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Browsing by Subject "social determinants"
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Item Exploring the intersection of structural racism and ageism in healthcare(Wiley, 2022-12) Farrell, Timothy W.; Hung, William W.; Unroe, Kathleen T.; Brown, Teneille R.; Furman, Christian D.; Jih, Jane; Karani, Reena; Mulhausen, Paul; Nápoles, Anna María; Nnodim, Joseph O.; Upchurch, Gina; Whittaker, Chanel F.; Kim, Anna; Lundebjerg, Nancy E.; Rhodes, Ramona L.; Medicine, School of MedicineThe American Geriatrics Society (AGS) has consistently advocated for a healthcare system that meets the needs of older adults, including addressing impacts of ageism in healthcare. The intersection of structural racism and ageism compounds the disadvantage experienced by historically marginalized communities. Structural racism and ageism have long been ingrained in all aspects of US society, including healthcare. This intersection exacerbates disparities in social determinants of health, including poor access to healthcare and poor outcomes. These deeply rooted societal injustices have been brought to the forefront of the collective public consciousness at different points throughout history. The COVID-19 pandemic laid bare and exacerbated existing inequities inflicted on historically marginalized communities. Ageist rhetoric and policies during the COVID-19 pandemic further marginalized older adults. Although the detrimental impact of structural racism on health has been well-documented in the literature, generative research on the intersection of structural racism and ageism is limited. The AGS is working to identify and dismantle the healthcare structures that create and perpetuate these combined injustices and, in so doing, create a more just US healthcare system. This paper is intended to provide an overview of important frameworks and guide future efforts to both identify and eliminate bias within healthcare delivery systems and health professions training with a particular focus on the intersection of structural racism and ageism.Item Innovative Implementation of Social Determinants of Health in a New Concept-Based Curriculum(Lippincott, Williams, and Wilkins, 2017-05) Decker, Kim A.; Hensel, Desiree; Kuhn, Thomas M.; Priest, Chad; IU School of NursingItem Social Determinants of Health and Their Impact on Mental Health and Substance Misuse(Richard M. Fairbanks School of Public Health, 2020-01) Sanner, Lindsey; Greene, MarionHealth and wellbeing are shaped by many factors beyond healthcare and behavioral choices, including conditions that make up our social, economic, and physical environments. These factors are often referred to as social determinants of health (SDoHs). SDoHs not only affect our physical health, but they also can have an impact on a person’s mental wellbeing and substance use. These social determinants of health can be grouped into five major categories: 1) Neighborhood and built environment, 2) Health and healthcare, 3) Social and community context, 4) Education, 5) Economic stability. To address SDoHs effectively, a “health in all policies” approach that integrates health considerations into policymaking across sectors is essential.