DiversityNursing Blog

Social determinants of health (SDOH) are the conditions in which people are born, grow, live, work, and age, and the broader array of influences and structures impacting everyday living. These determinants are the key drivers of health disparities, leading to unjust and preventable health outcomes.

SDOH include factors such as:

Economic Stability 

This includes factors like employment, income, debt, and socioeconomic status. People with lower income levels often face greater challenges accessing healthcare and maintaining healthy lifestyles. The ability to secure stable employment, earn a livable wage, manage financial obligations, and attain a certain socioeconomic status directly impacts one's access to healthcare services, ability to afford healthy lifestyle choices, and overall quality of life.

Individuals facing financial hardships may struggle to prioritize their health due to limited resources, leading to disparities in healthcare access and health outcomes. It is essential to address economic inequalities and provide support systems to ensure all individuals have equal opportunities to lead healthy and fulfilling lives.

Education 

Individuals with a higher education level tend to exhibit better health behaviors, such as regular exercise, balanced nutrition, and avoidance of harmful substances like tobacco and excessive alcohol consumption. This is because education not only provides individuals with the knowledge and understanding of healthy lifestyle choices but also empowers them to make informed decisions about their health.

Higher levels of education are closely linked to greater access to healthcare services. Educated individuals are more likely to have health insurance coverage, seek preventive care, and adhere to medical treatments, leading to better overall health outcomes. Education can also enhance health literacy, enabling individuals to better understand health information, navigate the healthcare system, and communicate effectively with healthcare providers.

Social Connectedness 

Social support networks play a crucial role in individuals' overall health and well-being. Having strong social connections and a supportive community can act as a buffer against stress, loneliness, and mental health issues. When people feel connected and supported by those around them, they are more likely to engage in healthy behaviors, seek out healthcare when needed, and have a sense of belonging and purpose.

On the other hand, discrimination and social isolation can have detrimental effects on both mental and physical health. Experiencing discrimination based on factors like race, gender, or socioeconomic status can lead to chronic stress, anxiety, and depression, all of which can impact one's overall health. Similarly, feeling socially isolated or disconnected from others can increase the risk of developing mental health disorders and exacerbate existing health conditions.

In contrast, communities that foster social cohesion and inclusivity create environments where individuals feel valued, supported, and encouraged to prioritize their health and well-being. By promoting social support networks, community engagement, and addressing issues of discrimination and social isolation, we can create healthier and more resilient communities where everyone has the opportunity to thrive.

Neighborhood and Physical Environment

The physical environment in which people live, work, and play can significantly impact health. Factors such as access to safe housing, clean air and water, transportation options, and green spaces all influence health outcomes.

Access to safe and secure housing is fundamental to maintaining a healthy lifestyle, as it provides a foundation for stability and a sense of security. Clean air and water are essential elements directly impacting respiratory health and overall physical well-being. Inadequate access to clean air and water can lead to respiratory illnesses and other health complications.

Transportation and infrastructure also play a significant role in health outcomes. Easy access to public transportation, walkable neighborhoods, and bike-friendly paths can promote active lifestyles and reduce reliance on cars, thereby contributing to improved physical health. The availability of green spaces and parks in communities provides opportunities for outdoor recreational activities, which are vital for mental well-being and stress reduction.

Access to Healthcare

Healthcare access includes factors such as health insurance coverage, proximity to healthcare facilities, availability of primary care providers, and affordability of healthcare services. Limited access to healthcare can lead to delayed or inadequate treatment, exacerbating health disparities.

Health Behaviors

Individual behaviors such as diet, exercise, smoking, alcohol and drug use, and sexual activity all play a critical role in determining an individual's overall health and well-being. These behaviors are not only influenced by personal choices but also by a complex interplay of social, economic, and environmental factors.

By addressing the social determinants of health that shape these behaviors, such as promoting affordable and nutritious food options, creating safe and accessible environments for physical activity, and implementing education and prevention programs, we can empower individuals to make healthier choices and ultimately improve population health outcomes.

Addressing social determinants of health requires comprehensive, multi-sectoral approaches that go beyond traditional healthcare interventions. This involves collaboration between various sectors such as education, housing, transportation, and social services to create a holistic approach to improving health outcomes.

By working together to address the underlying factors that contribute to health disparities, we can create a more equitable and inclusive society where everyone has the opportunity to lead a healthy and fulfilling life. This approach not only benefits individuals but also strengthens communities and promotes overall well-being for all. 

Versailles, Ky. – On June 8-9, 2023, Frontier Nursing University (FNU) will hold its annual Diversity Impact Conference. The Diversity Impact Conference brings together renowned thought leaders and speakers to increase awareness of the importance of diversity, equity, and inclusion (DEI) in the healthcare workforce, particularly for those working in underserved and rural communities. This year, for the first time, the conference will be available for attendees outside of FNU.

“We are extremely excited about the 2023 Diversity Impact Conference,” said FNU Chief Diversity and Inclusion Officer Dr. Paula Alexander-Delpech, Ph.D., PMHNP-BC, APRN. “The Conference gets better each and every year, and we are putting the finishing touches on the plan for this year’s sessions. We are most excited, however, about being able to include more attendees this year. As we grow this important event, we want to invite leaders and students from some of our area universities to join us. This event is all about collaboration, learning, and growing. I’m confident that it will benefit any university, department, or individual.”

The 2023 Diversity Impact Conference will be conducted via Zoom. The theme of this year’s conference is “Better Together: Advancing a Culture of Identity and Belonging in Healthcare.” The two-day event will feature keynote presentations on both days from nationally recognized leaders in diversity, equity, and inclusion. Additional sessions will include panel discussions, breakout sessions, and time for reflection.

