Intro to Social Determinants of Health

Healthy People 2030

• A framework that can be used to address & assess outcomes of programs & policies that aim to improve the health & well-being of populatons living in the US

• Evolution of health

Healthy People objectives

were first released in 1980

‒ Decrease mortality in infants, children, adolescents, & adults,

& increase independence among older adults

equality

the quality or state of being equal

equity

justice according to natural law or right

‒ Unfair & avoidable differences between different groups of people within countries or between countries (injustce)

inequity

an instance of injustce or unfairness

disparity

a noticeable & usually significant difference or dissimilarity

traditionally considered disadvantaged groups

• elderly

• poor

• minority groups

• people with disabilities

social

of or relating to human society, the interacton of the individual & the group, or the welfare of human beings as members of society

determinant

an element that identifies or determines the nature of something or that fixes or conditons an outcome

health

condition of being sound in body, mind, or spirit

‒ State of complete physical, mental, & social well-being, & not merely the absence of disease or infirmity (OTPF-4)

culture

the customary beliefs, social forms, & material traits of a racial, religious, or social group

‒ The set of shared attitudes, values, goals, & practices that characterizes an institution or organization

‒ The set of values, conventions, or social practices associated with a particular field, activity, or societal characteristic

health disparities

a particular type of health difference that is closely linked with social, economic, &/or environmental disadvantage

5 Social Determinants of Health

• economic stability

• education

• healthcare access

• neighborhood environment

• social context

policy & law

identify evidence, tools, & resources to enhance communication about policies that affect SDOH with policy makers & other stakeholders

data & surveillance

embed a consistent SDOH approach to standardizaton, collection, analysis, & disseminaton of data across the agency

evaluation & evidence building

advance evaluation & build evidence for strategies that address

SDOH to reduce disparities & promote health equity

partnerships & collaboration

establish criteria, actionable steps, & strategies for partnerships,

collaborations, & relationships that result in improved health outcomes over the long term

community engagement

foster meaningful, sustained community engagement across all phases of CDC interventon planning & implementation

infrastructure & capacity

strengthen & sustain infrastructure such as workforce, training, &

access to financial resources required to address SDOH & reduce health disparities

SDOH: WHO

the non-medical factors that influence health outcomes.

They are the conditons in which people are born, grow,

work, live, and age, and the wider set of forces and systems shaping the conditions of daily life

• improve daily living conditions

• tackle the inequitable distrubition of power

• measure and understand the problem and assess the impact of action

WHO vs US Organizations

WHO places less emphasis on the individual & health services...greater emphasis on access to basic human needs that are required to live a healthy life