Academic literature on the topic 'Social determinants of health'

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Journal articles on the topic "Social determinants of health"

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Lucia, Montoya Hurtado Olga. "Social Determinants of Mental Health in Organizations." International Journal of Psychosocial Rehabilitation 24, no. 5 (March 31, 2020): 1128–35. http://dx.doi.org/10.37200/ijpr/v24i5/pr201787.

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Maciocco, Gavino. "I determinanti della salute: alla ricerca di un conceptual framework." SALUTE E SOCIETÀ, no. 1 (March 2009): 31–42. http://dx.doi.org/10.3280/ses2009-001004.

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- This paper describes how the "conceptual frameworks" of Health Determinants evolved, up to the most recent one, proposed by the Who Commission on Social Determinants of Health. Of special interest is the importance given to Health Systems as potential determinants of health inequities when they fail to protect against social and economic consequences of disease. Key words: social determinants of health, health equity, health systems, lifestyles, social networks. Parole chiave: determinanti sociali di salute, equitÀ nella salute, sistemi sanitari, stili di vita, reti sociali.
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Seeholzer, Eileen L., Marielee Santiago, Charles Thomas, Monica DeAngelis, Francesca Scarl, Anastasia Webb, Tangela Woods, and Ashwini R. Sehgal. "Prevalence of Social Determinants of Health Among Health System Employees." Journal of Primary Care & Community Health 13 (January 2022): 215013192211139. http://dx.doi.org/10.1177/21501319221113956.

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Introduction/Objectives: Many health systems screen patients for social determinants of health and refer patients with social needs to community service organizations for assistance. However, little is known about social determinants of health among health system employees. We sought to examine the prevalence of social determinants among employees of The MetroHealth System, a large safety-net health system in Cleveland, Ohio. Methods: We invited participants in an employee wellness program to answer the same screening questions that patients answer about 9 social determinants of health, including food insecurity, financial strain, transportation difficulty, inability to pay for housing or utilities, intimate partner violence, social isolation, infrequent physical activity, daily stress, and lack of internet access. We then determined the percentage of employees who met pre-defined criteria for being at risk for each social determinant. We also examined how these percentages varied across employee job categories. Results: Of 4191 full-time employees, 1932 (46%) completed the survey. The percentage of employees at risk for each social determinant were: food insecurity (11%), financial strain (12%), transportation difficulty (4%), inability to pay for housing or utilities (10%), intimate partner violence (4%), social isolation (48%), infrequent physical activity (10%), daily stress (58%), and lack of internet access (3%). Being at risk for specific social determinants was more common among support staff compared to staff physicians and nurses. For example, the survey participants included 436 administrative support staff, a job category that includes secretaries and patient service representatives. Among this group, 20% reported food insecurity, 20% financial strain, and 17% inability to pay for housing or utilities. Conclusions: Social determinants of health are common among health system employees, especially among workers in lower paid job categories. Health systems should routinely screen employees for social determinants and adjust salaries, benefits, and assistance programs to address their social needs.
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Kumari, Suneeta. "Gut Microbiome and Social Determinants of Health (SDOH)." International Journal of Clinical Case Reports and Reviews 4, no. 2 (November 6, 2020): 01–05. http://dx.doi.org/10.31579/2690-4861/060.

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With technological advancements in the medical field, new discoveries have been unfolded about the human microbiota. A tremendous amount of work has been studied within the last two decades. Some of the human microbiota sites include nonsterile areas such as mouth, skin, gut, nose, and vagina. Additionally, there are bacterial cells in areas that were considered sterile such as lungs and placenta before delivery. Out of all the sites, the gut houses the most with an amount of 100 trillion bacteria (Guinane, 2013). Environmental implications have been known to impact these new areas of medicine. There has been a growing interest by the social epidemiologists on how health inequalities impact the role of human gut microbiota.
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O'Campo, Patricia, Michael Marmot, and Richard Wilkinson. "Social Determinants of Health." Journal of Public Health Policy 21, no. 4 (2000): 486. http://dx.doi.org/10.2307/3343290.

