The Determinants of Health

Author(s):  
Molly Jacobs ◽  
Fatima Jebahi ◽  
Charles Ellis

The determinants of health have received substantial attention in the medical literature as recent evidence has shown that they play in vital role in general health and health-related outcomes. Despite the advancing literature, the field of communication sciences and disorders (CSD) has been slow in the both the consideration of the determinants of health as well as the measurement of commonly known determinants believed to influence clinical outcomes. The goal of this chapter is to explore the determinants of health and potential relationship to the study of communication disorders and the outcomes being measured.

Author(s):  
Charles Ellis ◽  
Molly Jacobs

Health disparities have once again moved to the forefront of America's consciousness with the recent significant observation of dramatically higher death rates among African Americans with COVID-19 when compared to White Americans. Health disparities have a long history in the United States, yet little consideration has been given to their impact on the clinical outcomes in the rehabilitative health professions such as speech-language pathology/audiology (SLP/A). Consequently, it is unclear how the absence of a careful examination of health disparities in fields like SLP/A impacts the clinical outcomes desired or achieved. The purpose of this tutorial is to examine the issue of health disparities in relationship to SLP/A. This tutorial includes operational definitions related to health disparities and a review of the social determinants of health that are the underlying cause of such disparities. The tutorial concludes with a discussion of potential directions for the study of health disparities in SLP/A to identify strategies to close the disparity gap in health-related outcomes that currently exists.


Public Health ◽  
2021 ◽  
Author(s):  
Victoria van Rüth ◽  
Hans-Helmut König ◽  
Franziska Bertram ◽  
Pia Schmiedel ◽  
Benjamin Ondruschka ◽  
...  

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e047812
Author(s):  
Takuya Aoki ◽  
Shunichi Fukuhara ◽  
Yasuki Fujinuma ◽  
Yosuke Yamamoto

ObjectivesLongitudinal studies, which consider multimorbidity patterns, are useful for better clarifying the effect of multimorbidity on health-related quality of life (HRQoL) and for identifying the target population with poorer clinical outcomes among patients with multimorbidity. This study aimed to examine the effects of different multimorbidity patterns on the decline in HRQoL.DesignNationwide prospective cohort study.SettingJapanese adult residents.ParticipantsResidents aged ≥50 years selected by the quota sampling method.Primary outcome measureClinically relevant decline in HRQoL was defined as a 0.50 SD (5-point) decrease in the 36-Item Short Form Health Survey (SF-36) component summary scores for 1 year.ResultsIn total, 1211 participants completed the follow-up survey. Among the multimorbidity patterns identified using confirmatory factor analysis, multivariable logistic regression analyses revealed that high cardiovascular/renal/metabolic and malignant/digestive/urologic pattern scores were significantly associated with the clinically relevant decline in SF-36 physical component summary score (adjusted OR (aOR)=1.25, 95% CI: 1.08 to 1.44 and aOR=1.28, 95% CI: 1.04 to 1.58, respectively). High cardiovascular/renal/metabolic pattern score was also significantly associated with the clinically relevant decline in SF-36 role/social component summary score (aOR=1.23, 95% CI: 1.06 to 1.42).ConclusionsOur study revealed that multimorbidity patterns have different effects on the clinically relevant decline in HRQoL for 1 year. These findings can be useful in identifying populations at high risk and with poor clinical outcomes among patients with chronic diseases and multimorbidity for efficient resource allocation.


2013 ◽  
Vol 122 (1) ◽  
pp. 70-77 ◽  
Author(s):  
Melanie Wickert ◽  
Mike T. John ◽  
Oliver Schierz ◽  
Christian Hirsch ◽  
Ghazal Aarabi ◽  
...  

Thorax ◽  
2010 ◽  
Vol 65 (9) ◽  
pp. 795-800 ◽  
Author(s):  
C. Cisneros ◽  
F. Garcia-Rio ◽  
D. Romera ◽  
C. Villasante ◽  
R. Giron ◽  
...  

2011 ◽  
Vol 26 (S2) ◽  
pp. 1565-1565 ◽  
Author(s):  
A. Sahraian ◽  
A. Javadpour ◽  
A. Mani

IntroductionSleep-wake cycle is one of human biological rhythm highly correlated to well being and general health status.Poor sleep quality, sleep disruption and changes in regular Sleep-wake pattern may cause physical and psychological burden such as impairment in job performance, decreased work efficiency and learning disability.ObjectiveHealth care students trained in medical, nursing and midwifery fields is a population who are at great risk to develop sleep disruption and its subsequent physical and mental morbidity.AimThe aim of this study was to describe how sleep quality correlated to general health status among 280 health care students.Methods280 health care students studying in health related fields participated in this cross section study. Pittsburg sleep quality index (PSQI), sleep- wake questionnaire and the general health questionnaire (GHQ) administered to gather data describing sleep quality, sleep wake disruption and the general health status.ResultsPreliminary results showed that 61.4% of subjects defined as poor sleeper. In further co relational analysis there was a significant correlation between sleep quality and general health status (r = .6, p = . 000, n = 280). Regression analysis showed that number of nights with sleep disruption due to shift work or academic needs was a strong predictor for both poor sleep quality and general health status.ConclusionIn conclusion, Sleep disruption due to shift work or other academic demands is a predictor for poor sleep and its subsequent mental health morbidity, which should be considered as a part of mental health policy for health related college students.


2006 ◽  
Vol 12 (2) ◽  
pp. 74-82 ◽  
Author(s):  
Peggy Millson ◽  
Laurel Challacombe ◽  
Paul J. Villeneuve ◽  
Carol J. Strike ◽  
Benedikt Fischer ◽  
...  

2014 ◽  
Vol 23 (7) ◽  
pp. 1935-1944 ◽  
Author(s):  
Saku Väätäinen ◽  
Sirkka Keinänen-Kiukaanniemi ◽  
Jouko Saramies ◽  
Hannu Uusitalo ◽  
Jaakko Tuomilehto ◽  
...  

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