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Addressing the social determinants of health at the local level: Opportunities and challenges.

https://arctichealth.org/en/permalink/ahliterature290655
Source
Scand J Public Health. 2018 Feb; 46(20_suppl):47-52
Publication Type
Journal Article
Date
Feb-2018
Author
E Fosse
M K Helgesen
S Hagen
S Torp
Author Affiliation
1 Department of Health Promotion and Development, University of Bergen, Bergen, Norway.
Source
Scand J Public Health. 2018 Feb; 46(20_suppl):47-52
Date
Feb-2018
Language
English
Publication Type
Journal Article
Keywords
Cities
Health Policy
Health Status Disparities
Humans
Local Government
Norway
Social Determinants of Health
Socioeconomic Factors
Abstract
The gradient in health inequalities reflects a relationship between health and social circumstance, demonstrating that health worsens as you move down the socio-economic scale. For more than a decade, the Norwegian National government has developed policies to reduce social inequalities in health by levelling the social gradient. The adoption of the Public Health Act in 2012 was a further movement towards a comprehensive policy. The main aim of the act is to reduce social health inequalities by adopting a Health in All Policies approach. The municipalities are regarded key in the implementation of the act. The SODEMIFA project aimed to study the development of the new public health policy, with a particular emphasis on its implementation in municipalities.
In the SODEMIFA project, a mixed-methods approach was applied, and the data consisted of surveys as well as qualitative interviews. The informants were policymakers at the national and local level.
Our findings indicate that the municipalities had a rather vague understanding of the concept of health inequalities, and even more so, the concept of the social gradient in health. The most common understanding was that policy to reduce social inequalities concerned disadvantaged groups. Accordingly, policies and measures would be directed at these groups, rather than addressing the social gradient.
A movement towards an increased understanding and adoption of the new, comprehensive public health policy was observed. However, to continue this process, both local and national levels must stay committed to the principles of the act.
PubMed ID
29552960 View in PubMed
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"All is well": professionals' documentation of social determinants of health in Swedish Child Health Services health records concerning maltreated children - a mixed method approach.

https://arctichealth.org/en/permalink/ahliterature286564
Source
BMC Pediatr. 2016 Aug 15;16(1):127
Publication Type
Article
Date
Aug-15-2016
Author
Marie Köhler
Maria Rosvall
Maria Emmelin
Source
BMC Pediatr. 2016 Aug 15;16(1):127
Date
Aug-15-2016
Language
English
Publication Type
Article
Keywords
Adolescent
Child
Child Abuse - diagnosis - prevention & control
Child Health Services - standards - statistics & numerical data
Child Welfare - statistics & numerical data
Child, Preschool
Documentation - standards - statistics & numerical data - utilization
Female
Foster Home Care
Humans
Infant
Infant, Newborn
Male
Medical Records - standards - statistics & numerical data
Qualitative Research
Retrospective Studies
Social Determinants of Health - statistics & numerical data
Sweden
Abstract
Knowledge about social determinants of health has influenced global health strategies, including early childhood interventions. Some psychosocial circumstances - such as poverty, parental mental health problems, abuse and partner violence - increase the risk of child maltreatment and neglect. Healthcare professionals' awareness of psychosocial issues is of special interest, since they both have the possibility and the obligation to identify vulnerable children.
Child Health Services health records of 100 children in Malmö, Sweden, who had been placed in, or were to be placed in family foster care, were compared with health records of a matched comparison group of 100 children who were not placed in care. A mixed-method approach integrating quantitative and qualitative analysis was applied.
The documentation about the foster care group was more voluminous than for the comparison group. The content was problem-oriented and dominated by severe parental health and social problems, while the child's own experiences were neglected. The professionals documented interaction with healthcare and social functions, but very few reports to the Social Services were noted. For both groups, notes about social structures were almost absent.
Child Health Service professionals facing vulnerable children document parental health issues and interaction with healthcare, but they fail to document living conditions thereby making social structures invisible in the health records. The child perspective is insufficiently integrated in the documentation and serious child protection needs remain unmet, if professionals avoid reporting to Social Services.
Notes
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PubMed ID
27526796 View in PubMed
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An examination of the social determinants of health as factors related to health, healing and prevention of foetal alcohol spectrum disorder in a northern context--the Brightening Our Home Fires Project, Northwest Territories, Canada.