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Moore, Kevin. "Social Determinants of Health." North Carolina Medical Journal 80, no. 5 (August 30, 2019): 306–11. http://dx.doi.org/10.18043/ncm.80.5.306.

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Gerald, Laura. "Social Determinants of Health." North Carolina Medical Journal 73, no. 5 (September 2012): 353–57. http://dx.doi.org/10.18043/ncm.73.5.353.

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Muirhead, Lisa, Katharina V. Echt, Andrea M. Alexis, and Anna Mirk. "Social Determinants of Health." Nursing Clinics of North America 57, no. 3 (September 2022): 329–45. http://dx.doi.org/10.1016/j.cnur.2022.04.002.

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Johnson, Charla B., Brenda Luther, Andrea S. Wallace, and Marjorie Gibson Kulesa. "Social Determinants of Health." Orthopaedic Nursing 41, no. 2 (March 2022): 88–100. http://dx.doi.org/10.1097/nor.0000000000000829.

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Gómez Dantés, Héctor. "Social determinants of health." Salud Pública de México 43, no. 4 (August 2001): 382–83. http://dx.doi.org/10.1590/s0036-36342001000400015.

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Dissertations / Theses on the topic "Social determinants of health"

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Wood, David L. "Social Determinants of Health." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/5168.

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Muir, Jonathan A. "Societal Shocks as Social Determinants of Health." The Ohio State University, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=osu1615597384677722.

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Jaishankar, Gayatri. "Social Determinants of Health Screening." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/8873.

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Wood, David L. "New Models of Health and Social Determinants of Health." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/5180.

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Farrants, Linda Kristin Ostlund. "Recommodification of the social determinants of health." Thesis, Durham University, 2016. http://etheses.dur.ac.uk/11375/.

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Background Decommodification is the extent to which living standard is independent of market position. In recent decades, some states have embarked on a process of recommodification, restricting the alternatives to participating in the market. This study has investigated how recommodification of unemployment healthcare and pensions are correlated with health inequalities. Methods Using Health Survey for England and the Swedish Living Conditions Survey, this study computes the magnitude of health inequalities in Sweden and England and correlates the magnitude of inequalities with measures of recommodification. In stage 1, the odds ratio of Not good health/having visited a doctor was computed using logistic regression for each year, using the employed and the high educated as the reference categories. In stage 2, the log (odds ratios) of poor health or doctor visits computed in stage 1 were correlated with the net replacement rate/price of primary care using linear regression. Results Health inequalities between the employed and the unemployed were significantly higher in both England and Sweden in 2011 than in 1991, a period during which unemployment benefit was recommodified in both countries. The association between health inequality and net replacement rate was much stronger in Sweden. Health inequalities increased slightly among English pensioners, while those of the Swedish sample remained steady. This is not what we would expect from the development of recommodification in the two countries: Sweden recommodified while England did not. 3 For groups with similar needs, the higher educated are more likely to seek healthcare. There were no trends in inequality in access to healthcare in Sweden. Conclusion This study has shown that recommodification is associated with health inequalities, especially in Sweden, and that inequalities in replacement rates are associated with health. However, the links between recommodification and health are context-dependent.
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Franklin, Wanda J. "Social Determinants of Health in Appalachian Populations." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/8369.

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Friedman, Nicole Lisa. "Impactful Care: Addressing Social Determinants of Health Across Health Systems." PDXScholar, 2019. https://pdxscholar.library.pdx.edu/open_access_etds/5073.

