Theory Of Social Determination Research Articles

Prevalence and associated factors for depressive symptoms among the general population from 31 provinces in China: The utility of social determinants of health theory

BackgroundDepression is one of the most common types of mental disorders. Guided by the theory of social determinants of health (SDH), the study aimed to assess the prevalence of depressive symptoms and to identify factors related to depressive symptoms in the general population of China. MethodsA cross-sectional, online survey was conducted among 101,392 residents from 31 provinces of mainland China from January to March 2019, and 97,126 survey responses were included in the final analysis. Multilevel linear regression models were used to identify SDH associated with depressive symptoms. ResultsThe prevalence of depressive symptoms (PHQ-9 scores ≥10) in Chinese residents was 15.81 %. The results of the multilevel analysis demonstrated that depressive symptoms were affected by various factors on five levels, including individual characteristics, behavioral lifestyle, community support network, social structural factors, and macro social factors. LimitationsThe cross-sectional design of the study makes it difficult to establish causality between variables. ConclusionsThe prevalence of depressive symptoms is high among general population in China. According to the theory of SDH, the study shows that the depressive symptoms are complex and involves all areas of social life. Therefore, adopting a multi-level, cross-sectoral intervention approach will be instrumental to improving the mental health of residents in China.

Social Determinants of Self-rated Health: Patient-provider Communication, Social Support, Socioeconomics, and Demographics among Different Ethnic Groups in the U.S.

Grounded in the theory of social determinants of health, this study clarifies the relationship between social factors and health disparities in the United States. Health disparities as observed in self-rated health (SRH) status were examined across four different ethnic groups of White, Black, Hispanic, and Asian Americans. It further evaluated and compared the social determinants that account for variations in SRH status among these groups. Results from a national sample (HINTS-5 2018) showed a series of significant discrepancies in SRH among the four ethnic groups. In addition, Blacks rated their overall patient-provider communication higher than the other three groups; however, Asians reported lower ratings than the other three groups on all seven measurement items of patient-provider communication. Furthermore, findings underscored the important role of patient-provider communication as a social determinant in predicting SRH among White and Black populations, but not among Asian and Hispanic counterparts. Finally, findings suggested that social support, demographic characteristics (age, gender, and marital status), and socioeconomic status (education, occupation, and household income) influence SRH differently for the four ethnic groups. Important research and intervention implications are discussed, especially for better understanding of differences in effects of patient-provider communication on SRH by race/ethnicity.

Implementability of the intervention model: microbiota-gut-brain axis in Colombia

According to the World Health Organization (WHO), worldwide, the most prevalent pathologies that urgently need intervention are cardiovascular diseases (CVD), mental disease and, due to their health burden, neoplasms. These pathologies share a common origin associated with dysfunction of the gut-brain-nutrients-microbiota-metabolism (GBNM2) axis. Therefore, it is necessary to develop effective health care models that prevent GBNM2 axis dysfunction based on strategies such as primary health care (PHC), to promote and maintain health, intervene in risk factors that limit capital in health and prevent the appearance of chronic non-communicable diseases, which lead to these outcomes. However, countries have social determinants of health that limit its implementation, such as globalization, cultural conditions, low income, low coverage in public health policies and human talent. In this sense, the model of the GBNM2 axis and the intervention of the 7 zones proposed by Camacho is a reference to address some risk factors that lead to this problem and an alternative to encourage its applicability. This article explores the facilitators, barriers, and implementation of the model based on the theory of social determinants in the Colombian health system, led by specialties such as family medicine.

Managerial coaching as the foundation for building felt-trust and motivation among employees working remotely

This qualitative study examines how managerial coaching builds felt-trust among remote working employees by meeting the psychological needsof autonomy and relatedness,outlined in Social Determination Theory. In-depth semi-structured interviews with 15 employees revealed that managerial coaching plays a critical role in establishing and maintaining trust among employees so they feel trusted in their abilities and valued as a person. This fills a gap in the managerial coaching literature and supports evidence to suggest that felt-trust is more powerful than trust in the leader, in determining employee performance when working remotely. The implication is that managerial coaching training will deliver the necessary skills to effectively motivate and demonstrate trust to a remote workforce.

