain and factor. Factors were assigned to domains. The baseline total score was 190 ± 29 points, increasing by 63 ± 33 points post-course. All domains (i.e., knowledge, skills, attitudes, encounters, abilities, awareness), 13 of 14 factors, and total scores statistically increased. The SAPLCC tool captured student pharmacists’ self-reported changes in cultural competence and SDOH.

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