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Daniel J. Pesut, Ph.D., RN, FAAN and Karen A. Monsen, PhD, RN, FAMIA, FNAP, FAAN

This second of five courses focuses on how social determinants of health affects vulnerable populations. Focusing on four groups of vulnerable populations, students will examine how social determinants of health contribute to the poor health outcomes experienced by these populations. The topics of this course include:

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This second of five courses focuses on how social determinants of health affects vulnerable populations. Focusing on four groups of vulnerable populations, students will examine how social determinants of health contribute to the poor health outcomes experienced by these populations. The topics of this course include:

1. Poverty

2. Women’s Health

3. Gender and LGBTQI+ Health

4. Family Health

5. Data Applications: t-test Analysis and Box Plot Visualization

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Syllabus

Poverty
In this module, we will discuss how poverty relates to health as we examine the interrelationships between poverty and other social determinants of health. In lesson one, we will define poverty, as we explore how poverty both causes and is caused by poor health. We will also look at some policy perspectives aimed at eradicating poverty. In lesson two, we will continue our discussion from lesson one, as we evaluate different approaches, perspectives and solutions to ending poverty. We will also consider how success is measured when evaluating the effectiveness of these proposed interventions.
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Women
In this module, we will consider the gender-specific impact of social determinants of health on women. In lesson one, we will review what defines a health inequity for women and examine how gender acts as an axis of health disparity. Lesson two focuses on reproductive health and the need for contraception. We will look at how the SDOH shape resources and accessibility for women at global and national levels, and how reproductive rights are tied to human rights for girls and women. Lesson three continues to build on the content from previous lessons, with a more in-depth look at maternal health. We will investigate how the SDOH impacts aspects of maternal health with a focus on pregnancy related mortality and its prevalence on global and national levels. We will also examine how structural racism drives health disparities and specifically, maternal outcomes. In lesson four, we will summarize the factors that shape gender-based health disparities and the impact on women, while investigating policy-based strategies and resources to improve health outcomes for women while addressing SDOHs.
Gender and LGBTQI+ Health
In this module, we focus on the social determinants of health in LGBTQI+ populations. In lesson one, we will define important terminology related to LGBTQI+ health needs as we look at LGBTQI+ vulnerabilities to the social determinants of health. In lesson two, we will examine how heteronormativity and cisnormativity can act as negative social determinants of LGBTQI+ health and wellbeing as we consider how media and language can perpetuate these inequalities. In lesson three, we consider how microaggressions, discrimination, and implicit bias can contribute to a healthcare system bias that negatively impacts the accessibility and quality of care received by LGBTQI+ patients. In lesson four, we will review key dates in LGBTQI+ history in the United States, as we investigate social and structural level changes that can improve LGBTQI+ health outcomes.
Family
In this module, we will examine the social determinants of health for families with young children and discuss policy-based strategies for improving health outcomes. In lesson one, we’ll explore the Rainbow Model as a way to understand how social determinants affect the health of young children. We will also review the different pathways through which socioeconomic circumstances influence health and contribute to child health inequalities. Applying what we learned in the previous lesson, in lesson two, we will look at a case study in order to investigate how social determinants influence a family’s ability to promote child health. Finally in lesson three, we will analyze some strategies for improving health outcomes for families with young children through policies that address social determinants of health.
Data Applications: t-test Analysis and Box Plot Visualization
This module will focus on analyzing, displaying and interpreting social determinants of health data, with a particular focus on comparing social determinants by group. Lesson one will provide an overview of t-test analysis and box plot visualization. In lesson two, we will learn how to conduct t-test analyses and create boxplots in R. Using the NHANES dataset, we will compare general health and Hgb a1c by gender. Using the Omaha System dataset, we will compare total signs & symptoms, social determinant of health signs & symptoms, and income signs & symptoms by gender. Finally, we will discuss how to interpret the results of our analysis as we visualize our findings using boxplots.

Good to know

Know what's good
, what to watch for
, and possible dealbreakers
Explores social determinants of health, which is a critical topic for understanding health disparities
Focuses on vulnerable populations, making it relevant to students working in healthcare or social work
Taught by instructors who are experts in nursing and public health, ensuring the credibility of the course content
Provides a comprehensive overview of social determinants of health, covering key topics such as poverty, women's health, and LGBTQI+ health
Includes data applications modules that allow students to analyze and interpret social determinants of health data, providing practical skills
May not be suitable for students with no prior knowledge of public health or healthcare, as it assumes some background in these areas

