Getting to the Root of the Problem: Health Promotion Strategies to Address the Social Determinants of Health
Dana Gore,Anita Kothari +1 more
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TLDR
It is argued for the importance of programming targeted at the structural determinants as opposed to programming targeted solely at the immediate environment, which has more potential to create significant improvements in health, contribute to long-term social change and increase health equity.Abstract:
Although extensive research shows that the social determinants of health influence the distribution and course of chronic diseases, there is little programming in public health that addresses the social determinants as a disease prevention strategy. This paper discusses different types of health promotion initiatives and differentiates them based on whether they attempt to impact intermediate (environmental) determinants of health or structural determinants of health. We argue for the importance of programming targeted at the structural determinants as opposed to programming targeted solely at the immediate environment. Specifically, the former has more potential to create significant improvements in health, contribute to long-term social change and increase health equity. We urge public health leaders to take this distinction into consideration during public health program planning, and to build capacity in the public health workforce to tackle structural mechanisms that lead to poor health and health inequities.read more
Citations
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Intersystem Implications of the Developmental Origins of Health and Disease: Advancing Health Promotion in the 21st Century
TL;DR: Through these interventions, public health could further address the sources of worldwide chronic disease epidemics and reduce such disease rates substantially if related policy, programs, and interdisciplinary and multi-sector collaboration are emphasized.
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Primary Care Dentistry in Brazil: From Prevention to Comprehensive Care.
TL;DR: This cross-sectional study aimed to evaluate the association between sociodemographic characteristics, health care indicators, work process characteristics, and the performance of preventive dental procedures by oral health care teams (OHCTs) assessed during the first phase of the PMAQ in Brazil.
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An Intergenerational Approach to Break the Cycle of Malnutrition
TL;DR: A need exists to begin investigating not just how nutrition changes are sustained throughout the lifespan, but how nutritional intervention in one generation impacts the next.
Journal ArticleDOI
Low level of attention to health inequalities in prevention planning activities of the Italian Regions
Corrado De Vito,Azzurra Massimi,Domitilla Di Thiene,Annalisa Rosso,Elvira D’Andrea,Maria Rosaria Vacchio,Paolo Villari,Carolina Marzuillo +7 more
TL;DR: The level of attention to health inequalities in the regional planning process of prevention activities 2010–2013 in Italy is low, which supported the new round of prevention planning in Italy, and highlight the urgent need to increase the number of policies and interventions able to reduce health inequalities.
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Inequities and inequalities in outdoor walking groups: a scoping review
B.P. Rigby,Caroline J. Dodd-Reynolds,Caroline J. Dodd-Reynolds,Emily J. Oliver,Emily J. Oliver +4 more
TL;DR: The published literature on outdoor walking groups leaves unanswered questions regarding participation inequalities, with implications for future physical activity promotion, and recommendations that appropriate tailoring of universal programmes to community needs and embedding strategies to increase social cohesion are important in developing equitable programmes.
References
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Closing the gap in a generation: health equity through action on the social determinants of health
TL;DR: The Commission on Social Determinants of Health (CSDH) as mentioned in this paper was created to marshal the evidence on what can be done to promote health equity and to foster a global movement to achieve it.
A conceptual framework for action on the social determinants of health.
Orielle Solar,Alec Irwin +1 more
TL;DR: A shared understanding of where and how to intervene to reduce health inequities is sought that can orient the work of the Commission on Social Determinants of Health.
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Closing the gap in a generation: health equity through action on the social determinants of health. Final report of the Commission on Social Determinants of Health
Journal ArticleDOI
Metabolic Syndrome A Comprehensive Perspective Based on Interactions Between Obesity, Diabetes, and Inflammation
TL;DR: The original conceptualization of this syndrome was on the basis of resistance to the metabolic actions of insulin, and it was maintained that hyperinsulinemia itself contributes to atherogenicity, and thus, insulin is atherogenic, leading to the coronary heart disease and cerebrovascular disease associated with this syndrome.
Journal ArticleDOI
Transcending the Known in Public Health Practice - The Inequality Paradox: The Population Approach and Vulnerable Populations
TL;DR: It is argued that population-approach interventions may be compromised by inconsistencies between the social and cultural assumptions of public health practitioners and targeted groups and some intervention principles are proposed to mitigate the health disparities associated with population- Approaches interventions.
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