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There is emerging evidence that addressing health-related social needs through enhanced clinical-community linkages can improve health outcomes and reduce costs. Unmet health-related social needs, such as food insecurity, inadequate or unstable housing, and lack of access to transportation may increase the risk of developing chronic conditions, reduce an individual's ability to manage these conditions, increase health care costs, and lead to avoidable health care utilization. In response, work on social needs is happening across large health systems in the United States, but the pace of progress is slow and accountability is diffuse. The goal of this applied research project is to examine Kaiser Permanente Northwest's patient navigator program as a case study for how health systems can transform into organizations that bridge clinical, social and behavioral health and redefine what it means to be a prevention-oriented delivery system. Kaiser Permanente Northwest (KPNW) provides high quality, patient-centered care to over 550,000 medical members and 240,000 dental members in Oregon and Southwest Washington. In conjunction with the Care Management Institute, KPNW created a patient navigator administered, social needs screening tool called "Your Current Life Situation" (YCLS). This thesis focuses on the data collected from this screening tool with an emphasis on operations management, workflows, and the technical tools that have been supported to do this work. The analysis also uses semi-structured qualitative interviews from patient navigators, physicians, social workers, community organizations and members to better understand the experience of social needs screening in clinical practice and its impact on members and community partners as they receive referrals for services outside the health care delivery system. Through using anthropological theory and methods, I seek to help health systems think and act differently by elevating the voice and experience of the community and translating vulnerable populations' needs into a language that can be integrated into multiple systems of care.
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Denton, Kacie Hoyle, and Claire Gleadhill. "Social Determinants of Health in Belize Free Clinic." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/205.

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Abstract: Social Determinants of Health in Belize Free Clinic Introduction: To determine the most appropriate ways to serve patients in rural Belize through medical mission work, it is important to assess social determinants of health (SDOH). It has long been agreed that a variety of factors affect health, including environment, community and social context, access to healthcare, stress, income, mental health, education, and transportation. Many people in Roaring Creek, Belize, a village with a population of approximately 2,000, use Body and Soul Ministries, a nonprofit that invites medical teams from all over to deliver medical care, as their primary source of healthcare. During one of these trips, a medical team from East Tennessee State University (ETSU) provided medical care and employed the TeamCare survey, already used in several clinics in east Tennessee to assess the SDOH needs of the patient population in Roaring Creek. The purpose of this study was to use a survey that assesses several SDOH to determine better ways to address health needs in the community of Roaring Creek as well as connect patients with resources to meet those needs. Methods: A team of ETSU medical students, a resident, and five physicians served in a free clinic in Roaring Creek, Belize in October 2017. The team saw approximately 500 patients. Some patients were randomly selected to take the TeamCare survey to assess for six SDOH, including literacy, financial needs, drug use, abuse, transportation, and mental health. Based on the results of the survey, patients were connected with their local community health worker to assist in locating resources for patients. Using SPSS, results from the survey were arranged for frequencies and measures of central tendency. Results: Overall, a total of 106 patients responded to the TeamCare survey. Based on the survey results, 83.2% of patients responded “yes” to at least one question regarding needs related to SDOH. In fact, 7.9% of patients answered “yes” to five questions. Of note, 53.5% of patients responded positively for financial need, 46.5% positive for mental health needs, 37.6% positive for environmental alcohol or drug abuse, and 32.7% positive for transportation needs. More women stated positively for physical or verbal abuse compared to men (-1.48, p=0.001). Discussion and Conclusion: Roaring Creek, Belize is a rural community that illustrates how SDOH can impact health outcomes. There has been a recent effort for clinicians to address SDOH, especially in rural areas, but perhaps not enough globally. One way this can be done is by surveying for SDOH at clinic visits and then linking patients with relevant community resources. However, resources are not always readily available in Roaring Creek, Belize. Many patients are positive for SDOH, but with an overall lack of resources, it is important to do more research to determine how global health efforts can best serve these populations. Perhaps the best way for SDOH needs to be addressed is for Body and Soul to collaborate with community health workers and mission teams to establish ongoing programs and longstanding resources for the community.
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Shirely, Kaitlyn, Margaret Smith, Kacie Denton, Blair Brandt, Ivy A. Click, and Joseph Gravel. "Social Determinants of Health in Rural Tennessee Clinics." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/6383.

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Omotoso, Kehinde Oluwaseun. "Assessing changes in the social determinants of health and health inequality." Thesis, University of Pretoria, 2017. http://hdl.handle.net/2263/65505.

