Na jɔs mɛrɛsin de afɛkt yu wɛlbɔdi? Lɛ wi lan bɔt sɔshal tin dɛn? (Sɔshial Ditarminant fɔ Wɛlbɔdi - SDOH)

Yu dɔn ɛva wɔnda wetin mek sɔm pipul dɛn gɛt wɛlbɔdi pas ɔda pipul dɛn? Sɔntɛnde wi kin tink se if wi tek gud mɛrɛsin ɛn go to dɔktɔ, wi go ebul fɔ de fa frɔm sik dɛn. Bɔt fɔ tru, bɔku ɔda tin dɛn de we kin afɛkt wi wɛlbɔdi, we wi nɔ kin pe atɛnshɔn to bɛtɛ na wi layf ɛvride, bɔt dɛn rili impɔtant. Na dat wi kin kɔl di Sɔshial Ditarminant fɔ Wɛlbɔdi (SDOH).

Wetin na dɛn soshal ditɛminant dɛm fɔ wɛlbɔdi (SDOH)?

Fɔ tɔk am simpul wan, dis na aw di tin dɛn we de apin to yu pasɔnal, sɔshal, ɛn di tin dɛn we de arawnd yu kin afɛkt yu wɛlbɔdi ɛn wɛlbɔdi. Dis na tin dɛn we nɔto fɔ mɛn pipul dɛn. Dat min tin dɛn lɛk di mɔni we yu de gɛt, di lɛvul we yu lan buk, di kayn os we yu de liv, ɛn di tin dɛn we yu big famili gɛt. Yu nɔr kin want fɔ tɔk to yu dɔktɔ bɔt dɛn tin ya bikɔs yu nɔr tink se dɛn gɛt fɔ du wit yu wɛl bɔdi.

Bɔt, risach dɔn sho se dɛn soshal ditɛminant dɛm fɔ wɛl bɔdi (SDOH) nɔr jɔs gɛt fɔ du wit yu wɛl bɔdi, dɛn kin rili disayd yu wɛl bɔdi. Dat min se, dɛn kin afɛkt yu risk fɔ gɛt sɔm sik dɛn, di mɛrɛsin we dɛn kin gi yu, ɛn aw yu kin fil fayn frɔm de to de.

Imajin, if yu gɛt stedi inkɔm, gud wok, yu kin ebul fɔ it it we gɛt fayn fayn tin dɛn, gɛt wɛlbɔdi skrinin ɔltɛm. If yu gɛt motoka, i izi fɔ go to dɔktɔ, ɛn tek sɔm mɛrɛsin na di famasi.

Bɔt fɔ pɔsin we de wok na wokples we nɔ de pe fɔ vaykashun, ɔ we de na rimot eria we nɔ gɛt di rayt transpɔt fɔ go na stɔ, di chans fɔ it frut ɛn vɛjitebul dɛn we gɛt fayn fayn tin dɛn ɛn fɔ go to dɔktɔ ɔltɛm kin rili smɔl, nɔto so?

Wetin na ɛgzampul fɔ dɛn soshal tin ya (SDOH)?

Na sɔm ɛgzampul dɛn bɔt sɔshal ditɛminant fɔ wɛlbɔdi (SDOH):

• Yu inkɔm lɛvɛl .
• Yu lɛvul fɔ lan buk .
• Yu wok ɛn di bɛnifit dɛn we i de gi – fɔ ɛgzampul, wɛlbɔdi inshɔrans, vaykeshun we dɛn de pe.
• Risos dɛm na yu neba – tin dɛm lɛk ples fɔ it wit fayn fayn tin dɛm, pɔblik transpɔt, ɛn say fɔ kia fɔ pikin dɛm.
• Di sef ɛn sef we yu de fil na yu neba .
• Akses to mɛdikal savis .
• Di kwaliti fɔ di briz we yu de blo ɛn di wata we yu de drink .
• Yu soshal kɔnekshɔn ɛn padi dɛn .

Dis na jɔs sɔm ɛgzampul dɛn. Dɛn soshal ditɛminant dɛm fɔ wɛl bɔdi (SDOH) de ɔlsay we yu de liv, woke, ɛn hang ɔut. Risach pipul dɛn dɔn sheb dɛn to fayv men kategori fɔ mek pipul dɛn ɔndastand dɛn klia wan. Di U.S. Department of Health and Human Services se dɛn fayv grup ya na:

1. Ikɔnomi stebul: Na tin dɛn we gɛt fɔ du wit ɔmɔs mɔni yu de gɛt ɛn if da mɔni de go ebul fɔ mit yu famili in wɛlbɔdi ɛn ɔda tin dɛn we yu nid.

