This document discusses social epidemiology in public health research and the social determinants of health. It presents the Commission on Social Determinants of Health conceptual framework which shows how socioeconomic and political context, socioeconomic position, and structural determinants impact health inequities through intermediary determinants. The document also discusses how public health research integrates health and social epidemiology concepts to analyze risk factors related to public health problems. Finally, it presents the SOCIPID model for social epidemiology research and provides an example of how it was applied to research on coronary heart disease in women.

1. Kanyarat Kuysuwan, Ph.D.
Research in Behavioral Science
Social Epidemiology in Public
Health Research
ระบาดวิทยาสังคมในงานวิจัยทางสาธารณสุข

2. SOCIAL DETERMINANTS
OF HEALTH

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. 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. 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. 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