Week 8 – SdoH Correct Questions &
Solutions!!
Part 1 - ANSWER
What does Raphael et al. define as the SDoH? - ANSWERThe primary factors that
shape the health of Canadians are not medical treatments or lifestyle choices but
rather the living and working conditions they experience
What does WHO define as the SDoH? - ANSWERThe social determinants of health
(SDH) are the non-medical factors that influence health outcomes. They are the
conditions in which people are born, grow, work, live, and age, and the wider set of
forces and systems shaping the conditions of daily life. These forces and systems
include economic policies and systems, development agendas, social norms, social
policies and political systems
What does the Community Health Nurses of Canada define as SDoH? -
ANSWERDeterminants of health are conditions that are known to greatly influence
health and include social, economic, physical and environmental health determinants
and are collectively referred to as the Social Determinants of Health.
How do the SDoH impact health? - ANSWER- High levels of physical/psychological
stress -> resp. disease, early onset diabetes
- Prolonged fight or flight response
- Weakened immune systems, hormonal imbalances
- Vulnerable to chronic illness
- Psychological impacts: shame, fear, and insecurity
- Hopelessness and exhaustion
- Higher risk of substance use (coping mechanism they use to get to the baseline of
othe rpeople)
- Lack of access and opportunity for healthy food and physical activity
What is health equity? - ANSWEREveryone obtaining their highest level of health
How are SDoH produced? What does this mean? - ANSWERSDoHs are socially
produced
- Means that these were all produced and can be changed
- Not a fixed concept
Social Determinants of Health Conceptual Framework - ANSWER2 important
aspects are Social Cohesion and Social Capital
What is social about the SDoH? - ANSWER- Structural Determinants
- Intermediary Determinants
- Health Inequities
What do structural determinants include? - ANSWER- Socioeconomic and political
context
, - Socioeconomic position
Socioeconomic and Political Context? - ANSWERMaintain a hierarchy: Some
individuals consistently succeed whereas others don't.
- Socially created
What is socioeconomic position? - ANSWERWhere people are categorized based on
a variety of factors
Why are socioeconomic and political context and socioeconomic position together
called structural determinants? - ANSWERThey relate to the distribution of resources
What do intermediary determinants include? - ANSWER- Material position
- Biology
- Psychological factors
Material Position? - ANSWER- Housing
- Neighbourhood (close to community centres, parks, etc.)
- Work environment
Biology? - ANSWERPlays a role in individual health, but isn't the most important
factor
- Genetic factors aren't very changeable
- Recognize epigenetics and how it can activate a certain gene that wasn't activated
before -> illness
Psychological factors? - ANSWERCoping skills, good partner support, etc.
What is Social Cohesion? - ANSWERState of affairs concerning interactions
between members of society
Characterized by:
- Attitudes and norms
- Trust and belonging
- Helping one another
Living w/ better social cohesion = better supported
What is social capital? - ANSWERThe network of relationships among people who
live and work in a particular society, enabling that society to function effectively
How does Canada calculate a poverty line? - ANSWERBased on a market basket
measure
What does a market basket measure include? - ANSWERFood, housing costs,
education needs, etc.
- Basically, what is needed to meet basic needs and achieve modest standard of
living
- Looks at how much these market basket goods are and recalculates what the
poverty line is based on the rate of market goods
Solutions!!
Part 1 - ANSWER
What does Raphael et al. define as the SDoH? - ANSWERThe primary factors that
shape the health of Canadians are not medical treatments or lifestyle choices but
rather the living and working conditions they experience
What does WHO define as the SDoH? - ANSWERThe social determinants of health
(SDH) are the non-medical factors that influence health outcomes. They are the
conditions in which people are born, grow, work, live, and age, and the wider set of
forces and systems shaping the conditions of daily life. These forces and systems
include economic policies and systems, development agendas, social norms, social
policies and political systems
What does the Community Health Nurses of Canada define as SDoH? -
ANSWERDeterminants of health are conditions that are known to greatly influence
health and include social, economic, physical and environmental health determinants
and are collectively referred to as the Social Determinants of Health.
How do the SDoH impact health? - ANSWER- High levels of physical/psychological
stress -> resp. disease, early onset diabetes
- Prolonged fight or flight response
- Weakened immune systems, hormonal imbalances
- Vulnerable to chronic illness
- Psychological impacts: shame, fear, and insecurity
- Hopelessness and exhaustion
- Higher risk of substance use (coping mechanism they use to get to the baseline of
othe rpeople)
- Lack of access and opportunity for healthy food and physical activity
What is health equity? - ANSWEREveryone obtaining their highest level of health
How are SDoH produced? What does this mean? - ANSWERSDoHs are socially
produced
- Means that these were all produced and can be changed
- Not a fixed concept
Social Determinants of Health Conceptual Framework - ANSWER2 important
aspects are Social Cohesion and Social Capital
What is social about the SDoH? - ANSWER- Structural Determinants
- Intermediary Determinants
- Health Inequities
What do structural determinants include? - ANSWER- Socioeconomic and political
context
, - Socioeconomic position
Socioeconomic and Political Context? - ANSWERMaintain a hierarchy: Some
individuals consistently succeed whereas others don't.
- Socially created
What is socioeconomic position? - ANSWERWhere people are categorized based on
a variety of factors
Why are socioeconomic and political context and socioeconomic position together
called structural determinants? - ANSWERThey relate to the distribution of resources
What do intermediary determinants include? - ANSWER- Material position
- Biology
- Psychological factors
Material Position? - ANSWER- Housing
- Neighbourhood (close to community centres, parks, etc.)
- Work environment
Biology? - ANSWERPlays a role in individual health, but isn't the most important
factor
- Genetic factors aren't very changeable
- Recognize epigenetics and how it can activate a certain gene that wasn't activated
before -> illness
Psychological factors? - ANSWERCoping skills, good partner support, etc.
What is Social Cohesion? - ANSWERState of affairs concerning interactions
between members of society
Characterized by:
- Attitudes and norms
- Trust and belonging
- Helping one another
Living w/ better social cohesion = better supported
What is social capital? - ANSWERThe network of relationships among people who
live and work in a particular society, enabling that society to function effectively
How does Canada calculate a poverty line? - ANSWERBased on a market basket
measure
What does a market basket measure include? - ANSWERFood, housing costs,
education needs, etc.
- Basically, what is needed to meet basic needs and achieve modest standard of
living
- Looks at how much these market basket goods are and recalculates what the
poverty line is based on the rate of market goods
