Social, Economical and Environmental DOH

Question 1

Social Determinants of Health

Answer 1

Social Capital and Cohesion / Discrimination – Social Networking/Support along with the resources that come with being in those organizations

Question 2

Economic Determinants of Health

Answer 2

Socioeconomic status (SES) & poverty – Resources availability and access

Question 3

c. Environmental DOH

Answer 3

common spaces, pollution and housing quality –place to play, Live, No mold, Pollution, Etc.

Question 4

Social capital

Answer 4

Resources that can be accessed through membership in networks and other social structures

i. Trust
ii. Social organizations/support
iii. Collective action
iv. Diffusion of information

Question 5

Impacts of SDH (Social. Determinants. Health.)

Answer 5

Access to Care
—Preterm birth
—STDs
Resource Availability
—Poverty Impacts what resources are available in the Community (FOOD!)
—Many people have to budget other things as priority over food
—Honduras – 2 month female “not growing” and diarrhea b/c the young girl was on a diet of all well/river water

Question 6

Examples of how asthma illustrates SDH (Social. Determinants. Health.)

Answer 6

Housing Quality and Asthma:

• –Sufficient evidence for a causal relationship:
  1. Cockroaches
  2. Dust mites
• –Sufficient evidence for an association:
  1. Mold/mildew
  2. Chemical irritants/inhaled allergens

Question 7

steps medical students and physicians can take for their patients

Answer 7

a. Advocacy
b. Letter to appropriate individual from you! Maybe housing specialist…
c. Home health pathway
d. Medicaid rides
e. Community Collaborations (CLAR – Collaborating to Lessen Environmental Asthma Risks, Child HeLP, etc.)
f. Vote
g. Research

Question 8

Determinants of health

Answer 8

the complex, integrated and overlapping social structures and economic systems that are responsible for most health inequities. These social structures and economic systems include the social environment, physical environment, health environment, etc.
— All of Maslow’s Hierarchy of Needs are social determinants of health

Question 9

Absolute poverty

Answer 9

basic needs or set value
o Easy to assess across regions and time
o More appropriate in developing countries
o Less complete understanding

Question 10

Relative poverty

Answer 10

basic needs, plus what is necessary to have a decent life
o More complete Understand
o Difficult to compare

Question 11

Socioeconomic Status

Answer 11

Socioeconomic Status – Position within social hierarchy, based on prestige and access to resources. 
o	Income and Wealth 
o	Education 
---High future prospects 
o	Occupation 
---Exposure and stresses of work