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The Social Determinants of Health Index

机译：健康指数的社会决定因素

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Background: Health disparities are avoidable differences that disproportionately impact certain groups. Health equity demands attention to social determinants of health (SDOH), particularly for people with disabilities who often have poorer outcomes and face more health inequities than nondisabled peers. Objective: The aim of this study was to develop a Social Determinants of Health Index for people with disabilities that utilizes personal outcomes. The Index is aimed at helping disability service providers examine the SDOH of those they support, to arm them with more information to provide targeted services and supports. Method: We ran an exploratory factor analysis of Personal Outcome Measures interviews with 1,078 people with disabilities from 2017 to compute composite scores for the factors underlying the model. Results: Findings revealed the Social Determinants of Health Index had 3 underlying factors: choice and engagement; person-centeredness; and health and safety. Choice and engagement are often inextricably linked as choice, self-determination, and empowerment play a key role in the social inclusion of people with disabilities. Services being person-centered are not only a right and requirement of homeand community-based services, but rights should also be person-centered-each person decides which rights are the most important to them. Finally, the third factor recognizes health and safety as foundational parts of health outcomes. Conclusions: The creation of the Social Determinants of Health Index for people with disabilities, which utilizes person-centered outcomes, ultimately aims to reduce health disparities. Attention to SDOH can promote good health for all.
机译：背景：健康差异是可避免的差异，对某些群体的影响不成比例。健康公平需要注意卫生的社会决定因素（SDOH），特别是对于残疾人的结果通常较差，并且面临比非无效的同龄人更差的健康不平等。目的：这项研究的目的是为利用个人成果的残疾人开发健康指数的社会决定因素。该指数旨在帮助残疾服务提供者检查他们支持的SDOH，以提供更多信息，以提供目标服务和支持。方法：我们对2017年1,078名残疾人的个人成果措施进行了探索性因素分析，以计算模型基础的综合分数。结果：调查结果表明，健康指数的社会决定因素有3个基本因素：选择和参与;以人为本;以及健康与安全。选择和参与通常与选择，自决和授权是密不可分的联系在一起，在残疾人的社会包容中起着关键作用。以人为本的服务不仅是基于社区的服务的权利和要求，而且权利也应该是以人为主题的人来决定哪些权利对他们最重要。最后，第三个因素将健康和安全视为健康结果的基础部分。结论：为残疾人创建健康指数的社会决定因素，利用以人为本的结果，最终旨在减少健康差异。对SDOH的关注可以促进所有人的身体健康。

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