Yu no bɔt dɛn soshal tin ya we kin afɛkt yu wɛlbɔdi? (Sɔshial Ditarminant fɔ Wɛlbɔdi - SDOH)

Wi ɔl kin go to dɔktɔ we wi sik. Dɔn wi kin tɔk bɔt wi sik ɛn mɛrɛsin. Bɔt yu dɔn ɛva tink bɔt aw yu mɔni prɔblɛm, di say we yu de liv, ɛn di edyukeshɔn we yu de lan kin afɛkt yu wɛlbɔdi? Na dɛn tin ya nɔ de fɔ mɛn pipul dɛn we wi go tɔk bɔt tide, bɔt dɛn gɛt bɔku impak pan wi wɛlbɔdi.

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

Fɔ tɔk am simpul wan, di tin dɛm wae de mek yu gɛt wɛl bɔdi na di tin dɛm wae de mek yu gɛt pɔrsin, soshal, ɛn envayrɔmɛnt wae de afɛkt yu wɛl bɔdi ɛn wɛl bɔdi. Dɛn tin ya na tin dɛn lɛk di mɔni we yu de gɛt, usay yu de liv, ɛn di tin dɛn we de na yu neba. Infakt, dɛn tin ya kin bi tin dɛn we nɔto fɔ mɛn yu layf. Yu nɔr kin ivin tɔk to dɔktɔ bɔt dɛn tin ya bikɔs yu nɔr no aw dɛn kin gɛt fɔ du wit sik.

Bɔt, 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 afɛkt yu chans fɔ gɛt sɔm sik dɛn (wi kin kɔl dɛn risk), di mɛrɛsin we yu kin gɛt, ɛn aw yu kin fil fayn frɔm de to de.

Tink bɔt am dis we, if yu gɛt stebul inkɔm, wɛlbɔdi inshɔrans, i izi fɔ yu fɔ bay gud it we gɛt fayn fayn tin dɛn, gɛt wɛlbɔdi chɛk-ap ɔltɛm. If yu gɛt motoka, aw i izi fɔ go to dɔktɔ, ɛn tek mɛrɛsin na di famasi?

Bɔt, fɔ pɔsin we de wok we nɔ gɛt pe fɔ lɛf, ɔ we de na rimot eria we nɔ gɛt gud shɔp ɔ ivin bɔs, aw i at fɔ bay sɔm vɛjitebul ɛn frut fɔ it ɛn go to dɔktɔ di rayt tɛm?

Wetin na ɛgzampul dɛn fɔ sɔshal ditɛminant fɔ wɛlbɔdi (SDOH)?

Na sɔm ɛgzampul dɛn ya:

• Di mɔni we yu de gɛt.
• Yu lɛvɛl fɔ lan buk.
• Di wok we yu de du ɛn di bɛnifit dɛn we i de gi - lɛk wɛlbɔdi inshɔrans ɛn vaykeshun we dɛn de pe yu.
• Di amenitis dɛm we de rawnd yu - ples dɛm fɔ fɛn it we gɛt fayn fayn tin dɛm, pɔblik transpɔt, ɛn kia fɔ pikin dɛm.
• Di sef we yu de fil na di say we yu de.
• Aw fa di say dɛn we dɛn de mɛn pipul dɛn de?
• Di kɔndishɔn fɔ di briz we yu de blo ɛn di wata we yu de drink.
• Yu padi biznɛs wit yu fambul ɛn padi dɛn.

Dis na jɔs sɔm ɛgzampul dɛn. Dɛn SDOH ya de ɔlsay we yu de liv, wok, ɛn hang ɔut. Risach pipul dɛn dɔn sheb dɛn to fayv men kategori fɔ mek i izi fɔ ɔndastand dɛn. 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 du fɔ yu famili in wɛlbɔdi ɛn ɔda tin dɛn we yu nid.

2. Edukeshɔn akses ɛn kwaliti: Di ​​edyukeshɔn we yu de gɛt ɛn aw i de mach yu lanin nid dɛn (inklud di wan dɛn we gɛt fɔ du wit di we aw yu bren de wok).

3. 3. .Akses ɛn kwaliti fɔ wɛl bɔdi biznɛs: Di mɛdikal savis dɛm wae yu de gɛt ɛn di mak wae dɛn de mit yu bɔdi ɛn maynd wɛl bɔdi nid dɛm.

4. Neba ɛn bildin ɛnvayrɔmɛnt: Tin dɛn we gɛt fɔ du wit di eria usay yu de - tin dɛn lɛk fasiliti dɛn we de ɛp fɔ yu wɛlbɔdi ɛn sef.