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This thesis broadly investigates the relative changes in socio-economic related health inequalities over the second decade of post-apartheid South Africa. This period is characterised by di erent policies and reforms, aimed at reducing socio-economic inequalities that pervaded all aspects of life before 1994. By extension, these policies and reforms have also been applied to the health care system. Speci cally, policy interventions such as scal redistribution directed at key sectors, abolition of user fees for primary health care, and the ongoing discussions related to universal health coverage through yet-to-be-implemented national health insurance have targeted reductions in socio-economic related health inequality. However, evidence from the academic and policy-oriented literature suggests that not much has changed. Health inequality which is strongly linked to inequalities in its social determinants, persist, despite notable policies targeting socio-economic factors. Moreover, existing literature has not identi ed drivers of change, and, therefore, presents a narrow perspective of health inequality. Hence, it is important to analyse changes in social determinants of health and health inequality over the current post-apartheid period. This thesis uses data from the nationally representative General Household Surveys (GHS), which started in 2002. After scrutinising the data for consistency and comparability across the years, the thesis pro les trends in health outcomes across a spectrum of socio-demographic factors, using the GHS data covering the years 2004 - 2014. The health variables considered are ill-health status, medical aid coverage, and preference for public or private health care. As there are few obvious patterns in the raw health variables' time series, the analysis, which is descriptive in nature, relies upon both parametric and non-parametric techniques to smooth the time series in order to outline a few general trends. It is found that medical aid coverage and the general population's preference for public health care decreased by 0.2% and 0.1%, per year, respectively, while reports of ill-health status increased by 0.4%, annually. Moreover, the probability that an individual, who is covered by a medical aid scheme, would utilize public health care decreased by about 44%. Having established changes in the health indicators, the thesis further explores some key socio-economic drivers of these changes. Speci cally, the thesis uses information collected on social determinants of health (SDH), and a variety of health indicators in the 2004 and 2014 GHS data, to explain how changes in the SDH have impacted health inequalities over that decade. Using the Oaxaca-Blinder decomposition of change in a concentration index, the thesis nds that rising inequalities in ill-health are largely explained by changes in the composition of those residing in urban areas and in relatively richer provinces. Meanwhile, rising inequality in medical aid coverage and the utilisation of private health care are attributable to changes in educational attainment and racial composition. On the other hand, changing elasticities in SDH, rather than increasing inequalities, are found to explain a widening preference for private health care in the event of illness. Finally, the thesis investigates socio-economic factors driving health inequality at a fairly disaggregated level, by examining the relative contributions of SDH to changes in gendered health di erentials between 2005 and 2014. Using di erences-in-decompositions, the thesis nds that the gender gap in health narrowed by approximately 2% between 2005 and 2014, and the narrowing of that gap can be attributed to changes in educational attainment and social grant receipt. Speci cally, the relative increase in social grant receipt by females explains approximately 28% of the reduction, while the relative increase in the receipt of formal education by females explains about 1.11%.
Thesis (PhD)--University of Pretoria, 2017.
Economics
PhD
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Books on the topic "Social determinants of health"

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Bronwyn, Carson, ed. Social determinants of indigenous health. Crows Nest, N.S.W: Allen & Unwin, 2007.

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Goldberg, Daniel S. Public Health Ethics and the Social Determinants of Health. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-51347-8.

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Nambiar, Devaki, and Arundati Muralidharan, eds. The Social Determinants of Health in India. Singapore: Springer Singapore, 2017. http://dx.doi.org/10.1007/978-981-10-5999-5.

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Organization, World Health, ed. Equity, social determinants, and public health programmes. Geneva, Switzerland: World Health Organization, 2010.

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Canadian Centre for Policy Alternatives--Manitoba, ed. The social determinants of health in Manitoba. Winnipeg: Canadian Centre for Policy Alternatives - Manitoba, 2010.

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1943-, Wilkinson Richard G., Marmot M. G, and World Health Organization. Regional Office for Europe., eds. Social determinants of health: The solid facts. 2nd ed. Copenhagen: WHO Regional Office for Europe, 2003.

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Kondo, Katsunori, ed. Social Determinants of Health in Non-communicable Diseases. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-1831-7.

