Social Determinants that Inform Community-engaged Research Outcomes

1. Social Determinants that Inform Community-engaged Research Outcomes Leandris C. Liburd, PhD, MPH Centers for Disease Control and Prevention August 24th, 2012 Office of Minority Health & Health Equity Office of the Director

2. Public health research that informs practice What are social determinants of health? What are social determinants that inform community-engaged research outcomes? How might social determinants also inform the research process, research findings, and interpretation and dissemination of research findings? Framing the Discussion

4. Conditions in the social, physical, and economic environment in which people are born, live, work and age that influence health outcomes. Social Determinants of Health Environment Neighborhood Transportation Health Care Food Security Education Social Cohesion/ Relationships Jobs

5. Interactions with family, friends, co-workers, and others in the community; Cultural attitudes, norms, and expectations; Social relationships and policies in community settings; Policies in governmental, corporate, and non-governmental sectors; Socio-economic conditions; Access to resources to meet daily needs and aspirations. The social environment is the aggregate of social and cultural institutions, norms, patterns, beliefs, and processes that influence the life of an individual or community.

6. Social Determinants and Community Engaged Research

7. Understanding the history of the community that is being researched Considering how health-related attitudes, beliefs, and behaviors have been shaped in response to this history and the current socio-political circumstances Critically assessing congruence between priorities and needs of the researcher and the community Actively involving the community in study design (research questions, methods, recruitment) Social Determinantsand the Research Process

8. Cancer Rates HIV Infection Rates Obesity Trends Diabetes Self-Management Asthma High Blood Pressure Control Physical Inactivity Social Determinantsand the Research Findings

9. Findings cannot be validly interpreted without community participation in determining what the findings mean Community and researcher “disconnects” often become apparent and should not be overlooked or under-estimated Findings should be shared in venues that are accessible and acceptable to community members and not just researchers Language should be plain and acceptable to community members Social Determinants and Interpretation and Dissemination of Research Findings

10. What is the Nexus of Social Determinants, Community Engaged Research, and Research Outcomes? Civic Participation Cultural Perceptions of Research Income & Social Status Social Determinants Educational Attainment & Inequalities Community Capacity / Viability Community Engagement Research Outcomes Race & Ethnicity Historical Experience with Research Researcher Relationship with Community Others? Perceived Benefits of the Research

11. “The imperative is to define what is right and do it.” ~ U.S. Congresswoman Barbara Jordan

12. Thank You For Your Time Office of the Director Office of Minority Health & Health Equity