TY - JOUR
T1 - A Shift in Approach to Addressing Public Health Inequities and the Effect of Societal Structural and Systemic Drivers on Social Determinants of Health
AU - Mercado, Carla I.
AU - Bullard, Kai Mc Keever
AU - Bolduc, Michele L.F.
AU - Andrews, Courtni Alexis
AU - Freggens, Zoe R.F.
AU - Liggett, Grace
AU - Banks, Desmond
AU - Johnson, Shanice Battle
AU - Penman-Aguilar, Ana
AU - Njai, Rashid
N1 - Publisher Copyright:
© 2024, Association of Schools and Programs of Public Health.
PY - 2024/10/11
Y1 - 2024/10/11
N2 - Social determinants of health (SDOH) are the conditions in which people are born, grow, live, work, and age that influence health outcomes, and structural and systemic drivers of health (SSD) are the social, cultural, political, and economic contexts that create and shape SDOH. With the integration of constructs from previous examples, we propose an SSD model that broadens the contextual effect of these driving forces or factors rooted in the Centers for Disease Control and Prevention’s SDOH framework. Our SSD model (1) presents systems and structures as multidimensional, (2) considers 10 dimensions as discrete and intersectional, and (3) acknowledges health-related effects over time at different life stages and across generations. We also present an application of this SSD model to the housing domain and describe how SSD affect SDOH through multiple mechanisms that may lead to unequal resources, opportunities, and consequences contributing to a disproportionate burden of disease, illness, and death in the US population. Our enhanced SDOH framework offers an innovative and promising model for multidimensional, collaborative public health approaches toward achieving health equity and eliminating health disparities.
AB - Social determinants of health (SDOH) are the conditions in which people are born, grow, live, work, and age that influence health outcomes, and structural and systemic drivers of health (SSD) are the social, cultural, political, and economic contexts that create and shape SDOH. With the integration of constructs from previous examples, we propose an SSD model that broadens the contextual effect of these driving forces or factors rooted in the Centers for Disease Control and Prevention’s SDOH framework. Our SSD model (1) presents systems and structures as multidimensional, (2) considers 10 dimensions as discrete and intersectional, and (3) acknowledges health-related effects over time at different life stages and across generations. We also present an application of this SSD model to the housing domain and describe how SSD affect SDOH through multiple mechanisms that may lead to unequal resources, opportunities, and consequences contributing to a disproportionate burden of disease, illness, and death in the US population. Our enhanced SDOH framework offers an innovative and promising model for multidimensional, collaborative public health approaches toward achieving health equity and eliminating health disparities.
KW - health equity
KW - social determinants of health
KW - structural and systemic drivers
UR - https://www.scopus.com/pages/publications/85208039450
U2 - 10.1177/00333549241283586
DO - 10.1177/00333549241283586
M3 - Article
C2 - 39394663
AN - SCOPUS:85208039450
SN - 0033-3549
JO - Public Health Reports
JF - Public Health Reports
ER -
