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NRS 428 Topic 2 DQ 1

DQ 2: Explain how social determinants of health contribute to the development of disease

What are social determinants of health?  Explain how social determinants of health contribute to
the development of disease.  Describe the fundamental idea that the communicable disease chain
model is designed to represent. Give an example of the steps a nurse can take to break the link
within the communicable disease chain.
Resources within your text covering international/global health, and the websites in the topic
materials, will assist you in answering this discussion question.

REPLY TO DISCUSSION

GS
Glendalyz Sanchez
Jul 4, 2022, 1:31 PM
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According to the Federal government Healthy people 2020, The SDOH is defined as “the
conditions in the environment in which people are born, learn, live, play, work, worship, and age
that affect a wide range of health, functioning, and quality of life outcomes and risks”.
The Social Determined of health (SDOH), which affects the family health status, according to the
assessment and interview, conducted on topic 2, identified the individual domain as an
environmental factor affecting his Health.

The SDOH contributing to the family's health status are conditions that make up our social,
economic, and physical environments. The impact not only affects our physical health but also can
have a major influence on a person's mental health and their misuse of alcohol and their family
and quality of life.
The SDOH can be categorized into 5 domains
Neighborhood and built environment
Health and Health care
Social and community context
Education Access and Quality
Economic stability

Exposure to adverse SDOH factors can increase the level of stress experienced by individuals,
which can raise the risk of experiencing mental health issues, and substance use problems, like
alcohol abuse, these are some of the issues that are prevalent in this individual identified by our
evaluation assessment. The reason these factors are prevalent is because of the environment the
family is exposed to.
Based on the information gathered through the family health assessment we recommend the
appropriate screenings for each family member begin at an early age, children are sometimes
exposed to traumas like divorce, Neighborhood violence, alcohol or substance use by family, for
example, and are disproportionately exposed to trauma likely to be vulnerable to substance use.
However, exposure to adverse events during childhood is associated with an increased likelihood
of developing mental health conditions and substance and alcohol abuse disorders in adulthood.
Children living in poverty and racial and ethnic minorities are more likely to experience adverse
childhood events, children with parents with mental health conditions also are more likely to
develop mental health conditions, same with alcoholic parents, children are more likely to become
alcoholics Lindsey M, (2020).
The health plan I choose for our individual plan of action will be a prevention model that initiatives
focus on implementing coordinated strategies across different sectors in neighborhoods with

social, economic, and environmental barriers because that leads to poor health outcomes and
health disparities. Prevention improving the educational, economic, and health outcomes of the
community through a broad range of family-based, social service, and health programs ODPHP,
(2020
According to (PMC, 2020). Family-centered health promotion is a promising strategy because the
family unit is both, a resource, and a priority group needing preventive services across the life
course, growing numbers of successful efforts, family health systems are underutilized in health
promotion practice, lacking, and hampering the collection of robust evidence of family health.
Family unity plays a significant role in maintaining health and preventing disease because
members may support and nurture one another through life stages and over time. According to
“The family’s capacity to nurture, care, protect, teach, and influence throughout the life course
makes it an effective entry point in the promotion and maintenance of individual and collective
health and a vital component for public health practice.” The strategies of communication will be
used with channels that can allow health messages that change people's lives with interpersonal,
small group, or community groups, Health communication strategies aim to change people's
knowledge, attitudes, and/or behaviors, for example:
Increase risk perception
Reinforce positive behaviors
Influence social norms
Increase availability of support and needed services
Empower individuals to change or improve their health conditions. (RHIH,2022).

Conclusion:
“The family or household setting is the natural place where many health behaviors, good or bad,
are developed, maintained, and changed. Preliminary research confirms that family-oriented

health promotion and disease prevention are promising strategies because the family unit is both a
resource and a priority group needing preventative and curative services across the life course.
Furthermore, there are growing numbers of successful efforts, family health systems are
underutilized in health promotion practice.” RHIH, (2022).

References:

Lindsey M, (2020). https://fsph.iupui.edu/doc/research-centers/Social-Determinants-of-Health-
and-Their-Impact2.pdf.
ODPHP, (2020).https://health.gov/healthypeople/objectives-and-data/social-determinants-health
KFF, (2022). https://www.kff.org/racial-equity-and-health-policy/issue-brief/beyond-health-care-the-
role-of-social-determinants-in-promoting-health-and-health-
equity/#:~:text=Social%20determinants%20of%20health%20include,as%20access%20to%20healt
h%20care.
PMC, (2020). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7278332/
RHIH, (2022). https://www.ruralhealthinfo.org/toolkits/health-promotion/2/strategies/health-
communication

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