Yu tink se na vayrɔs, baktri, it, ɛn mɛrɛsin nɔmɔ de afɛkt yu wɛlbɔdi, dat na yu sik? Infakt, bɔku tin dɛn de we pas dat, tin dɛn we wi nɔ kin ivin tink bɔt na wi ɛvride layf, we kin afɛkt wi wɛlbɔdi dairekt wan. Tide, wi go tɔk bɔt tin dɛn lɛk dat, tin dɛn we de sho yu wɛlbɔdi bɔt nɔto pat pan mɛdikal sayɛns.
Wetin na di soshal tin dɛm we de mek pɔsin gɛt wɛlbɔdi? (Sɔshial Ditarminant fɔ Wɛlbɔdi - SDOH)
Fɔ tɔk am simpul wan, Sɔshial Ditarminant fɔ Wɛlbɔdi (SDOH) na di tin dɛm wae de mek yu gɛt pɔrsin, sɔshal, ɛn envayrɔmɛnt wae de afɛkt yu wɛl bɔdi ɛn wɛl bɔdi. Dis na tin dɛn lɛk di mɔni we yu de gɛt, usay yu de liv, ɛn di tin dɛn we de na da eria de. Dis na tin dɛm wae de na yu layf wae yu nɔr kin fil fɔ tɔk to yu dɔktɔ bɔt, tin dɛm wae nɔr kin tan lɛk se dɛn gɛt fɔ du wit mɛrɛsin sayɛns.
Imajin, yu gɛt stebul wok wit gud salari, fayn os, ɛn gud ɔspitul nia yu fɔ go if yu sik. Dis kayn pɔsin kin it gud it, tek mɛrɛsin di rayt tɛm, ɛn if nid de, i kin gɛt motoka fɔ go to dɔktɔ.
Naw tink bɔt ɔda pɔsin. Dat pɔsin nɔ gɛt wok we i de du fɔ ɔltɛm, ɛn i de liv wit di mɔni we i de pe am ɛvride. Wan bɔs frɔm os to tɔŋ ɛn di ɔspitul kin kam ɛvri tu awa. Dem no kin ivin bai vehjitehbul o frut na vilej shop. Aw i nɔ kin izi fɔ pɔsin lɛk dis fɔ it tin dɛn we gɛt fayn fayn tin dɛn ɛn go to dɔktɔ di rayt tɛm we i sik?
Risach dɔn sho se dɛn tin ya we de mek yu gɛt wɛlbɔdi (SDOH) nɔ jɔs gɛt fɔ du wit yu wɛlbɔdi, dɛn kin rili sho yu wɛlbɔdi . Dat min se, dɛn kin no aw yu go gɛt sɔm sik dɛn, di kayn mɛrɛsin we yu go gɛt, ɛn aw yu de fil fayn ɔ yu sik ɛvride.
Di impɔtant tin na dat, dɛn tin ya nɔto yu fɔlt. Dɛn tin ya kin bi fɔlt na di sosayti ɛn di envayrɔmɛnt we de arawnd yu. Fɔ no dɛn na di fɔs tin we yu fɔ du fɔ mek yu gɛt wɛlbɔdi.
Dɛn soshal kɔz ya kin sheb to 5 men kategori:
Fɔ ɔndastand dɛn tin ya mɔ, lɛ wi sheb dɛn to fayv men kategori. Na di US Dipatmɛnt fɔ Wɛlbɔdi ɛn Yuman Savis de du dis divɛlɔpmɛnt. Bɔt dɛn tin ya rili impɔtant to wi na Sri Lanka.