5. Sɔshial ɛn kɔmyuniti kɔntɛks: Yu rilayshɔn wit yu fambul, padi dɛm, wok kɔleja dɛm, ɛn ɔda pipul dɛm na di kɔmyuniti.

E fayn fɔ mɛmba se ɔl dɛn tin ya gɛt 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 smɔl pikin dɛn, di we aw yu nɔ de kia fɔ pikin dɛn we yu go ebul fɔ bay, dat kin afɛkt di we aw yu go ebul fɔ go wok. Aw i at fɔ go na di say usay dɛn de sɛl tin fɔ it ɔ fɔ go to dɔktɔ na say we nɔ gɛt pɔblik transpɔt ɔ saydwɔk?

In ɔda wɔd, dɛn sɔshal tin ya we de afɛkt wɛlbɔdi nɔ de insay aysolɛshɔn - ivin if wan ɔ tu na tin we de ambɔg yu, dɛn kin afɛkt yu layf ɛn wɛlbɔdi lɛk link dɛn na chen.

Aw dɛn tin ya kin afɛkt yu? Lɛ wi tink bɔt am fɔ smɔl tɛm.

So, wetin ɔl dis de tɛl yu? Aw yu go no us SDOH de afɛkt yu layf? Tink bɔt di kwɛstyɔn dɛn we de dɔŋ ya. Dɛn ɔganayz dɛn tin ya akɔdin to di SDOH kategori dɛn we wi bin dɔn tɔk bɔt. Yu fɔ ebul fɔ ansa "yes" to ɔl dɛn kwɛstyɔn ya. Mek wan not pan di kweshon dem we yu ansa "no." Dis na tɔpik dɛn we yu go want fɔ tɔk to yu padi, advaysa, ɔ dɔktɔ.

1. Mek wi tink likl abaut ikonomik stebiliti?

• Yu gɛt mɔni fɔ bay it ɛn drink we gɛt fayn fayn tin dɛn?
• Yu go ebul fɔ pe fɔ mɛrɛsin, lɛk fɔ go to dɔktɔ ɛn fɔ gɛt mɛrɛsin?
• Yu gɛt mɔni fɔ pe rent ɔ fɔ bil os?
• Yu gɛt mɔni fɔ pe ɔda bil dɛn lɛk kɔrɛnt ɛn wata?
• Yu go ebul fɔ fɛn we dɛn we nɔ go tek bɔku mɔni fɔ kia fɔ yu pikin dɛn?
• Yu tink se yu wok stebul?
• Yu gɛt wɛlbɔdi inshɔrans frɔm yu wokples?
• Yu wokples de gi yu lif we dɛn de pe yu?
• If yu nɔ gɛt wok, ɛni program de we go ɛp yu fɔ fɛn wok?
• Yu gɛt di chans fɔ gɛt gayd fɔ yu wok?

2. Wetin yu tink bɔt ɛdyukeshɔn akses ɛn kwaliti?

If na so i bi, i go fayn fɔ tink bɔt di chans dɛn we yu pikin gɛt (di chans dɛn we yu gɛt naw ɛn di tin dɛn we go apin tumara bambay), bɔt yu kin tink bak bɔt yu yon ɛdyukeshɔn ɛkspiriɛns dɛn we yu bin dɔn gɛt trade ɔ we yu de lan naw.

• Yu pikin go ebul fɔ gɛt gud kwaliti skul ɛdyukeshɔn?
• Yu kin imajin se yu pikin de dɔn skul?
• Fasiliti de fɔ ɛp yu pikin in spɛshal nid dɛm (e.g. lanin disabiliti 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 in padi dɛn na skul?

3. Aw di akses ɛn kwaliti de fɔ wɛlbɔdi biznɛs?

• Yu gɛt wɛlbɔdi inshɔrans?
• Yu tink se sɛpret inshɔrans de fɔ mɛrɛsin?
• Inshɔrans de fɔ tritmɛnt fɔ dɛn tit?
• Yu gɛt famili dɔktɔ we yu kin go to ɔltɛm?
• Yu ɔndastand wetin yu dɔktɔ de ɛksplen?
• Yu kin fil fayn fɔ tɔk to yu dɔktɔ bɔt aw yu de fil?
• Yu kin fɛn ɛn ɔndastand tin dɛn we gɛt fɔ du wit wɛlbɔdi biznɛs?
• Yu kin gɛt yu mɛdikal rɛkɔd?
• Yu gɛt akses to prɛvɛntiv skrinin fɔ sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs (STI) ɛn kansa?
• Yu ebul fɔ gɛt di tritmɛnt we yu nid fɔ yu sik dɛn?
• Yu gɛt we fɔ go to dɔktɔ?