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Treadwell, Henrie M., Clare Xanthos, and Kisha B. Holden. Social determinants of health among African American men. San Francisco: Jossey-Bass, 2013.

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Cuff, Patricia A., and Erin Hammers Forstag, eds. Educating Health Professionals to Address the Social Determinants of Mental Health. Washington, D.C.: National Academies Press, 2020. http://dx.doi.org/10.17226/25711.

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Wellcome Trust Centre for the History of Medicine at UCL, ed. Social determinants of health: Assessing theory, policy, and practice. New Delhi: Orient BlackSwan, 2010.

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Book chapters on the topic "Social determinants of health"

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Bailey-McHale, Rebecca, Victoria Whaley, and Julie Bailey-McHale. "Social Determinants of Health." In Encyclopedia of the UN Sustainable Development Goals, 647–57. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-95681-7_9.

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Bailey-McHale, Rebecca, Victoria Whaley, and Julie Bailey-McHale. "Social Determinants of Health." In Encyclopedia of the UN Sustainable Development Goals, 1–11. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-69627-0_9-1.

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Rubin, I. Leslie. "Social Determinants of Health." In Health Care for People with Intellectual and Developmental Disabilities across the Lifespan, 1919–32. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-18096-0_147.

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Venkatapuram, Sridhar. "Social Determinants of Health." In Handbook of the Philosophy of Medicine, 1077–88. Dordrecht: Springer Netherlands, 2017. http://dx.doi.org/10.1007/978-94-017-8688-1_72.

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Venkatapuram, Sridhar. "Social Determinants of Health." In Handbook of the Philosophy of Medicine, 1–12. Dordrecht: Springer Netherlands, 2016. http://dx.doi.org/10.1007/978-94-017-8706-2_72-1.

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Ferrer, Robert L. "Social Determinants of Health." In Chronic Illness Care, 435–49. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-71812-5_36.

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Laverack, Glenn. "Social Determinants of Health." In A–Z of Public Health, 167–70. London: Macmillan Education UK, 2015. http://dx.doi.org/10.1007/978-1-137-42617-8_64.

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Weber, Patrick, Vivian Vimarlund, Ivana Ognjanović, Oommen John, Ying Wu, Meihua Ji, B. Kavitha, and Suptendra Nath Sarbadhikari. "Social Determinants of Health:." In Nursing and Informatics for the 21st Century – Embracing a Digital World, 3rd Edition, Book 4, 33–52. New York: Productivity Press, 2022. http://dx.doi.org/10.4324/9781003281047-3.

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ten Have, Henk, and Maria do Céu Patrão Neves. "Health, Social Determinants Of." In Dictionary of Global Bioethics, 603. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-54161-3_295.

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Mays, Allison Moser, and Sonja Rosen. "Social Determinants of Health." In Geriatric Medicine, 1–10. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-030-01782-8_5-1.

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Conference papers on the topic "Social determinants of health"

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Barida, Iram, Mochamad Iqbal Nurmansyah, and Mizna Sabilla. "An Evaluation of Youth Care Health Program (PKPR) in Public Health Center in Jakarta, Indonesia." In International Conference on Social Determinants of Health. SCITEPRESS - Science and Technology Publications, 2018. http://dx.doi.org/10.5220/0008380500560060.

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Razi, Pahrur, Muhammad Rusdi, Asni Johari, Syahrial, Asrial, and Sukmal Fahri. "Determinants of Oral Health Behaviour in Pre-schoolers: Application of the Theory of Health Belief Model." In International Conference on Social Determinants of Health. SCITEPRESS - Science and Technology Publications, 2021. http://dx.doi.org/10.5220/0010757400003235.

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Asiah, Nur, Yulia Setianingsih, Ahman Sya, and Izza Suraya. "Determinants of Neonatal Mortality in Indonesia." In International Conference on Social Determinants of Health. SCITEPRESS - Science and Technology Publications, 2021. http://dx.doi.org/10.5220/0010760200003235.

