Module 3 - Determinants, Prevention - Jan 27

Question 1

Evolution of social determinants - 4

Answer 1

Universal Declaration Human Rights 1948 Article 25 - Standard of living: food, clothing, housing, medical care, social services, security; Motherhood and children entitled too
Alma-Ata 1978 - health, health promotion, SDOH. Primary care incl social, political, environmental DOH
Ottawa 1986 - disease to health promotion
Jakarta 1997 5 priorities: Social responsibility/investment/partner for health, increase community capacity and empower individual, secure infrastructure for health promotion

Question 2

Objective: Define SDOH, Health disparities

Answer 2

SDOH - The conditions in which people are born, grow, live, work, age. These shaped by money, power, resources global and local levels.
Health Disparities: Health difference closely linked with social, economic, and/or environmental disadvantage.

Question 3

SDOH includes 5

Answer 3

Neighborhood and local environment
Health and health care access
Social and community context, religion
Education - HS or not
Economic stability

Question 4

US Office for SDOH

Answer 4

HHS has Office of Minority Health (OMH)

Question 5

US rank in world in health

Answer 5

30

Question 6

Objective: Differentiate between 3 levels of prevention

Answer 6

Primary - before disease/dysfunction, health promotion and specific protections (Immunization, sanitation, Vit D)
Secondary - Early detection and quick treatment - screening
Tertiary - minimizing effect/consequences after Dx - cardiac rehab, PT, smoking cessation counseling

Question 7

Determinants and disparities - where in US law

Answer 7

ACA