2. 2. .Edukeshon akses ɛn kwaliti: Isyu dɛn we gɛt fɔ du wit di edyukeshɔn we yu de gɛt ɛn aw i mit yu lanin nid dɛn fayn fayn wan. Dis inklud di nid fɔ lan we gɛt fɔ du wit di we aw yu bren de wok.

3. Di akses ɛn kwaliti fɔ wɛlbɔdi biznɛs: Di tin dɛn we gɛt fɔ du wit di mɛdikal savis dɛn we yu de gɛt ɛn di mak we dɛn de mit yu bɔdi ɛn maynd wɛlbɔdi nid dɛn.

4. Neba ɛn bildin ɛnvayrɔmɛnt: Di tin dɛn we gɛt fɔ du wit di eria usay yu de, dat na yu vilej ɔ siti, ɛn aw di tin dɛn we de de de ɛp fɔ yu wɛlbɔdi ɛn sef.

5. Sɔshial ɛn kɔmyuniti kɔntɛks: Isyu dɛm we gɛt fɔ du wit yu rilayshɔn wit yu famili, padi dɛm, wok kɔleja dɛm, ɛn ɔda pipul dɛm na di kɔmyuniti.

Tink bɔt am, ɔl dɛn tin ya gɛt sɔntin fɔ du wit dɛnsɛf ɛn dɛn kin afɛkt dɛnsɛf. Fɔ ɛgzampul, po kin afɛkt ɔltin na yu layf – frɔm wetin yu de it, to usay yu de liv, to di amenitis dɛm we yu gɛt akses to. If yu gɛt pikin dɛn, we yu nɔ gɛt di chans fɔ kia fɔ pikin dɛn we yu nɔ go ebul fɔ pe fɔ, dat kin mek yu nɔ ebul fɔ go wok. I kin at fɔ go na di stoa ɔ si dɔktɔ na say we nɔ gɛt pɔblik transpɔt ɔ saydwɔk.

Fɔ tɔk am simpul wan, sɔshal ditɛminant dɛm fɔ wɛl bɔdi (SDOH) nɔr de insay aysolɛshɔn – ivin wan ɔ tu barɛri kin gɛt big impak pan yu layf ɛn wɛl bɔdi.

So, wetin ɔl dis de tɛl yu? Aw yu no wetin na di soshal ditɛminant dɛm fɔ wɛl bɔdi (SDOH) we de afɛkt yu layf? Tink bɔt di kwɛstyɔn dɛn we de dɔŋ ya – dɛn ɔganayz dɛn rawnd di fayv men eria dɛn we wi bin dɔn tɔk bɔt. Yu fɔ ebul fɔ ansa “yes” to ɔl dɛn kwɛstyɔn ya. Mek wan not pan di kwɛstyɔn dɛn we yu kin ansa “nɔ”. Dis na tɔpik dɛn we yu go want fɔ tɔk to yu padi, advaysa, ɔ dɔktɔ.

1. Tink bɔt aw ikɔmik stebul

• Yu gɛt mɔni fɔ bay it ɛn drink we gɛt fayn fayn tin dɛn?
• Yu go ebul fɔ pe fɔ tritmɛnt, go to dɔktɔ, ɛn bay mɛrɛsin?
• Yu gɛt mɔni fɔ mek yu os fayn ɛn fɔ pe di rent?
• Yu geht moni fo pe oda bil lek lektrisiti en wata?
• Yu go ebul fɔ fɛn say fɔ kia fɔ pikin dɛn we yu nɔ go pe fɔ?
• Yu tink se yu wok stebul ?
• Yu wokples de gi yu wɛlbɔdi inshɔrans ?
• Yu wokples de gi yu pe fɔ lɛf ɔ sik lɛf ?
• If yu nɔ gɛt wok, yu go ebul fɔ jɔyn program dɛn we go ɛp yu fɔ fɛn wok?
• Yu gɛt di chans fɔ gɛt advays bɔt yu wok?

2. Tink bɔt aw fɔ gɛt ɛdyukeshɔn ɛn kwaliti

We yu de tink bɔt dis pat, i go fayn fɔ tink bɔt di tin dɛn we yu pikin gɛt (di tin dɛn we yu de du naw ɛn di tin dɛn we go apin tumara bambay), bɔt yu kin tink bak bɔt yu yon ɛkspiriɛns dɛn we yu bin dɔn lan trade ɔ we yu de lan naw.

