Perspectives on Health Equity and Social Determinants of Health (2017) / Chapter Skim
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Introduction: Social and Structural Determinants of Health and Health Equity
Pages 1-6

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From page 1...
... The committee members and staff who prepared the recently released report on community-based solutions to promote health equity, Communities in Action: Pathways to Health Equity, underscored the reality and the power of these factors.1 That is a fundamental statement and it is important for the nation to be aware that it is a conclusion supported by the NAM, and it is a conclusion derived from the committee's careful review of the profile and science of inequity. The committee has also contributed a hopeful element, one stemming from examples selected from around the country on what nine communities are doing to engage key factors in health and health equity.
From page 2...
... In public health, the iconic John Snow investigation in London in the mid1800s is an important example. He mapped the deaths from cholera during an epidemic and he found that the people who lived near and got their water from the Broad Street pump were more likely to become ill and die than people who lived elsewhere.
From page 3...
... These are circumstances that our academic colleagues term the "social determinants of health," and it is in our communities that they play out. Throughout the discussions at the NAM meeting, time and time again, we heard reference made to the centrality and potential of community initiatives, whether the issue is getting children off on equal footing in life, better training and deploying human capital for progress, enlisting business to lead change, reinforcing communication strategies, and even drawing on design as a tool to improve health equity.
From page 4...
... Descriptions were offered of a variety of strategies, including roles for grandparents, Head Start leaders, coaches, and guidance counselors. Examples given of supportive resources ranged from private grant programs such as that of the American Education Research Association to elements of the federal Potential in Every Student Succeeds Act to advance physical education, social, and mental health.
From page 5...
... To take advantage of the increasingly apparent opportunities, a strong commitment to move away from the typically vertical orientation of activities and focus across organizations and communities is necessary. This is the focus of findings from the National Academies' nine-community study, and it was also mentioned in the work of the Richmond Memorial Health Foundation to devote its entire programming effort to working with the mayor and community leaders to build a culture of health and address social determinants of health with multiple sectors throughout Greater Richmond.
From page 6...
... American Journal of Public Health 77(10)


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