Modos de vida e trabalho de imigrantes haitianos no Oeste do Paraná/Brasil

ABSTRACT Objective: To analyze the migratory process, ways of living, and working conditions of Haitians residing in the municipality of Cascavel, Paraná, as well as their impact on health conditions, consumption patterns, and political and ideological life. Method: cross-sectional observational design. Data was collected through semi-structured interviews conducted from December 2019 to December 2020 with 128 participants who were Haitian immigrants residing in the municipality. Simple descriptive statistics were used for the data analysis, and the findings were discussed in conjunction with relevant literature, with the social determination theory serving as a reference. Results: The majority of participants were male 75.0% (n = 96), young adults 71.0% (n = 91), speakers of two or more languages 87.5% (n = 112), catholic 61.7% (n = 79), high school education or higher 57.0% (n = 73). They consider their life and health conditions good but are unsatisfied with the working conditions and salary. Conclusion: Haitian immigrants’ arrival facilitation to work in cold stores may indicate labor exploitation of economically and socially vulnerable groups. Immigration policies and the recognition of the educational level of their country of origin may contribute to improving the living condition of this population.

The Development of a Measure Assessing U.S. Adults' Motives for Marriage.

Despite the existing literature assessing various aspects of marriage, there is a lack of understanding of adults' motives for pursuing marriage. Thus, this research advanced the literature by assessing adults' motives for marriage via four novel studies in which the Motives for Marriage Scale (MMS) was developed, refined, and validated. In study one, semi-structured focus groups were conducted to capture the range of motives for marriage. In study two, the factor structure of the MMS was assessed. The factor structure was then validated and the psychometric properties were established in study three. Finally, the temporal consistency of the scale was established in study four. The results confirmed that adults' marital motives are complex and that they are best conceptualized using Social Determination Theory (i.e., intrinsic, extrinsic, and instrumental motives). Investigation of the psychometric properties demonstrated the MMS to be reliable and valid. Implications for investigators and practitioners are discussed.

Time tracking and multidimensional influencing factors analysis on female breast cancer mortality: Evidence from urban and rural China between 1994 to 2019.

BackgroundThere are huge differences in female breast cancer mortality between urban and rural China. In order to better prevent breast cancer equally in urban and rural areas, it is critical to trace the root causes of past inequities and predict how future differences will change. Moreover, carcinogenic factors from micro-individual to macro-environment also need to be analyzed in detail. However, there is no systematic research covering these two aspects in the current literature.MethodsBreast cancer mortality data in urban and rural China from 1994 to 2019 are collected, which from China Health Statistical Yearbook. The Age-Period-Cohort model is used to examine the effects of different age groups, periods, and birth cohorts on breast cancer mortality. Nordpred project is used to predict breast cancer mortality from 2020 to 2039.ResultsThe age effect gradually increases and changes from negative to positive at the age of 40–44. The period effect fluctuates very little and shows the largest difference between urban and rural areas in 2019. The birth cohort effect gradually decreases with urban-rural effects alternating between strong and weak. In the predicted results, the urban-rural mortality gap becomes first narrow and then wide and shows a trend of younger death.ConclusionsFrom the perspective of a temporal system, the changing trend of breast cancer mortality is highly consistent with the history of social and economic structural changes in China. From the perspective of the theory of social determinants of health, individuals, families, institutions and governments need to participate in the prevention of breast cancer.

Theory-Guided Remote Cooperative Learning-Based Preventive Dental Education as Part of the School Curriculum.

Oral health is fundamental to overall well-being. As teens are at high risk for tooth decay, we require a unique approach to motivate them to maintain oral health. Sixty-four adolescents (10-13 years) were recruited from 2 schools. Oral health education was based on cooperative learning guided by the social determination theory (SDT) principles. Students' oral health knowledge and oral self-care skills were assessed at baseline (before education), 3 weeks, and 6months after the education. Complete data were available for 51 students (follow-up rate 79.7%). There were significant (p < 0.001) changes in the mean (SD) toothbrushing score from 10.1 (±6.3) (baseline) to 26.5 (±6.0) (follow-up 1) and to 28.1 (±5.3) (follow-up 2). The mean (SD) tooth brushing time significantly (p < 0.001) increased from the baseline of 84.0 (±43.5) to the first follow-up to 107.0 (±39.8) and to 102.3 (±33.1) at the second follow-up. The mean (SD) diet knowledge scores significantly (p < 0.001) increased from 8.2 (±2.1) at the baseline to 10.2 (±2.7) at the first follow-up and remained the same at the second follow-up. Social determination theory-guided cooperative learning was efficient in improving student oral health-related knowledge and oral self-care skills, and this improvement was maintained for 6 months after the discontinued education.

