Social Determinants of Health Work Sheet
Social Determinants of Health Work Sheet
| Social Determinants of Health Work Sheet
Type your response inside the box. If your information came from another source, include an in-text citation and place the full citation on the Reference List at the end of the document.
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| 1. What is the zip code and name of the geographic area you are reviewing? (no citation needed)
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2. Which determinants affect the largest number of people in your community? Must fill in all 3 areas. (See Table 3.1 Applying Assessment Methods to Different Types of Social determinants, page 46 in the CDC workbook https://www.cdc.gov/nccdphp/dch/programs/healthycommunitiesprogram/tools/pdf/sdoh-workbook.pdf.)
Social – Economic – Environment –
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| 3. Which social determinants identified in Question 2 do you think are most important to your community?
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| 4. Why are these determinants important to your community?
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| 5. Which of these social determinants have the greatest positive or negative impact on the health of the community? Why and how do they impact the community? (Be specific – look at community or area websites for data.)
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| 6. Which determinants are easiest to change, and why?
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| 7. What other groups (that currently work in that area) can help you make changes to this problem?
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| 8. What is the expertise of those groups? (For example, if you choose American Heart Association – what information is on their website that shows how they can help the community in question. Do they have offices in that community?)
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| 9. What are the barriers to addressing these determinants in your community?
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| 10. Other than the groups listed in Q7, what other resources are available in your community to address these determinants?
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References
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