Week 8 Social Determinants of Health_SV PDF

NURS404 Social Determinants of Health Leah Sookhoo RN, PhD Student Acknowledgment to: Amber Johnson RN PHCNP Reproduction or distribution of this presentation without written permission from Leah Sookhoo is prohibited. What are the Social Determinants of Health? “The primary factors that shape...

NURS404 Social Determinants of Health Leah Sookhoo RN, PhD Student Acknowledgment to: Amber Johnson RN PHCNP Reproduction or distribution of this presentation without written permission from Leah Sookhoo is prohibited. What are the Social Determinants of Health? “The primary factors that shape the health of Canadians are not medical treatments or lifestyle choices but rather the living and working conditions they experience” (Raphael et al, 2020, p.11) “The social determinants of health (SDH) are the non-medical factors that influence health outcomes. They are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life. These forces and systems include economic policies and systems, development agendas, social norms, social policies and political systems” (World Health Organization, 2020) “Determinants of health are conditions that are known to greatly influence health and include social, economic, physical and environmental health determinants and are collectively referred to as the Social Determinants of Health. (Community Health Nurses of Canada, 2019, p. 34) Social Determinants: Community Health Nurses of Canada, 2019 Income and income distribution/poverty Colonization Education/Literacy/Education Systems Biology and Genetic Endowment Unemployment/Job Security/Precarious Employment Healthy Child Development Employment and working conditions Social Exclusion Early Childhood Development/Experiences Social Status Food Insecurity Social Safety/ Support Networks/ Social Capital Housing Access to Health Services and Health Services Systems Physical environment/ Environmental Stewardship Personal Health Behaviours and Coping Skills Migration/Dislocation Self-reliance and Self- Determination Immigration Indigenous Status Cultural continuity Gender Relationships with Territory/Land Race/Racism Social environmental Having different abilities Politics/war/conflict (Community Health Nurses Professional Model and Standards of Practice, 2019 p. 34-35) How the Social Determinants Impact Health High levels of physical and psychological stress Prolonged “fight or flight” response Weakened immune systems, hormonal imbalances Vulnerable to chronic illnesses Psychological impacts of shame and insecurity Hopelessness and exhaustion Higher risk of substance use Lack of access and opportunity for healthy food and physical activity (Raphael et al., 2020) What is Social about the SDH? Structural determinants Socioeconomic and political context Socioeconomic position Intermediary determinants Material position Biology Psychological factors Health Inequities (KFLAPH, 2019; WHO, 2010) SDH Conceptual Framework – WHO, 2010 (KFLAPH, 2019)  Canada’s First Poverty Reduction Strategy What is Canada doing about this? Some examples include: Guaranteed Income Supplement Early Learning and Child Care Indigenous Housing Home Care and Mental Health (Government of Canada, 2018) https://www.canada.ca/en/employment-social-development/programs/poverty-reduction/reports/strategy.html Nurses’ Roles in Addressing SDH Consider issues related to access when planning health services including transportation costs, child care services or timing Supporting initiatives that reduce poverty levels by increasing wages, publicly funded services, and resources Supporting initiatives that address the right to food security and affordable housing groups Advocating for intersectoral action on health at municipal and provincial levels Encouraging collaboration between sectors (ex: between PHUs and schools) Advocating for and supporting initiatives that address affordable childcare →(Ex: full-day kindergarten, equitable access to early childhood development) Addressing health inequities at the point of care (Stamler et al., 2020) How Can PHNs Address SDHs? Examples of PHN Positions at KFL&A Public Health that Address Social Determinants of Health in our Community Health Equity, Dental, Vision Healthy Babies Healthy Children Reproductive Health Child and Baby Talk Phone Line Mobile COVID-19 Vaccination Unit/ Mobile Health Outreach Programs Current Context Health equity was officially Starting to integrate health added to the 2018 Ontario Public equity into Primary Care Health Standards https://cep.health/tools/ http://www.health.gov.on.ca/en/pro/programs/public health/oph_standards/ Group Work