Grounded theory methodology was used to explore the social processes involved in the use of illicit drugs in older African Americans as an underpinning to the development of approaches to nursing care and treatment. Interviews were conducted with six older African American substance users who were currently in drug treatment programs. Responses to the questions […]
Abstract Topics: Social Determinants of Health
Disproportionality and Learning Disabilities: Parsing Apart Race, Socioeconomic Status, and Language.
The disproportionate identification of learning disabilities among certain sociodemographic subgroups, typically groups that are already disadvantaged, is perceived as a persistent problem within the education system. The academic and social experiences of students who are misidentified with a learning disability may be severely restricted, whereas students with a learning disability who are never identified are […]
Collective resources or local social inequalities? Examining the social determinants of mental health in rural areas.
BACKGROUND: In England, although some studies report better health among rural populations, few have examined social inequalities in health within rural areas and how they compare to inequalities observed in urban settings. The objectives of this study are to examine (i) whether living in rural, in more affluent and in more socially cohesive areas is […]
Social determinants of mental health treatment among Haitian, African American, and White youth in community health centers.
We examine adequate mental health treatment, emergency room (ER) use, and early treatment dropout for Haitian, African American and White youth with a psychiatric diagnosis treated in community health centers in the United States. We present associations with possible socioeconomic determinants of care. Adequate treatment was less likely among Haitian youth from areas with greater […]
Social determinants of health for older women in Canada: does rural-urban residency matter?
This study provided an exploratory analysis of key social determinants of health for older Canadian women, with a focus on differences between rural and urban residency, given that socio-economic status (SES) and social capital have been shown to differ by rural-urban residence. Secondary analysis was conducted using the 2000/2001 Canadian Community Health Survey. A comparative […]
Disability and employment among U.S. working-age immigrants.
BACKGROUND: There is little research which examines disability status and the employment decisions of the US immigrant working-age population. METHODS: The 2007 American Community Survey data were analyzed to compare disabilities and employment characteristics between immigrant and US-born adults 18-64 years of age. Separate logistic regression models of employment were constructed among persons with disabilities […]
“Well, it’s nobody’s responsibility but my own.” A qualitative study to explore views about the determinants of health and prevention of knee pain in older adults.
BACKGROUND: Dahlgren and Whitehead’s ‘rainbow’ outlines key determinants of health and has been widely adopted within public health policy and research. Public understanding regarding the determinants of health is, however, relatively unknown, particularly in relation to common chronic joint problems like knee pain. We aimed to explore individual attitudes to the prevention of knee pain, […]
Comparison of disability rates among older adults in aggregated and separate Asian American/Pacific Islander subpopulations.
OBJECTIVES: We assessed the prevalence and adjusted odds of 4 types of disability among 7 groups of older Asian American/Pacific Islander (AAPI) subpopulations, both separately and aggregated, compared with non-Hispanic Whites. METHODS: Data were from the nationally representative 2006 American Community Survey, which included institutionalized and community-dwelling Hawaiian/Pacific Islander (n = 524), Vietnamese (n = […]
The role of public health in addressing racial and ethnic disparities in mental health and mental illness.
Racial/ethnic minority populations are underserved in the American mental health care system. Disparity in treatment between whites and African Americans has increased substantially since the 1990s. Racial/ethnic minorities may be disproportionately affected by limited English proficiency, remote geographic settings, stigma, fragmented services, cost, comorbidity of mental illness and chronic diseases, cultural understanding of health care […]
The polarizing effect of news media messages about the social determinants of health.
Framing health problems in terms of the social determinants of health aims to shift policy attention to nonmedical strategies to improve population health, yet little is known about how the public responds to these messages. We conducted an experiment to test the effect of a news article describing the social determinants of type 2 diabetes […]