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The Social Determinants of Health Index.
Rehabilitation Psychology ( IF 3.713 ) Pub Date : 2020-02-01 , DOI: 10.1037/rep0000298
Carli Friedman 1
Affiliation  

BACKGROUND Health disparities are avoidable differences that disproportionately impact certain groups. Health equity demands attention to social determinants of health (SDOH), particularly for people with disabilities who often have poorer outcomes and face more health inequities than nondisabled peers. OBJECTIVE The aim of this study was to develop a Social Determinants of Health Index for people with disabilities that utilizes personal outcomes. The Index is aimed at helping disability service providers examine the SDOH of those they support, to arm them with more information to provide targeted services and supports. METHOD We ran an exploratory factor analysis of Personal Outcome Measures interviews with 1,078 people with disabilities from 2017 to compute composite scores for the factors underlying the model. RESULTS Findings revealed the Social Determinants of Health Index had 3 underlying factors: choice and engagement; person-centeredness; and health and safety. Choice and engagement are often inextricably linked as choice, self-determination, and empowerment play a key role in the social inclusion of people with disabilities. Services being person-centered are not only a right and requirement of home- and community-based services, but rights should also be person-centered-each person decides which rights are the most important to them. Finally, the third factor recognizes health and safety as foundational parts of health outcomes. CONCLUSIONS The creation of the Social Determinants of Health Index for people with disabilities, which utilizes person-centered outcomes, ultimately aims to reduce health disparities. Attention to SDOH can promote good health for all. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

中文翻译:

健康指数的社会决定因素。

背景健康差异是可避免的差异,它对某些群体产生了不成比例的影响。健康公平要求关注健康的社会决定因素 (SDOH),特别是对于与非残疾同龄人相比,通常结果较差且面临更多健康不平等的残疾人。目标 本研究的目的是为利用个人成果的残疾人制定健康指数的社会决定因素。该指数旨在帮助残疾服务提供者检查他们所支持的人的 SDOH,为他们提供更多信息以提供有针对性的服务和支持。方法 我们对 2017 年对 1,078 名残疾人的个人结果测量访谈进行了探索性因素分析,以计算模型基础因素的综合得分。结果 调查结果显示,健康指数的社会决定因素有 3 个潜在因素:选择和参与;以人为本;以及健康和安全。选择和参与往往密不可分,因为选择、自决和赋权在残疾人的社会包容中发挥着关键作用。以人为本的服务不仅是居家和社区服务的权利和要求,权利也应该以人为本——每个人决定哪些权利对他们最重要。最后,第三个因素将健康和安全视为健康结果的基础部分。结论 利用以人为中心的结果,为残疾人创建健康社会决定因素指数的最终目的是减少健康差异。关注 SDOH 可以促进所有人的健康。(PsycINFO 数据库记录 (c) 2019 APA,保留所有权利)。
更新日期:2020-02-01
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