Addressing Social Determinants and Health Equity Issues in Adolescent Health Practice
Post on 31-Dec-2015
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Addressing Social Determinants and Health
Equity Issues in Adolescent Health Practice
Tasha Toby, Senior Analyst, Adolescent Health & Injury Prevention
National Association of County and City Health Officials (NACCHO)
Sharron Corle, Associate Director, Adolescent HealthAssociation of Maternal & Child Health Programs
(AMCHP)
After this session, you will …
Have improved your understanding of social determinants /health equity concepts and their relevance to adolescent health practice
Be able to discuss potential challenges to utilizing a social determinants/health equity approach to adolescent health practice
Be able to describe current efforts to address the impact of social determinants on health
Health Disparities
Various or differences in health among groups of people. Health disparity may refer to any difference in health status – not just differences in the
context of health equity andsocial justice.
Health Inequities
Differences in population
health status and mortality rates that
are systemic, patterned, unfair, unjust, and actionable as opposed
to random or caused by those who become ill.
Definition: Economic and social conditions that influence the health of individuals, communities, and jurisdictions as a whole, such as income, housing, employment, and social services.
Income and Social Status Social Support Networks Education and Literacy Employment/Working
Conditions Social Environments Physical Environments Personal Health Practices and Coping Skills Healthy Child Development Biology and Genetic Endowment Health Services Gender Culture
Definition: Refers to fairness in the Distribution of resources and the
freedom to achieve healthy outcomes
between groups with differing levels of social disadvantage.
** Note: cute graphics borrowed from a presentation by Jane Moore, Ph.D., RD Manager of Oregon Department of Human Services-Health Services
Teen pregnancy can result from many different
situations, a young person MAY get pregnancy
because they: Have limited knowledge about sexuality
and reproduction Prefer abstinence, but feel pressured into
having sex Feel that having a baby at a young age is
normal and desirable
Conversely, a young person may get pregnancy
because they may NOT have: The motivation to delay pregnancy Access to effective birth control The skills to use birth control effectively The confidence and communication
skills to negotiate condom use Power in a relationship to make these
decisions
How well are programs/efforts you’re using right now addressing the multiple factors that may have influenced Janie’s pregnancy or her (or her boyfriend’s) future ability to be successful as a parent?
BEST: Building Economic Security Today Goal: Reduce disparities and inequities in
health outcomes for families by improving their financial stability
Asset development project– accumulation, leveraging, preservation and creation
Integrated into existing WIC and home visiting programs
Part of health department’s 15-year Life Course Initiative
Children’s Aid Society-Carrera Program
Moving to OpportunityNurse-Family Partnership Program
Teen Outreach Program
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