| Men fil (Domɛyn) . | Fɔ tɔk am simpul wan... |
|---|---|
| 1. Ikɔnomik Stebiliti | Di mɔni we yu de gɛt ɛn if i go ebul fɔ mit yu ɛn yu famili nid (it, mɛrɛsin, rent). |
| 2. Edukeshɔn Akses ɛn Kwaliti | Di edyukeshɔn we yu ɔ yu pikin dɛn de gɛt ɛn di impak we i go gɛt pan yu layf. Gud edyukeshɔn na di rod fɔ gɛt gud wok ɛn gɛt gud mɔni. |
| 3. Akses ɛn Kwaliti fɔ Ɛlthkɛr | Ples de we yu kin go izi wan we yu sik? Yu tink se da ples de go gi yu di rayt tritmɛnt fɔ yu maynd ɛn bɔdi? |
| 4. Neba ɛn Bil Envayrɔmɛnt | Di tin dɛn we de na di eria we yu de.Fɔ ɛgzampul, gud wata, klin briz, gud shɔp, rod, pɔblik transpɔt ɛn sef. |
| 5. Sɔshial ɛn Kɔmyuniti Kɔntɛks | Yu padi biznɛs wit yu fambul, padi dɛn, ɛn neba dɛn. Ɛnibɔdi de we yu kin tɔk to ɔ aks fɔ ɛp we yu gɛt prɔblɛm? |
Di impɔtant tin na dat dɛn fayv eria ya gɛt sɔntin fɔ du wit dɛnsɛf. Prɔblɛm we de na wan kin afɛkt ɔl di ɔda wan dɛn. Fɔ ɛgzampul, po (ikɔnomi stebul) kin mek yu nɔ ebul fɔ bay gud it, liv na gud neba, ɛn sɛn yu pikin dɛn na gud skul. Semweso, if bɔs nɔ de na yu eria (envayrɔmɛnt), i kin tranga fɔ mek yu go wok ɔ go to dɔktɔ (hɛlth kea). Ivin wan tin we de ambɔg yu kin afɛkt yu wan ol layf ɛn yu wɛlbɔdi.
Yu tink se dɛn tin ya kin afɛkt yu layf? Lɛ wi tink bɔt am fɔ smɔl tɛm.
Naw yu go de wɔnda se, "Aw dis de afɛkt mi?" Aks yusɛf dɛn kwɛstyɔn ya. If di ansa to dis kweshon na "yes," dat na big tin. Bɔt tink bɔt di kwɛstyɔn dɛn usay di ansa na "nɔ." I kin fayn fɔ tɔk bɔt dɛn tin ya wit pɔsin we yu biliv, ɔ wit yu dɔktɔ.
1. Ikɔnomi stebul
- Yu gɛt mɔni fɔ bay it we gɛt fayn fayn tin dɛn (vɛjitebul, frut, mit, fish)?
- Yu gɛt mɔni fɔ go si dɔktɔ ɛn bay mɛrɛsin fɔ sik?
- Yu ebul fɔ pe yu rent, ilɛktrishɔn bil, ɛn wata bil di rayt tɛm?
- Yu fil se yu wok sef? Yu nɔ de fred fɔ lɔs am tumara?
- Yu kin gɛt pe fɔ lɛf ɔ sik lɛf?
2. Ɛdyukeshɔn
(Ansa dɛn kwɛstyɔn ya we yu de tink bɔt yu pikin dɛn. Ɔ tink bɔt wetin yu bin dɔn du trade.)
- Yu pikin gɛt di chans fɔ gɛt gud kwaliti skul ɛdyukeshɔn?
- If di pikin gɛt disabiliti fɔ lan, tin dɛn de na skul ɔ ɔdasay fɔ ɛp?
- Yu gɛt mɔni fɔ gi yu pikin ay edyukeshɔn (yunivasiti ɔ wok trenin)?
3. Fɔ kia fɔ wɛlbɔdi biznɛs
- Yu gɛt dɔktɔ we yu trɔst we yu kin si ɔltɛm we yu sik?
- Yu go ebul ɔndastand klia wan wetin di dɔktɔ de tɔk?
- Yu kin fil fri fɔ aks yu dɔktɔ kwɛstyɔn dɛn we yu nɔ de fred?
