SDOH Flashcards

1
Q

What is the CNA belief regarding the health system, health outcomes and the SDOH?

A

CNA recognizes the important, but limited, influence the health system has on health outcomes and we therefore acknowledge that addressing the social determinants of health needs to be a priority. We believe that a Health in All Policies approach can address inequity because many of the determinants of health are outside the narrow domain of the health-care sector and policies

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2
Q

What does the CNA list as a key tool for prioritizing SDOH.

A

intersectoral collaboration is a key tool for prioritizing the social determinants of health.

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3
Q

How does the CNA suggest breaking the long-existing organizational silos?

A

break long-existing organizational silos by engaging with external stakeholders, such as interest groups, elected officials, municipal and provincial government staff, as well as health care service providers to bring equity to the forefront of the policy agenda

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4
Q

What does Health Promotion Action mean?

A

Build Healthy Public Policy
Reorient health services
Develop personal skills
Strengthen community action
Create supportive environments

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5
Q

What is building healthy public policy?

A

Health promotion goes beyond health care. It puts health on the agenda of policymakers in all sectors and at all levels, directing them to be aware of the health consequences of their decisions and to accept their responsibilities for health.

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6
Q

What is creating supportive environments?

A

Our societies are complex and interrelated. Health cannot be separated from other goals. The inextricable links between people and their environment constitutes the basis for a socioecological approach to health. The overall guiding principle for the world, nations, regions, and communities alike, is the need to encourage reciprocal maintenance—to take care of each other, our communities, and our natural environment.

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7
Q

What is strengthening community action?

A

Health promotion works through concrete and effective community action in setting priorities, making decisions, planning strategies, and implementing them to achieve better health. At the heart of this process is the empowerment of communities, their ownership and control of their own endeavours and destinies.

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8
Q

What is developing personal skills?

A

Health promotion supports personal and social development through providing information, education for health and enhancing life skills. By so doing, it increases the options available to people to exercise more control over their own health and over their environments, and to make choices conducive to health.

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9
Q

What is reorienting health services?

A

The responsibility for health promotion in health services is shared among individuals, community groups, health professionals, health service institutions, and governments. They must work together towards a health care system which contributes to the pursuit of health.

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9
Q

What is reorienting health services?

A

The responsibility for health promotion in health services is shared among individuals, community groups, health professionals, health service institutions, and governments. They must work together towards a health care system which contributes to the pursuit of health.

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10
Q

Raphael discusses the barrage of lifestyle messaging in the world today, which is likely even more profound with increased social technology. What do Canadians lack in understanding or awareness, partly due to this messaging?

A
  • The mass media reinforces these understandings through its uncritical reporting of any and all studies of how a particular gene or behaviour (e.g., drinking coffee or white wine, eating peanuts, consuming tomatoes, sleeping more than or less than eight hours a night, watching too much TV, playing computer games, etc.) either protects from or predicts various adverse health outcome
  • Canadians have limited awareness of the important role social determinants of health such as income, employment, and working conditions play in determining health
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11
Q

Raphael discusses the focus of his written work (volume) as addressing two daunting tasks. Name these two tasks:

A
  • (1) to advance the understandings Canadians hold concerning the social determinants of health
  • (2) to provide support for efforts to improve the quality and equitable distribution of the social determinants of health through the development of health-promoting public policies.
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12
Q
  1. There have been many of health improvements in industrial nations, including Canada since 1900. Although many hypotheses have listed medical advances and improvements in behavior as factors, most analysts find that these health improvements are due to __________________.
A

Most analysts conclude that improvements in health are due to the improving material conditions of everyday life experienced by Canadians since 1900.

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13
Q

Define SDOH by Canadian government

A

a specific group of social and economic factors within the broader determinants of health that determine a persons place in society

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14
Q

Define SDOH by D. Raphael

A

the economic and social conditions that shape the health of individuals, communities., and jurisdiction as a whole…(and) determine the extent to which a person possesses the physical, social, and personal resources to identify and achieve personal aspirations, satisfy needs, and cope with the environment” (Raphael, 2016)

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15
Q

12 SDOH

A

Income & Social Status
Social Support Networks
Education & Literacy
Health literacy
Employment & Working Conditions
Physical Environments
Biological & Genetic Endowment
Individual Health Practices & Coping Skills
Healthy Child Development
Health Services
Gender
Culture
Social Environments

16
Q

Physical determinants of health

A

Natural environment, such as plants, weather, or climate change
Built environment, such as buildings or transportation
Worksites, schools, and recreational settings
Housing, homes, and neighborhoods
Exposure to toxic substances and other physical hazards
Physical barriers, especially for people with disabilities
Aesthetic elements, such as good lighting, trees, or benches

17
Q

What is the effect on poor health outcomes when individuals interact with their environment?

A

Poor health outcomes are often made worse by the interaction between individuals and their social and physical environment.

18
Q

What is structural violence?

A

refers to a form of violence where some social structure or social institution may harm people by preventing them from meeting their basic needs. It is an “avoidable impairment of fundamental human needs”.

19
Q

What leads to structural violence?

A

Social Inequities lead to Structural Violence

20
Q

Indigenous populations are further affected by SDOH due to:

A

Colonialism
Racism
Social Exclusion
Repression of self determination (general society & health care)

21
Q

Maslow’s Hierarchy of Needs:

A

There are five levels in Maslow’s pyramid. From the bottom of the hierarchy upwards, the needs are: 1.
physiological (food and clothing),
2. safety (job security),
3. love and belonging needs (friendship),
4. esteem, and
5. self-actualization.

22
Q

Intersectionality:

A

Intersectionality refers to how sources of discrimination overlap and reinforce each other. It also refers to the reality that we all have many identities that intersect to make us who we are.

23
Q

Social Justice

A

Rooted in social responsibility and fairness

  • Focus is on relative social advantage of individuals or groups over others
  • Examines root causes of inequities (& health disparities) and how to eliminate them
24
Q

Health Equity

A

Health equity reflects social justice and is critical and necessary to achieve health for all, with the concept that health is a human right

25
Q

Equality:

A

Access to resources is there for all. Equal rights under the law. Problem: with health not everyone has equal access to the resources…the “how to” to “get there”

26
Q

Equity:

A

The fulfillment of each individual’s needs as well as their opportunity to reach full potential as a human being. (everyone having the ability to reach the resources). More focus of Fairness.

27
Q

Inequity:

A

Unfair social arrangements
(systematically unfair)

28
Q

Pender strategy to influence health determinants:

A

Pender: health promotion is directed towards increasing the level of well-being and self-actualization and disease prevention is action to avoid or forestall illness/disease.

29
Q

Ottawa charter strategy to influence health determinants:

A

Ottawa Charter: regards health promotion as the over arching concept, the process of enabling people to increase control over, and improve, their health.

30
Q

Health promotion

A

Goes beyond individual health to incorporate community development and policy work. Health promotion is often political in nature as it addresses structural and systemic inequities.

31
Q

5 Broad Strategies identified in the Ottawa Charter for Health Promotion:

A

Build healthy public policy
Create supportive environments
Strengthen community action
Develop personal skills
Reorient health services

32
Q

Primary Health Care as relevant to CHN

A

Provides essential health services in the community
Considers the Determinants of health
Focus is on health promotion, disease prevention and protection
Includes therapeutic, curative and rehabilitation in care
Promotes coordination of care and inter-professional collaboration
Focus is on the client as an equal partner