Event Title
Towards a Framework for Addressing Immigrants’ Social Determinants of Health
Start Date
28-6-2021 10:55 AM
End Date
28-6-2021 11:40 AM
Topic
Systematic Inequities or Institutional Discrimination
Session Chair
Tomoko Udo
Abstract
Towards a Framework for Addressing Social Determinants of Health Affecting Culturally and Linguistically Diverse (CLAD) Communities Refki, D., Ahmed, R., and Altarriba, J. This study seeks to adapt and validate the National Institute of Minority Health Disparities Research Framework to Culturally and Linguistically Diverse (CALD) communities, defined in this study as foreign-born individuals who are Limited English Proficient. The framework depicts the multidimensional, multilevel, intersectional, and complex factors that shape health outcomes across the lifespan. The framework for addressing minority health disparities posits that health outcomes are shaped by the interplay between determinants related to the (a) behavioral and biological; (b) political and socio-cultural; (c) physical built environment, and (d) healthcare system forces. These determinants operate at four levels of influence: individual, interpersonal, community, and societal. Adaptation and validation of the Framework will deepen understanding of the interplay of these forces in the lives of members of CALD communities, illuminate levers of change, inform the development and implementation of effective interventions, and track progress and success in alleviating disparities. In this study, we adapt the Framework based on a systematic review of literature, then we validate the Framework using the perspectives of health and social service providers who serve CALD individuals and their communities. Data are gathered using (a) survey of healthcare professionals; and (b) focus groups of healthcare and social service providers and community leaders. Following the complete validation of the framework, we will provide recommendations for policy and practice. Validating the framework through the prism of healthcare professionals’ perspectives leverages a moment in time during a global pandemic that exposed vulnerabilities at all levels of influence and domains and that allows us to capture the determinants of health affecting CALD communities. Policy and practice recommendations will specify interventions at the moderators and mediators’ levels that can bring about positive health outcomes.
Document Type
Extended Abstract
Towards a Framework for Addressing Immigrants’ Social Determinants of Health
Towards a Framework for Addressing Social Determinants of Health Affecting Culturally and Linguistically Diverse (CLAD) Communities Refki, D., Ahmed, R., and Altarriba, J. This study seeks to adapt and validate the National Institute of Minority Health Disparities Research Framework to Culturally and Linguistically Diverse (CALD) communities, defined in this study as foreign-born individuals who are Limited English Proficient. The framework depicts the multidimensional, multilevel, intersectional, and complex factors that shape health outcomes across the lifespan. The framework for addressing minority health disparities posits that health outcomes are shaped by the interplay between determinants related to the (a) behavioral and biological; (b) political and socio-cultural; (c) physical built environment, and (d) healthcare system forces. These determinants operate at four levels of influence: individual, interpersonal, community, and societal. Adaptation and validation of the Framework will deepen understanding of the interplay of these forces in the lives of members of CALD communities, illuminate levers of change, inform the development and implementation of effective interventions, and track progress and success in alleviating disparities. In this study, we adapt the Framework based on a systematic review of literature, then we validate the Framework using the perspectives of health and social service providers who serve CALD individuals and their communities. Data are gathered using (a) survey of healthcare professionals; and (b) focus groups of healthcare and social service providers and community leaders. Following the complete validation of the framework, we will provide recommendations for policy and practice. Validating the framework through the prism of healthcare professionals’ perspectives leverages a moment in time during a global pandemic that exposed vulnerabilities at all levels of influence and domains and that allows us to capture the determinants of health affecting CALD communities. Policy and practice recommendations will specify interventions at the moderators and mediators’ levels that can bring about positive health outcomes.
Comments
The recording of this presentation ends at 2:44:21