Social Determinants of Health
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Personal Behavior Community Behavior HEALTH SOCIAL DETERMINANTS OF HEALTH YOU This information taken from Robert Wood Johnson Foundation. 2008. All RWJF rights reserved.
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Presentation by Athem representative
Transcript of Social Determinants of Health
Personal Behavior
Community Behavior
HEALTH
SOCIAL DETERMINANTS OF HEALTH
YOU
This information taken from Robert Wood Johnson Foundation. 2008. All RWJF rights reserved.
Americans are less healthy than people in many other countries.
Life Expectancy – 2004 Infant Mortality - 20051 Japan LE = 82.12 Switzerland3 Iceland4 Italy5 Australia6 Sweden7 France8 Spain9 Canada10 Norway11 New Zealand12 Austria13 Germany14 Netherlands15 Greece16 Luxembourg17 Finland18 Belgium19 Ireland20 United Kingdom21 Portugal22 Korea23 Denmark24 United States LE = 77.825 Czech Republic26 Mexico27 Poland28 Slovak Republic29 Hungary30 Turkey
1 Iceland IMR = 2.3 per 1,000 live births2 Sweden3 Luxembourg4 Japan5 Finland6 Norway7 Czech Republic8 Portugal9 Belgium10 France11 Greece12 Italy13 Spain14 Germany15 Ireland16 Austria17 Switzerland18 Denmark19 Korea20 Netherlands21 Australia22 New Zealand223 United Kingdom24 Canada25 Hungary26 Poland27 United States IMR = 6.9 per 1,000 live births28 Slovak Republic29 Mexico30 Turkey
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This information taken from Robert Wood Johnson Foundation. 2008. All RWJF rights reserved.
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Social Health Determinants
Personal Behavior
Living Conditions Working Conditions
Community Behavior
Economic Resources Social Resources
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40
44
48
52
56
60
MEN WOMEN
≤100% FPL101-200% FPL
201-400% FPL≥400% FPL
Income Influence
Source: NLMS, 1988-1998
Personal Behavior…
This information taken from Robert Wood Johnson Foundation. 2008. All RWJF rights reserved.
4
Education Influence
35
40
45
50
55
60
MEN WOMEN
0 -11 years12 years13 - 15 years≥ 16 years
Personal Behavior…
Source: NLMS, 1988-1998
This information taken from Robert Wood Johnson Foundation. 2008. All RWJF rights reserved.
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Educational attainment
Educational attainment
HEALTHHEALTH
Exposure to hazards Control / demand imbalance Stress
Work-related
resources
Housing Neighborhood environment Nutrition Stress
Work
Health insurance Sick leave Retirement benefits Other benefits
Working conditions
Income
HEALTHHEALTH
HEALTHHEALTH
How education shapes health Nutrition Exercise Drugs & alcohol Health/disease management
Educational attainment
Educational attainment
Sense of control Work-related factors Health-related behaviors Stress
Social standing
Social support
Social & economic resources Stress
Social & economic resources Health-related behaviors Family stability Stress
HEALTHHEALTH
Health knowledge, literacy & behaviors
Educational attainment
Educational attainment
This information taken from Robert Wood Johnson Foundation. 2008. All RWJF rights reserved.
Personal Behavior…
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Community Behavior…
How economic & social advantage shapes health
Higher levels of parents’
education
Healthier behaviors by
parents
Good role models for children and
lower exposure to unhealthy
conditions such as secondhand smoke
Better jobs and increased family
income
Higher levels of parents’ education
Affordability of good housing, a safe
neighborhood with access to
recreational opportunities and
nutritious diet
Increased family income
Resources to cope with stressors (e.g.,
child care, transportation,
health insurance
Decreased levels of chronic stress
experienced by children
Positive effects on neuroendocrine
systems that can lead to lesser risks for
developing chronic disease such as heart disease and diabetes
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Global SolutionsPersonal & Community
Relieve poverty Improve education Improve nutrition Improve prenatal care Improve medical care
Cardiovascular Cancer Diabetes Digestive Infectious Respiratory Violence
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Medical System Encounter Tips
Ask for plain English understanding of:
Your condition
Your condition’s treatment
Your condition’s lifestyle impact
Suggestions, Personal Behavior…
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Community Garden
Fruits Cantaloupe Strawberries Watermelons
Vegetables Broccoli Cabbage Collared Greens Green Beans Herbs Kale Lettuce Lima Beans
Suggestions, Community Behavior…
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Anthem’s CommitmentCancer, Heart, Fitness
American Heart Association START! Anthem 5K- Anthem Great Pumpkin ASK 5K and Fun Anthem LemonAid African American Men’s Health Forum Anthem Health and Fitness Expo Anthem Moonlight Ride
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