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Neighborhood and Built Environment. Neighborhood and Built Environment. Housing Environmental conditions Physical surroundings Crime and violence Healthy foods http://www.ers.usda.gov/data-products/food-access-research-atlas/go-to-the-atlas.aspx#.UhQDPLw-KKx Transportation. Case. - PowerPoint PPT Presentation
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Neighborhood
and
Built Environment
www.healcitiescampaign.orgwww.expedia.com
Neighborhood and Built Environment
Housing Environmental conditions
Physical surroundings Crime and violence
Healthy foods http://www.ers.usda.gov/data-products/food-access-research-atlas/go-to-the-atlas.aspx#.UhQDPLw-K
Kx
Transportation
National Prevention Strategy (2011)World Health Organization. www.who.intBMJ 1999;318:1686-9
Case
Identify NEIGHBORHOOD AND BUILT ENVIRONMENT determinants of health
www.ci.bellvue.wa.us
UNNATURAL CAUSES… is inequality making us sick?Movie Break
Upstream
Downstream
Disease and InjuryChronic diseaseInfectious diseaseInjury Mortality
Infant mortalityLife expectancy
Physical EnvironmentHousingLand useTransportation
BehaviorSmokingNutritionPhysical activitiesViolence
Program and PolicyCorporations and businessesGovernment agenciesSchools Social Inequities
ClassRaceGenderImmigration status
Eliminating Health DisparitiesAddressing the Social Determinants of Health
How Do We Address Social Determinants of Health?
Why is important for us as pharmacists to address social determinants of health?
How do we address the social determinants of health?
How can we have an impact on social determinants of health?
http://www.healthypeople.gov/2020/about/DOHAbout.aspx
Experiential Learning Public Health Project Worksheet
Please work on PART 1
Social Ecological Model
Healthy People 2020. www.healthypeople.govwww.endvawnow.org
IndividualRelationship
Community
Society
Evidence Based Interventions
Community Toolbox http://ctb.ku.edu
What Works for Health http://www.countyhealthrankings.org/policies
The Campbell Collaboration http://www.campbellcollaboration.org/
Primary literature
Individual
Biology
Age
Education Health literacy
Income
J Public Health Manag Pract 2008;14:s8-17.J Med Internet Res 2011;13:e28
Motivation
Case
Indentify individual level interventions to improve the health outcomes of the patient in your case
Find evidence for at least one intervention
Relationship
Friends
Partners
Family
Social circle
J Public Health Manag Pract 2008;14:s8-17Healthy Families America. www.healthyfamiliesamerica.orgHome Visiting Evidence of Effectiveness. http://homvee.acf.hhs.gov/document.aspx?rid=5&sid=20&mid=2
UPMC Living at
Home
Case
Indentify relationship level interventions to improve the health outcomes of the patient in your case
Find evidence for at least one intervention
Community
Neighborhoods
Schools
Work
J Public Health Manag Pract 2008;14:s8-17Healthy People 2020. www.healthypeople.govNational Prevention Strategy (2011)
Health Affairs 2012;31:177-8What Works for Health. www.countyhealthrankings.org/policies
School Breakfast Scorecard: School Year 2011-2012 Obesity reviews 2011;12:406-29.
Case
Indentify community level interventions to improve the health outcomes of the patient in your case
Find evidence for at least one intervention
Society
Cultural and societal norms
Health policies
Economic policies
Educational policies
Social policies
BMJ 1999;318:1686-9Health Affairs 2011;30:1852-National Prevention Strategy (2011)
School Breakfast
Programs
http://www.no-smoke.org/goingsmokefree.php?id=519
Case
Indentify society level interventions to improve the health outcomes of the patient in your case
Find evidence for at least one intervention
Case Discussions
Case 1
Case 2
Case 3
Experiential Learning Public Health Project Worksheet
Please work on PART 2
Summary
Interventions
Health
Discussion
Why is it important for pharmacists to understand the social determinants of health?
What is one thing you’ve learned at your practice site that is relevant to your practice as a pharmacist?
