CULTURAL DETERMINANTS SOCIOLOGICAL DETERMINANTS

 Health and Spiritual Beliefs  Family Dynamics

- helps to cope with stress (patients and - Different family structures (broken
health care) family, close family ties, etc) affects
- improves treatment outcomes, and mental health.
increases adherence to treatment to - Strong family support can act as a
patients buffer against stress and improve
- Health behavior (smoking, alcoholism, overall well-being.
drugs, overeating, etc) can cause - Poor family functioning can contribute
negative health impacts to health issues.
- Positive health behaviors (diet and  Social Supports
exercise, rest and relaxation) improve - High levels of support from family,
health and well – being. friends, and communities are associated
 Ethnicity with better health outcomes.
- discrimination, poor health seeking – - Improved overall health with stable,
behaviors, poor access to health are diverse, safe and cohesive environment.
experienced by the minority ethnic  Working Conditions
groups - Employment status (part – time/ full
- Language barrier leads to poor time job) affects health spending with
communication ( may use interpreter) the daily needs.
 Race - Work – stress are related to extreme
- Racial discrimination may affect work environment and responsibilities
health services especially among - Sleep deprivation, high blood
Blacks or Asians. pressure and heart disease are
mostly work related.
 Poverty
- Poverty increases health inequities—
unfair and avoidable differences in
health status
 - the lower the socioeconomic position,
the worse the health

HEALTH OUTCOMES

 Decreased Mortality
 Decreased Morbidity
 Improved Life Expectancy
 Decrease Health Care Expenditures
 Improved Health Status