Dinâmica entre potenciais de fortalecimento e desgaste na vida de jovens da escola pública: pesquisa-ação com oficinas emancipatórias

Abstract This action research analyzes the dynamics between the potentials for strengthening and weakening inherent in the social reproduction of young students. Based on the historical-dialectical materialism, particularly on the Theory of Social Determinants of Health, the analysis considered the universal, particular, and singular dimensions of social totality. The study was developed in 13 emancipatory workshops, during a five-month period, attended by 12 high school students from a public school in the city of São Paulo, Brazil. The conditions of social reproduction exposed the participants’ family configurations, which suffer from precarious work and unemployment, the absence or inconsistency of paternal support, and a precarious process of resocialization and sociability. The teenagers discussed insecurities and difficulties faced by them in the territories where they live, family conflicts, the repercussions of social pressures to face the future, the place of school and family in their lives, and doubts regarding sexuality and drug use. The emancipatory action research allowed the participants to transcend appearance and demonstrated the essence of their reality, showing that emancipation is based on the understanding of the singular, particular, and universal dimensions of social relations.

Identifying Indicators of the Construct for Motivation for Weight Loss: Designing a Questionnaire

The prevalence of overweight and obesity is rising rapidly throughout both the developed and the developing world, and it is creating social, economic and health burden on society particularly in urban areas (Popkin, 2006 in Tesfalem, 2013). As a part of designing a questionnaire, the current research aims to identify the indicators of the latent construct motivation for weight loss. To achieve this, the paper raised the following two specific research questions: What are the indicators of the motivation for participation for weight loss program? And where do the indicators fit in the factors of social determination theory (SDT)? To gain a rich understanding of the motivation for the participation in weight loss program, semi-structured focus group discussions (FGD) were conducted with purposely recruited samples of two groups: overweight people and their interventionists. Based on the themes identified from the FGD the indicators were identified. Besides, from the consultations gained from the review of related literature the indicators were placed in SDT. Keywords: Overweight, Weight loss, Motivation, Self-Determination Theory (SDT) DOI: 10.7176/JEP/12-28-03 Publication date: October 31 st 2021

Get Outside! Promoting Adolescent Health through Outdoor After-School Activity.

Background: The Get Outside: After School Activity Program (GO-ASAP) exemplifies how a rural community can utilize its natural resources and community partnerships to promote adolescent health. Methods: A qualitative descriptive inquiry was conducted using convenience sampling. Data were collected from students (n = 13/2018; n = 13/2019) via focus group and art-based method (2018 only) and parent (n = 6/2018) focus group. Data were analyzed via qualitative content analysis using the applied theoretical frameworks of Social Cognitive Theory and Social Determination Theory. Results: (1) Increasing Health-Related Competencies. Students increased their physical activity, improved their sleep, perceived less stress, and reported changes in dietary habits and electronic use. (2) Increasing Social Relatedness. Students made new friends, felt more connected, and spent less time home alone after school. (3) Increasing Autonomy and Intrinsic Motivation. Students recognized their emerging capabilities, and their increased confidence stimulated more action-oriented behavior. Parent-perceived changes support and mirror student reports. Conclusion: Outdoor, nature-based, activity programs are a novel upstream approach to promote adolescent health, especially in rural communities where natural resources often exceed health-service resources and community partnerships are a way of life.

Motivation, Attitudes, and Diet Quality Among US Parents and Adolescents

Objectives: In this paper, we assessed interdependent associations between food-related psychosocial traits and diet quality (ie, healthy and ultra-processed food consumption) among parent-adolescent dyads. Methods: This secondary analysis used data from the Family, Life, Activity, Sun and Health (FLASHE) study, which measured diet and other health behaviors in American parent-adolescent dyads (N = 1646). Actor-Partner Interdependence Models were used to apply a dyadic extension of the Theory of Planned Behavior and Social Determination Theory constructs (motivation, attitudes and self-efficacy) in relation to healthy and ultra-processed food (UPF) consumption. Results: Parent (b = 0.46, p < .01) and adolescent motivation (b = 0.42, p < .01) had positive actor effects on healthy food consumption. Parental attitudes had a negative actor effect (b = -0.20, p < .01) and adolescent attitudes had a positive actor effect (b = 0.34, p < .01) on healthy food consumption. Parent (b = -0.18, p < .01) and adolescent motivation (b = -0.14, p < .01) had negative actor effects on UPF consumption. No significant partner effects were found. Conclusions: Food-related psychosocial traits are associated with parent and adolescent diet quality. Interventions and guidelines that aim to strengthen an individual's ability to make healthful dietary choices, particularly those focused on reducing UPF consumption, are warranted, and may benefit from drawing on behavioral theories, especially those focused on motivational traits.