• Yu pikin gɛt di chans fɔ gɛt ay kwaliti skul ɛdyukeshɔn ?
• Yu kin imajin se yu pikin go stɔdi te to A-lɛvel ?
• Risos de fɔ ɛp wit yu pikin in spɛshal lanin nid dɛm – fɔ ɛgzampul, disabiliti fɔ lan ɔ intɛlektual disabiliti?
• Yu famili gɛt di mɔni fɔ sɛn yu pikin na yunivasiti ɔ vokeshɔnal trenin skul?
• Yu pikin gɛt gud padi biznɛs wit ɔda pikin dɛn na skul?

3. Tink bɔt aw pɔsin kin gɛt wɛlbɔdi ɛn kwaliti

• Yu gɛt wɛlbɔdi inshɔrans ?
• Yu gɛt sɛpret inshɔrans fɔ di mɛrɛsin dɛn we dɛn kin gi yu?
• Yu gɛt inshɔrans fɔ yu tit?
• Yu gɛt famili dɔktɔ (`primary care provider`) we yu kin go to ɔltɛm?
• Yu kin ɔndastand wetin yu dɔktɔ de tɔk ?
• Yu kin fil fayn fɔ tɔk to yu dɔktɔ?
• Yu kin fɛn ɛn ɔndastand tin dɛn we gɛt fɔ du wit wɛlbɔdi biznɛs?
• Yu kin gɛt yu mɛdikal rɛkɔd?
• Yu kin gɛt prɛvɛntiv skrinin fɔ sik dɛn lɛk mami ɛn dadi biznɛs (STI) ɛn kansa?
• Yu kin gɛt di tritmɛnt dɛn we yu nid fɔ yu sik dɛn?
• Yu gɛt we fɔ go to dɔktɔ (e.g., motoka, pɔblik transpɔt)?

4. Tink bɔt di neba ɛn di say we dɛn bil

• Yu go ebul fɔ go izi wan na wan stɔ we gɛt bɔku tin dɛn fɔ it?
• Yu kin go na vilej makit ɔ ɔdasay fɔ bay fresh frut ɛn vɛjitebul?
• Yu gɛt intanɛt akses ?
• Yu kin fil sef na yu os ?
• Yu fil sef na yu neba ?
• Yu tink se saydwɔk dɛn de na yu eria?
• Yu tink se difrɛn bayk len dɛn de fɔ bayk?
• Yu tap wata gɛt fluoride?
• Yu kin pe fɔ rent/mɔtgɛj ? (Afɔdabul min se nɔ pas 30% pan di mɔni we yu de gɛt.)
• Yu os nɔ gɛt pɔyzin lɛk lid?
• We yu de go.Yu tink se di nɔys lɛvɛl tu smɔl fɔ mek yu ebul fɔ slip?
• Yu bildin gɛt tin dɛn we de ɛp yu fɔ muv sloslo (e.g., ramp ɔ ɛlivat fɔ wilchia)?

5. Tink bɔt di soshal ɛn kɔmyuniti kɔntɛks

• Yu gɛt famili ɛn/ɔ padi dɛn we de ɛnkɔrej yu ɛn ɛp yu ?
• Yu de na soshal grup, lɛk tɛmpul, volontia grup, ɔ grup we de go ɔp mawnten?
• Yu gɛt pɔsin fɔ tɔk to we yu at pwɛl ɔ we yu gɛt prɔblɛm ?
• Ɛnibɔdi de fɔ ɛp yu wit di tin dɛn we yu nid we yu de wɛl afta yu dɔn de na ɔspitul ɔ afta dɛn dɔn du yu ɔpreshɔn?
• Yu gɛt di tin dɛn we yu nid fɔ kia fɔ yu pikin dɛn ɔ ɔda pipul dɛn we yu de kia fɔ?
• Yu kin fil se dɛn gri wit yu na yu wokples ?
• Yu fil se dɛn wɛlkɔm yu na yu neba ?
• Yu kin fil se yu gɛt kɔnekshɔn wit ɔda pipul dɛn pas aw yu kin fil se yu wangren de ?

Wetin mek dɛn soshal ditɛminant dɛm fɔ wɛlbɔdi (SDOH) impɔtant so?

Dɛn soshal tin ya (SDOH) impɔtant bikɔs dɛn kin mek yu gɛt difrɛn sik dɛn bɔku ɔ smɔl. Dis we ya, dɛn kin afɛkt yu layf bak. Dɛn soshal tin ya gɛt da kayn pawa de bikɔs dɛn kin afɛkt di we aw yu jin dɛn de wok ɛn di tin dɛn we yu kin disayd fɔ du ɛvride. Lɛ wi luk dis smɔl mɔ.

