How should we act on the social determinants of health?

Dummer, Trevor J.B.

doi:10.1503/cmaj.181241

Cited by 5 publications

(2 citation statements)

References 9 publications

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“…Prevention programs, clinical guidelines, injury rehabilitation programs, education programs, and government policy, looking to target inequities in burns injury, must first target overall health inequities, with a strong focus on the multiple determinants of First Nations' health and concepts of health and well-being. 8,66,74,75 Central to this is a focus on cultural safety, so that initiatives or programs can be designed and tailored to meet the needs of First Nations children and their families. 74…”

Section: Discussionmentioning

confidence: 99%

Burn Injuries in Hospitalized Australian Children—An Epidemiological Profile

Ryder

Mackean

Hunter

et al. 2020

Journal of Burn Care &Amp; Research

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Globally, First Nations children sustain burns at a higher rate than other children. Little is understood about how health inequities contribute, especially from an Indigenous viewpoint. We analysed data from the Burns Registry of Australian and New Zealand (BRANZ) for acute burns in children (<16 years) admitted to hospital between October 2009 and July 2018. Descriptive statistics examined equity variables in patient and injury characteristics. Poisson regression was used to describe factors associated with bacterial infection. Indigenous research methods were used throughout. Aboriginal and Torres Strait Islander children represented 10.4% of the study population. Health inequities were present for Aboriginal and Torres Strait Islander children with longer hospital length of stay (9.5 vs 4.6 days), rural residency (61.3% vs 13.9%), lower socioeconomic status (72.2% vs 34.9%), and more flame burns (19.5% vs 10.6%) compared to other Australian children. Streptococcus sp. infection risk was 4 times greater in Aboriginal and Torres Strait Islander children compared to other Australian children. Flame burns and high percentage total body surface area burns were a risk for Staphylococcus sp. and Streptococcus sp. infection in all children. The epidemiological profile for burn injuries managed in Australian burns centres differs between Aboriginal and Torres Strait Islander children and other children, indicating persistent health inequities. These differences should be considered in the development of injury prevention strategies and the clinical management of burn injuries for Aboriginal and Torres Strait Islander children and their families.

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Section: Discussionmentioning

confidence: 99%

Burn Injuries in Hospitalized Australian Children—An Epidemiological Profile

Ryder

Mackean

Hunter

et al. 2020

Journal of Burn Care &Amp; Research

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“…The resulting evidence, although mostly descriptive, has highlighted the need for political action and interventions throughout the globe. However, data on the effectiveness of interventions aiming to modify the social determinants is scarce [3], and it is important that new studies assess such interventions and evaluate the effect of policy and practice on pathways of SDH which is a difficult task due to, among other things, the complexity of many SDH [4]. Epidemiological research consistently shows health differences among socioeconomic groups, with better outcomes usually for those in the higher strata [5].…”

Section: Introductionmentioning

confidence: 99%

The association between social development and population health: a cross-sectional study across countries of different economic growth

Kontodimopoulos

2022

Res Health Serv Reg

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Background Social Determinants of Health (SDH) are important in explaining why some countries enjoy better health than others. This empirical study highlights controversies in the literature on the relationship between socioeconomic development and health, and investigates how the relationship might vary in countries with different economic growth. Methods The sample consists of 172 countries, and recent cross-sectional data was collected from the World Bank’s “Data Bank”. Population health was proxied with life expectancy, infant mortality and under-five mortality, and sociooeconomic conditions were expressed with GNI/capita, unemployment rate, poverty, Gini index, educational attainment, public spending on health and physician density. Countries were categorized into three groups as low / lower middle-, upper middle- and high-income according to World Bank thresholds. Ordinary least squares regression was used to model the relationships. Results The association between socioeconomic conditions and health differed between countries of different economic development. Poverty, educational attainment, income inequality, and physician density were the strongest contributors to health. Higher economic development had a stronger relationship with health in richer countries, and government commitment to health care in poorer ones. Conclusion Based on evidence from studies such as this one, researchers and policymakers globally could commit to acting together on SDH, and to aligning resources from different sectors to formulate interventions aiming to improve population health.

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Avoiding Psychiatric Disability Overdiagnosis, Part 1: General Disability and Occupational Disability—Going Beyond Medical Impairment Assessments

Gagnon¹,

Kertay²

2021

AMA Guides® Newsletter

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Claims of occupational psychiatric disability have increased considerably over the past 20 years. To avoid psychiatric disability overdiagnosis, it is important to improve the clinical assessment of mental health work disability. This article discusses general disability issues and their impact on individual well-being, social participation, and frequently associated poverty. It defines the difference between impairment assessment and disability assessment, explores three common disability models, and raises issues about psychiatric disability and its potential overdiagnosis.

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How should we act on the social determinants of health?

Cited by 5 publications

References 9 publications

Burn Injuries in Hospitalized Australian Children—An Epidemiological Profile

Burn Injuries in Hospitalized Australian Children—An Epidemiological Profile

The association between social development and population health: a cross-sectional study across countries of different economic growth

Avoiding Psychiatric Disability Overdiagnosis, Part 1: General Disability and Occupational Disability—Going Beyond Medical Impairment Assessments

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