social determinants of health

Social determinants of health (SDOH) are widely recognized as having an important impact on health and
mortality,1 and there is now strong evidence of the benefits of addressing people’s unmet social needs.
For example, ensuring access to healthy foods and providing
supportive housing for people facing homelessness have been
found to lower healthcare utilization and costs.2 In addition, there
is emerging evidence that screening for and attempting to address
unmet needs within a primary care setting can improve patient
health.3 In response to this growing body of evidence, primary care
practices and health systems are increasingly integrating formal
screening for social needs into clinical care services.

Individualized approach to primary prevention of substance use disorder: age-related risks

Devin Evans — Wed, 03 Mar 2021 06:00:00 +0000

Date Added:

March 3, 2021

Journal/Publication:

Substance Abuse Treatment, Prevention, and Policy

Publication Date:

August 14, 2020

Issue:

Volume:

URL:

Individualized approach to primary prevention of substance use disorder: age-related risks

Type:

Meta-analyses, Reviews, and Guidelines

Format:

Article

DOI (1):

10.1186/s13011-020-00300-7

Keywords

substance use disorder

PMID (1):

32795372

MeSH

aged

Adverse Childhood Experiences

social determinants of health

substance-related disorders

risk factors

This systematic review documented age-associated risk factors for substance use disorders. James W. Mold, MD, MPH

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Background: The misuse of legal and illegal substances has led to an increase in substance use disorder (SUD) in the United States. Although primary prevention strategies have been successfully used to target chronic physical diseases, these strategies have been less effective with SUD, given misconceptions of SUD, shortages in behavioral health professionals, and the population-based focus on specific substances. A developmental approach to the identification and primary prevention of SUD that does not fully rely upon behavioral health workers is needed. The purpose of this paper was to examine age related risk factors for developing SUD and present a novel individualized approach to SUD prevention.

Methods: A literature search was conducted to identify risk factors for SUD among children, young adults, adults, and older adults. We searched CINAHL, PsycINFO, and PubMed between the years 1989-2019, and extracted data, analyzing similarities and differences in risk factors across life stages. Broader categories emerged that were used to group the risk factors.

Results: More than 370 articles were found. Across all age groups, risk factors included adverse childhood experiences, trauma, chronic health diseases, environmental factors, family history, social determinants, and grief and loss. Despite the similarities, the contextual factors and life challenges associated with these risks varied according to the various life stages. We proposed an approach to primary prevention of SUD based on risk factors for developing the disease according to different age groups. This approach emphasizes screening, education, and empowerment (SEE), wherein individuals are screened for risk factors according to their age group, and screening results are used to customize interventions in the form of education and empowerment. Given that trained persons, including non-healthcare providers, close to the at-risk individual could conduct the screening and then educate and mentor the individual according to the risk level, the number of people who develop SUD could decrease.

Conclusions: The risk factors for developing SUD vary across the various life stages, which suggests that individualized approaches that do not overtax behavioral healthcare workers are needed. Using SEE may foster early identification and individualized prevention of SUD.

Author/s:

Afuseh, Eric, Pike, Caitlin A., Oruche, Ukamaka M.

Summary of Revisions: Standards of Medical Care in Diabetes—2020

John Bayhi — Sat, 14 Mar 2020 19:35:38 +0000

Date Added:

March 14, 2020

Journal/Publication:

Diabetes Care

Publisher:

American Diabetes Association

Publication Date:

January 1, 2020

Issue:

Supplement 1

Volume:

Pages:

S4-S6

URL:

Summary of Revisions: Standards of Medical Care in Diabetes—2020

Type:

Meta-analyses, Reviews, and Guidelines

Format:

Article

DOI (1):

10.2337/dc20-Srev

Keywords

PMID (1):

31862743

MeSH

Sodium-Glucose Transporter 2 Inhibitors

Diabetic Ketoacidosis

Ficus

Glucagon-Like Peptide-1 Receptor

glycated hemoglobin a

cardiovascular diseases

Consensus

Farmers

Cystic Fibrosis

Transients and Migrants

Pharmaceutical Preparations

depression

Smell

Patient Comfort

electronic nicotine delivery systems

Blood Glucose Self-Monitoring

celiac disease

follow-up studies

Latent Autoimmune Diabetes in Adults

seasons

social determinants of health

Standard of Care

Time-to-Treatment

united states food and drug administration

risk reduction behavior

Centers for Disease Control and Prevention

glucagon-like peptide 1

anxiety disorders

Feeding and Eating Disorders

thyroid diseases

Infections

This is a three-page summary of the 2020 updates to the ADA Guidelines for Type 2 diabetes. James W. Mold, MD, MPH

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No abstract available.

The EveryONE Project Neighborhood Navigator

Tracy Ashby — Mon, 12 Nov 2018 06:00:00 +0000

Date Added:

November 12, 2018

Publisher:

American Academy of Family Physicians

URL:

The EveryONE Project Neighborhood Navigator

Type:

Patient Education Materials

Format:

Web Page

Keywords

social determinants of health

point-of-care

health equality

health resources

MeSH

social determinants of health

health equity

point-of-care systems

health resources

This resource provides information on local (zip code-based) services available to people with low income who need food, shelter, health care, legal advice, transportation, or employment.

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As part of a continued commitment to help our members address social determinants of health (SDOH) at point of care, the AAFP’s EveryONE Project offers tools for screening patients to identify social needs, and addressing health equity in your practice.

The Neighborhood Navigator provides the next step for improving social determinants of health among your patients.