Social Determinants of health
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Impact on health and population
Influence by conditions in which people are born, grow, live, work and age
Factors that can influence health: - determinants of health
1.
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Who they are?
Age
Sex
Genetic make up
2.
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Lifestyle
Smoking
physical activity
alcohol use
Diets
Social determinants of health
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Shape by the distribution of money, power & resources in all level of area
o Networks
o Socioeconomic
o Cultural
o Environmental
o Health system
Social determinants Framework
WHO – commission for social determinants
2 types :
1. STRUCTURAL DETERMINANTS
- Socio economic and political context { in which a person born and live into }
- *unequal distributions of material and monetory resources that shape the person
economic position
o Governance
 How society organizes itself to make implement social, economic
o Policies
o Values – culture
Socio economic positions :
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Describes a persons place in the community that can affect their exposure vulnerability
and outcome thas has an impact to their health.
Factors :
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Education
Occupation
Income
Gender
o Ethnicity
o Social class
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Affects the intermediary determinants includes :
2. Intermediary determinants
- Influence health and health inequities
- No always linear and does not progress & complex
o Maternal circumstances
 Quality of housing, financial means to buy healthy food, clothing and work
environment
o Psychosocial
 Stressful things / circumstances
 Relationship
 Social supports
o Behavioural circumstance
o Biological circumstances
SOCIAL COHESION AND SOCIAL CAPITAL
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Are factors that bridge intermediary and structural determinants to make sacrifice and
cooperate with each other to have a wider benefit .
HOW TO CHANGE THESE DETERMINANTS
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Not easy involves idetinfying structural and intermediary determinants
The action would depends on the existing socio economic and political context and
commitment for action.