SDoH Flashcards
The most important social determinant of health is
Income
How do education influences the population’s health?
By public policies (adequate income, necessary services such as childcare) –> if it would be available, less education would be much less health-threatening.
Unemployment is related to poor health du to
material deprivation and stress response (increase to turn on unhealthy coping eg. smoking)
3 ways how child development impacts on health:
- Latency effects
- Pathway effects
- Cumulative effects
Latency effects
refer to how early childhood experiences predispose children to either good or poor health regardless to later life circonstances.
Pathway effects
refer to children been expose to risk factor but do not have immediate health effects but later lead to situations that do have consequences. Eg. Readiness to learn
Cumulative effects
is the longer children live under conditions of material and social deprivation, more likely to show adverse health and developmental outcomes. Eg. Poverty+abuse –> Learned helplessness
Eg. of what can be done toward child development:
- Afordable and quality childcare for all.
- Provide support/benefit to families through public policies.
- Provide higher wages and social assistance benefits
- Improved community quality of life and reduce social problem.
Socioeconomic position including:
Social class Gender Ethnicity Education Occupation Income
Structural issues eg.
eg. of solution for this issues.
- Aboriginal communities ongoing challenges from the impact of colonization, intergenerational trauma from residential schools, etc. that exert a further influence on health.
- Eg.: Empowering aboriginal communities to reduce suicide rate.
Eg. of structural issues related to health service access:
Eg.: Elderly access to showering services, but cannot bc not disable enough.
SDoH factor related to Elderly who cannot use showering services bc not disable enough:
Income
Social exclusion
social capital (help around them)
Public Policies to adress the SDoH (income, social exclusion):
Reduce incidence of poverty (accesible daycare, raise minimun wage to living wage)
Reduce social exclusion (communities services)
As a nurse, to act on DoH at patient level:
- Asking about DoH, if difficulty to paying rent eg.
- Refer and advocate for community-based groups
- Refer and help them access benefits and support services (tax-credits, social worker)
As a nurse, to act on DoH at practice level (institutional):
-Remove barrier to care with Nurse pivot/liaison, refering to social worker, refer/provide services pt/family needs.
