The Social and Structural Determinants of Health
Educating Nurses to Advance Health Equity
- 1st Edition - June 5, 2024
- Imprint: Elsevier
- Editor: Teri A. Murray
- Language: English
- Paperback ISBN:9 7 8 - 0 - 4 4 3 - 1 2 6 8 1 - 9
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 1 2 7 8 5 - 4
Gain the knowledge and skills you need to promote equity in health care! Focused on what nurses can do to address health disparities, The Social and Structural Determinants of He… Read more
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Request a sales quoteGain the knowledge and skills you need to promote equity in health care! Focused on what nurses can do to address health disparities, The Social and Structural Determinants of Health: Educating Nurses to Advance Health Equity provides a comprehensive look at how factors such as income, education, and race can lead to systemic disadvantage in health and well-being. It shows how nurses can partner with communities and organizations to understand the root causes of inequities in health, develop equity-minded skills, and take action to advance long-lasting progress. Written by Teri A. Murray, a noted nursing educator with rich expertise in health equity, this text makes it easy to learn and apply the principles that can lead to better health outcomes and healthier communities.
- Coverage of the social determinants of health (SDOH) addresses the environmental conditions in which people are born, live, learn, work, play, worship, and age, and how these conditions lead to systemic disadvantage in health and all aspects of life.
- Descriptions of the health disparities seen in marginalized and minoritized populations include structural determinants such as the distribution of wealth, power, social and cultural norms, and economic and political factors.
- Context for the health disparities seen at the population level includes both structural and social determinants.
- Consistent format of chapters includes a chapter overview, learning objectives, Reflection questions, a case study or community-based experience, and more.
- Unit I of the book includes five chapters patterned after the framework used by Healthy People 2030: Social Determinants of Health, with a sixth chapter on the historical context of race and racism in health and how it is an underlying factor for the inequities that lead to health disparities.
- Chapters in Unit II provide strategies and approaches that nurses can employ to advance health equity.
- Answer guidelines for in-text Case Studies and Reflection Questions are provided in the back of the book.
- Cover Image
- Title page
- Copyright Page
- Dedication
- Contributors
- Reviewers
- Preface
- Ancillaries
- Acknowledgments
- Contents
- Unit I Understanding the Social and Structural Determinants of Health
- 1 Health, Health Status, and the Social Determinants of Health
- Chapter Outline
- Learning Objectives
- Introduction
- Measures of Health
- Healthcare Financing
- Health and the Social Determinants
- Health Disparities
- Health Inequities and Health Equity
- The Social Determinants of Health
- Upstream, Midstream, and Downstream
- Conceptual Models and Frameworks
- Structural Competency and a Health-in-All-Policies Approach
- Conclusion
- References
- 2 Income, Income Inequality, Poverty, and Health
- Chapter Outline
- Learning Objectives
- Introduction
- The Social Gradient in Health
- Income inequality
- Wealth and the Intergenerational Transfer of Wealth
- Socioeconomic Status
- Employment and Health
- Poverty
- Emergency Savings
- Housing Security and Homelessness
- Food Security
- Conclusion
- References
- 3 Education, Educational Access, and Educational Quality
- Chapter Outline
- Learning Objectives
- Social Gradient of Education and Health
- Educational Gradient
- Early Childhood Education
- Formal Schooling (K-12)
- School-to-Prison Pipeline
- Disparities
- Health Literacy and Numeracy
- Digital Literacy
- Limited English Proficiency
- Conclusion
- References
- 4 The Physical, Natural, and Built Environment
- Chapter Outline
- Learning Objectives
- The Environment and Health
- Origins of Health
- Creating a Culture of Health to Promote Equity
- Impact of the Built Environment Across the Life span
- Short-Term Impacts of the Built Environment
- Long-Term Impacts
- Health-Promoting Goods and Services
- Housing Security and Quality
- Infrastructure, Public Transportation, Zoning, and Health Impact Assessments
- Environmental Justice: Air, Land, and Water
- Planetary Health and Climate Change
- Broadband Access, Technology, and Health
- Healthy Environment, Healthy Future for All: Implications for Nursing Practice
- Conclusion
- References
- 5 Social and Community Contexts
- Chapter Outline
- Learning Objectives
- The Social Environment and Health
- Incarceration
- Community Violence and Social Disorder
- Social Cohesion, Social Networks, and Social Capital
- Conclusion
- References
- 6 Race, Racism, Bias, Discrimination, and Privilege
- Chapter Outline
- Learning Objectives
- Racism and Health
- Race
- Conclusion
- References
- Unit II Strategies to Promote Health Equity
- 7 Policy, Politics, and the Political Determinants of Health
- Chapter Outline
- Learning Objectives
- Introduction
- The Interrelatedness of Policy, Politics, and Health
- Health Policy
- The Health in All Policies Approach
- Nurses and Health Policy
- The Policy Development Process: The CDC Policy Analytical Framework
- Power
- Force Field Analysis Theory
- Strategies to Influence Policy
- Conclusion
- References
- 8 Social Justice and Health Equity
- Chapter Outline
- Learning Objectives
- Social Justice
- Social Justice and the American Nurses Association’s Code of Ethics
- Structural Competence and Social Justice
- Social Justice as Praxis in Addressing the Social Determinants of Health
- Moral Distress and Moral Resilience
- Social Inclusion and Exclusion as Matters of Social Justice
- Systems Change and Action
- Conclusion
- References
- 9 Culture and Health Equity
- Chapter Outline
- Learning Objectives
- Understanding Culture and Why It Matters in Achieving Health Equity
- The Social Determinants of Health
- Diversity and Culture
- Cultural Frameworks
- The Coronavirus Disease 2019 Pandemic Exposed Stark Realities of Health Inequities among Various Cultural and Ethnic Groups
- Culturally and Linguistically Appropriate Services
- Bias
- Upstream and Downstream Thinking
- Conclusion
- References
- 10 Community Engagement and Action-Oriented Models of Community Research
- Chapter Outline
- Learning Objectives
- Introduction
- Why Community-Engaged Research
- The History of Engagement
- Frameworks Guiding Community-Engaged Research
- Categories of Stakeholder Engagement
- Implementation of Community-Engaged Research
- Conclusion
- References
- Responses to Student Reflection Questions
- Index
- Edition: 1
- Published: June 5, 2024
- Imprint: Elsevier
- No. of pages: 320
- Language: English
- Paperback ISBN: 9780443126819
- eBook ISBN: 9780443127854
TM
Teri A. Murray
Affiliations and expertise
Professor, Dean Emerita, Chief Diversity and Inclusion Officer, Trudy Busch Valentine School of Nursing, Saint Louis University, St. Louis, Missouri