Long-term impact of Global Health educational experiences in Rome: an attempt of measurement

BackgroundGlobal health education (GHE) is spreading in Europe and in other parts of the world. Since 2008, Sapienza University of Rome has offered activities to medical and other health profession students related to global health (GH), which is grounded in the theory of social determinants of health and inspired by social justice. The educational activities included elective courses as well as community and service-learning experiences, referred to as GH gyms. This study attempts to measure the long-term impact of these educational experiences, especially to demonstrate their influence on the perceived social responsibility of future health professionals.MethodsA questionnaire was elaborated and tested on a small sample of participants. It was sent to participants by e-mail. Quantitative results were analysed through descriptive statistics and qualitative answers were carefully read and classified.ResultsA total of 758 students from different faculties took part to the educational experiences. Only 488 e-mail addresses were available. One hundred and five (21.5%) questionnaires were returned. Participation in GH gyms was perceived to have had a higher influence on future professional and personal choices, when compared to participation in elective GH courses.ConclusionsThe study shows that consideration of health and social issues related with inequities in health and the use of interactive teaching methodologies had important effects on social responsibility of a large number of students. As there could be a selection bias among respondents, more research is needed to understand the impact of GH educational experiences. The inclusion of global health education in health and social curricula and the use of interactive methodologies with a correct evaluation of results are the indications that emerge from this research, together with the necessity of a strong involvement of students, professors and the whole academic reality.

Gaming Avatar Can Influence Sustainable Healthy Lifestyle: Be Like an Avatar

Online gaming is consistently changing with the use of new technologies and seen as making an impact on consumers’ sustainable lifestyles. The gaming avatars have influenced low avatar identification players to engage in physical and learning activities through massively multiplayer online (MMO) game genre. The fundamental purpose of the study is to classify the association of an avatar with consumer’s behavioural intention for exercise and to consume healthy food. This study incorporates three theories: social cognitive theory (SCT), social determination theory (SDT) and player-avatar identification (PAI) theory to determine its four dimensions’ impact on exercise and healthy food intention to attain a sustainable healthy lifestyle. SCT is related to human cognitive behaviour in the light of immersive experience, self-presence, and enjoyment. SDT related to the physical aspects of consumers that are exercise intention and consumption of healthy food. The results have shown that immersive experience, self-presence and enjoyment do impact the consumer’s behavioural intention towards an individual’s sustainability.

Non-specific low back pain and its relation to the nursing work process.

Objectiveto relate nonspecific low back pain within the nursing work context with their workloads, attrition processes and the risks of illness.Methoda cross-sectional study with 301 workers from a general hospital in the south of the country. The Nordic Musculoskeletal Questionnaire and the Work Context Assessment Scale composed of three dimensions were used: working conditions, work organization and socio-professional relations. The association of variables with low back pain was tested using bivariate and multivariate analyzes. The measure of association used was the Odds Ratio and its respective intervals with 95% confidence. The data collected were discussed under the theoretical framework of the work process within the marxist conception and the theory of social determination of the health-disease process.Resultsthere was a statistically significant association between the dimensions of work organization and working conditions with low back pain and they obtained a critical classification meaning moderate risks to the professional illness.Conclusionthe study allowed a better understanding of the nursing work process and its relation with nonspecific low back pain and signaled that changes in the organization and working conditions should occur in order to reduce the risks of nursing workers’ illness.