4. Wetin yu tink bɔt yu neba ɛn di bildin ɛnvayrɔmɛnt?

• Yu go ebul fɔ go izi wan na wan stɔ we gɛt bɔku tin dɛn fɔ it?
• Yu tink se i izi fɔ yu fɔ go na makit ɔ ɔdasay usay yu go bay fresh frut ɛn vɛjitebul?
• Yu gɛt intanɛt akses?
• Yu kin fil sef na yu os?
• Yu kin fil sef na di say dɛn we yu de?
• Yu tink se saydwɔk dɛn de na yu eria?
• Yu tink se difrɛn rod dɛn de fɔ baysikul?
• Yu tap wata gɛt fluoride? (I gud fɔ yu tit)
• Yu tink se di os we yu de liv insay, yu go ebul fɔ bay? (Dat min se i nɔ de kɔst pas 30% pan di mɔni we yu de gɛt)
• Yu os nɔ gɛt pɔyzin lɛk lid?
• Yu strit kwayɛt fɔ mek yu slip?
• If yu gɛt prɔblɛm fɔ waka, di bildin we yu de insay gɛt fasiliti fɔ dat (e.g. ramp ɔ ɛlivat)?

5. Aw soshal ɛn kɔmyuniti rileshɔnship de?

• Yu gɛt fambul ɛn/ɔ padi dɛn we de sɔpɔt ɛn ɛnkɔrej yu?
• Yu de put an pan sɔshal grup, lɛk tɛmpul, chɔch, 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 we dɛn dɔn ɔpreshɔn yu?
• 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 wɛlkɔm yu na yu wokples?
• Yu kin fil se dɛn wɛlkɔm yu na di say dɛn we yu de?
• Bɔku tɛm yu kin fil se yu gɛt kɔnekshɔn wit ɔda pipul dɛn pas fɔ de yu wan?

Wetin mek di tin dɛn we de mek pɔsin gɛt wɛlbɔdi (SDOH) impɔtant?

Dɛn SDOH tin ya rili impɔtant.I kin du am, bikɔs dɛn kin mek yu gɛt difrɛn sik dɛn ɔ mek yu nɔ gɛt bɛtɛ sik. Dat kin afɛkt yu layf bak. SDOH dεm gεt dis pawa biכs dεn de infכlכp di we aw yu jin dεm de wok εn di disizhכn dεm we yu de mek εvride. Lɛ wi luk dis dip smɔl.

SDOH ɛn yu jin dɛn

Yu jin dɛn kin afɛkt di risk we yu gɛt fɔ gɛt sik. fכ egzampl, yu kin gεt wan jin mכtεshכn (lεk wan vεryushכn na di BRCA1 כ BRCA2 jin dεm) we de mek yu risk fכ wan kכndyushכn 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 na wan fil we dεn kכl ``epigenetics`` de fכ no naw aw yu envayroment de afekt di we aw yu jin dεm de wok. Wi de si aw ɔltin frɔm aw dɛn mɛn yu as pikin to di kwaliti fɔ di briz we yu de blo kin tɔn sɔm jin dɛn ``on`` ɔ ``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 dɛn de na di lamp dɛn bɔt nɔbɔdi nɔ de fɔ ɔn dɛn.

di jin dεm we dεn on כ כf we dεn fכ bi kin mek כl kayn bad bad chenj dεm na yu bכdi. Di we aw di tumbu de gro na wan ɛgzampul. Dis min se di tin dɛm wae de mek yu gɛt wɛl bɔdi (SDOH), lɛk sɔshal rilayshɔnship ɛn di pɔyzin we de na di envayrɔmɛnt, kin afɛkt yu jin dɛm—ivin sɔm pat dɛm pan yu we yu bin tink se nɔ go ɛva chenj.

SDOH ɛn yu disizhɔn dɛn

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 fɔ no se yu de pan denja kin ɛp yu fɔ disayd fɔ du sɔm tin - lɛk fɔ gɛt kansa skrinin, fɔ adopt wɛlbɔdi it (lɛk di Mɛditarenian Dayt), ɔ fɔ chɛk yu blɔd prɛshɔn ɔltɛm. If yu du dɛn tin ya, dat kin ɛp yu fɔ ridyus yu risk fɔ gɛt sɔm sik dɛn, ɔr yu kin gɛt mɔ chans fɔ gɛt tritmɛnt kwik ɛn fɔ wɛl.