https://arctichealth.org/en/permalink/ahliterature107711
Source
Pages 169-174 in N. Murphy and A. Parkinson, eds. Circumpolar Health 2012: Circumpolar Health Comes Full Circle. Proceedings of the 15th International Congress on Circumpolar Health, Fairbanks, Alaska, USA, August 5-10, 2012. International Journal of Circumpolar Health 2013;72 (Suppl 1):169-174
Publication Type
Article
Date
2013
BEHAVIORAL HEALTH An examination of the social determinants of health as factors related to health, healing and prevention of foetal alcohol spectrum disorder in a northern context - the brightening our home fires project, Northwest Territories, Canada Dorothy Badry 1 •2* and Aileen Wight
  1 document  
Author
Dorothy Badry
Aileen Wight Felske
Author Affiliation
Faculty of Social Work, University of Calgary, Calgary, AB, Canada. badry@ucalgary.ca
Source
Pages 169-174 in N. Murphy and A. Parkinson, eds. Circumpolar Health 2012: Circumpolar Health Comes Full Circle. Proceedings of the 15th International Congress on Circumpolar Health, Fairbanks, Alaska, USA, August 5-10, 2012. International Journal of Circumpolar Health 2013;72 (Suppl 1):169-174
Date
2013
Language
English
Geographic Location
Canada
Publication Type
Article
Digital File Format
Text - PDF
Physical Holding
University of Alaska Anchorage
Keywords
Alcohol Drinking - ethnology - prevention & control
Community-Based Participatory Research - methods
Female
Fetal Alcohol Spectrum Disorders - prevention & control - therapy
Health Services, Indigenous - organization & administration
Humans
Maternal Health Services - methods - organization & administration
Northwest Territories
Pregnancy
Social Determinants of Health
Abstract
The Brightening Our Home Fires (BOHF) project was conceptualized as an exploratory project to examine the issue of the prevention of foetal alcohol spectrum disorder (FASD) from a women's health perspective in the Northwest Territories (NT). While dominant discourse suggests that FASD is preventable by abstention from alcohol during pregnancy, a broader perspective would indicate that alcohol and pregnancy is a far more complex issue, that is, bound in location, economics, social and cultural views of health. This project was prevention focused and a social determinant of health (SDH) perspective informed this research.
The BOHF project was a qualitative research project using a participatory action research framework to examine women's health and healing in the north. The methodology utilized was Photovoice. Women were provided training in digital photography and given cameras to use and keep. The primary research question utilized was: What does health and healing look like for you in your community? Women described their photos, individually or in groups around this central topic. This research was FASD informed, and women participants were aware this was an FASD prevention funded project whose approach focused on a broader context of health and lived experience.
This project drew 30 participants from: Yellowknife, Lutsel 'ke, Behchokö and Ulukhaktok. These four different communities across the NT represented Dene and Inuit culture. The qualitative data analysis offered themes of importance to women's health in the north including: land and tradition; housing; poverty; food; family; health, mental health and trauma, and travel. Photovoice provides a non-threatening way to engage in dialogue on complex health and social issues.
Notes
Cites: Int J Circumpolar Health. 2011 Sep;70(4):428-3321878184
Cites: Can Med Assoc J. 1959 Nov 15;81:837-4113852329
PubMed ID
23984290 View in PubMed
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Assessing the social and physical determinants of circumpolar population health.

https://arctichealth.org/en/permalink/ahliterature107664
Source
Pages 921-929 in N. Murphy and A. Parkinson, eds. Circumpolar Health 2012: Circumpolar Health Comes Full Circle. Proceedings of the 15th International Congress on Circumpolar Health, Fairbanks, Alaska, USA, August 5-10, 2012. International Journal of Circumpolar Health 2013;72 (Suppl 1):921-929
Publication Type
Article
Date
2013
a rigorous demonstration of a link between a social determinant and selected health outcomes. Conclusions. Study conclusions includes a list of determinants identified, their associated outcomes and the study designs implemented to assess that association. Keywords: arctic; population health
  1 document  
Author
David L Driscoll
Bruce Dotterrer
Richard A Brown
Author Affiliation
Institute for Circumpolar Health Studies, University of Alaska, Anchorage, USA
Source
Pages 921-929 in N. Murphy and A. Parkinson, eds. Circumpolar Health 2012: Circumpolar Health Comes Full Circle. Proceedings of the 15th International Congress on Circumpolar Health, Fairbanks, Alaska, USA, August 5-10, 2012. International Journal of Circumpolar Health 2013;72 (Suppl 1):921-929
Date
2013
Language
English
Publication Type
Article
Digital File Format
Text - PDF
Physical Holding
University of Alaska Anchorage
Keywords
Alaska - epidemiology
Arctic Regions - epidemiology
Health status
Humans
Morbidity
Mortality
Social Determinants of Health - statistics & numerical data
Abstract
Systematic reviews of the social and physical determinants of health provide metrics for evaluation of programs to mitigate health disparities. Previous meta-analyses of the population health literature have identified several proximate social and physical determinants of population health in the circumpolar north including addiction, environmental exposures, diet/nutrition and global climate change. Proximate health determinants are most amenable to early detection and modification or mitigation through disease prevention or health promotion interventions.
There is a need for research to replicate these findings based on the latest science. This presentation describes a study applying Dahlgren and Whitehead's (1991) socio-ecological model of health determinants to identify the proximate social and physical determinants of health in the circumpolar north.
The study consisted of a systematic review of recent studies that link determinants of health with the leading causes of mortality and morbidity in Alaska. Our search strategy employed a keyword search using the Circumpolar Health Bibliographic Database (CHBD) and 4 databases within the Web of Knowledge (WoK) data gateway. Keywords included various terms for the arctic, all relevant nations and territories within the region, as well as leading health outcomes.
Studies meeting the following inclusion criteria were reviewed: original research within a circumpolar population, published in English during 2011, and involving a rigorous demonstration of a link between a social determinant and selected health outcomes.
Study conclusions includes a list of determinants identified, their associated outcomes and the study designs implemented to assess that association.
Notes
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PubMed ID
23986893 View in PubMed
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The association between mid-life socioeconomic position and health after retirement--exploring the role of working conditions.