References World Health Organization – www.who.int Healthy People 2020 - http://www.healthypeople.gov/2020/default.aspx http://www.portal.state.pa.us/portal/server.pt/community/health_statistics/14136/other_health_statistics/590085 http://www.portal.state.pa.us/portal/server.pt?open=514&objID=596652&mode=2 Braveman P, Egerter S, Williams DR. The Social Determinants of Health: Coming of Age. Annu Rev Pub Health 2011;32:381-98 Marmot, M., & Wilkinson, R. (Eds.). (2009). Social determinants of health. Oxford University Press. National Prevention Council, National Prevention Strategy, Washington DN: US Department of Health and Human Services, Office of the Surgeon General, 2011. http://www.achd.net/biostats/pubs/Gabe/disparities.html Mohi P, Kweon BS, Lee S, Ard K. Air Pollution Around Schools is Linked to Poorer Student Health and Academic Performance. Health Affairs 2011;30:852-62. Woolf SH, Braveman P. Where Health Disparities Begin: The Role of Social and Economic Determinants and Why Current Policies May Make Matters Worse. Health Affairs
2011;30:1852-9. Egan M, Tannahill C, Petticrew M, Thomas S. Psychosocial Risk Factors in Home and Community Settings and Their Associations with Population Health and Health Inequalities: A
Systematic Meta-Review. BMC Public Health 2008;8:239. Commission of Social Determinants of Health. CSDH Final Report: Closing the Gap in a Generation: Health Equity through Action on the Social Determinants of Health. Geneva:
World Health Organization, 2008. Marmot M, Friel S, Bell R, Houwelling TAJ, Taylor S, on behalf of the Commission on Social Determinants of Health. Closing the Gap in a Generation: Health Equity through Action on
the Social Determinants of Health. Lancet 2008;372:1661-9. Dora C. A Different Route to Health: Implications of Transport Policies. BMJ 1999;318:1686-9. Williams DR, Costa MC, Odunlami AE. Moving Upstream: How Interventions that Address the Social Determinants of Health can Improve Health and Reduce Disparities. J Public
Health Manag Pract 2008;14:s8-17 Eysenbach G. Social Cognitive Determinants of Nutrition and Physical Activity Among Web-Health Users Enrolling in an Online Intervention: The Influence of Social Support, Self-
Efficacy, Outcome Expectations, and Self-Regulation. J Med Internet Res 2011;13:e28 Peek ME, Wilkes AE, Roberson TS, Goddu AP, Nocon RS, Tang H, et al. Early Lessons From An Initiative on Chicago’s South Side to Reduce Disparities in Diabetes Care and
Outcomes. Health Affairs 2012;31:177-8 Azagba S, Asbridge M. The association between smoking bans and nicotine dependence: A longitudinal analysis of current smokers in Canada. Addictive Behaviors 2013;38:2817-
20. Healthy Families America – www.healthyfamiliesamerica.org Home visiting evidence of effectiveness .http://homvee.acf.hhs.gov/document.aspx?rid=5&sid=20&mid=2 School breakfast programs – www.fns.usda.gov/cnd/breakfast What works for health - www.countyhealthrankings.org/policies School Breakfast Scorecard: School Year 2011-2012. Food Research and Action Center, January 2013. Verweji LM, Coffeng J, Mechelen WV, Proper KI. Meta-analyses of workplace physical activity and dietary behaviour interventions on weight outcomes. Obesity reviews 2011;12:406-
29. Reblin M, Uchino. Social and emotional support and its implication for health. Current Opinion in Psychiatry 2008;21:201-5. Center for Disease Control – www.cdc.gov Equity, social determinants and public health programmes – WHO West JF. To Fight Bad Suga', Or Diabetes, My Neighborhood Needs More Health Educators Health Affairs, 32, no.1 (2013):184-187. Marmot M. Social Determinants of Health Inequalities. Lancet 2005;365:1099-104 CDC Vital Signs – www.cdc.gov/obesity/childhood/basics.html..
