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Practices to Address the Social Determinants of Health

  • Dula F. Pacquiao
  • Marilyn “Marty” Douglas
Chapter

Abstract

Social determinants of health vulnerability require ecological approaches that simultaneously address microlevel and macrosocial transformation. This chapter describes some practices that are geared toward the elimination of social inequalities that create cumulative disadvantages in certain population groups. Emphasis is placed on the role of education in transforming practices of health professionals by developing global citizenship, critical reflection, cultural competence, and community empowerment skills. Integration of the ethical principles of human rights, beneficence, and social justice in practice is the foundation for health advocacy for vulnerable populations. Curricular and extracurricular activities should be designed to strengthen community engagement, advocate for health equity in all policies and programs, and advance collaborative transformation of people’s lives.

Keywords

Social determinants Global citizenship Advocacy Empowerment Ethics 

References

  1. 1.
    WHO. Health impact assessment (HIA); 2015. Available at http://www.who.int/hia/evidence/doh/en/.
  2. 2.
    CDC. Prevalence of childhood obesity in the United States, 2011-2012; 2015. Available at http://www.cdc.gov/obesity/data/childhood.html.
  3. 3.
    Raphael D. Introduction to the social determinants of health. In: Raphael D, editor. Social determinants of health: Canadian perspectives. Toronto, ON: Scholars Press; 2004. p. 2–19.Google Scholar
  4. 4.
    WHO. The Ottawa charter for health promotion; 1986. Available at http://www.who.int/healthpromotion/conferences/previous/ottawa/en/index4.html.
  5. 5.
    WHO. WHO guidelines on hand hygiene in health care: first global patient safety challenge clean care is safer care; 2009. Available at https://www.ncbi.nlm.nih.gov/books/NBK144022/.
  6. 6.
    Nussbaum M. Liberal Education and Global Community. Association of American Colleges and Universities; 2013. Available at http://uca.edu/liberalarts/files/2013/05/Liberal-Education_Nussbaum.pdf. Accessed on 1 Dec 2017.
  7. 7.
    Story JSP. A developmental approach to global leadership. Int J Leader Stud. 2011;6(3):375–89.Google Scholar
  8. 8.
    Nussbaum M. Compassionate citizenship. Humanity initiative; 2003. Available at http://www.humanity.org/voices/commencements/martha-nussbaum-georgetown-university-speech-2003. Accessed on 1 Dec 2017.
  9. 9.
    Caligiuri P, Tarique I. Predicting effectiveness in global leadership. activities. J World Bus. 2009;44:316–46.CrossRefGoogle Scholar
  10. 10.
    Gillies J, Neimeyer RA, Milman E. The meaning of loss codebook: construction of a system for analyzing meanings made in bereavement. Death Stud. 2014;38(4):207–16.  https://doi.org/10.1080/07481187.2013.829367.CrossRefPubMedGoogle Scholar
  11. 11.
    Rodgers C. Defining reflection: another look at John Dewey and reflective thinking. Teacher Coll Rec. 2002;104(4):842–66.CrossRefGoogle Scholar
  12. 12.
    Mezirow J. Fostering critical reflection in adulthood: a guide to transformative and emancipatory learning. San Francisco, CA: Jossey-Bass; 1990.Google Scholar
  13. 13.
    Colley BM, Bilies AR, Lerch CM. Reflection: a key component to thinking critically. Can J Schol Teach Learn. 2012;3(1)  https://doi.org/10.5206/cjsotl-rcacea.2012.1.2.
  14. 14.
    Taylor L. Mathematics attitude development from a Vygotskian perspective. Math Educ Res J. 1992;4:8–23.  https://doi.org/10.1007/BF03217243.CrossRefGoogle Scholar
  15. 15.
    Ash SL, Clayton PH. Generating, deepening, and documenting learning: the power of critical reflection in applied learning. J Appl Learn Higher Educ. 2009;1(1):25–48.Google Scholar
  16. 16.
    Peterson B. Cultural intelligence: a guide to working with people from other cultures. Yarmouth: Intercultural Press; 2004.Google Scholar
  17. 17.
    Mumford MD, Zaccaro SJ, Harding FD, et al. Leadership skills for a changing world: solving complex social problems. Leader Q. 2000;11(1):11–35.CrossRefGoogle Scholar
  18. 18.
    Dewey J. Democracy and education. Gutenberg project e book; 2015. Available at https://www.gutenberg.org/files/852/852-h/852-h.htm. Accessed on 3 May 2018.
  19. 19.
    Lavizzo-Mourey R. In it together - building a culture of health; 2015. Available at http://www.rwjf.org/en/library/annual-reports/presidents-message-2015.html.
  20. 20.
    Thomas DC, Stahl G, Ravlin EC, et al. Development of cultural intelligence. In: Mobley WH, Wang Y, Li M, editors. Cultural intelligence assessment. advances in global leadership, vol. 7. Bingley: Emerald Group Publishing; 2012. p. 5–39.Google Scholar
  21. 21.
    Douglas M, Pacquiao DF, Purnell L. Global applications of culturally competent health care: guidelines for practice. New York, NY: Springer; 2018.Google Scholar
  22. 22.
