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Addressing Social Determinants and Health Equity Issues in Adolescent Health Practice

Raising the Bar 2009  Putting Promise to Practice in Adolescent Reproductive Health & Support for Young Families. Addressing Social Determinants and Health Equity Issues in Adolescent Health Practice Tasha Toby, Senior Analyst, Adolescent Health & Injury Prevention

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Addressing Social Determinants and Health Equity Issues in Adolescent Health Practice

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  1. Raising the Bar 2009  Putting Promise to Practice in Adolescent Reproductive Health & Support for Young Families Addressing Social Determinants and Health Equity Issues in Adolescent Health Practice Tasha Toby, Senior Analyst, Adolescent Health & Injury Prevention National Association of County and City Health Officials (NACCHO) Sharron Corle, Associate Director, Adolescent Health Association of Maternal & Child Health Programs (AMCHP)

  2. Who we are …

  3. What we’re going to do here today … After this session, you will … • Have improved your understanding of social determinants /health equity concepts and their relevance to adolescent health practice • Be able to discuss potential challenges to utilizing a social determinants/health equity approach to adolescent health practice • Be able to describe current efforts to address the impact of social determinants on health

  4. What are some of the reasons why Janie is in this situation?

  5. What could we have done? And, how can we support Janie and her boyfriend now?

  6. Definitions • Health Disparities Various or differences in health among groups of people. Health disparity may refer to any difference in health status – not just differences in the context of health equity and social justice. • Health Inequities Differences in population health status and mortality rates that are systemic, patterned, unfair, unjust, and actionable as opposed to random or caused by those who become ill.

  7. Social Determinants of Health • Definition: Economic and social conditions that influence the health of individuals, communities, and jurisdictions as a whole, such as income, housing, employment, and social services.

  8. Examples of Determinants of Health • Income and Social Status • Social Support Networks • Education and Literacy • Employment/Working Conditions • Social Environments • Physical Environments • Personal Health Practices and Coping Skills • Healthy Child Development • Biology and Genetic Endowment • Health Services • Gender • Culture

  9. Health Equity Definition: Refers to fairness in the Distribution of resources and the freedom to achieve healthy outcomes between groups with differing levels of social disadvantage.

  10. Soci0-Ecological Model of Health ** Note: cute graphics borrowed from a presentation by Jane Moore, Ph.D., RD Manager of Oregon Department of Human Services-Health Services

  11. Roots of teen pregnancy … Teen pregnancy can result from many different situations, a young person MAY get pregnancy because they: • Have limited knowledge about sexuality and reproduction • Prefer abstinence, but feel pressured into having sex • Feel that having a baby at a young age is normal and desirable

  12. Roots of teen pregnancy … Conversely, a young person may get pregnancy because they may NOT have: • The motivation to delay pregnancy • Access to effective birth control • The skills to use birth control effectively • The confidence and communication skills to negotiate condom use • Power in a relationship to make these decisions

  13. Discussion • How well are programs/efforts you’re using right now addressing the multiple factors that may have influenced Janie’s pregnancy or her (or her boyfriend’s) future ability to be successful as a parent?

  14. Discussion • What are some of the challenges of addressing these issues in your work?

  15. Discussion • How might you change your programs/efforts to address some of these issues?

  16. Local Health Department Example: Contra Costa County Health Services • BEST: Building Economic Security Today • Goal: Reduce disparities and inequities in health outcomes for families by improving their financial stability • Asset development project– accumulation, leveraging, preservation and creation • Integrated into existing WIC and home visiting programs • Part of health department’s 15-year Life Course Initiative

  17. Additional Program/Intervention Examples • Children’s Aid Society-Carrera Program • Moving to Opportunity • Nurse-Family Partnership Program • Teen Outreach Program

  18. Question & Answer

  19. Contact Us • Sharron Corle – scorle@amchp.org • Tasha Toby – ttoby@naccho.org

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