- Yu gɛt fasiliti fɔ prɛvɛntiv skrinin fɔ sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs (STI) ɔ kansa?
- Yu gɛt fayn transpɔt (bɔs, tri-wil, yu yon motoka) fɔ go si dɔktɔ?
4. Neba ɛn bildin ɛnvayrɔmɛnt
- Yu tink se shɔp ɔ makit de nia de we yu kin bay gud vɛjitebul ɛn frut dɛn ɛvri wik?
- Yu kin fil sef na yu os ɛn na yu vilej ɔ siti?
- Yu shɔ se di wata we de kam insay yu os klin?
- Yu tink se gud rod dɛn de fɔ waka ɛn saydwɔk dɛn na yu eria?
- Yu tink se di nɔys na strit so lawd dat yu nɔ go ebul fɔ slip fayn na nɛt?
- Yu shɔ se yu os nɔ gɛt pɔyzin lɛk lid? (Di ol pent dɛn kin gɛt lid).
5. Sɔshial ɛn kɔmyuniti kɔntɛks
- Yu gɛt gud padi ɔ fambul fɔ tɛl yu bɔt aw yu de fil ɛn tɔk to we yu gɛt prɔblɛm?
- Yu gɛt padi ɔ fambul dɛn we de ɛp yu ɛn ɛnkɔrej yu?
- We yu sik, pɔsin de fɔ ɛp yu fɔ kuk, briŋ mɛrɛsin to yu, ɛn ɔda tin dɛn?
- Yu kin fil se dɛn lɛk yu ɛn pipul dɛn lɛk yu gud gud wan na yu wokples ɛn wit yu neba dɛn?
- Bɔku tɛm yu kin fil se yu gɛt kɔnekshɔn wit ɔda pipul dɛn pas fɔ de yu wan?
Wetin mek dɛn soshal tin ya impɔtant?
Dɛn tin ya (SDOH) impɔtant bikɔs dɛn kin mek yu gɛt difrɛn sik dɛn ɔ smɔl. Dɛn kin ivin afɛkt di tɛm we yu de liv yu layf. Dis kin apin tu men we dɛn: bay we wi de afɛkt di we aw wi jin dɛn de wok ɛn bay we wi de afɛkt di tin dɛn we wi de disayd fɔ du ɛvride.
1. SDOH ɛn yu jin dɛn
Di jin dɛm we wi kin gɛt frɔm wi mama ɛn papa kin afɛkt di risk we wi kin gɛt fɔ gɛt sik. fכ egzampl, if pכsin gεt jεnεtik mכtεshכn lεk ``BRCA1`` כ ``BRCA2``, we kכnεkt wit brεst kεnsar, dat pכsin de pan hכy risk fכ gεt kεnsar.
Bɔt di stori nɔ de dɔn de. Wan nyu sayɛns we dɛn kɔl epijenɛtiks dɔn kam fɔ no se di say we wi de liv, di we aw wi de liv wi layf, de chenj di we aw wi jin dɛn de wok. Fɔ tɔk am simpul wan, tin dɛn lɛk aw dɛn mɛn yu we yu bin smɔl, di kwaliti fɔ di briz we yu de blo, ɛn ɔda tin dɛn kin mek sɔm jin dɛn ‘on’ ɛn ɔda wan dɛn ‘ɔf’.
Imajin se yu gɛt layt bɔl na yu os, bɔt nɔbɔdi nɔ de fɔ ɔn am. Pan ɔl we jin dɛn de, dɛn nid fɔ wok fayn fayn wan. if di jin dεm we fכ de ‘on’ di rayt tεm bikoz fכ di envayroment infכmeshכn dεm ‘כf’, εn if di jin dεm we fכ de ‘on’, bכku bad tin kin apin insay di bכdi. Di we aw di kansa sɛl dɛn de gro na wan ɛgzampul.
