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Social Support • Social support is a type and degree of help that is provided from others to a person, group, neighborhood, city, organization, or community throughout the lifespan. There is a relationship between social support, maintenance of well-being, and the ability to manage crisis, illness, recovery, loss, or the influence of negative social determinants.
Emotional Appraisal Support Support Informational Instrumental Support Support Well- Being & Recovery
Social determinants are multiple factors and conditions operating within a social environment that collectively influences the health status, behavior, choices, risks, and mortality of individuals and groups within a specific geographical area [nation, region, county, neighborhood, or community]. Davis, 2012
Social Determinants • Poverty • Income & Wealth Distribution • Employment - Unemployment • Education • Housing • Social capital • Isolation • Discrimination • Accessibility
Social Determinants • Availability • Social status • Crime • Safety • Functional social institutions • Nutrition – availability of food • Place on a social gradient • Clean water • Health/mental health literacy
Social Determinants • Recreation • Public policies • Population density • Transportation • Health insurance • Trauma
Neighbors Emotional Appraisal Support Support Informational Instrumental Support Support History & Tradition Leaders Well-being & Recovery Well- Being Friends Social Determinants Family Social Determinants Media Providers Organizations Churches Social Network/Capital
Table 2. Changes in Ranking of mortality by race, Hispanic origin, and year
My Working Assumptions No community or group chooses povertyNo community or group chooses hungerNo community or group chooses danger or fearNo community or group chooses early death or suicideNo community or group chooses homelessnessNo community or group chooses mental illnessNo community or group chooses diseaseNo community or group chooses crimeNo community or group chooses addictionNo community or group chooses drought!