3.8 Chapter Summary
Key Summary Points
- The social determinants of health are complex, integrated and overlapping social structures that impact the way people grow, learn, play, and access care.
- There are two key categories of determinants: structural and intermediary.
- Upstream and downstream intervention are models that work directly with the SDoH.
- Primary prevention is an element of prevention that looks upstream to provide better access and social conditions for those who need it most.
- Social conditions vary across populations, meaning some populations are more at-risk than others of developing SUDs.
- Canada is beginning to consider changes to substance control policies, including implementing interventions that employ a SDoH framework.
Additional Resources
Below are a list of supplementary resources for students interested in learning more about the chapter topics. These resources are NOT required course materials. A list of required course materials, beyond those found throughout this chapter, are provided on the following page.
Additional Viewings
Durocher, J. (2022b). Social Determinants of Health [Video]. Yuja.
https://uwindsor.yuja.com/V/Video?v=524814&node=2152290&a=197802225&autoplay=1 (Click this link for the Word version of the References and Media Attributions for the video).
Additional Readings
Bharmal, N. K. Derose, M. Felician, & M. Weden. (May 2015). Understanding the upstream social determinants of health. WR-1096-RC. Rand Corporation. https://www.rand.org/pubs/working_papers/WR1096.html
Jardine, C. & Lines, L-A. (.2018). Chapter 12: Social and structural determinants of Indigenous health. In H. Exner-Pirot, B. Norbye & L. Butler (Eds.), Northern and Indigenous Health and Health Care. University of Saskatchewan. openpress.usask.ca/northernhealthcare
Kim, P. (2019). Social determinants of health inequalities in Indigenous Canadians through a life course approach to Colonialism and the Residential School System. Health Equity, 3(1), 373-381. http://doi.org/10.1089/heq.2019.0041
The Association of Faculties of Medicine in Canada. (January 24, 2018). AFMC primer on population health. https://phprimer.afmc.ca/en/part-i/chapter-4/