The opening keynote address will be given by Dr. Tia Brown McNair, Vice President of the Office of Diversity, Equity, and Student Success and Executive Director for the Truth, Racial Healing, and Transformation (TRHT) Campus Centers at the American Association of Colleges and Universities (AAC&U) in Washington, D.C. On the second day of the conference, the keynote speaker will be Rebekka Eshler, National President of the Transgender American Veterans Association in Washington, D.C.  All speaker bios and the full conference schedule can be found at https://frontier.edu/diversity-impact/

The learning outcomes attendees can expect to take away from the Diversity Impact Conference include:

• Identify specific strategies to create a culture of belonging amongst peers and the larger community
• Discuss the causes behind healthcare disparities and their effect on creating a culture of belonging
• Reflect on ways to effectively engage in spaces to promote diversity in identity
• Practice ways to build collaborative communities

Students attending any institution can register for the conference for free. All others can register at the registration price of $99 until the day before the event. For more information about the 2023 Diversity Impact Conference and to register, please visit https://frontier.edu/diversity-impact/.

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About Frontier Nursing University:

The mission of Frontier Nursing University is to provide accessible nurse-midwifery and nurse practitioner education that integrates the principles of diversity, equity, and inclusion. We transform healthcare by preparing innovative, ethical, compassionate, and entrepreneurial leaders to work with all people with an emphasis on rural and underserved communities. FNU offers graduate Nurse-Midwifery and Nurse-Practitioner distance education programs that can be pursued full- or part-time with the student’s home community serving as the classroom. Degrees and options offered include Doctor of Nursing Practice (DNP), Master of Science in Nursing (MSN), or Post-Graduate Certificates. In 2021 and 2022, Frontier was named a “Great College to Work For” by the Great Colleges to Work For® program. To learn more about FNU and the programs and degrees offered, please visit Frontier.edu.

Healthcare should be accessible to everyone regardless of socioeconomic status, age, gender, race, or ethnicity. Unfortunately, many people across the nation struggle to access affordable and reliable healthcare. Health equity can only be achieved when every person, regardless of the situation, has a fair and equal opportunity to be as healthy as possible.

Many factors can influence health equity, including health disparities, social determinants of health, and cultural competence. Therefore, Nurses must understand these concepts strongly to identify health inequalities and implement changes so our patients can achieve optimal health.

Health Disparities

Unfortunately, health disparities in the United States are more common than you may realize. Health disparities are any barriers that limit a person's access to quality medical care. Population groups most affected by health disparities include ethnic minorities, immigrants, and low-income families. Common barriers that people may experience include socioeconomic status, geological location, sexual identity or orientation, ethnicity, race, age, or disability.

Health disparities can look different for everyone. For example, some people may live in rural areas where they cannot easily access routine health exams. Others may need help understanding health recommendations due to language barriers. Whatever the disadvantage, health disparities can lead to poor health outcomes that negatively contribute to health equity.  

Nurses have a unique advantage in identifying health disparities and implementing changes so that more people can access care. There are many ways Nurses can implement change, including:

• Supporting telehealth and mobile health units so people in rural areas can access medical services
• Ensuring patients have access to interpreter services so they fully understand medical recommendations
• Creating community health projects so those in under-educated populations can better access health education.

Social Determinants of Health (SDOH)

Social determinants of health can often be confused with health disparities. Although similar, SDOH refers to an individual's personal circumstances apart from medical care and genetics that can affect health outcomes.

Social determinants of health fall into 5 groups that define how people are born, grow, work, live, and age. These groups are interwoven, causing them all to overlap and relate to each other. The five groups include healthcare, economic stability, education, social life, and neighborhood.

• Healthcare encompasses a person's access and quality of medical care, including access to primary care services, health insurance coverage, and understanding of health literacy.
• Economic stability is the connection between finances and access to healthcare. Employment, poverty, food, and housing security can all affect economic stability and access to healthcare.
• Education focuses on the link between access to quality education and how it relates to health. People who do not have access to secondary or higher education may not have the necessary language and literacy to understand medical needs and care.
• Social life has contributed to learned behaviors around healthcare access. How people live, work, play, and learn within their communities can change how people feel about medical care.
• The neighborhood considers how a person's quality of housing, transportation, access to healthy foods and clean water, as well as exposure to crime and violence play a role in a person's health.

Nurses play a significant role in addressing social determinants of health. You can promote health equity by getting involved in public policies and decision making. Advocating for better care can help prevent illness in underserved populations and improve health equity for all.

Cultural Competence

A strong understanding of cultural competency is essential to achieve health equity. Cultural competency is when healthcare providers provide effective healthcare, even if there may be cultural differences between the provider and the patient.

Nurses can become more culturally competent by learning to engage with a wide range of patients with different cultural, religious, and societal backgrounds. Nurses can show cultural competency by speaking to patients in language and terms they understand or by respecting a patient's cultural or religious values or beliefs.

As a Nurse, providing culturally competent Nursing care can break down communication barriers and improve the health outcomes of our patients.

To better serve our communities, Nurses must be able to identify inequalities in healthcare and implement the necessary changes to improve patient experiences and outcomes. Nurses have a unique position on the frontlines of healthcare to positively improve health equity by helping to provide effective and accessible medical care to all.

The Foundation of the National Student Nurses’ Association is delighted to announce a new diversity scholarship award sponsored by Johnson & Johnson. Funding may be used for tuition, fees, and books. Use the same application to apply for all FNSNA scholarships. 

Students must complete the race/ethnicity question to qualify. There is $225,000 available. Awards up to $7,500.

Click here for more information: https://www.forevernursing.org/2021-online-scholarship-applicationinstructional-sheet.html

Click here for the application: https://app.mykaleidoscope.com/scholarship/fnsna2021

Deadline is February 15, 2021