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Wibowo, Marsiana, and Eriyani Khuzaimah. "An Analysis Impact of No-Smoking Area Declaration Program in Adolescents Smoking Behavior in Purworejo Hamlet, Wonolelo Villages, Pleret, Bantul." In International Conference on Social Determinants of Health. SCITEPRESS - Science and Technology Publications, 2018. http://dx.doi.org/10.5220/0008370100050011.

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Astuti, Nurul Huriah, and Ony Linda. "Sexual and Reproductive Rights in Islamic Perspective and Kemuhammadiyahan." In International Conference on Social Determinants of Health. SCITEPRESS - Science and Technology Publications, 2018. http://dx.doi.org/10.5220/0008370400120019.

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Porusia, Mitoriana, and Desy Aulia Abshor. "A Description of Cadre Motivation of Community TB-HIV Care Aisyiyah in Sukoharjo and Sragen District." In International Conference on Social Determinants of Health. SCITEPRESS - Science and Technology Publications, 2018. http://dx.doi.org/10.5220/0008370500200023.

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Linda, Ony, and Nurul Huriah Astuti. "Association of Birth Weight, Immunization, and Parity with Nutritional Status of Children Under Five Years." In International Conference on Social Determinants of Health. SCITEPRESS - Science and Technology Publications, 2018. http://dx.doi.org/10.5220/0008371000240027.

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Wijirahayu, Suciana. "Religious Value, Content Language Integrated Learning and a Model of Students’ Character Building in Nutrition Study Program." In International Conference on Social Determinants of Health. SCITEPRESS - Science and Technology Publications, 2018. http://dx.doi.org/10.5220/0008371500280032.

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Anggelia, Yutti, and Tanjung Anitasari Indah Kusumaningrum. "The Behavior of Using Condom by MSM or Men Who Have Sex with Men in Sukoharjo." In International Conference on Social Determinants of Health. SCITEPRESS - Science and Technology Publications, 2018. http://dx.doi.org/10.5220/0008371600330039.

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Wardiati, Rosnila, and Basri Aramico. "Inhibitor Factors of Early Initiation of Breastfeeding by Postpartum Mothers in Zainoel Abidin General Hospital Banda Aceh." In International Conference on Social Determinants of Health. SCITEPRESS - Science and Technology Publications, 2018. http://dx.doi.org/10.5220/0008371900400043.

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Reports on the topic "Social determinants of health"

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Friedman, Nicole Lisa. Impactful Care: Addressing Social Determinants of Health Across Health Systems. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.6957.

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Han, Hahrie. Collective Action and the Social Determinants of Health. Milbank Memorial Fund, November 2021. http://dx.doi.org/10.1599/mqop.2021.1102.

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Mertz, Lynn. Making the Connections to Reducing Social Determinants of Health. Washington, DC: AARP Thought Leadership, June 2024. http://dx.doi.org/10.26419/int.00056.025.

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Hinnant, Laurie, Sara Hairgrove, Heather Kane, Jason Williams, and Jessica Duncan Cance. Social Determinants of Health: A Review of Publicly Available Indices. RTI Press, November 2022. http://dx.doi.org/10.3768/rtipress.2022.op.0081.2212.

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In recent years, the number of publicly available tools and indices assessing social determinants of health (SDOH) has grown exponentially. While many of these indices have been developed to assist researchers and practitioners with identifying vulnerable communities, it is difficult to determine the most appropriate measure, index, or combination of indices to use given the research question of interest. This paper presents an overview of the most commonly included indices, highlights commonalities, and identifies some differences in what they measure. We also discuss challenges with using these measures, including the use of state level data to examine local level issues and how the use of atheoretical indices challenges the application of SDOH measurement. Findings are intended to provide researchers and practitioners with information about SDOH data available through these common indices to inform how they are applied based on the needs of their work.
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McDonough, John. Good News on Social Determinants of Health through Preventing Tenant Evictions. Milbank Memorial Fund, January 2022. http://dx.doi.org/10.1599/mqop.2022.0120.