Bɔt yu go rili ebul fɔ disayd fɔ du dat fɔ yusɛf? Bɔku tɛm, yu nɔ kin ebul fɔ du am. Sɔntɛm tin dɛn de we go ambɔg yu, lɛk we yu nɔ gɛt transpɔt fɔ go to dɔktɔ ɔ we yu nɔ gɛt mɔni fɔ bay it we gɛt fayn fayn tin dɛn fɔ it. Sɔntɛnde, jɔs fɔ gɛt di pawa fɔ want fɔ du sɔntin nɔ kin du.

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

Aw dɔktɔ go no bɔt dis SDOH?

SDOH skrinin tul dɛm na sɔvɛ ɔ kwɛshɔn dɛm we yu kin fil bifo yu go to dɔktɔ. Fɔ ɛgzampul, yu kin fil dijital fɔm bifo yu go to yu famili dɔktɔ. Di fɔm de aks bɔt difrɛn tin dɛn na yu layf - lɛk yu os, rilayshɔnship, ɛn fɔ gɛt tin fɔ it ɛn wata. Di kwɛstyɔn dɛn kin fiba di kwɛstyɔn dɛn we wi bin dɔn aks fɔs insay dis atikul. We yu go to yu dɔktɔ, i kin tɔk to yu bɔt yu ansa dɛn.

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

Yu tink se dɛn tin ya kin chenj?

Sɔshial tin dɛm wae kin afɛkt yu wɛl bɔdi kin bigin fɔ afɛkt yu frɔm di tɛm wae dɛn bɔn yu, ɛn dɛn kin kɔntinyu fɔ shep yu wɛl bɔdi as yu de ol. Sɔm tin dɛn kin chenj as tɛm de go. Fɔ ɛgzampul, yu kin gɛt stebul mɔni fɔ sɔm tɛm ɛn yu kin lɔs yu wok wantɛm wantɛm. Ɔ yu kin muf frɔm eria we gɛt gud bɔs rod ɛn saydwɔk to eria we nɔ sef ɛn we yu nɔ go ebul fɔ go de if yu nɔ gɛt motoka - sɔntɛm yu nɔ go ivin ebul fɔ bay wan. Tin dɛn we bin de ɛp yu fɔ gɛt wɛlbɔdi kin bigin fɔ ambɔg yu wɛlbɔdi wantɛm wantɛm.

Bɔt tin kin go bak di ɔda we. Yu kin go ia dɛn we yu nɔ gɛt wɛlbɔdi inshɔrans ɔ vaykeshun we yu de pe ɛn wantɛm wantɛm yu go 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 kin de ɔltɛm lɛk aw yu de tink, ɛn dɛn kin chenj.

Dat min se di tin dɛn we de ambɔg yu naw nɔ nid fɔ de sote go. If yu nɔr gɛt di tin dɛm fɔ ɛp yu wit yu wɛl bɔdi, tɔk to dɔktɔ ɔr kɔnɛkt wit kɔmyuniti grup - lɛk chɔch, tɛmpul, ɔ ɔganayzeshɔn we nɔ de du biznɛs - we kin gi advays ɛn sɔpɔt, ɛn introduks yu to ɔda pipul dɛm we kin ɛp.

Wetin na di mɛsej we wi want fɔ kɛr go na os?

So, di impɔtant tin we wi nid fɔ ɔndastand frɔm ɔl dis na dat wi wɛlbɔdi kin rili afɛkt di soshal, ikɔnomi, ɛn envayrɔmɛnt kɔndishɔn (SDOH) we wi de liv insay, ɛn bak bay mɛrɛsin .

• Di fɔs tin we wi fɔ du na fɔ no wetin na dɛn SDOH ya ɛn aw dɛn de afɛkt wi.
• If yu gɛt kwɛstyɔn dɛn lɛk dis, nɔ fred fɔ tɔk bɔt am wit dɔktɔ ɔ pɔsin we yu trɔst.
• Bɔku tɛm, we dɛn de fɔ chenj dɛn tin ya ɛn gɛt ɛp. Yu nɔ nid fɔ sɔfa yu wan.
• Gud mɛdikal fasiliti ɛn gud kwaliti layf impɔtant fɔ mek yu gɛt wɛlbɔdi.

So, we yu de tink bɔt yu wɛlbɔdi biznɛs, tink bɔt dɛn soshal tin ya bak. I go ɛp yu fɔ gɛt wɛlbɔdi ɛn gladi at!

` Wɛlbɔdi, sɔshal tin dɛm, ikɔnomi stebiliti, ɛdyukeshɔn, wɛlbɔdi biznɛs, envayrɔmɛnt, soshal rileshɔn