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Social and Cultural Determinants of Health

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lightbulbAbout this topic
Social and Cultural Determinants of Health refer to the conditions in which individuals are born, grow, live, work, and age, influenced by social, economic, and cultural factors. These determinants shape health outcomes and disparities, affecting access to resources, healthcare, and overall well-being within populations.
lightbulbAbout this topic
Social and Cultural Determinants of Health refer to the conditions in which individuals are born, grow, live, work, and age, influenced by social, economic, and cultural factors. These determinants shape health outcomes and disparities, affecting access to resources, healthcare, and overall well-being within populations.

Key research themes

1. How do social structures and systemic inequalities shape health behaviors and cardiovascular health across populations?

This research theme examines how layered social determinants—including socioeconomic status, institutional norms, and political economies—influence health behaviors and the prevalence of cardiovascular diseases (CVD) in populations. Crucially, it moves beyond individual-level risk factors to explore structural and contextual influences that create and perpetuate health inequalities, emphasizing the importance of social context in shaping health outcomes over the life course.

Key finding: This paper advances the conceptualization of health behaviors by embedding them within broader social determinants, showing that health actions are multidimensional, socially structured, and vary over time and place. It... Read more
Key finding: This review highlights the causal chains by which social determinants—such as working conditions, housing, and social relationships—affect cardiovascular diseases beyond traditional biomedical risk factors. It demonstrates... Read more
Key finding: This historical perspective outlines that the quality of social determinants of health, including early life and employment security, is profoundly shaped by political economies (liberal, conservative, social democratic). It... Read more
Key finding: This paper critiques the existing social determinants of health (SDoH) framework by identifying challenges including the ancient persistence of health inequalities, difficulties in measuring 'what is social,' and limited... Read more
Key finding: This commentary addresses communication challenges of the SDoH framework and conceptualizes social determinants not as direct disease causes but as factors shaping distribution and risk concentration of diseases via complex... Read more

2. How does culture influence health outcomes and interact with social inequalities?

This theme investigates the role of culture—defined as shared knowledge, beliefs, practices, and identities—in shaping health behaviors, health inequalities, and responses to illness. It highlights the need for multidisciplinary, nuanced conceptualizations of culture to avoid simplistic proxies and to better understand cultural processes that mediate or moderate health within and across population groups, especially amidst changing demographics and migration.

Key finding: This paper reveals the pervasive lack of clear, consensual definitions and operationalizations of culture in health research, despite its assumed influence in explaining population health differences. It critiques reliance on... Read more
Key finding: Using parallel probability samples from the U.S. (MIDUS) and Japan (MIDJA), this study demonstrates that psychosocial factors underlying health inequalities vary significantly across cultural contexts. It shows that the... Read more
Key finding: This article underscores that cultural behaviors critically affect health through socially transmitted knowledge and identities, influencing disease experience and treatment adherence. It advocates for culturally informed... Read more
Key finding: This multilevel analysis identifies significant associations between national cultural dimensions—particularly individualism and uncertainty avoidance—and individual BMI levels, independent of national income and individual... Read more

3. How can standardized measures and novel methodologies improve the assessment of social determinants and health disparities in diverse populations?

This theme focuses on methodological advances to measure social determinants and health outcomes reliably across populations with diverse social, cultural, and demographic backgrounds. It addresses challenges in operationalizing complex constructs such as social determinants, socioeconomic status, and self-rated health, and emphasizes integrating validated instruments, longitudinal designs, and advanced causal inference frameworks to better understand and address health inequities.

Key finding: This feasibility study validates a brief, standardized panel of social and behavioral determinant measures recommended by the Institute of Medicine, showing consistent responses across different question orders among U.S.... Read more
Key finding: Utilizing EQ-5D-3L data from over 130,000 individuals in 18 countries, this study demonstrates significant socio-demographic disparities in self-reported health, with age, education, and income showing consistent impacts on... Read more
Key finding: Using counterfactual mediation analysis in a large multi-cohort consortium (LIFEPATH), the study quantifies the extent to which lifestyles, BMI, and comorbidities mediate the relationship between socioeconomic position and... Read more
Key finding: This study leverages nationally representative longitudinal data and advanced mediation/moderation modeling to disentangle differential exposure and vulnerability to lifestyle factors (smoking, alcohol use, physical... Read more

