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social determinant of health

Ashley H Noriea, Feenalie N Patel, Debra A Werner, Monica E Peek
PURPOSE OF REVIEW: Diet-related chronic diseases result from individual and non-individual (social, environmental, and macro-level) factors. Recent health policy trends, such as population health management, encourage assessment of the individual and non-individual factors that cause these diseases. In this review, we evaluate the physician's perspective on the individual and non-individual causes and management of obesity. RECENT FINDINGS: Physicians generally rated individual-level causes (i...
March 21, 2018: Current Diabetes Reports
Vijay Kumar Chattu, Mario O Laplume, Soosanna Kumary
Minority populations in the world are permanently challenged with unequal living and working conditions in their daily lives that compromise their access to needed clinical and preventive services. When we discuss the health-care conditions for minorities, we must address the social determinants of access that are ultimately determined by the policies and politics of the governments. Renowned experts of quality in healthcare have been critical of the current design and implementation of randomized clinical trials, the gold standard of clinical research because they believe that they often, but not always, presume a linear, mechanistic system when in fact improvement in health care takes place within complex adaptive systems that evolve...
October 2017: Journal of Family Medicine and Primary Care
Emily B Wroe, Elizabeth L Dunbar, Noel Kalanga, Luckson Dullie, Chiyembekezo Kachimanga, Andrew Mganga, Michael Herce, Jason Beste, Jonas Rigodon, Lawrence Nazimera, Ryan K McBain
Introduction: Partners In Health and the Malawi Ministry of Health collaborate on comprehensive HIV services in Neno, Malawi, featuring community health workers, interventions addressing social determinants of health and health systems strengthening. We conducted an observational study to describe the HIV care continuum in Neno and to compare facility-level HIV outcomes against health facilities nationally. Methods: We compared facility-level outcomes in Neno (n=13) with all other districts (n=682) from 2013 to 2015 using mixed-effects linear regression modelling...
2018: BMJ Global Health
Joshua Gettinger, Allison Sturtevant-Gilliam, Kim Marmon-Saxe, Susanne Walker Wilson
There is an increasing national awareness that improving the health of the nation will need to involve addressing social determinants of health, including adverse childhood experiences. Advances in translational science and the science of social change have created new opportunities to address this refractory problem. This paper will describe a cross-sector collaborative effort in Western North Carolina that has produced unexpected fruit since its start in 2010, discuss themes that supported success, and identify future essential work...
March 2018: North Carolina Medical Journal
Miriam Harter, Sebastian Mosch, Hans-Joachim Mosler
BACKGROUND: Community-led total sanitation (CLTS) is a widely used, community-based approach to tackle open defecation and its health-related problems. Although CLTS has been shown to be successful in previous studies, little is known about how CLTS works. We used a cross-sectional case study to identify personal, physical, and social context factors and psychosocial determinants from the Risks, Attitudes, Norms, Abilities, and Self-Regulation (RANAS) model of behavior change, which are crucial for latrine ownership and analyze how participation in CLTS is associated with those determinants...
March 21, 2018: BMC Public Health
Nicole Haddock, Mary Ellen Wells
STUDY OBJECTIVES: The aims of this study were (1) to determine the association between obstructive sleep apnea (OSA) and depression and (2) to identify if treated or untreated OSA affects depression levels, in a sample of 51 patients. METHODS: Participants were 18 years old or older, who were diagnosed with some form of OSA. A survey was administered at a local sleep clinic and via social media, Facebook. A Patient Health Questionnaire Depression Scale (PHQ-8) was used to assess depression...
2018: Neurodiagnostic Journal
Guillaume Rohat
The Shared Socioeconomic Pathways (SSPs) are the new set of alternative futures of societal development that inform global and regional climate change research. They have the potential to foster the integration of socioeconomic scenarios within assessments of future climate-related health impacts. To date, such assessments have primarily superimposed climate scenarios on current socioeconomic conditions only. Until now, the few assessments of future health risks that employed the SSPs have focused on future human exposure-i...
