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Social Determinants of Health
   Know the definition of social determinants

   Understand the importance of why social
    determinants affect the work we do

   Become aware of efforts in the state that
    address social determinants and HIV
World Health Organization
   The economic and social conditions that shape
    the health of individuals, communities, and
    jurisdictions as a whole.

   Social determinants take into account the
    conditions in which people are born, grow, live,
    work and age. These circumstances are shaped
    by the distribution of money, power and
    resources at a global, national and local levels.
Social Determinants of Health
Social Determinants of Health
Social Determinants of Health
Social Determinants of Health
   Income/Social Status           Early Life
                                   Education
   Social Support Networks        Employment/Work
   Education/Literacy              Conditions
   Social Environment             Food Security
                                   Gender
   Physical Environment           Health Care Services
   Life/Coping Skills             Housing
                                   Income and its
   Personal Health Practices       Distribution
   Child Development              Social Safety Net
                                   Social Exclusion
   Gender                         Unemployment/
   Culture                         Employment Security
From World Health               From Social Determinants of
Organization                    Health National Conference
   1. Don't smoke. If you can, stop. If you         1. Don't be poor. If you can, stop. If you
    can't, cut down.                                  can't, try not to be poor for long.
   2. Follow a balanced diet with plenty of         2. Don't have poor parents.
    fruit and vegetables.                            3. Own a car.
   3. Keep physically active.                       4. Don't work in a stressful, low-paid
   4. Manage stress by, for example, talking         manual job.
    things through and making time to relax.
                                                     5. Don't live in damp, low-quality housing.
   5. If you drink alcohol, do so in
                                                     6. Be able to afford to go on a foreign
    moderation.
                                                      holiday and sunbathe.
   6. Cover up in the sun, and protect
    children from sunburn.                           7. Practice not losing your job and don't
   7. Practice safer sex.                            become unemployed.
   8. Take up cancer-screening opportunities.       8. Take up all benefits you are entitled to,
                                                      if you are unemployed, retired or sick or
   9. Be safe on the roads: follow the Highway
    Code.                                             disabled.
   10. Learn the First Aid ABCs: airways,           9. Don't live next to a busy major road or
    breathing, circulation.                           near a polluting factory.
                                                     10. Learn how to fill in the complex
                                                      housing benefit/asylum application forms
                                                      before you become homeless and
                                                      destitute.

Traditional Advice                                Social Determinants
   By addressing social determinants of health,
    we don’t “band-aid” solutions for clients.
   We utilize a holistic approach to care and
    prevention.
   We challenge long-standing paradigms in
    healthcare and social work that continue to
    instigate HIV stigma for clients and our
    communities.
   We consider root causes for HIV risk and can
    create programming to address these causes.
Social Determinants of Health
   NARC to include social determinants in work plan
    and share research during May meeting.
   Future collaboration between NARC and QUAC to
    look at CareWare data to identify trends among
    clients and possibly ask more in-depth questions
    in assessment and client survey.
   REHD to look at the intersections of race,
    ethnicity and gender with HIV risk/access to care.
   Speakers will be present at the 2010 Iowa HIV,
    STD, and Hepatitis Conference to discuss social
    determinants.
   World Health Organization. (2008). Commission
    on the Social Determinants of Health.
    http://www.who.int/social_determinants/en/
   Commission on the Social Determinants of
    Health. (2008). Closing the Gap in a Generation:
    Health Equity through Action on the Social
    Determinants of Health. Geneva: World Health
    Organization.
   Evans, R. G., Barer, M. L., & Marmor, T. R. (1994).
    Why Are Some People Healthy and Others Not?:
    The Determinants of Health of Populations. New
    York: Aldine de Gruyter.
   L. Donaldson, Ten Tips for Better Health (London:
    Stationary Office, 1999).
Rhea Van Brocklin
AIDS Project of Central Iowa
711 E. 2nd St
Des Moines, IA 50309
515-284-0245
rheav@aidsprojectci.org

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Social Determinants of Health