All papers in Social and Cultural Determinants of Health

This article focuses on the role of music in the context of humanitarian and existential crisis. It argues that the ethnographic field of the refugee camp is everything else than an unproductive space, a "waiting room" of the... more
dan bantuan dari Anda semua saya tidak mungkin bisa melakukan penelitian secara efektif pada tiap stage. 9. Bang Ardi, Bang Roesly, Bang Nino, Bang Ijang, Bang edo, Bang Iyan, Bro Erwin, yang sudah memberikan support dalam segala hal... more
Drugs abuse is a health problem that can make users susceptible to various physical and psychological disorders. For that, drugs user must receive rehabilitation in order to recover. The problem is that the number of abusers participating... more
Human Immunodeficiency Virus (HIV) menjadi penyakit yang pandemic, menyerang jutaan penduduk di dunia yang perlu mendapat perhatian serius dari semua pihak. HIV merupakan virus yang menyerang sel darah putih di dalam tubuh yang... more
Kader posyandu merupakan bagian dari masyarakat yang mempunyai peran sebagai motivator, pendidik dan membantu petugas kesehatan agar kesehatan masyarakat dapat tercapai termasuk menurunnya Angka Kematian Ibu (AKI) dan Angka Kematian Bayi... more
The main cause of drugs and HIV-Aids double epidemic in Indonesia is the change of using pattern from smoking to injection and the widespread of injection (IDU-Penasun) use among abusers, which in general having human capital weakness, or... more
Background: Drugs abuse case like the iceberg phenomenon to appear above the sea surface, while underneath the biggest does not appear. Mortality or the number of the case continue to increase in geometrical progression and risk of... more
Kasus penyalahgunaan NAPZA khususnya NAPZA suntik mengalami peningkatan. Kecenderungan peningkatan tersebuttercermin dalam peningkatan kasus NAPZA suntik di Kota Palembang. Penelitian ini bertujuan untuk mendeskripsikan artidan makna... more
Modern conflict transformation emerged after World War II as a discipline and a field of academic research. Since the early 1990s it has increasingly concerned itself with psycho-social issues (e.g. trauma treatment or reconciliation) in... more
ABSTRAK Latar Belakang : Depresi merupakan gangguan mental yang bisa dialami oleh siapapun, termasuk pecandu narkoba. Pengaruh zat-zat seperti obat narkoba mempengaruhi kerja pada neurotransmitter yakni dopamin dan serotonin. Penggunaan... more
Kota Pontianak merupakan kota dengan kasus terbanyak HIV/AIDS di Kalimantan Barat, berdasarkan laporan Dinas Kesehatan Kota Pontianak kasus HIV(+) adalah sampai dengan Agustus 2010 jumlah kasus HIV(+) 1.268 kasus, kemudian meningkat... more
Penyalahgunaan Narkotika, Psikotropika dan Zat Aditif (NAPZA) pada remaja memberikan dampak jangka panjang terhadap kesehatan mental. Pandemi Covid-19 turut memberikan kontribusi terhadap peningkatan penggunaan NAPZA pada remaja. Kegiatan... more
Background. Transmission of HIV/AIDS infection in injecting drug users are caused by using outworn disposable syringes with previously contaminated HIV, using unsterilized syringes, and using syringes alternately without having a proper... more
Tujuan penelitian ini adalah menguji secara empiris apakah terdapat hubungan antara strategi coping dengan self-efficacy pada penyalahguna narkoba. Subjek penelitian ini berjumlah 55 subjek dewasa awal dengan rentang usia 18-40 tahun yang... more
There is increased commitment to the participation and self-representation of people with lived experiences as refugees and asylum seekers in advocacy, especially at international, high-level events. However, we know very little about... more
HIV dan Narkoba merupakan persoalan besar yang dihadapi bangsa Indonesia. Penularan HIV di kalangan penasun menjadi salah satu modus penularan HIV di Indonesia. Berdasarkan kondisi ini, pemerintah melaksanakan pengembangan pengurangan... more
BNN RI Regulation Number 24 of 2017 concerning Rehabilitation Services for Addicts and Victims of Narcotics Abuse has the authority to carry out rehabilitation for narcotics users. Rehabilitation helps the addict recover from his... more
Penyalahgunaan narkoba adalah masalah kesehatan global. Secara global, keberhasilan rehabilitasi pengguna narkoba belum memuaskan. Hal ni mendorong perbaikan pelaksanaan rehabilitasi sosial. Salah satu kegiatan terapi dalam rehabilitasi... more
Penyalahgunaan narkoba adalah masalah kesehatan global. Secara global, keberhasilan rehabilitasi pengguna narkoba belum memuaskan. Hal ni mendorong perbaikan pelaksanaan rehabilitasi sosial. Salah satu kegiatan terapi dalam rehabilitasi... more
Tujuan penelitian ini adalah menguji secara empiris apakah terdapat hubungan antara strategi coping dengan self-efficacy pada penyalahguna narkoba. Subjek penelitian ini berjumlah 55 subjek dewasa awal dengan rentang usia 18-40 tahun yang... more
In 2018, more than a quarter-billion people worldwide used drugs. Continuous use of drugs can cause changes in the nervous system of the brain. The purpose of this analysis was to identify risk factors for cognitive impairment in drug... more
Penyalahgunaan dan peredaran Narkoba di Kota Medan akhir-akhir sangat memprihatinkan, hampir semua kalangan adalah merupakan sasaran, terutama remaja dan anak muda, Narkoba termasuk kejahatan yang luar biasa (ekstra ordinary crime) yang... more
Methadone Maintenance Treatment (MMT) programme is used to reduced the number of drug users and to stop the transmission of dangerous infectious diseases such as HIV/AIDS. In therapy, patient must have adversity quotient, so they can... more
