Community Preventive Services-
Sociocultural Environment Background-

Sociocultural Environment Background
___________________________________

Sociocultural Environment Background

Health is the product of multiple levels of influence.

  • These included genetic and biophysiologic processes, individual behaviors, and the context within which people live – the sociocultural environment.
  • The sociocultural environment is an interconnected system that includes social, physical, cultural, economic and political structures and processes.
  • The sociocultural environment exerts an influence on health through resources in physical settings – living conditions in neighborhoods and communities – and through the position people occupy in the hierarchy of societal structure – social position.

Conditions in the sociocultural environment can be measured, which offers a means to account for why communities with few social resources experience poorer health outcomes, and to suggest suitable intervention strategies.

  • These could include: affordable family housing, increasing neighborhood safety, supporting children’s healthy development and learning, or community development to increase economic opportunities.

Recommendations

Early Childhood Development Programs

Publicly funded, center-based early childhood development programs

Strongly Recommended

early childhood development programs are effective in improving preparedness to learn: children who participated in these programs are more likely to be promoted with classmates and less likely to be placed in special education classes than children who were not in such programs.

Residential Income Mixing Intervention Strategies

Mixed-income housing (deconcentration models)

Insufficient Evidence

 

Rental vouchers (dispersal models

Recommended

Neighborhoods of concentrated poverty lack the fundamental resources needed for good health. Residents of poor neighborhoods are exposed to a wide variety of health and safety risks including intentional injuries, victimization and crimes against person and property Tenant-based rental voucher programs are effective in improving household safety by providing families the choice to move to neighborhoods with lower risk of victimization

 

 

Access to Quality Health Care for All Ages

Cultural diversity training for health care
providers

Insufficient Evidence

As the diversity of cultures and languages increases in this country, healthcare systems are faced with the challenge of providing accessible and quality services that are responsive to the needs of our growing multicultural population. "Culturally competent health care" can improve health outcomes by making services available in the language spoken by patients and/or by recognizing and accommodating the cultural beliefs and practices of the community served

Culturally accommodating setting for delivery of health services

Insufficient Evidence

As above

Providing interpreter services and linguistically proficient staff

Insufficient Evidence

As above

Developing culturally appropriate health
education materials

Insufficient Evidence

As above