  • 2. Know the definition of social determinants  Understand the importance of why social determinants affect the work we do  Become aware of efforts in the state that address social determinants and HIV
  • 4. The economic and social conditions that shape the health of individuals, communities, and jurisdictions as a whole.  Social determinants take into account the conditions in which people are born, grow, live, work and age. These circumstances are shaped by the distribution of money, power and resources at a global, national and local levels.
  • 9. Income/Social Status  Early Life  Education  Social Support Networks  Employment/Work  Education/Literacy Conditions  Social Environment  Food Security  Gender  Physical Environment  Health Care Services  Life/Coping Skills  Housing  Income and its  Personal Health Practices Distribution  Child Development  Social Safety Net  Social Exclusion  Gender  Unemployment/  Culture Employment Security From World Health From Social Determinants of Organization Health National Conference
  • 10. 1. Don't smoke. If you can, stop. If you  1. Don't be poor. If you can, stop. If you can't, cut down. can't, try not to be poor for long.  2. Follow a balanced diet with plenty of  2. Don't have poor parents. fruit and vegetables.  3. Own a car.  3. Keep physically active.  4. Don't work in a stressful, low-paid  4. Manage stress by, for example, talking manual job. things through and making time to relax.  5. Don't live in damp, low-quality housing.  5. If you drink alcohol, do so in  6. Be able to afford to go on a foreign moderation. holiday and sunbathe.  6. Cover up in the sun, and protect children from sunburn.  7. Practice not losing your job and don't  7. Practice safer sex. become unemployed.  8. Take up cancer-screening opportunities.  8. Take up all benefits you are entitled to, if you are unemployed, retired or sick or  9. Be safe on the roads: follow the Highway Code. disabled.  10. Learn the First Aid ABCs: airways,  9. Don't live next to a busy major road or breathing, circulation. near a polluting factory.  10. Learn how to fill in the complex housing benefit/asylum application forms before you become homeless and destitute. Traditional Advice Social Determinants
  • 11. By addressing social determinants of health, we don’t “band-aid” solutions for clients.  We utilize a holistic approach to care and prevention.  We challenge long-standing paradigms in healthcare and social work that continue to instigate HIV stigma for clients and our communities.  We consider root causes for HIV risk and can create programming to address these causes.
  • 13. NARC to include social determinants in work plan and share research during May meeting.  Future collaboration between NARC and QUAC to look at CareWare data to identify trends among clients and possibly ask more in-depth questions in assessment and client survey.  REHD to look at the intersections of race, ethnicity and gender with HIV risk/access to care.  Speakers will be present at the 2010 Iowa HIV, STD, and Hepatitis Conference to discuss social determinants.
  • 14. World Health Organization. (2008). Commission on the Social Determinants of Health. http://www.who.int/social_determinants/en/  Commission on the Social Determinants of Health. (2008). Closing the Gap in a Generation: Health Equity through Action on the Social Determinants of Health. Geneva: World Health Organization.  Evans, R. G., Barer, M. L., & Marmor, T. R. (1994). Why Are Some People Healthy and Others Not?: The Determinants of Health of Populations. New York: Aldine de Gruyter.  L. Donaldson, Ten Tips for Better Health (London: Stationary Office, 1999).
  • 15. Rhea Van Brocklin AIDS Project of Central Iowa 711 E. 2nd St Des Moines, IA 50309 515-284-0245 rheav@aidsprojectci.org

Editor's Notes

  1. Social justice is a matter of life and death. It affects the way people live, their consequent chance of illness, and their risk of premature death. We watch in wonder as life expectancy and good health continue to increase in parts of the world and in alarm as they fail to improve in others. A girl born today can expect to live for more than 80 years if she is born in some countries – but less than 45 years if she is born in others. Within countries there are dramatic differences in health that are closely linked with degrees of social disadvantage.These inequities in health, avoidable health inequalities, arise because of the circumstances in which people grow, live, work, and age, and the systems put in place to deal with illness. The conditions in which people live and die are, in turn, shaped by political, social, and economic forces.Social and economic policies have a determining impact on whether a child can grow and develop to its full potential and live a flourishing life, or whether its life will be blighted. Increasingly the nature of the health problems rich and poor countries have to solve are converging. The development of a society, rich or poor, can be judged by the quality of its population’s health, how fairly health is distributed across the social spectrum, and the degree of protection provided from disadvantage as a result of ill-health.
  2. The modern study of the social determinants of health can be said to have begun with the writings of Rudolph Virchow and Friedrich Engels during the mid 19th century. [1][2] Virchow and Engels not only made the explicit link between living conditions and health but also explored the political and economic structures that create inequalities in the living conditions which lead to health inequalities.Recently, international interest in the social determinants of health has led to the World Health Organization's creating a Commission on the Social Determinants of Health in 2005.Various groups have different definitions of social determinants of health, and all definitions are concerned with the organization and distribution of economic and social resources among the population.
  3. A variety of approaches to the social determinants of health exist and all of these are concerned with the organization and distribution of economic and social resources among the population. These are only two lists among the many out there from different global and national organizations
  4. This list is taken from a publication from Great Britain in the late 1990s.
  5. As mentioned previously, there is a push nationally to address HIV care and prevention through structural, rather than behavioral interventions. Social determinants drive these structural changes in the way we provide and offer services.
  6. We first must understand the meaning and theory behind why social determinants are an important facet in the work we do. Researching other studies that have been done on this topic is essential in order to obtain buy-in and dispel assumptions.