Social Pathways to Health Vulnerability

Implications for Health Professionals
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Dula Pacquiao
279x210x mm

Reveals how social determinants impact the health of vulnerable populations
Foreword - Susan W. Salmond, EdD, ANEF, FAAN, Executive Vice Dean, Rutgers University, School of Nursing

Preface - Dula F. Pacquiao EdD, RN, CTN-A, TNS and Marilyn K. Douglas, PhD, RN, FAAN,

Unit I: Nature of Social Determinants of Health

Chapter 1 -Overview of social Determinants of population health

Dula F. Pacquiao, EdD, RN, CTN-A, TNS

Email: dulafp@yahoo.com

· The concept of "Place"

o Features of place

o Contrast between space and place

o Place making and emplacement

o Link between place and health

· Nature and categories of social determinants of population health (including low SES and poverty)

· Evidence of population health inequities in local and global contexts

· Social construction of health vulnerability

· Definitions:

o Social determinants of health (WHO Commission on Social Determinants)

o Vulnerable populations (US Dept of Health and Human Services)

o Examples of vulnerable populations
· Evidence of social pathways to health vulnerability

o Life course theory

o Embodiment Theory

o Allostatic Load Theory

· Linkage among health equity, and social justice and human rights

· Relationship between culturally competent care and health equity

· Local and global initiatives to address health inequity
· Impact of initiatives on population health inequity

· Research Box - seminal research done on the topic

· Overview of role of health professionals in achieving health equity

· Reflective questions on the chapter

· Additional Resources

Chapter 2 - Built environment and health

Phoebe del Boccio , MA, MS

Email: pjd7@njit.edu

· Physical environment

o Natural

o Built

o Rural

· Role of health professionals in mitigating negative impact of the built environment on health

· Reflective Questions on chapter

· Additional Resources

Chapter 3 - Epigenetics

Yuri T. Jadotte, MD, PhD

Email: yuri.jadotte@rutgers.edu

· Definition of Epigenetics

o Link between ecology and biology

o Current state of evidence

· Pathogenesis of Epigenetics

o DNA changes (methylation, Histone formation)

o RNA modification

o Genetic programming

o Genetic transmission

· Health benefits and applications of epigenetics
o Cancer treatment

o Regulatory policies

o Improved agricultural and food production/preservation

o Bioremediation of soil and water contamination

· Human exposure
o Intrauterine exposure (Fetal developmental origins theory )

o Environmental exposure after birth

o Stress exposure

· Sources of epigenes

o Food sources (plant, animal, preservatives, pesticides)

o Water (including fish, shellfish)

o Soil contamination

o Pharmacological agents

o Atmosphere (air pollution, particulate matter)

o Cleaning products

o Agricultural chemicals

o Tobacco, alcohol, Illicit substances

· Health effects

o Obesity

o Asthma

o Low birth weight, birth defects

o Cognitive and neurological deficits

o Autoimmune diseases and cancer

o Psychiatric disorders

· Research Box- Seminal research on topic

· Role of health professionals in mitigating negative impact of built environment on health

· Reflective questions on chapter
· Additional Resources

Chapter 4 - Poverty, discrimination and health

Sharese Porter , PhD, MPH, CHES

Email: porter@njaes.rutgers.edu

· Poverty as a social determinant

o Definition of poverty

o Indices of socioeconomic status (income, education, occupation)

o SES versus social position/subjective social status

o Population groups impacted by poverty

o Impact of poverty on health
· Nature and types of discrimination

o Interpersonal

o Internalized

o Systemic/institutional

· Bases for discrimination

o Age

o Religion

o Gender and sexuality (LGTBQIA)

o Race and e
Primarily intended for DNP and PhD students in nursing and health care who are expected to design research to identify health-related problems and solutions, this book focuses on the concepts, theories and processes of how social determinants affect the health of populations. Using specific social determinants as an organizing framework, it presents ample scientific evidence from health and social disciplines of the universal processes that produce the social patterning of health inequities.

This book is organized into three major parts, beginning with the social pathways to health vulnerability, followed by research methods and subsequently frameworks for action. The methods section provides selected research approaches suitable for studying the impact of social variables on population health, as well as the outcomes of multilevel interventions. Each chapter provides an in-depth presentation of relevant theoretical knowledge and research-based examples of work conducted in the area. The book addresses the specific implications for health professional leaders such as nurses or health policy makers, highlighting their role in achieving macrosocial changes to promote health among specific vulnerable populations.

Both of the book's editors are prominent and highly respected scholars in their field. The team of authors is highly multidisciplinary, including experts from the fields of medicine, public health, education and epidemiology who have conducted research on the social determinants of population health. Combining their varied perspectives, this book offers a valuable resource for graduate students (PhD, MD, DNP, MSN, etc.), faculty, researchers and clinicians in health professions.