March 19, 2018: International Journal of Environmental Research and Public Health
Vanessa da Frota Santos, Samyla Citó Pedrosa, Priscila de Souza Aquino, Ivana Cristina Vieira de Lima, Gilmara Holanda da Cunha, Marli Teresinha Gimeniz Galvão
OBJECTIVE: To analyze the social support of people with HIV/AIDS from the perspective of the Social Determinants of Health Model. METHOD: This was a cross-sectional study conducted in 2015 in an infectious disease outpatient clinic. The sample was made up of 116 people with HIV/AIDS. The data was collected through interviews, using a sociodemographic form and a social support scale. The data was analyzed using descriptive statistics, and Student's t-tests and Mann-Whitney tests were performed to determine the association between social support and the social determinants of health...
2018: Revista Brasileira de Enfermagem
Román Rodríguez-Aguilar
The maternal mortality situation is analyzed in México as an indicator that reflects the social development level of the country and was one of the millennial development objectives. The effect of a maternal death in the related social group has multiplier effects, since it involves family dislocation, economic impact and disruption of the orphans' normal social development. Two perspectives that causes of maternal mortality were analyzed, on one hand, their relationship with social determinants and on the other, factors directly related to the health system...
2018: PloS One
Alison Kaye, Sandra Lybrand, William L Chew
OBJECTIVE: To determine family-reported psychosocial stressors and social worker assessments and interventions within a comprehensive cleft team. DESIGN: Single-institution prospective provider-completed survey. PATIENTS: Four hundred one families seen by cleft team social worker over a 7-month period. RESULTS: Most families (n = 331; 83%) participated in the team social work assessment. At least 1 active psychosocial stressor was reported by 238 (72%) families, with 63 (19%) families reported 3 or more stressors...
January 1, 2018: Cleft Palate-craniofacial Journal
Evelyne Bougie, Dafna E Kohen
BACKGROUND: Although rates of daily smoking among Inuit have been decreasing since 1991, Inuit are still much more likely to smoke relative to the Canadian population as a whole. However, little population-based empirical research has identified characteristics associated with cigarette use among this population. DATA AND METHODS: Based on data from the 2012 Aboriginal Peoples Survey, sex-specific logistic regression analyses, informed by an Inuit social determinants of health framework, described associations between current smoking and selected socio-demographic characteristics among Inuit men and women aged 18 or older who resided in Inuit Nunangat...
March 21, 2018: Health Reports
Ahdieh Chinekesh, Seyed Ali Hosseini, Farahnaz Mohammadi, Mohammad Esmael Motlagh, Monir Baradaran Eftekhari, Shirin Djalalinia, Gelayol Ardalan
Background: Mental health is considered as an integral and essential component of overall health. Its determinants and related factors are one of the most important research priorities, especially in adolescents and young people. Using a qualitative approach, the present study aimed to identify factors affecting the mental health of youth in Iran. Methods: In 2017, following content analysis principles, and using semi-structured in-depth interviews, we conducted a qualitative study exploring the opinions of young people about mental health...
2018: F1000Research
Somayyeh Khazaeian, Nourossadat Kariman, Abbas Ebadi, Malihe Nasiri
Background and aim: Social capital and social support as determinants of health play an important role in the health of female heads of households. Considering the increasing number of female-headed families in Iran and the world, this study was conducted to systematically review the impact of social capital and social support on the health of female heads of households. Methods: This study was conducted as a systematic review in September 2016. Its data were collected from available papers in different databases including Iranmedex, Magiran, Scientific Information Database (SID), Irandoc, Scopus, Science Direct, PubMed and Google Scholar...
