Lec 2: Social Determinants of Health

Define what is a Social Determinant of Health?

• Any non-medical factor that influences health

  • Social needs

What are the 5 Social Determinants of Health?

• Economic Stability

• Health Care and Quality

• Social and Community Context

• Neighborhood and Built Environment

• Education Access and Quality

Economic Stability:

• What is it?

• What are the 4 influences?

• What?

  • Person’s ability to afford necessities

• 4:

  • Income

  • Employment Status

  • Food Security

  • Housing (Access, Stability)

Health Care and Quality:

• What is it?

• What are the 3 influences?

• What?

  • Being able to get to the MD

• 3:

  • Insurance

  • Access to Health Care

    • Can include: Proximity to Services/Specialists

  • Trust in Healthcare System

Neighborhood and Built Environment:

• What is it?

• What are the 5 Influences?

• What?

  • Refers to conditions in which people live

• 5:

  • Safe housing

  • Transportation

  • Access to Healthy Foods

  • Safe Places for Physical Activity (Parks)

  • Exposure to Pollution, Violence

Social and Community Context:

• What is it?

• What are the 5 influences?

• What?

  • Do they have people to help at home?

• 5:

  • Social Support Network

  • Community Engagement

  • Discrimination or Systemic Racism

  • Stress

  • Social Isolation

Education Access and Quality:

• What are the 4 influences?

• Literacy

• Health Literacy

• Language Proficiency

• Access to Early Childhood Education

SDOH and PT:

• What are the 3 things SDOH affect?

• What 2 things can PT do?

• SDOH:

  • Compliance

  • Recovery

  • Outcomes

• PT

  • Identify Barriers

  • Adapt care to be person centered

Health Behaviors:

• What is it?

• Actions taken by individuals that affect health or mortality

Health Behaviors:

• These actions may be what 2 things?

• These actions can promote or detract from what?

• 2 things:

  • Intentional OR unintentional

• Promote or Detract from

  • Health of the actor or other

What are 3 examples of:

• Health Promoting Behaviors:

• Health Detractors:

• Health Promoting Behaviors:

  • Sleep

  • Exercise

  • Healthy Diet

  • Mindfullness

• Health Detractors:

  • Substance Abuse

  • Smoking

  • Risky Sexual Behavior

Health Behaviors:

• What is the difference between Upstream and Downstream?

• Up:

  • Social Structures

  • Macro Level

• Down:

  • Self

  • Individual

Health Behaviors:

• What do the Upstream factors create?

• Context for which people make health decisions

Health Behaviors:

• What are examples for Upstream and Downstream?

• Up:

  • Socioeconomic Statistics

  • Neighborhood Environment

  • Public Policies

• Down

  • Personal Choices

  • Knowledge

  • Attitudes on Health