scholarly journals Community engagement and pediatric obesity: Incorporating social determinants of health into treatment

2019 ◽  
Vol 4 (4) ◽  
pp. 279-285
Author(s):  
Joseph A. Skelton ◽  
Deepak Palakshappa ◽  
Justin B. Moore ◽  
Megan B. Irby ◽  
Kimberly Montez ◽  
...  
Keyword(s):  
Community Engagement ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Pediatric Obesity ◽  
Health Behavior Change ◽  
Obesity Treatment ◽  
Determinants Of Health ◽  
Community Clinic ◽  
Pediatric Obesity Treatment ◽  
Treatment Use

AbstractChildhood obesity is a complex and multi-faceted problem, with contributors ranging from individual health behaviors to public policy. For clinicians who treat pediatric obesity, environmental factors that impact this condition in a child or family can be difficult to address in a clinical setting. Community-clinic partnerships are one method to address places and policies that influence a person’s weight and health; however, such partnerships are typically geared toward community-located health behavior change rather than the deeper social determinants of health (SDH), limiting effective behavioral change. Community-engaged research offers a framework for developing community-clinic partnerships to address SDH germane to obesity treatment. In this paper, we discuss the relationship between SDH and pediatric obesity treatment, use of community-clinic partnerships to address SDH in obesity treatment, and how community engagement can be a framework for creating and harnessing these partnerships. We present examples of programs begun by one pediatric obesity clinic using community-engagement principles to address obesity.

scholarly journals Collection of social determinants of health in the community clinic setting: a cross-sectional study

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Sheila V. Kusnoor ◽  
Taneya Y. Koonce ◽  
Suzanne T. Hurley ◽  
Kalonji M. McClellan ◽  
Mallory N. Blasingame ◽  
...  
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Cross Sectional Study ◽  
Determinants Of Health ◽  
Sectional Study ◽  
Cross Sectional ◽  
Community Clinic ◽  
Clinic Setting

scholarly journals Comorbidities Associated With Social Determinants of Health in Latinx Patients Receiving Mental Health Care at a Community Clinic in South Florida

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 157-157
Author(s):  
Sabrina Martinez ◽  
Margaret Gutierrez ◽  
Jezabel Maisonet ◽  
Juan Ayala ◽  
Aydeivis Jean Pierre ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
South Florida ◽  
Determinants Of Health ◽  
Annual Income ◽  
Depression And Anxiety ◽  
Community Clinic

Abstract Objectives Mental and physical health conditions are intrinsically linked. Depression and anxiety may co-exist with an array of chronic diseases and conditions. Social Determinants of Health (SDOH) may have a powerful impact on health and may contribute to chronic disease disparities in underrepresented and underserved communities. The objective of this study was to examine the comorbidities found in patients seeking mental health care and their relationships to SDOH. Methods A needs assessments was completed using a random sample of 100 de-identified medical records of individuals seeking mental health care at Caridad Center in Boynton Beach, Fl. Demographics, diagnoses, laboratory tests results and the Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE) questionnaire data were abstracted. Statistical analyses included descriptive statistics, Spearman's correlations, Mann-Whitney U, and chi-square. Results The patients’ mean age was 51.9 ± 11.9 years and 79.4% were female. About 64% were below 100% of the federal poverty level and 52% were unemployed. About 43% were diagnosed with depression, 38% with anxiety and 17% with both depression and anxiety. In addition, 33% had 2 or more other diagnosed comorbidities and 11% had 3 or more comorbidities. Annual income was negatively correlated with the number of CVD risk factors (r = −0.283, P = 0.008). Median annual income was lower for those with hypertension compared to those without hypertension ($14,472 (IQR = $7200-$19,260) vs. $19,200 (IQR = 14,400–28,800), P < 0.001). Higher rates of unemployment in those diagnosed with diabetes were found compared to those without diabetes (67.6% vs. 56.6%, P = 0.035). Three or more social contacts per week was associated with lower median hemoglobin A1C levels (5.9 mmol/mol (IQR = 5.6–7.7) vs. 6.9 mmol/mol (IQR = 6–10.4) P = 0.05) compared to less contacts. Conclusions SDOH were associated with comorbid conditions in this Latinx sample who are sought mental health care at a community clinic in South Florida. Minority populations such as Latinx may suffer a greater burden of disease and health complications. Assessing SDH may be an important marker for identifying and intervening within the most vulnerable members of the population afflicted by multiple comorbidities. Funding Sources FIU RCMI/NIMHD.

scholarly journals Critical elements of community engagement to address disparities and related social determinants of health

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Scott D. Rhodes ◽  
Jason Daniel-Ulloa ◽  
Shauntá S. Wright ◽  
Lilli Mann-Jackson ◽  
David Johnson ◽  
...  
Keyword(s):  
Community Engagement ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Critical Elements

Addressing the Social Determinants of Health

2019 ◽  
Vol 101 (4) ◽  
pp. 357-395 ◽  
Author(s):  
Saty Satya-Murti ◽  
Jennifer Gutierrez
Keyword(s):  
Twentieth Century ◽  
Los Angeles ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Social Activism ◽  
Determinants Of Health ◽  
Medical Attention ◽  
Community Center ◽  
Early Twentieth Century ◽  
The Social

The Los Angeles Plaza Community Center (PCC), an early twentieth-century Los Angeles community center and clinic, published El Mexicano, a quarterly newsletter, from 1913 to 1925. The newsletter’s reports reveal how the PCC combined walk-in medical visits with broader efforts to address the overall wellness of its attendees. Available records, some with occasional clinical details, reveal the general spectrum of illnesses treated over a twelve-year span. Placed in today’s context, the medical care given at this center was simple and minimal. The social support it provided, however, was multifaceted. The center’s caring extended beyond providing medical attention to helping with education, nutrition, employment, transportation, and moral support. Thus, the social determinants of health (SDH), a prominent concern of present-day public health, was a concept already realized and practiced by these early twentieth-century Los Angeles Plaza community leaders. Such practices, although not yet nominally identified as SDH, had their beginnings in the late nineteenth- and early twentieth-century social activism movement aiming to mitigate the social ills and inequities of emerging industrial nations. The PCC was one of the pioneers in this effort. Its concerns and successes in this area were sophisticated enough to be comparable to our current intentions and aspirations.

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