Module 2.2

Types of Social Drivers of Health

- Access to high quality educational opportunities - access to medical care services - access to social media and other technologies - availability of community-based resources and opportunities for recreational activities - availability of resources to meet daily needs

Types of Social Drivers of Health cont'd

- culture - language/literacy - public safety - residential segregations - social norms and attitutudes - socioeconomic conditions - transportation options

factors that contribute to health and healthcare disparities

- race - socioeconomic status - geographical location - individual behaviors - healthcare provider bias - cultural expectations

More definitions of structural drivers of health

-How society operates (shape the distribution of power, resources, and opportunities across the population) -Outside the direct control of individuals - Some of the policies, institutions, systems, norms and practices are outdated - (racism/discrimination)

5 ways law shape life circumstances and health

1. Design & perpetuate social conditions 2. Transformed behaviors and prejudices into distribution of well-being among populations 3. Determinative of health through under-enforcement 4. Determinative of health through interpretation 5. Structure direct responses to health-harming social needs

Examples of social determinants of health

Access to high quality educational opportunities access to medical care services access to social media and other technologies availability of community based resources and opportunities for recreational activities availability of resources to meet daily needs culture

health disparity

Aka health inequity. Differences in health and healthcare that occur between groups of people

True or False: The law cannot be used as a mechanism through which behaviors and prejudices are transformed into distributions of well being among populations.

False. The law can be used as a mechanism. Examples include incarceration rate, and healthcare discrimination.

Civil legal aid or Civil legal services:

Promote strategies to address the severe gap in access to both criminal and civil justice for low income and vulnerable population

true or false: disparities in health and healthcare are a systemic and deeply challenging problem in the US

TRUE

True or False: the law can be used to design and perpetuate social conditions that can have terrible physical, mental, and emotional effects on individuals.

TRUE. Examples include: Jim crow laws which enforced racial segregation. Some Acts have been implemented to prevent such effects such as The Age Discrimination in Employment Act of 1967 and The Pregnancy Discrimination Act of 1978.

True or False: Law is a social determinant of health

TRUE. There are five ways that law shapes life circumstances and health

social determinants of health

The conditions in which people are born, grow, live, work, and age, shaped by the distribution of money, power, and resources at global, national, and local levels

Civil Legal Assistance

There is no right to the assistant of a lawyer in CIVIL matters. This includes immigration status, domestic violence, disability law, family law, housing needs, public benefits. these are varied by state laws

true or false: law can be determinative of health through their underenforcement

True. Think Residential lead based paint hazard reduction act of 1992 in which the disclosure of known lead-based paint hazards in homes built before 1978 must be made.

Link between social drivers and health outcomes

While most diseases and injuries have multiple causes, and while several factors and conditions contribute to a single death, the overwhelming weight of evidence demonstrates the powerful effects of socioeconomic and related social factors on health.

Types of social drivers of health

access to high-quality educational opportunities access to medical services access to social media and other technologies availability of community based resources and opportunities for recreational activities availability of resources to meet daily needs

Health in All policy (HIAP) strategy

collaborative government approach to incorporate health consideration into an array of policy decisions, and by engaging governments and other stakeholders in a multi-sector approach to shaping the economic, physical, and social environments in which people people live, work, and play.

healthcare disparity

differences between groups in health insurance coverage, access to and use of care and quality of care

Equality vs. Equity

equality = sameness equity = fairness

Drivers or determinants of Health

factors that contribute to a person's current state of health and also contribute to health and healthcare disparities.

Medical-legal partnership

many life circumstances issues are unfixable by healthcare providers alone - improve social conditions via legal assistance MLP includes both medical and legal professionals - create an interconnected care system that focuses on the whole patient. including the ways in which myriad social conditions factor into an individual and population health.

Lenses that disparities appear through:

race, ethnicity, SES, age. geography, language, gender, disability status, citizenship status, sexual identity/orientation

structural drivers of health

the "root", "upstream", or "top-level" causes of population-level health inequities - nation's system of governance - laws - public policies (housing, education, wage, etc.)

Right to Criminal legal representation

the government is required to provide legal counsel to criminal defendants whoa re unable to afford their own attorneys (6th Amendment) - gideon v wainwright (1963)

The Law can be used to structure direct response to health-harming social needs that result from things like impoverishment, illness, market failure, and individual behavior that harms others.

true. EMTALA, Indian Health service, texting and driving policies, bicycle and motorcycle helmet laws

health equity

when all people have the opportunity to attain their full health potential and no one is disadvantaged from achieving this potential because of their social position or other socially determined circumstance