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Social epidemiology in public health research

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Applied research with social science

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Social epidemiology in public health research

  1. 1. Kanyarat Kuysuwan, Ph.D. Research in Behavioral Science Social Epidemiology in Public Health Research ระบาดวิทยาสังคมในงานวิจัยทางสาธารณสุข
  2. 2. SOCIAL DETERMINANTS OF HEALTH
  3. 3. Socioeconomic and Political context - Governance - Macroeconomic policies - Social policies (labor market, housing, land) - Public policies (education, health, social protection ) - Culture and social values Socioecono mic position - Social class - Gender -Race/Ethnici ty -Education -Occupation -Income Structural determinants Social determinant of Health inequities - Material circumstances (Living and working condition, food availability) - Behavioral and /or biological factors - Psychosocial circumstances - Health system Intermediary determinants Social determinants of health Impact on equity in health and well- being The Commission on Social Determinants of Health Conceptual Framework (WHO, 2010)
  4. 4. Public Health Research  Risk factors Analysis of Diseases.  Integration of Health Epidemiology and Social Epidemiology concepts.  Factors related to Public Health problems. 1.host factors. 2. environmental condition factors. (gender, age,marital status, education, occupation, income, race, relegion, social network and social support, health behavior)
  5. 5. SOCIPID MODEL (Cwikel,2006) 1. Synthesis of Social Issues การสังเคราะห์ประเด็นทางสังคม 2. Observation on people and problems การสังเกตประชากรและปัญหา 3. Collect Data with Cultural Awareness การรวบรวมข้อมูลทางวัฒนธรรม 4. Empirical Data Using Epidemiology Triangle ข้อมูลเชิงประจักษ์โดยใช้สามเหลี่ยมทางระบาดวิทยา 5. Policies and Programs, Ideas for Future Research and Debrief and Disseminate กาหนดนโยบาย โปรแกรม วิจัยในอนาคต และเผยแพร่ต่อไป
  6. 6. SOCIPID Model and Coronary Heart Disease in Women (Cwikel, 2006) Synthesis of social issues: S Observation on people and problems: O Collect Data on Cultural awareness: C Empirical Data Using epidemiology triangle: E Political and programs/ideas for research/debrief and Disseminate: PID -Neglected in research until recently - Often delay seeking care for symptoms, do not realize the risk - More likely atypical presentation -Need different type of work-up to get good clinical picture -Need to train physicians in gender-medicine -Certain cultural groups favor large women -High Cholesterol consumption -Post-menopause -Smoking -Diabetes -Apple body shape -Biological differences -More research -More women cardiologists -Special information programs and training -Prevention for post- menopausal women -Specialized rehabilitation and smoking

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