Sɔshial factor dɛm (SDOH) ɛn yu jin dɛm

Yu jin kin afɛkt yu risk fɔ gɛt wan sik. fכ egzampl, yu kin gεt wan jεnεtik mכtεshכn – lεk wan vεryushכn na di BRCA1 כ BRCA2 jin dεm – we de mek yu risk fכ gεt sik lεk kεnsar. Ɔ yu kin gɛt at sik bikɔs yu famili dɔn gɛt at sik.

Bɔt di chenj dɛn we pɔsin kin gɛt frɔm di jɛnɛtiks we dɛn kin gɛt frɔm dɛn mama ɛn papa na jɔs wan say na di stori. Risach pipul dεm we de du ``Epigenetics'' stil de fכ no aw di envayroment we yu de liv de afekt di we aw yu jin dεm de wok. Wi de si se ɔltin frɔm di we aw dɛn mɛn yu as pikin to di kwaliti fɔ di briz we yu de blo kin tɔn sɔm jin dɛn ``on'' ɛn tɔn ɔda wan dɛn ``ɔf''.

dis ``epijenεtik`` chenj dεm nכ de di sem wit ``jεnεtik mכtεshכn`` – yu ``DNA`` sikεns na di sem. Bɔt yu jin dɛn nɔ de wok fayn. I tan lɛk se layt bɔl de na lamp bɔt nɔbɔdi nɔ de fɔ ɔn am.

Di jin dɛm we dɛn kin on ɔ ɔf we dɛn fɔ de kin mek ɔlkayn bad bad chenj dɛn na yu bɔdi. Tumɔs na wan ɛgzampul. Dis min se sɔshal ditɛminant dɛm fɔ wɛlbɔdi (SDOH), lɛk sɔshal kɔnekshɔn ɛn envayrɔmɛnt pɔyzin, kin afɛkt yu jin dɛm – ivin di pat dɛm pan yu we wi bin tink se nɔ go ɛva chenj.

Sɔshial ditɛminant dɛm (SDOH) ɛn di tin dɛm we yu kin pik

Apat frɔm yu jin, di tin dɛn we yu kin disayd fɔ du kin afɛkt bak di chans we yu gɛt fɔ gɛt sik. Yu nɔr kin chenj de risk factors wae yu kin gɛt. Bɔt if yu no se yu de pan denja, dat kin ɛp yu fɔ disayd fɔ du sɔntin, lɛk fɔ mek dɛn chɛk yu kansa, fɔ fala di it we dɛn de it na Mɛditarenian, ɔ fɔ mek dɛn chɛk yu blɔd prɛshɔn ɔltɛm. If yu du dɛn tin ya, dat kin ɛp yu fɔ ridyus di chans fɔ gɛt sɔm sik dɛn ɔr yu kin gɛt mɔ chans fɔ gɛt tritmɛnt kwik ɛn fɔ wɛl.

Bɔt yu tink se di tin we yu go disayd fɔ du rili de na yu an? Bɔku tɛm, nɔto so i kin bi. Sɔntɛm tin dɛn kin de we de ambɔg yu, lɛk we yu nɔ gɛt transpɔt fɔ go to dɔktɔ, yu nɔ gɛt mɔni fɔ bay it we gɛt fayn fayn tin dɛn fɔ it. Yu nɔ go ebul fɔ du ɔltin wit ``willpower`` nɔmɔ.

Di bɛst tin na fɔ mek ɔlman gɛt ay kwaliti tin dɛn ɛn chans fɔ ɛp dɛn fɔ tek chaj pan dɛn wɛlbɔdi. Wi nɔ de de yet, bɔt fɔ no yu SDOH na di fɔs step fɔ rich da gol de. Dɔktɔ dɛn kin yuz difrɛn tin dɛn fɔ chɛk fɔ no aw dɛn SDOH ya kin afɛkt yu ɛn wetin yu kin du fɔ ɛp.

Wetin na dis ``sɔshial ditɛminant dɛm fɔ wɛlbɔdi skrinin tul``?

Dis na tin dɛm lɛk `sɔvɛ ɔ kwɛshɔn` we yu kin fil bifo yu si dɔktɔ. Fɔ ɛgzampul, yu kin fil `dijital fɔm` bifo yu si yu famili dɔktɔ. Di fɔm de aks yu bɔt difrɛn tin dɛn na yu layf – lɛk yu os, rilayshɔnship, ɛn aw yu kin gɛt it ɛn drink. Di kwɛstyɔn dɛn kin fiba di kwɛstyɔn dɛn we wi bin dɔn aks fɔs insay dis atikul. Yu kin tɔk bɔt yu ansa dɛn we yu go to yu dɔktɔ.