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Activities

Be better prepared before your course. Deepen your understanding during and after it. Supplement your coursework and achieve mastery of the topics covered in Social Determinants of Health: Vulnerable Populations with these activities:
Review notes and readings on social determinants of health from previous coursework or certification programs
Strengthen foundational knowledge and ensure a smooth transition into the course.
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Review research articles on social determinants of health
Increase foundational understanding of social determinants of health and their impact on vulnerable populations.
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Attend conferences or webinars on social determinants of health
Broaden perspectives on social determinants of health by engaging with experts in the field.
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Five other activities
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Create a study group to discuss course materials
Enhance comprehension of course materials through peer collaboration and discussion.
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Create an infographic summarizing the key concepts of poverty and its impact on health
Enhance understanding of poverty's impact on health and communicate it effectively.
Browse courses on Poverty
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Develop a presentation on the Rainbow Model of social determinants of health
Demonstrate understanding of the Rainbow Model and its application in promoting child health.
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Analyze datasets on social determinants of health using statistical software
Strengthen analytical skills and data interpretation abilities in the context of social determinants of health.
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Volunteer in community organizations focused on social determinants of health
Gain practical experience working with vulnerable populations and applying knowledge on social determinants of health.
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Career center

Learners who complete Social Determinants of Health: Vulnerable Populations will develop knowledge and skills that may be useful to these careers:
Health Educator
Health Educators plan and lead educational initiatives and programs to improve public health. This course will help prepare learners for the job by deepening their knowledge of social determinants of health, which are key to understanding how health and well-being are shaped by factors beyond traditional medical care.
Public Health Nurse
Public Health Nurses work at the intersection of healthcare and public health, focusing on preventing disease, promoting health, and improving the quality of life for communities. The course fits well with this role as it provides a framework for understanding the impact of social and environmental factors on health outcomes and interventions.
Social Worker
Social Workers help people navigate problems that are rooted in societal structures and interpersonal relationships. This course is a great fit for those pursuing this field as it provides insights into how social determinants of health affect vulnerable populations.
Health Policy Analyst
Health Policy Analysts play a critical role in shaping health policy by providing data-driven insights to policymakers. This course provides a foundation in understanding the social determinants of health, which is essential for developing effective health policies.
Epidemiologist
Epidemiologists investigate the causes and patterns of health and disease in populations. This course enhances an epidemiologist's ability to identify and address health disparities by examining how social factors influence health outcomes in different groups.
Community Health Worker
Community Health Workers serve as liaisons between healthcare systems and underserved communities. This course complements their role by equipping them with a comprehensive understanding of the social determinants of health and their impact on community well-being.
Health Equity Advocate
Health Equity Advocates work to eliminate health disparities and promote equal access to healthcare. This course provides essential knowledge about the social determinants of health, empowering them to effectively advocate for policies and interventions that address health inequities.
Health Services Manager
Health Services Managers oversee the administration of healthcare organizations. This course enhances their understanding of the social determinants of health, enabling them to make informed decisions about resource allocation and service delivery to meet the needs of diverse populations.
Family Nurse Practitioner
Family Nurse Practitioners provide primary care to individuals and families across the lifespan. This course helps build a foundation for their work by exploring the social determinants of health that influence family health outcomes.
Healthcare Data Analyst
Healthcare Data Analysts use data to improve healthcare delivery and outcomes. This course may be useful in gaining a deeper understanding of how social determinants of health impact health outcomes, enabling them to identify patterns and trends that inform data-driven decision-making.
Health Insurance Underwriter
Health Insurance Underwriters assess risk and determine premiums for health insurance policies. This course may be useful in understanding the impact of social determinants of health on health outcomes and healthcare costs, which can inform underwriting decisions.
Rehabilitation Counselor
Rehabilitation Counselors help individuals with disabilities achieve their full potential. This course may be useful in providing insights into the social determinants of health that influence disability, enabling them to develop more effective rehabilitation plans.
School Health Educator
School Health Educators promote health and well-being among students. This course may be useful in equipping them with knowledge about the social determinants of health that impact student health, enabling them to develop effective school health programs.
Geriatric Social Worker
Geriatric Social Workers support the well-being of older adults. This course may be useful in understanding the unique social determinants of health faced by older adults, helping them to develop holistic care plans that address their physical, mental, and social needs.
Occupational Therapist
Occupational Therapists help individuals with disabilities or injuries improve their ability to perform daily activities. This course may be useful in understanding the social determinants of health that influence occupational performance, enabling them to develop tailored interventions that address the needs of their clients.

Reading list

We've selected seven books that we think will supplement your learning. Use these to develop background knowledge, enrich your coursework, and gain a deeper understanding of the topics covered in Social Determinants of Health: Vulnerable Populations.
Explores the social and economic factors that contribute to health inequalities around the world, and the policy solutions that can be implemented to address them.
Examines the relationship between health and social justice, and explores how social and economic inequalities can lead to health disparities. It also discusses the role of public health in promoting health equity.
Provides a policy perspective on the social determinants of health. It examines the role of government in addressing the social determinants of health, and it discusses the challenges and opportunities for policy change.
This textbook provides a comprehensive overview of family health from a nursing perspective. It valuable resource for nurses who want to provide care to families of all types.
Provides a global perspective on women's health. It examines the social, economic, and environmental factors that affect women's health, and it discusses the challenges and opportunities for improving women's health outcomes.

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