https://arctichealth.org/en/permalink/ahliterature108569
Source
J Aging Health. 2013 Aug;25(5):863-81
Publication Type
Article
Date
Aug-2013
Author
Vanessa Parker
Ross Andel
Charlotta Nilsen
Ingemar Kåreholt
Author Affiliation
Aging Research Center, Karolinska Institutet/Stockholm University, Sweden.
Source
J Aging Health. 2013 Aug;25(5):863-81
Date
Aug-2013
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Female
Follow-Up Studies
Health Status Disparities
Humans
Male
Middle Aged
Retirement
Self Report
Social Class
Social Determinants of Health
Sweden
Workplace - psychology - statistics & numerical data
Abstract
To explore the role of working conditions in the association between socioeconomic position and health after retirement age using over 20 years follow-up.
Two Swedish nationally representative Level of Living Surveys (total N = 1,131) were used. Ordered logistic regression was used to assess the association between socioeconomic position and health (self-rated health, psychological distress, musculoskeletal pain, circulatory problems, physical and cognitive impairment). The role of physical and psychological working conditions was also assessed.
Lower socioeconomic position was associated with more adverse physical, but not psychological, working conditions. Physical working conditions partially explained the differences in physical impairment and musculoskeletal pain in old age attributed to socioeconomic position, but not differences in self-rated health, circulatory problems, psychological distress, and cognitive impairment. Socioeconomic position was a stronger correlate of health than psychological working conditions alone.
Improving physical working conditions may be important for reducing the influence of socioeconomic position on health after retirement.
PubMed ID
23872823 View in PubMed
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Beyond 'run, knit and relax': can health promotion in Canada advance the social determinants of health agenda?

https://arctichealth.org/en/permalink/ahliterature105306
Source
Healthc Policy. 2013 Oct;9(Spec Issue):48-58
Publication Type
Article
Date
Oct-2013
Author
Ted Schrecker
Author Affiliation
Adjunct Professor, Department of Epidemiology and Community Medicine, University of Ottawa, Canada, Professor of Global Health Policy, School of Medicine, Pharmacy and Health, Durham University, Stockton-on-Tees, UK.
Source
Healthc Policy. 2013 Oct;9(Spec Issue):48-58
Date
Oct-2013
Language
English
Publication Type
Article
Keywords
Canada - epidemiology
Health Promotion - methods
Health Status Disparities
Humans
Life Style
Politics
Social Determinants of Health
Abstract
Can health promotion in Canada effectively respond to the challenge of reducing health inequities presented by the WHO Commission on Social Determinants of Health? Against a background of failure to take seriously issues of social structure, I focus in particular on treatments of stress and its effects on health, and on the destructive congruence of Canadian health promotion initiatives with the neoliberal "individualization" of responsibility for (ill) health. I suggest that the necessary reinvention of the health promotion enterprise is possible, but implausible.
PubMed ID
24289939 View in PubMed
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Canada's efforts to ensure the health and wellbeing of Indigenous peoples.

https://arctichealth.org/en/permalink/ahliterature295709
Source
Lancet. 2018 04 28; 391(10131):1650-1651
Publication Type
Historical Article
Journal Article
Date
04-28-2018
Author
Jane Philpott
Author Affiliation
Office of the Minister of Indigenous Services, Gatineau, QC K1A 0H4, Canada. Electronic address: jane.philpott@canada.ca.
Source
Lancet. 2018 04 28; 391(10131):1650-1651
Date
04-28-2018
Language
English
Publication Type
Historical Article
Journal Article
Keywords
Acculturation - history
Canada
Health Policy
Health status
Health Status Disparities
History, 19th Century
History, 20th Century
History, 21st Century
Humans
Indians, North American
Inuits
Mental health
National Health Programs
Public Policy
Social Determinants of Health
PubMed ID
29483022 View in PubMed
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Circumpolar Inuit Health Strategy 2010-2014.