Di mɔ yu kin tɔk klia wan bɔt di tin dɛn we de mɔna yu, na di mɔ yu dɔktɔ go ebul fɔ ɛp yu. Dɛn kin ebul fɔ tɔk bɔt aw fɔ sɔlv yu prɔblɛm ɔ kɔnɛkt yu to di tin dɛn we di kɔmyuniti gɛt. Sɔntɛm sɔntin de na yu layf we di fɔm nɔ tɔk bɔt. If na so, tɔk to yu dɔktɔ bɔt am we yu si am. If di dɔktɔ nɔ ebul fɔ ɛp yu wit wan patikyula prɔblɛm, i go rifer yu to pɔsin we ebul fɔ ɛp yu.

Sɔshial ditɛminant dɛm fɔ wɛl bɔdi (SDOH) kin bigin fɔ afɛkt yu frɔm di tɛm we dɛn bɔn yu, ɛn dɛn kin kɔntinyu fɔ shep yu wɛlbɔdi as yu de ol. Sɔm tin dɛn kin chenj as tɛm de go. Fɔ ɛgzampul, yu go dɔn gɛt mɔni we nɔ de chenj fɔ sɔm tɛm ɛn afta dat yu lɔs yu wok wantɛm wantɛm. Ɔ, yu kin muf frɔm eria we gɛt gud bɔs rod ɛn saydwɔk to eria we nɔ sef usay yu nɔ go ebul fɔ go rawnd if yu nɔ gɛt motoka – ɛn yu nɔ kin ivin ebul fɔ bay wan. De tin dɛm wae bin de ɛp yu fɔ gɛt wɛl bɔdi trade kin bigin fɔ ambɔg am wantɛm wantɛm.

Bɔt tin kin go bak di ɔda we. Yu kin go ia we yu nɔ gɛt wɛlbɔdi inshɔrans ɔ vaykeshun we yu de pe, ɛn afta dat yu kin fɛn wok we de gi yu ɔl tu – ɛn yu kin dɔn muf go na os na kwayɛt strit usay yu kin slip fayn. Laif na ples we de chenj, ɛn di tin dɛn we de afɛkt yu wɛlbɔdi nɔ de wansay.

Dat min se di tin dɛn we de ambɔg yu naw nɔ nid fɔ de sote go. If yu nɔ gɛt di tin dɛn fɔ ɛp yu wit yu wɛlbɔdi, tɔk to dɔktɔ ɔ kɔnɛkt wit kɔmyuniti grup – lɛk chɔch ɔ ɔganayzeshɔn we nɔ de du biznɛs – we kin gi advays ɛn sɔpɔt, ɛn rifer yu to ɔda pipul dɛn we kin ɛp.

Mɛsej we dɛn kin kɛr go na os

So, frɔm wetin wi dɔn tɔk bɔt, yu go dɔn ɔndastand se wi wɛlbɔdi biznɛs pas fɔ jɔs tek mɛrɛsin fɔ mɛn sik.

• Di say we yu de impɔtant: Bɔku tin dɛn lɛk di we aw yu de liv, di mɔni we yu de gɛt, di edyukeshɔn we yu gɛt, di padi biznɛs we yu gɛt wit yu neba dɛn, ɛn di tin dɛn we yu gɛt, kin afɛkt yu wɛlbɔdi dairekt wan.
• Nɔto ɔltin de na yu an: Sɔntɛnde, ilɛksɛf wi want fɔ fala gud wɛlbɔdi abit, i kin tranga fɔ du am bikɔs ɔf tin dɛn we de na do we wi nɔ ebul fɔ kɔntrol.
• Nɔ fred fɔ aks fɔ ɛp: If yu gɛt dɛn kayn kwɛstyɔn ya, tɔk to dɔktɔ, yu fambul, ɔ yu padi. Ples dɛn de we yu go ebul fɔ gɛt ɛp.
• Yu kin mek difrɛns: Yu nɔ nid fɔ de di sem we sote go. Ivin smɔl chenj dɛn kin gɛt big rizulyt.

Nɔ fɔgɛt se yu wɛlbɔdi na yu valyu tin pas ɔl. Tray fɔ protɛkt am ɛni we we yu ebul. Fɔ no bɔt dɛn soshal ditɛminant dɛm fɔ wɛlbɔdi (SDOH) na impɔtant step na da joyn de!

` Wɛlbɔdi, sɔshal tin dɛm, ikɔmi, ɛdyukeshɔn, wɛlbɔdi biznɛs, envayrɔmɛnt, jenɛtiks, wɛlbɔdi, layf stayl