Aetna Presentation Social Determinants of Latino Health

Social Determinants of Hispanic/Latino Health Daniel Santibañez, MPH, RD Department of Public Health University of North Florida This is part 8 of an 8 part series of seminars on Hispanic Health Issues brought to you by the University of North Florida’s Dept. of Public Health, College of Health, a grant from AETNA, and the cooperation of the Duval County Health Department.

While education plays a valuable role… ,[object Object],[object Object]

SES is central to eliminating health disparities ,[object Object],[object Object],[object Object],[object Object]

Social Determinants of Health ,[object Object],Healthy People 2010 Goals: Goal 1: Increase quality and years of healthy life Goal 2: Eliminate health disparities

Social Determinants of Health ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

People affected by health disparities more frequently live in environments with: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Focusing only on individual responsibility for lifestyle changes ignores larger environmental factors that can work against the educational message ,[object Object]

Hispanic young people were exposed to more alcohol advertising in English-language media than non-Hispanic young people

Key Community Factors for Reducing Health Disparities ,[object Object],[object Object],[object Object],[object Object]

Built Environment Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Social Capital Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Resilience and responses to stress affect health ,[object Object],[object Object],Minority women and “kinwork” of family and friends

Social Connections within a community are important ,[object Object],[object Object],Social networks enforce social sanctions and controls to diminish negative behaviors. Reduce incidence of crime, juvenile delinquency, and access to firearms within communities

Residential Segregation ,[object Object],[object Object]

Services and Institutions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Quality of health care can cause problems ,[object Object],Medical professionals should be trained to understand social causes in patients’ lives so that they can improve the quality of care

Improving Quality of Care ,[object Object],[object Object],[object Object],[object Object],“ Racial and ethnic minorities tend to receive a lower quality of healthcare than non-minorities, even when access-related factors, such as patients’ insurance status and income, are controlled.” -Unequal Treatment, Institute of Medicine

Educational Opportunity ,[object Object],As a result, they have fewer opportunities for good jobs and incomes. In addition, they face the effects of lowered expectations.

Structural Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Economic pressures exact a toll on minorities ,[object Object],[object Object],[object Object]

Occupational Opportunities ,[object Object]

Disparities go beyond SES ,[object Object],[object Object],[object Object]

Poder es Salud/ Power for Health ,[object Object],A more empowered and competent community is a healthier community

Poder es Salud/ Power for Health ,[object Object],[object Object],[object Object]

Poder es Salud/ Power for Health ,[object Object],Community-based research works with existing units of identity that share an emotional connection, values and norms, common interests, and a commitment to meeting shared needs.

Poder es Salud/ Power for Health ,[object Object],[object Object],[object Object],[object Object]

Poder es Salud/ Power for Health ,[object Object],[object Object],[object Object],Steering committees formed

Poder es Salud/ Power for Health ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Poder es Salud/ Power for Health ,[object Object],[object Object],[object Object],[object Object],[object Object]

Poder es Salud/ Power for Health ,[object Object],[object Object],[object Object],[object Object],Peace Campaign has involved coalition members in design, implementation, and evaluation

“ No epidemic has even been resolved by attention to the affected individual” - Dr. George Albee

Migrant Farmworker Health ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Migrant Farmworker Health ,[object Object],[object Object]

Migrant Farmworker Health ,[object Object]

Migrant Farmworker Health ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Migrant Farmworker Health ,[object Object],Dental disease ranks as one of the top 5 health problems for farmworkers aged 5-29 and among the top 20 health problems for all other ages presenting for care

Migrant Farmworker Health ,[object Object],Tuberculosis and parasitic diseases are attributable to deficient sanitation both at work and at residence sites, poor quality drinking water and failure to provide uncontaminated washing and drinking water

Migrant Farmworker Health ,[object Object],Because Mexican culture emphasizes familism , collectivist values, and affiliation, Mexican migrants may be particularly vulnerable to depression when they lack support from family and friends

Mental Health Stressors: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Migrant Farmworker Health ,[object Object],[object Object],Social isolation is the primary risk factor for elevated alcohol consumption

Migrant Farmworker Health ,[object Object],[object Object],Research on domestic violence among this population continues to progress at a slow pace and much is still unknown

Migrant Farmworker Health ,[object Object],The costs of serving this population are in many ways already extraordinary. Add to this situation a natural disaster, and most migrant health centers simply do not have the additional resources to adequately address these difficult circumstances

Migrant Farmworker Health ,[object Object],[object Object],Although they toil to bring a bounteous harvest to our tables, farmworkers are often faced with some of the poorest living conditions in their communities

Migrant Farmworker Health ,[object Object],[object Object],Few legal protections exist to safeguard the health and well-being of young farmworkers.

Child Labor: 2 groups ,[object Object],[object Object],[object Object],[object Object],There is no limit under federal law to the number of hours per day or per week that children may work in agriculture. As a result, the hours worked are often long and affects health and education.

Migrant Farmworker Outreach ,[object Object],[object Object],In migrant health, the challenge of making real breakthrough during the coming decade in improving access and reducing health disparities for MSFWs depends on investing adequately in lay health outreach

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Aetna Presentation Social Determinants of Latino Health

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