Expanding the Understanding of the Social Determinants of Health to Support Community Readiness for Change

<p>Addressing the Social Determinants of Health is critical if we truly want to achieve health equity. The World Health Organization's Commission on the Social Determinants of Health (2008) recognized the need to broaden the understanding of these determinants among the general public to facilitate change in communities. Using a concurrent transformative case study, this mixed methods design explored the potential increase in 1) awareness of the social determinants of health, 2) understanding of context and 3) organizational empowerment through the use of Photovoice and Action planning with a Rural Diabetes Community Coalition in Southeast Georgia. Engaging the coalition through these processes will potentially facilitate change in the county to impact long term diabetes outcomes. The qualitative inquiry included an in-depth document review, Photovoice (N=5), key informant interviews (N=8), action planning(N=8) and follow up interviews (N=5). As a secondary measure, the perceived control scale (N=12) was used as a pre/post-test to quantitatively measure the potential change in organizational empowerment. The qualitative results show an expanded view of context and the determinants that affect the health outcomes. The quantitative results are inconclusive. Recommendations for future research will be discussed.</p>

Name thesis:degree_name

Doctor of Public Health in Community Health Behavior and Education (Dr.P.H.)

Level thesis:degree_level

Dissertation (open access)

Discipline thesis:degree_discipline

Jiann-Ping Hsu College of Public Health

Year dc:date.available

2012

Author dc:creator

• Marshall, Nandi A.

Contributors dc:contributor

• John Luque
• Gulzar Shah

• ETD
• Social Determinants of Health
• Community Readiness Model
• Diabetes prevention and management
• Photovoice
• Action planning
• Public Health

Repository record dc:identifier

https://digitalcommons.georgiasouthern.edu/etd/19

OAI identifier oai:identifier

oai:digitalcommons.georgiasouthern.edu:etd-1018