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Lounsbury, Kathleen, Monica Friesen, Ayumi Sasaki, Reilly Baldwin, Paul Foth, Kendra L. Rieger, and Rick Sawatzky. Indigenous social determinants of health measurement for health and social services: A systematic review protocol following a hermeneutic approach. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, July 2023. http://dx.doi.org/10.37766/inplasy2023.7.0083.

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Swack, Michael, Sarah Boege, and Kevin Barnett. Aligning Investments to Improve Population Health: A Statewide Strategy to Address the Social Determinants of Health. University of New Hampshire Libraries, 2023. http://dx.doi.org/10.34051/p/2023.14.

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Slaughter-Acey, Jaime, Kathryn Behrens, Amy M. Claussen, Timothy Usset, Carrie Neerland, Sameerah Bilal-Roby, Huda Bashir, et al. Social and Structural Determinants of Maternal Morbidity and Mortality: An Evidence Map. Agency for Healthcare Research and Quality (AHRQ), December 2023. http://dx.doi.org/10.23970/ahrqepccer264.

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Abstract:
Objective. The purpose was to review available evidence of risk factors associated with maternal morbidity and mortality in the United States during the prenatal and postpartum periods to inform a National Institutes of Health Pathways to Prevention Workshop: Identifying Risks and Interventions to Optimize Postpartum Health, held November 29–December 1, 2022. Data sources. We searched MEDLINE®, CINAHL®, and the Social Sciences Citation Index through November 2022. Review methods. We searched for observational studies examining exposures related to social and structural determinants of health and at least one health or healthcare-related outcome for pregnant and birthing people. We extracted basic study information and grouped studies by social and structural determinants of health domains and maternal outcomes. We prioritized studies according to study design and rigor of analytic approaches to address selection bias based on the ROBINS-E. We summarize all included studies and provide additional descriptions of direction of association between potential risk exposures and outcomes. Results. We identified 8,378 unique references, with 118 included studies reporting social and structural determinants of health associated with maternal health outcomes. Studies covered risk factors broadly, including identity and discrimination, socioeconomic, violence, trauma, psychological stress, structural/institutional, rural/urban, environment, comorbidities, hospital, and healthcare use factors. However, the risk factors we identified represent only a subset of potential social and structural determinants of interest. We found an unexpectedly large volume of research on violence and trauma relative to other potential exposures of interest for pregnant people. Outcome domains included maternal mortality, severe maternal morbidity, hypertensive disorders, gestational diabetes, cardio/metabolic disorders, weathering (the physiological effect of premature aging caused by chronic stressful experiences), depression, other mental health or substance use disorders, and cost/healthcare use outcomes. Depression/other mental health outcomes represented a large proportion of medical outcomes captured. Risk of bias was high, and rarely did studies report the excess risk attributable to a specific exposure. Conclusions. Identifying risk factors pregnant and birthing people face is vitally important. Limited depth and quality of available research within each social and structural determinant of health impeded our ability to outline specific pathways, including risk factor interdependence. While more recently published literature showed a trend toward increased rigor, future research can emphasize techniques that estimate the causal impacts of risk factors. Improved reporting in studies, along with organized and curated catalogues of maternal health exposures and their presumed mechanisms, would make it easier to examine exposures in the future. In the longer term, the field could be advanced by datasets designed to more fully capture the data required to robustly examine racism and other social and structural determinants of health, in combination with their intersections and feedback loops with other biologic/medical risk factors.
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Handel, Benjamin, Jonathan Kolstad, Thomas Minten, and Johannes Spinnewijn. The Social Determinants of Choice Quality: Evidence from Health Insurance in the Netherlands. Cambridge, MA: National Bureau of Economic Research, September 2020. http://dx.doi.org/10.3386/w27785.

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Klasky, Hilda, Heidi Hanson, Kevin Sparks, Matthew Whitehead, Blair Christian, Jodie Trafton, and Anuj Kapadia. Dataset Repository for Investigating Suicide Risk Using Social and Environmental Determinants of Health. Office of Scientific and Technical Information (OSTI), August 2023. http://dx.doi.org/10.2172/1997699.

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