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Social
Determinants of
Health

Objective

Health is influenced outside of medical risk

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Unhealthy Poor
coping
mechanisms
health

Impact on
Stress employment
opportunities

Increased Income
hardship constraints
Reduced
access to
healthcare
and
nutritious
food

The definition social

of

Education Health Care deferments health

of
Access and Access and
Quality Quality

Economic Neighborhood
Stability and Built
Environment

Food
Social and Community Context

https://health.gov/healthypeople/objectives-and-data/social-determinants-health

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The Case of AJ

what of
Impact of Social Determinants of Health percentage
10% : Physical Environment impact can the social
40% : Socioeconomic Factors determinets title.
Job Status Community Family/Social Income Education
Safety Support

30% : Health Behaviors

Tobacco Use Diet Exercise Alcohol Use Sexual

Activity

20% : Health Care People need to meet busie

first!
Access to Care
Quality of Care
nech
Am J Prev Med. 2016;50(2):129-135. doi:10.1016/j.amepre.2015.08.024

Economic Stability

Employment
Income
Expenses
Debt
Medical Bills
Support

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Education Access and Quality Literacy

Language
Higher
Education
Vocational
Training
Early
Childhood
Education

10

Health Care Access and Quality Health

Coverage
Provider
Availability
Provider
Linguistics
and Cultural
Competency
Quality of
Care

11

Neighborhood and Built Environment

Housing
Transportation
Safety
Parks
Playgrounds
Walkways

12

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Social and Community Context

Social
Integration
Community
Engagement
Support
Systems
Discrimination

13

Family History

14

Bregue has a chance!

Equity is …

Healthy Systems: Equity. https://www.who.int/healthsystems/topics/equity/en/

15

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Differences btw.

Requity of inequity.

Klein R, Huang D. Defining and measuring disparities, inequities, and inequalities in the Healthy People initiative.
CDC. https://www.cdc.gov/nchs/ppt/nchs2010/41_klein.pdf
Disparities https://www.healthypeople.gov/2020/about/foundation-health-measures/Disparities

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Life expectancy at birth for US

census tracts, 2010-2015

Location Matters

https://www.cdc.gov/nchs/data-visualization/life-expectancy/

17

Life expectancy at birth for US

census tracts, 2010-2015

Zip Code Matters

Richland County, SC

https://www.cdc.gov/nchs/data-visualization/life-expectancy/

18

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what can we do

Impact of a Pharmacist as a
pharmles

19

The Case of the Unsung Hero

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What can we do to improve living conditions?

Medical Epidemiology: Population Health and Effective Health Care, 5e. McGraw Hill; 2014.

21

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Social
Determinants of
Health

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