Exploring Social Determinants of Health and Their Impact on Occupational Performance

What should occupational therapists evaluate when determining a clients social determinants of health in the promotion of health and wellness?

Context and client factors

Areas of occupation

Performance patterns

Performance skills

What should occupational therapists consider when determining a clients social determinants of health in the promotion of health and wellness?

Language

Beliefs about personal wellbeing

Socioeconomic status

Cultural background affecting activities of daily living

Gender role and age-related expectations

Traditional customs and role in family

4 Risk Factors of Premature Death

1. Individual behavior (40%)

2. Genetics (30%)

3. Social and environmental factors (20%)

4. Health care (10%)

Health Effects of Pollution

Headache

Fatigue

Nerve damage

Respiratory and cardiovascular illness

Gastroenteritis

Risk of cancer

Nausea

Skin irritation

Neighborhood and Built Environment

Reduce the rate of minors and young adults committing crimes

Reduce proportion of families that spend >30% on housing

Reduce deaths from motor vehicle crashes

Reduce asthma attacks, emergency room visits, and deaths

Increase the proportion of adults with broadband internet

Increase the promotion of health and safety in schools

Increase the number of homes that have a step-less entrance

Increase smoke-free homes

Increase trips to work using mass transit

Education

Increase the number of students who graduate in 4 years

Increase the number of students who enroll in college

Increase the number of students with reading and math skills

Increase number of children developmentally ready for school

Increase high quality early childhood education programs

Increase number of children who receive preventative care

Increase number of children who receive ECI before age 4

Increase use of regular education classrooms for disabilities

Increase interprofessional prevention education

Health Care Access and Quality

Increase evidence-based preventive health care

Reduce the proportion of emergency room visits

Increase access to primary care providers

Increase number of screens for various cancers

Increase substance use treatment

Increase access to birth control

Increase online access to medical records

Economic Stability

Reduce the proportion of those who aren't in school/working

Reduce the proportion of people living in poverty

Reduce the proportion of adults with arthritis that limits work

Reduce household food insecurity and hunger

Reduce work-related injuries

Eliminate very low food security in children

Increase employment in working-age people

Social and Community Context

Reduce anxiety and depression in caregivers

Reduce the proportion of children with a caregiver in jail

Reduce bullying

Increase the number of adults children can talk to

Increase the readiness for adulthood in foster care adolescents

Increase health communications

Increase positive communication between parents-children

Increase the number of children whose parents read to them

Increase the resiliency to stress in children and adolescents

Increase health literacy