Social Determinants of Health Flashcards
Health starts where?
In our homes, schools and communitiestrongr
What are social determinants of health?
The circumstances in which people are born, grow up, live, work, age and the systems put in place to deal with illness
Discuss the impact of ACES
Adverse Childhood Experiences increase the risk of HIV,, teen pregnancy, maternal depression, shortened life span, intergenerational transmission of ACES to offspring, lower educational and occupational attainment
Discuss health disparities with LGBTQ community
LGBT youth are 2 to 3 times more likely to attempt suicide.
LGBT youth are more likely to be homeless.
Lesbians are less likely to get preventive services for cancer.
Gay men are at higher risk of HIV and other STDs, especially among communities of color.
Lesbians and bisexual females are more likely to be overweight or obese.
Transgender individuals have a high prevalence of HIV/STDs, victimization,mental health issues,and suicideand are less likely to have health insurance than heterosexual or LGB individuals.
Elderly LGBT individuals face additional barriers to health because of isolation and a lack of social services and culturally competent providers.
LGBT populations have the highest rates of tobacco,alcohol,and other drug use.
American Nursing Association Code of Ethics
“The nurse has a responsibility to be aware not only of specific health needs of individual patients, but also the broader health concerns such as world hunger, environmental pollution, lack of access to health care, violations of human rights, and inequitable distribution of nursing and health care resources.”
What are social and physical determinants affecting the health of LGBTQ individuals ?
Social Determinants include:
Legal discrimination in access to health insurance, employment, housing, marriage, adoption, and retirement benefits
Lack of laws protecting against bullying in schools
Lack of social programs targeted to and/or appropriate for LGBT youth, adults, and elders
Shortage of health care providers who are knowledgeable and culturally competent in LGBT health
Physical Determinants include:
Safe schools, neighborhoods, and housing
Access to recreational facilities and activities
Availability of safe meeting places
Access to health services
What is the new lens of health promotion ?
The old lens was :how can we get this patient to engage in healthier behaviors” to
We consider the circumstances in which people are born, grow up, live, work and age” (WHO, 2008)
We understand complex systems and conditions that contribute to health
We develop appropriate prevention and promotion interventions via policy and actions