2. SDOH ɛn yu disizhɔn dɛn
Apat frɔm di jin dɛn, di tin dɛn we wi kin disayd fɔ du kin afɛkt wi wɛlbɔdi bak. Fɔ ɛgzampul, if yu no se yu famili dɔn gɛt at sik, yu kin ridyus di it we yu de it fat, ɛksesaiz, ɛn chɛk yu blɔd prɛshɔn ɔltɛm. Dɛn tin ya we yu kin disayd fɔ du kin ɛp yu fɔ mek di sik nɔ kam ɔ fɔ go fɛn tritmɛnt kwik kwik wan.
Bɔt yu go rili ebul fɔ disayd fɔ du dat fɔ yusɛf? Bɔku tɛm, yu nɔ kin ebul fɔ du am. Yu kin gɛt tin dɛn we de ambɔg yu fɔ du dɛn tin dɛn de we yu dɔn disayd fɔ du. Tin dɛn lɛk fɔ nɔ gɛt motoka fɔ go to dɔktɔ, nɔ gɛt mɔni fɔ bay it we gɛt fayn fayn tin dɛn fɔ it. Yu nɔ go ebul fɔ du dɛn tin ya wit jɔs yu yon trɛnk.
Di impɔtant tin fɔ tɛl di dɔktɔ bɔt dis
We yu go to dɔktɔ, sɔntɛnde dɛn kin aks yu fɔ fil fɔm, nɔto so? I kin aks bɔt yu os ditil dɛm, yu it, yu maynd wɛlbɔdi, yu wok. Dɛn nɔ de aks dɛn tin ya fɔ natin. Dɛn kin aks fɔ ɔndastand wetin sɔshal ɛn envayrɔmɛnt prɔblɛm dɛn we yu de gɛt, so dat dɛn go ɛp yu bɛtɛ.
Di mɔ we yu de tɔk to yu dɔktɔ opin wan bɔt dɛn tin ya, na di mɔ i go ebul fɔ ɛp yu. Sɔntɛm i go ebul fɔ gi yu sɔlv fɔ yu prɔblɛm ɔ pɔynt yu to ɔda kɔmyuniti tin dɛn we go ɛp yu.
Fɔ ɛgzampul, if yu de gɛt strɛs, i kin bi bikɔs ɔf prɔblɛm na yu wokples. We di dɔktɔ dɔn no dis, apat frɔm we i de gi yu mɛrɛsin, i kin rifer yu fɔ advays.
Mɛmba se dɛn soshal tin ya dɔn de afɛkt yu layf frɔm di de we dɛn bɔn yu. Bɔt nɔto di sem tin ɔltɛm. Di ikonomik hadship we yu get tide fit don go tumara. Di envayrɔmɛnt we yu de liv insay tide kin difrɛn tumara. So, di tin dɛn we de ambɔg yu naw nɔ de sote go.
Mɛsej we dɛn kin kɛr go na os
- Yu wɛlbɔdi nɔto jɔs fɔ tek mɛrɛsin fɔ mɛn wan sik. I rili kɔmpleks pas dat.
- Di mɔni we yu de gɛt, di wok we yu de lan, di wok we yu de du, di say we yu de liv, ɛn di we aw yu de wit ɔda pipul dɛn, ɔl dis kin afɛkt yu bɔdi ɛn maynd wɛlbɔdi dairekt wan.
- If yu de gɛt prɔblɛm wit yu layf lɛk dis (e.g., nɔr gɛt bɛtɛ mɔni fɔ it, nɔr gɛt say fɔ liv, yu wan), nɔr frayd fɔ tɔk to yu dɔktɔ bɔt am.
- If yu tɛl yu dɔktɔ bɔt dɛn tin ya, dat go ɛp dɛn fɔ mek wan tritmɛnt plan we go fayn fɔ yu ɛn rifer yu to ɔda sɔpɔt savis if nid de.
- Di tin dɛn we de ambɔg yu tide kin difrɛn tumara. Nɔ ɛva shem fɔ aks fɔ ɛp ɛn tray fɔ chenj fayn fayn wan.
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