Using Self-Determination Theory (SDT) to Investigate the Relationship between Organizational Commitment, Happiness and Work Engagement in Service Industry

The economic competition is increasing day by day on both local and international level; therefore, it becomes the duty of organization to balance these processes along with job security. The study aimed to use the social determination theory (SDT) to evaluate the relationship between work engagement, happiness and organizational commitment. A quantitative research design was used to conduct the study, selecting 317 individuals working in three telecommunications companies (Orange, Zain, and Umniah). Regression analysis and Chi square analysis were carried out on the data collected through the questionnaire survey. The results showed a significant relationship between organizational commitment, work engagement and happiness. The Social Determination Theory (SDT) was also found to be relevant in evaluating the factors that are responsible for affecting the behavior of employees towards the organization. The study provides significant knowledge to practitioners in evaluating factors that increase job dissatisfaction or job insecurity among employees that leads to a reduction in the level of work commitment and engagement.

AGE-FRIENDLY INITIATIVES AND REDUCING SOCIAL ISOLATION: ROLES OF PHYSICAL ENVIRONMENT AND COMMUNITY ENGAGEMENT

Social isolation affects the physical and mental health of elders. Although previous literature identified risk factors for social isolation (e.g. living alone, unmarried, and social participation), few studies examined the impact of the physical environment. Informed by the theory of social determinants of health, this study examines the effects of participating in community/social events and the physical environment on an indicator of elders’ health, namely the perceived disconnectedness from their community, employing the binomial hierarchical logistic regression. The sample consists of elders aged 50 and older (n=342) living in a large metropolitan Midwest city who participated in a community needs assessment survey for the World Health Organization’s Global Network of Age-Friendly Cities and Communities initiative. Results indicate that elders without access to ramps to enter buildings are 4.76 times as likely to perceive disconnectedness as those with the access. Those answering “not sure” to access to well-maintained public buildings are 4.39 times as likely to perceive disconnectedness as those without the access, implying that unawareness of access may increase isolation. Those who identify transportation as a barrier are 6.77 times as likely to perceive isolation as those who do not. Additionally, a reduction in participation of social/community events is associated with an increased likelihood of perceived disconnectedness (Adjusted Odds Ratio 1.75). The current study underscores the importance of improving access to public buildings, ramps, and transportation to reduce the perceived disconnectedness of elders. Future studies should continue exploring effects of age-friendly initiatives on social isolation and social determinants of health.

Re-thinking patient motivation in clinical rehabilitation encounters: insights from different theoretical perspectives

ABSTRACT We use analytic pluralism to discuss and analyze a data excerpt from the medical rehabilitation of an inpatient with spinal cord injury and his physical therapist to examine how the concept of motivation is used in clinical practice. We employ three theoretical perspectives in order to explore ways of understanding this concept: Social Determination Theory, Phenomenology, and Narrative Inquiry. We present and argue for multiple ontologies as a new way forward to understanding complex human phenomena such as motivation.

Selected areas of immigrant integration in the Czech Republic

This article presents the results of the project: “Social determinants of health and their impact on the health of immigrants living in the Czech Republic”. During the project, quantitative data were collected in 2013 and 2014 from 994 immigrant respondents from Ukraine, Vietnam, Russia, Poland, and Slovakia living in the Czech Republic. Data interpretation relied on the theory of social determinants of health. The key areas of integration were analysed using SWOT analysis with recommendations drafted for overcoming the identified barriers to integration, not only with respect to the selected nationalities, but also with regard to common characteristics. Our research suggests that integration of the selected groups of immigrants was affected by three basic aspects, specifically: active participation in the labour market, degree of fluency in Czech language (both spoken and written), and social support as prevention of social exclusion. These aspects coincide with the current priorities of integration in the Czech Republic. The research results and the SWOT analysis served as the basis for formulating recommendations aimed at improving the immigrant integration process within the Czech Republic, i.e. increase fluency in Czech language for immigrants, matching of previously acquired qualifications with jobs in the Czech labour market, improvement of working conditions for foreign nationals, better preparedness of employment offices to deal with foreign nationals; personal assistance in cooperation with employers, effective participation of successful foreigners within the integration process, training for government agency employees in dealing with foreign nationals, and increased understanding of integration and intercultural empathy issues.

Social Determinants of Health: A Framework for Studying Cancer Health Disparities and Minority Participation in Research

The theory of social determinants of health (SDH) posits that the health of people and communities is affected by social and economic factors (i.e., economic stability, education, neighborhood and built environment, health and health care, and social and community context). These interrelated constructs may negatively affect minority patients’ ability to participate in cancer research. Understanding SDH can help nurse researchers assess and address barriers to research participation, as well as design trials to improve minority patients’ cancer-related health.