LATEST VERSION; RATED A+
SDOH definition
the structural determinants and conditions in which people are born, grow, live, work and age
what are the SDOH?
Income
Education
Employment
Literacy
Language proficiency
Community design
Housing
Environmental pollutants
Social capital/support
Transportation
Access to healthy foods
Access to health care
Occupational safety
Race/ethnicity
Discrimination/Marginalization based on age, gender, race/ethnicity, religion/beliefs, profession
Racism, Sexism, Ageism, etc...
Chronic stress
which two SDOH have the greatest impact?
income and education
health people 2020 4 Overarching Goals
Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death.
Achieve health equity, eliminate disparities, and improve the health of all groups.
Create social and physical environments that promote good health for all.
Promote quality of life, healthy development, and healthy behaviors across all life stages.
healthy people 2020 4 Foundation Health Measures - Indicators of Progress
General Health Status
Health-related Quality of Life and Well-Being
Determinants of Health
, Disparities
healthy people 2020 organizes the social determinants of health around which 5 domains?
(1) Economic Stability, (2) Education, (3) Health and Health Care, (4) Neighborhood and Built
Environment, and (5) Social and Community Context
describe the evolution of focus on SDOH
biomedical model --> biopsychosocial model --> SDOH
Life-Course Perspective
SDOH have a cumulative effect upon the probability of developing disease
Characterized by 3 health effects:
-latent
-pathway
-cumulative
Latent effects
Early life experiences influence future health
Ex: premature birth
Pathway effect
Experiences that determine trajectories
Ex: children who enter school w/ delayed vocabulary/reading skills --> held behind, less opportunities
Cumulative effects
Accumulation of advantage/disadvantage over time
Latent + pathway effects
Estimated Deaths Attributable to Social Factors (2000)
Low Education - 245,000
Racial Segregation - 176,000
Low social support - 162,000
Individual-level poverty - 133,000
Income inequality - 119,000