    Elder G. The life course in time and place. Presentation at the International Symposium on Institution, Interrelations, Sequences: The Bremen life-course approach. Bremen, Germany; 2001. Available at http://www.unc.edu/elder/presentations/Life_course_in_time.html. Accessed on 30 April 2018.
  23. 23.
    APA. Ethical principles of psychologists and code of conduct; 2010. Available at http://www.apa.org.ethics/code/principles.pdf. Accessed on 2 Dec 2017.
  24. 24.
    Rawls J. A theory of justice. Cambridge, MA: Harvard University Press; 1971.Google Scholar
  25. 25.
    UN. Universal declaration of human rights. UN General Assembly, December 10, 1948.Google Scholar
  26. 26.
    Singh AA, Urbano A, Halston M, et al. School counselors’ strategies for social justice change: a grounded theory of what works in the real world. Prof School Counsel. 2010;13:135–45.CrossRefGoogle Scholar
  27. 27.
    Barrone CA. Radical political economy: a concise introduction. New York, NY: Routledge; 2015.CrossRefGoogle Scholar
  28. 28.
    Ratts MJ. Social justice counseling: toward the development of a fifth force among counseling paradigms. J Hum Counsel. 2009;548:160–72.Google Scholar
  29. 29.
    Dollarhide CT, Clevenger SD, Edwards K. Social justice identity: a phenomenological study. J Hum Psychol. 2016;56(6):624–45.CrossRefGoogle Scholar
  30. 30.
    WHO. The world health report 1995-bridging the gaps; 1995. Available at http://www.who.int/whr/1995/en/.
  31. 31.
    Nutbeam D. Health promotion glossary. Health Promot Int. 1998;13(4):349–64.CrossRefGoogle Scholar
  32. 32.
    European Network on Patient Empowerment (ENOPE). About patient empowerment; 2014. Available at http://www.enope.eu/patient-empowerment.aspx.
  33. 33.
    Wallerstein N, Bernstein E. Community empowerment as a basis for healthcare reform. Health Educ Q. 1994;21(2):141–8.CrossRefGoogle Scholar
  34. 34.
    Constantine MG, Hage SM, Kindaichi MM, et al. Social justice and multicultural issues: implications for the practice and training of counselors and counseling psychologists. J Couns Dev. 2007;85:24–9.CrossRefGoogle Scholar
  35. 35.
    Crethar HC, Rivera ET, Nash S. In search of common threads: linking multicultural, feminist, and social justice paradigms. J Couns Dev. 2008;86:269–78.CrossRefGoogle Scholar
  36. 36.
    Reysen S, Katzarska-Miller I. A model of global citizenship: antecedents and outcomes. Int J Psychol. 2013;48(5):858–70.CrossRefGoogle Scholar
  37. 37.
    Cesario SK. What does it mean to be a global citizen? Beyond borders; 2017. Available at http://nwhjournal.org/article/S1751-4851(16)30340-3/pdf. Accessed on 2 Dec 2017.
  38. 38.
    Jones S. Global citizenship. Aust Nurs Midwif J. 2016;23(10):48.Google Scholar
  39. 39.
    Eriksson M. Social capital and health: implications for health promotion. Glob Health Action. 2011;4:5611.  https://doi.org/10.3402/gha.v4i0.5611.CrossRefPubMedGoogle Scholar
  40. 40.
    Walther M. Bourdieu’s Theory of practice as theoretical framework. In: Walther M, editor. Repatriation to France and Germany. A comparative study based on Bourdieu’s theory of practice. Wiesbaden: Springer Fachmedien; 2014. p. 7–23. Available at https://www.springer.com/us/book/9783658056995.CrossRefGoogle Scholar
  41. 41.
    Becker GS. Human capital: a theoretical and empirical analysis, with special reference to education. 3rd ed. Chicago, IL: University of Chicago Press; 1993. ISBN 978-0-226-04120-9.CrossRefGoogle Scholar
  42. 42.
    Krieger N. Methods for the scientific study of discrimination and health: an ecosocial approach. Am J Public Health. 2012;102:936–45.CrossRefGoogle Scholar
  43. 43.
    Buck M, Dickson-Gomez J, Bodnar G. Combination HIV prevention strategy implementation in El Salvador: perceived barriers and adaptations reported by outreach peer educators and supervisors. Global Qualitat Nurs Res. 2017;4:1–10.  https://doi.org/10.1177/2333393617703198.CrossRefGoogle Scholar
  44. 44.
    Foreign Ministers of Brazil, France, Indonesia, Norway, Senegal, South Africa and Thailand. Oslo Ministerial Declaration-global health: a pressing foreign policy issue of our time. Lancet. 2007;369(9570):1373–8.CrossRefGoogle Scholar
  45. 45.
    Labonte R, Gagnon ML. Framing health and foreign policy; Lessons for global health diplomacy. Global Health. 2010;6:14. Available at http://www.globalizationandhealth.com/content/6/1/14l.CrossRefGoogle Scholar
  46. 46.
    Liberman J, Mitchell A. In search of coherence between trade and health: inter-institutional opportunities. Maryland J Int Law. 2010;25:143. Available at http://digitalcommons.law.umaryland.edu/mjil.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Dula F. Pacquiao
    • 1
    • 2
  • Marilyn “Marty” Douglas
    • 3
  1. 1.School of NursingUniversity of Hawaii at HiloHiloUSA
  2. 2.School of NursingRutgers UniversityNewarkUSA
  3. 3.School of NursingUniversity of California, San FranciscoSan FranciscoUSA

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