Factors That Facilitate Addressing Social Determinants of Health Throughout Community-based Participatory Research Processes

2017 ◽  
Vol 11 (2) ◽  
pp. 119-127 ◽  
Author(s):  
Rebecca Paradiso de Sayu ◽  
Shannon M.A. Sparks
Keyword(s):  
Social Determinants Of Health ◽  
Participatory Research ◽  
Social Determinants ◽  
Community Based Participatory Research ◽  
Determinants Of Health ◽  
Community Based

Using Community-Based Participatory Research to Address Social Determinants of Health: Lessons Learned from Seattle Partners for Healthy Communities

2002 ◽  
Vol 29 (3) ◽  
pp. 361-382 ◽  
Author(s):  
James Krieger ◽  
Carol Allen ◽  
Allen Cheadle ◽  
Sandra Ciske ◽  
James K. Schier ◽  
...  
Keyword(s):  
Social Determinants Of Health ◽  
Participatory Research ◽  
Social Determinants ◽  
Social Factors ◽  
Community Based Participatory Research ◽  
Determinants Of Health ◽  
Research Approach ◽  
Community Based ◽  
Healthy Communities ◽  
Participatory Research Approach

Seattle Partners for Healthy Communities (SPHC) is a multidisciplinary collaboration of community agencies, community activists, public health professionals, academics, and health providers who conduct research aimed at improving the health of urban, socioeconomically marginalized Seattle communities. SPHC uses a community-based participatory research approach to address social factors that affect the health of these communities. This article describes three SPHC projects that focus on social determinants of health, particularly the development of social support and improving housing quality. The characteristics of community participation in each of these projects are discussed and show a spectrum of participation. Although projects successfully addressed proximal social factors affecting health, influencing more distal underlying factors was more difficult. Implications for researchers using a community-based participatory research approach and public health practitioners seeking to engage communities in addressing social determinants of health are presented.

scholarly journals Students’ understanding of social determinants of health in a community-based curriculum: a general inductive approach for qualitative data analysis

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Sachiko Ozone ◽  
Junji Haruta ◽  
Ayumi Takayashiki ◽  
Takami Maeno ◽  
Tetsuhiro Maeno
Keyword(s):  
Data Analysis ◽  
Medical Students ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Rural Areas ◽  
Qualitative Data ◽  
Determinants Of Health ◽  
Qualitative Data Analysis ◽  
Community Based ◽  
Inductive Approach

Abstract Background A community-based medical education (CBME) curriculum may provide opportunities to learn about the social determinants of health (SDH) by encouraging reflection on context, but the categories that students can learn about and their level of reflection are unclear. We aimed to analyze medical students’ understanding and level of reflection about SDH in a CBME curriculum. Methods Study design: General inductive approach for qualitative data analysis. Education Program: All 5th-year and 6th-year medical students at the University of Tsukuba School of Medicine in Japan who completed a mandatory 4-week clinical clerkship in general medicine and primary care during October 2018 and May 2019 were included. The curriculum included 3 weeks of rotations in community clinics and hospitals in suburban and rural areas of Ibaraki Prefecture. On the first day, students learned about SDH through a lecture and a group activity. As an SDH assignment, they were instructed to prepare a structural case description using the Solid Facts framework based on encounters during the curriculum. On the final day, they submitted the structural reflection report. Analysis: Content analysis was based on the Solid Facts framework. Levels of reflection were categorized as reflective, analytical, or descriptive. Results We analyzed 113 SDH case descriptions and 118 reports. On the SDH assignments, the students frequently reported on social support (85%), stress (75%), and food (58%), but less frequently on early life (15%), unemployment (14%), and social gradient (6%). Of the 118 reports, 2 were reflective, 9 were analytical, and 36 were descriptive. The others were not evaluable. Conclusions The CBME curriculum enabled medical students to understand the factors of SDH to some extent. Further work is needed to deepen their levels of reflection.

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