In the United States, awareness is increasing that medical care alone cannot adequately improve health overall or reduce health disparities without also addressing where and how people live. A critical mass of relevant knowledge has accumulated, documenting associations, exploring pathways and biological mechanisms, and providing a previously unavailable scientific foundation for appreciating the role of social factors in health. We review current knowledge about health effects of social (including economic) factors, knowledge gaps, and research priorities, focusing on upstream social determinants-including economic resources, education, and racial discrimination-that fundamentally shape the downstream determinants, such as behaviors, targeted by most interventions. Research priorities include measuring social factors better, monitoring social factors and health relative to policies, examining health effects of social factors across lifetimes and generations, incrementally elucidating pathways through knowledge linkage, testing multidimensional interventions, and addressing political will as a key barrier to translating knowledge into action.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1146/annurev-publhealth-031210-101218 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Decision-making in people with mild intellectual disability: Relations with intelligence and a measure of executive functioning.
J Intellect Dev Disabil
March 2022
Faculty of Pedagogy and Psychology, Pedagogical University of Krakow, Krakow, Poland.
Background: In this study we aimed to explore how intelligence and executive functioning are related to decision-making regarding social situations in persons with mild ID.
Method: We studied 80 vocational school students with mild ID; the controls were 80 students of a similar age. We assessed decision-making ability with the Important Life Decisions Task.
Perspectives of adults with intellectual disabilities and key individuals on community participation in inclusive settings: A Canadian exploratory study.
J Intellect Dev Disabil
March 2021
Center for Interdisciplinary Research in Rehabilitation and Social Integration, Québec City, Canada.
This article aims to present the results of a study on the facilitators and obstacles to community participation in inclusive settings for people with intellectual disabilities (ID) in Québec City (Canada), as perceived by adults with ID and key individuals involved in their daily lives. Semi-structured interviews were conducted, followed by an inductive thematic analysis process. Twenty participants shared their perspectives on the factors that influence community participation of adults with ID in inclusive settings.
View Article and Find Full Text PDFParental strategies that support adults with intellectual disabilities to explore decision preferences, constraints and consequences.
J Intellect Dev Disabil
June 2022
School of Geography, University of Melbourne, Melbourne, Australia.
Background: Supporting participation in decision making is complex, dynamic and multifactorial. The aim of this study was to understand more about the difficulties parents of adults with intellectual disabilities experienced in providing decision support and their strategies for resolving them.
Method: Participants were 23 parents who regularly provided decision support for their adult with intellectual disabilities.
eHealth in support for daily functioning of people with intellectual disability: Views of service users, relatives, and professionals on both its advantages and disadvantages and its facilitating and impeding factors.
J Intellect Dev Disabil
June 2021
Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, The Netherlands.
The use of eHealth in support for daily functioning of service users with intellectual disability (ID) is a rather unexplored domain. Therefore, the current study identified the a) level of familiarity, b) advantages/disadvantages, and c) facilitating/impeding factors for the use of eHealth in support for daily functioning of people with ID according to service users, relatives, and professionals. Four focus groups and one semi-structured qualitative interview were conducted.
View Article and Find Full Text PDFPrevalence and risk factors of choking in older adults with intellectual disability: Results from a national cross-sectional study.
J Intellect Dev Disabil
June 2021
School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.
Background: Choking is a serious and under-recognised condition for adults with intellectual disability (ID), with health, psychological and potentially fatal consequences. This study aims to determine the prevalence and risk factors for choking in a population-based sample of older adults with ID.
Method: 597 adults with ID (mean age: 60 years old; SD = 8) were selected as part of The Intellectual Disability Supplement to The Irish Longitudinal Study on Ageing.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!