Dr.

Najlaa A Mandoura
MBBS, ABCM, DTQM
The Training Program of Preventive Medicine –
Jeddah MOH
 Social Sciences
An Umbrella term to refer to a plurality of
fields outside of the natural sciences, usually
excluding the administrative or managerial
sciences.
Social Sciences Behavioral Sciences

Typically include fields Involve fields like

like Sociology, Psychology, Cognitive
Economics, science, and Social
Anthropology, Political Neuroscience
sciences and
Demography
 Social Medicine
An approach to the prevention and treatment
of disease based on the study of human social
structures, cultural values and social
environment.
The Concept of Social Medicine is based on:

1. Suffering of man is not only due to

pathogens but can be due to social causes.

2. The consequences of the disease is not

only physical but also social
3. Comprehensive therapeutics has to include
social remedies in addition to medical care.

4. Social services are often required with

medical care services
 Guerin
Jules Rene Guerin
(1801-1886)
Introduced the term and concept of
“Social Medicine”
 Virchow
Rudolf Ludwig Karl Virchow
(1821-1902)
the “Father” of Social Medicine.
 Social Factors:
- Sociological cause of disease
Environmental Factors:
- Reason for Delay in seeking
- Housing treatment
- Crowding - Compliance to treatment
Economical Factors:
- Air pollution - Family culture and values
- Poverty
- Water Pollution - Religious beliefs
- Income
- Weather (floods, fogs..)
- Purchasing power

Biological Factors
Health Health Services
 Social Determinants of Health

This term refers to conditions into which we

are born, grow, work, live, and age, along with
the wider set of forces and systems that shape
the conditions of everyday life and, thereby,
health.
How these determinants shape and
influence our Health? …

Through our Health Behaviors

Sometimes called health-related behaviors:

Actions taken by individuals that affect health or

mortality. These actions may be intentional or
unintentional and can promote or detract from
the health of the actor or others.
Preventative health behavior
Illness behavior

Sick-role behavior
 Preventative health behavior
The actions of a person that believes he or she
is healthy for the purpose of preventing illness
 Illness behavior:
The actions of a person that feels ill, for the
purpose of defining the illness and seeking a
solution
 Sick-role behavior:
Actions of people that view themselves as ill, for
the purpose of getting well (Compliance to
treatment)
Shared Major Goals of Social Sciences:

The Scientific Examination of human behavior

The Ultimate Goal:
Addressing Health Inequalities
(Health Disparities)
 Criteria to say that Social factors
cause disease
Social cause must:
1. Influence multiple diseases
2. Affect disease through multiple risk pathways
3. Reproduced over time
4. Involve access to resources that can facilitate
avoiding risk, embracing protection, or
minimizing the consequences of disease
 In any health problem, consider
social and cultural factors in :
1. medical researches and studies

2. Planning, implementation , and evaluation of any health

care program

3. in Clinical practice
 Course Objectives
1. The key concepts of social and behavioral aspects
of public health. culture, race/ethnicity, gender,
sexuality, poverty/disparity, factors relating to
individual behavior change, community
empowerment, and structural policy change.

2. Identify the different disciplines of sociology,

anthropology, and social geography
 Course Objectives

3. Demonstrate knowledge in, and apply the theories

and principles of behavioral sciences.

4. Assess and interpret health behavior data, particularly

with respect to diabetes, cancer, and HIV/AIDS, risk
taking, and participation in recommended screening
programs.
 Related SBPM Courses

1. Health Behavior & Health Education (R1)

2. Communicating Public Health Information (R3)

3. Mental Health (R4)

 Learning Resources
• Required:
Social and Behavioral Science for Health Professionals.
Brian P. Hinote, Jason Adam Wasserman
Publisher: Rowman & Littlefield Publishers; Second Edition.
Published: (December 26, 2019)

Part II: Social Epidemiology and Determinants of Health

Chapters ( 4, 5, 9 )

Login to eBooks.com
by:
emadkhdri@gmail.com
Password: Najla@123456789
Learning Resources

• Essential References Materials:

Public Health: Social and Behavioral Health

Jay Maddock. Published: May 16th 2012.
eBook (PDF) ISBN: 978-953-51-4295-9
• Electronic Materials:
o Susan E. Shorta and Stefanie Mollbornb. Social Determinants
and Health Behaviors: Conceptual Frames and Empirical
Advances. Curr Opin Psychol. 2015 October ; 5: 78–84.
doi:10.1016/j.copsyc.2015.05.002.

o Lindsay McLaren, Penelope Hawe. Ecological perspectives in

health research. J Epidemiol Community Health 2005;59:6–14.
doi: 10.1136/jech.2003.018044

o Berkman LF1, Glass T, Brissette I, Seeman TE. From social

integration to health: Durkheim in the new millennium. Soc
Sci Med. 2000 Sep;51(6):843-57
 Learning Resources

• Other Learning Materials:

Integrating Behavioral and Social Sciences with Public
Health. Neil Schneiderman, PhD, Marjorie A. Speers, PhD,
Julia M. Silva, Henry Tomes, PhD, and Jacquelyn H. Gentry,
PhD.
Publisher: American Psychological Association (APA); 1st
Edition (December 31, 2001)
 Extra - Learning Resources

• Sullivan L, Johnson R, Mercado C, Terry K, The SAGE

Glossary of the Social and Behavioral Sciences 2009

• Park’s Textbook of Preventive and Social Medicine. 23rd

Edition. Chapter 11; Medicine and Social Sciences

• Mahajan & Gupta Textbook of Preventive and Social

Medicine. 23rd Edition. Chapter 12, 13 & 14
Extra - Learning Resources
Electronic Courses Lectures:

• Integrating Social and Behavioral Theory into Public

Health Part I: Foundations/Macro-Mezzo Levels:
http://ocw.jhsph.edu/index.cfm/go/viewCourse/course/isbt/cou
rsePage/index/

• Integrating Social and Behavioral Theory into Public

Health Part II: Mezzo/Micro-Level Theories : Schedule
http://ocw.jhsph.edu/index.cfm/go/viewCourse/course/isbtii/co
ursePage/index/
Dr. NajlaaMandoura