Pondok pesantren sebagai lembaga pendidikan bertujuan untuk mengajarkan dan mengamalkan ilmu agama Islam dalam keseharian serta menekankan pentingnya moral dalam kehidupan bermasyarakat. Pesantren khalafi yaitu pesantren yang menerapkan... more
BNN RI Regulation Number 24 of 2017 concerning Rehabilitation Services for Addicts and Victims of Narcotics Abuse has the authority to carry out rehabilitation for narcotics users. Rehabilitation helps the addict recover from his... more
Rehabilitasi pencandu narkoba merupakan sebuah upaya pemulihan agar para pecandu memiliki ketergantungan terhadap narkoba. Relapse merupakan perilaku penggunaan kembali narkoba setelah menjalani penanganan secara rehabilitasi. Secara... more
Abstract.  Drug abuse is one of the major challenges facing the world today. There’s many way we can do to get rid of drug independence, one of them is through rehabilitation. One of the rehabilitation programs to get rid of drug... more
Penyalahgunaan Narkoba terjadi akibat penggunaan zat yang disalahgunakan pemakaiannya, sehingga menimbulkan efek ketergantungan. Penyalahguna Narkoba dapat direhabilitasi dan dilakukan upaya pemulihan. Penyalahguna Narkoba yang telah... more
The literature on the social and emotional wellbeing of community musicians who engage with marginalised groups with complex mental health issues such as refugees, is relatively scarce. The Scattered People is a collective of volunteer... more
This study aims to examine whether there is a negative relationship between selfefficacy and the tendency of efficacy in drug addicts undergoing rehabilitation. The subjects in this study were 59 drug addicts who were undergoing the... more
Background : The cumulative case of Acquired Immunodeficiency Syndrome (AIDS) in Indonesia by the year 2007 was reported transmitted mostly through drug injection. We understand that injecting drug users facing a high risk to be infected... more
Injection drug user can be the gateway of various disease transmission such as hepatitis andHIV - AIDS. Many of injection drug users did therapy, but in fact there are still users who return to usedrug called recurrence or relapse. An... more
Background: This paper draws on existing literature across the fields of community music and health promotion to map the potential for participatory music practices to support health and well-being outcomes for asylum seekers and refugees... more
Background: This paper draws on existing literature across the fields of community music and health promotion to map the potential for participatory music practices to support health and well-being outcomes for asylum seekers and refugees... more
Publ is h ed by 1 ns titute of Ethnology .md Folklore Research, Z agreb T he book in clu d es arti cles based on th e papers p resented at t he interna tion al co n fe re nce " W ar, Ex il e, Every d ay Li fe", Zag rd1 l <JlJ:-i . It... more
During the anthropological debate that followed the NT Intervention and the publication of Sutton's book, two forces have become evident: the commitment of many anthropologists to a gerontocratic Aboriginal world which they encountered... more
There is increased commitment to the participation and self-representation of people with lived experiences as refugees and asylum seekers in advocacy, especially at international, high-level events. However, we know very little about... more
The literature on the social and emotional wellbeing of community musicians who engage with marginalised groups with complex mental health issues such as refugees, is relatively scarce. The Scattered People is a collective of volunteer... more
The aim of this review was to identify possible positive health and wellbeing outcomes of participatory music activities for culturally and linguistically diverse people who could be described as vulnerable or " at risk " in particular... more
This article puts forward a reimagining of the concept of community in an immigration detention centre that emerged from the creation of cultural and performative spaces. It is argued that conceptualizing immigration detention centres as... more
Based on ethnographic fieldwork conducted in October and November 2015, this study explores what it means to do asylum seeking in an era of globalisation. Observations were conducted in a community of asylum seekers and interviews were... more
Background: This paper draws on existing literature across the fields of community music and health promotion to map the potential for participatory music practices to support health and well-being outcomes for asylum seekers and refugees... more
Background: There is growing evidence that participatory music can be supportive and empowering for marginalised, culturally diverse populations. Amid largely hostile reception of asylum-seekers in Australia, a group of music facilitators... more
Background: This paper draws on existing literature across the fields of community music and health promotion to map the potential for participatory music practices to support health and well-being outcomes for asylum seekers and refugees... more
This paper explores how Afghan women see themselves and how they wish to be perceived as they make their life in Australia during the first decades of the 21st Century. The current immigration issues surrounding asylum seekers are a major... more
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