https://arctichealth.org/en/permalink/ahliterature297073
Source
Inuit Circumpolar Council Canada. Ottawa, ON. 8 p.
Publication Type
Report
Date
2010
influenced by social determinants, environmental issues, the effectiveness of the local health services and historical contexts. While there have been major improvements in health and survival for circumpolar Inuit, advances in some areas have been overshadowed by emerging problems or stalled progress
  1 document  
Source
Inuit Circumpolar Council Canada. Ottawa, ON. 8 p.
Date
2010
Language
English
Publication Type
Report
File Size
111946
Keywords
Inuit
Health
Policies
Social determinants
Abstract
At the 2006 ICC General Assembly in Barrow, Inuit health and wellness was identified as a priority for ICC action. This was expressed in two of the directives contained in the Utqiaavik Declaration. One of the directives to ICC was to hold a pan-Inuit Summit on health and well-being and the second was to develop a Circumpolar Inuit Health Action Plan. This document sets out the proposed strategy for the Circumpolar Inuit Health Action Plan to guide ICC’s health advocacy work over the next four years.
Documents

icc_health_strategy2010-2014_july2010_formatted.pdf

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Cohort profile: the Social Inequality in Cancer (SIC) cohort study.

https://arctichealth.org/en/permalink/ahliterature266116
Source
Int J Epidemiol. 2014 Dec;43(6):1750-8
Publication Type
Article
Date
Dec-2014
Author
Helene Nordahl
Ulla Arthur Hvidtfeldt
Finn Diderichsen
Naja Hulvej Rod
Merete Osler
Birgitte Lidegaard Frederiksen
Eva Prescott
Anne Tjønneland
Theis Lange
Niels Keiding
Per Kragh Andersen
Ingelise Andersen
Source
Int J Epidemiol. 2014 Dec;43(6):1750-8
Date
Dec-2014
Language
English
Publication Type
Article
Keywords
Adult
Aged
Aged, 80 and over
Alcohol drinking - epidemiology
Cohort Studies
Denmark - epidemiology
Educational Status
Female
Health Status Disparities
Humans
Male
Middle Aged
Neoplasms - epidemiology
Risk factors
Sedentary lifestyle
Smoking - epidemiology
Social Class
Social Determinants of Health
Socioeconomic Factors
Young Adult
Abstract
The Social Inequality in Cancer (SIC) cohort study was established to determine pathways through which socioeconomic position affects morbidity and mortality, in particular common subtypes of cancer. Data from seven well-established cohort studies from Denmark were pooled. Combining these cohorts provided a unique opportunity to generate a large study population with long follow-up and sufficient statistical power to develop and apply new methods for quantification of the two basic mechanisms underlying social inequalities in cancer-mediation and interaction. The SIC cohort included 83 006 participants aged 20-98 years at baseline. A wide range of behavioural and biological risk factors such as smoking, physical inactivity, alcohol intake, hormone replacement therapy, body mass index, blood pressure and serum cholesterol were assessed by self-administered questionnaires, physical examinations and blood samples. All participants were followed up in nationwide demographic and healthcare registries. For those interested in collaboration, further details can be obtained by contacting the Steering Committee at the Department of Public Health, University of Copenhagen, at inan@sund.ku.dk.
PubMed ID
24550248 View in PubMed
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Community-based health care in action

https://arctichealth.org/en/permalink/ahliterature99520
Source
Page 522 in S. Chatwood, P. Orr and Tiina Ikaheimo, eds. Proceedings of the 14th International Congress on Circumpolar Health, Yellowknife, Canada, July 11-16, 2009. Securing the IPY Legacy: from Research to Action. International Journal of Circumpolar Health 2010; 69 (Suppl 7).
Publication Type
Conference/Meeting Material
Date
2010
primary health care in action, delivering services to marginalized populations in a way that meets their specific needs in an environment they feel comfortable being in. The clinic established 5 years ago approached health care from a social determinants perspective. It piloted the Family Physician and
  1 document  
Author
Hache, A.
Author Affiliation
Centre for Northern Families
Source
Page 522 in S. Chatwood, P. Orr and Tiina Ikaheimo, eds. Proceedings of the 14th International Congress on Circumpolar Health, Yellowknife, Canada, July 11-16, 2009. Securing the IPY Legacy: from Research to Action. International Journal of Circumpolar Health 2010; 69 (Suppl 7).
Date
2010
Language
English
Geographic Location
Canada
Publication Type
Conference/Meeting Material
Digital File Format
Text - PDF
Physical Holding
University of Alaska Anchorage
Keywords
Collaborative practice
Dene
Emergency shelter
Family resource center
Inuit
Marginalized populations
Social determinants perspective
Notes
Part of Abstracts: Oral presentations. Chapter 13. Building Health Services Resources and Research Capacity.
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56 records – page 1 of 6.