Using social determinants of health to visualize comparative “lived experience” in urban neighborhoods
Methods:SIHS development included selection of evidence-based social determinant of health measures, identification of available localized measures, re-allocation of secondary social data to resident-defined boundaries for 23 sub-neighborhoods within two urban neighborhoods, and calculation of a neighborhood-level additive measure of disparity (SIHS), which compares neighborhood social risks relative to their parent county.
Results:SIHS includes education, income, employment, housing, social disorder, transportation, and community safety variables. The social disparity ratios for the two neighborhoods were double that of the parent county, reflecting social conditions less favorable for health. The sub-neighborhoods showed greater variability, with some sub-neighborhoods reflecting lower social risks than the parent county.
Conclusion: Similar to the concept of income inequality, health may be most impacted by social determinants of health in situations where relative geographic differences are greatest. Tools such as the SIHS are innovative ways to demonstrate neighborhood differences in the “lived experience” of social determinants of health, inform prioritization of community development activities, and provide residents with a picture of how their neighborhood compares to a broader context in which they live.
Learning Areas:Communication and informatics
Diversity and culture
Planning of health education strategies, interventions, and programs
Public health or related public policy
Public health or related research
Explain the reason for developing a neighborhood-level additive measure of social determinants of health. List the seven domains of the social determinants of health that are included in the Social Influences on Health Snapshot.
Keyword(s): Urban Health, Health Disparities/Inequities
Qualified on the content I am responsible for because: I was principal investigator on the grants that funded this research. I was a key member of the team that developed the Social Influences on Health Snapshot.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.