December 2017: Electronic Physician
Ahdieh Chinekesh, Seyed Ali Hosseini, Farahnaz Mohammadi, Mohammad Esmael Motlagh, Monir Baradaran Eftekhari, Gelayol Ardalan, Shirin Djalalinia
Background: Undoubtedly, one of the vital needs of man is security. Determinants and related factors to sense of social security is one of the most important research priorities, especially in adolescents and young people. Objective: To identify the factors affecting the social security of the youth. Methods: In 2017, using conventional content analysis, and benefiting from semi-structured in-depth interviews, we conducted a qualitative study exploring the opinions of young people about their feelings regarding social security...
December 2017: Electronic Physician
Farzaneh Zaheri, Lila Hashemi Nasab, Fariba Ranaei, Roonak Shahoei
Background and aim: Postpartum period is associated with significant changes in the quality of women's lives. These changes can affect the health of both the mother and child. Given the importance of the postpartum period and the factors influencing quality of life after childbirth especially the method of childbirth, the aim of this study was to determine the relationship between quality of life after childbirth and the childbirth method in nulliparous women referred to healthcare centers in Sanandaj, Iran...
December 2017: Electronic Physician
Leili Shafiei, Parvaneh Taymoori, Afshin Maleki, Kourosh Sayehmiri
Background: The effect of instructional models on the changing behavior of consuming fruit and vegetables in the prevention of diseases caused by consumption of foods including rice, contaminated with toxic metals, has not been investigated in Iran yet. Objective: To compare an Ecological-social model (ECO) group and Control group in increasing fruit and vegetable consumption. Methods: This research involved implementation of a six-month randomized controlled educational interventionist program into a group of Ecological-social framework along with a control group, totally summing up to 160 women between 18 and 50 years of age in Ilam, Iran in 2014...
December 2017: Electronic Physician
Saleh Alsulami, Zaid Al Omar, Mohammed S Binnwejim, Fahad Alhamdan, Amr Aldrees, Abdulkarim Al-Bawardi, Meshary Alsohim, Mohammed Alhabeeb
The Health Science Preparatory Program (HSPP) is a special program that aims to enhance the educational preparedness of students for participation in a health sciences career. Students spend their first university year in a combined extensive teaching program before they can be assigned to a particular health science specialty. It is thought that students enrolled in a highly competitive environment such as HSPP with a long list of potential stressors, including developmental, academic overload, language barriers and competition, are more disposed to stress and stress-related complications...
2018: Advances in Medical Education and Practice
Ansgar Thiel, Hendrik K Thedinga, Harald Barkhoff, Katrin Giel, Olesia Schweizer, Syra Thiel, Stephan Zipfel
BACKGROUND: This field study aims to investigate the determinants of physical activity of particularly active and inactive groups in their leisure environments. In order to consider the context in which physical activity occurs and to investigate whether cultural settings may influence physical activity, we conducted the study at pools in different cultural environments - Hawai'i and Germany. METHODS: This study presents the quantitative data of a systematic (covert) participant observation...
March 20, 2018: BMC Public Health
Sara Javanparast, Toby Freeman, Fran Baum, Ronald Labonté, Anna Ziersch, Tamara Mackean, Richard Reed, David Sanders
BACKGROUND: Worldwide, there are competing norms driving health system changes and reorganisation. One such norm is that of health systems' responsibilities for population health as distinct from a focus on clinical services. In this paper we report on a case study of population health planning in Australian primary health care (PHC) organisations (Medicare Locals, 2011-2015). Drawing on institutional theory, we describe how institutional forces, ideas and actors shaped such planning...
March 20, 2018: BMC Public Health
Horacio Lejarraga, Diana M Kelmansky, Alicia Masautis, Fernando Nunes
OBJECTIVE: To obtain a psychomotor development index (PDI) for each Argentine province. POPULATION AND METHODS: Using a national, probabilistic, and stratified sample of 13 323 male and female children younger than 6 years selected for the National Survey on Nutrition and Health (Encuesta Nacional de Nutrición y Salud, ENNyS 2004), we estimated the PDI per province based on compliance with 10 developmental milestones. The median age at attainment (median age) of each milestone was estimated adjusting a logistic regression...
April 1, 2018: Archivos Argentinos de Pediatría
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