scholarly journals Everything is connected: social determinants of pediatric health and disease

2016 ◽  
Vol 79 (1-2) ◽  
pp. 125-126 ◽  
Author(s):  
Carine Tarazi ◽  
Margie Skeer ◽  
Kevin Fiscella ◽  
Stephanie Dean ◽  
Olaf Dammann
Keyword(s):  
Social Determinants ◽  
Pediatric Health ◽  
Health And Disease

Vitamin D in pediatric health and disease

2020 ◽  
Vol 31 (S24) ◽  
pp. 54-57 ◽  
Author(s):  
Diego G. Peroni ◽  
Irene Trambusti ◽  
Maria Elisa Di Cicco ◽  
Giulia Nuzzi
Keyword(s):  
Vitamin D ◽  
Pediatric Health ◽  
Health And Disease

scholarly journals Whither social determinants of health?

2020 ◽  
Vol 54 ◽  
pp. 15 ◽  
Author(s):  
Fúlvio Borges Nedel ◽  
João Luiz Bastos
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Narrow Scope ◽  
Critical Commentary ◽  
Fundamental Understanding ◽  
Health And Disease ◽  
Political Choices ◽  
Social Distribution ◽  
Historically Situated

This critical commentary extends the debate on social determinants of health and disease. Its main argument is that while further studies are unnecessary to demonstrate the fundamentally social distribution of health outcomes, extant analyses rarely engage with the fact that poverty and other forms of oppression are political choices made by societies, which are both contemporaneously contingent and historically situated. This view must guide research and debate in the area so that studies intending to bring injustice to light do not end up naturalizing it. Research based on this fundamental understanding may help to overcome the narrow scope of multicausal black box approaches, which do not analyze the interrelations among determinants and make only a limited contribution to the construction of healthy societies.

scholarly journals Importance of Social Determinants in Screening for Depression

2021 ◽  
Author(s):  
Robert M. Califf ◽  
Celeste Wong ◽  
P. Murali Doraiswamy ◽  
David S. Hong ◽  
David P. Miller ◽  
...  
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Clinical Laboratory ◽  
Determinants Of Health ◽  
Health Study ◽  
Cross Sectional ◽  
Demographic Groups ◽  
Patient Health ◽  
Health And Disease ◽  
The Relationship

Abstract Importance The most common screening tool for depression is the Patient Health Questionnaire-9 (PHQ-9). Despite extensive research on the clinical and behavioral implications of the PHQ-9, data are limited on the relationship between PHQ-9 scores and social determinants of health and disease. Objective To assess the relationship between the PHQ-9 at intake and other measurements intended to assess social determinants of health. Design, Setting, and Participants Cross-sectional analyses of 2502 participants from the Baseline Health Study (BHS), a prospective cohort of adults selected to represent major demographic groups in the US; participants underwent deep phenotyping on demographic, socioeconomic, clinical, laboratory, functional, and imaging findings. Interventions None. Main Outcomes and Measures Cross-sectional measures of clinical and socioeconomic status (SES). Results In addition to a host of clinical and biological factors, higher PHQ-9 scores were associated with female sex, younger participants, people of color, and Hispanic ethnicity. Multiple measures of low SES, including less education, being unmarried, not currently working, and lack of insurance, were also associated with higher PHQ-9 scores across the entire spectrum of PHQ-9 scores. A summative score of SES, which was the 6th most predictive factor, was associated with higher PHQ-9 score after adjusting for 150 clinical, lab testing, and symptomatic characteristics. Conclusions and Relevance Our findings underscore that depression should be considered a comorbidity when social determinants of health are addressed, and both elements should be considered when designing appropriate interventions.

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