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It´s time to rewrite the social determinants of health [SHD]-model and include the existensial dimension
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Theology, Department of Theology, The Social Sciences of Religion, Psychology of Religions.ORCID iD: 0000-0002-5892-1158
2019 (English)In: The 9th Nordic Health Promotion Research Conference June 12 14 2019 at Roskilde University. Book of abstract: Book of abstract, Danmark, Roskilde, 2019, p. 24-24Conference paper, Oral presentation with published abstract (Other academic)
Abstract [en]

Background:

The famous SDH-model, with layers in a semicircle, was first painted in the sand by M.Dr. Haglund and published in Swedish 1983 with M.Dr. Svanström. The model has been translated and modified through the years with more or less the same determinants. The last decades the existential dimension of health, sometimes referred to as spiritual, has proven to be of importance for health and health related quality of life [HQOL]. It was recognised as an aspect of supportive environment 1991. WHO developed 2002 a trans-cultural survey WHOQOL-SRPB for measuring HQOL including Spirituality, Religion and Personal Beliefs (religious or secular). This existential SRPB dimension consisted of: Meaning & Purpose in Life; Experiences of Awe & Wonder; Spiritual Connection; Wholeness & Integration; Spiritual Strength; Inner Peace and Hope & Optimism and Faith.

Purpose of study:

1)The overall purpose is to generate knowledge about the existential dimension of health (understood as SRPB-aspects) in relation to SDH and their impact on HQOL.

2)To develop existential health promotion in a secularized Swedish context.

The aim of this presentation is to introduce a refined model of SDH with the existential dimension.

Methods/Theory:

Theories of public-health, psychology of religion and HCL is combined in a mixed-method design. with now: Now consisting of WHOQOL-SRPB (original and BREF) surveys N=303, interviews with 15 focus groups and promotion evaluations. 

Findings:

The existential aspects were relevant for participants in the interviews, preliminary partial psychometrically evaluates found correlation to SDH.

Conclusion:

Sustainable health promotion needs to consider the refined SDH-model.

Place, publisher, year, edition, pages
Danmark, Roskilde, 2019. p. 24-24
Keywords [en]
Existential health; Spiritual health; Social determinants of health; Health promotion; Health related quality of life
National Category
Medical and Health Sciences
Research subject
Health Care Research; Psychology of Religion; Social Medicine
Identifiers
URN: urn:nbn:se:uu:diva-400633OAI: oai:DiVA.org:uu-400633DiVA, id: diva2:1382007
Conference
The 9th Nordic Health Promotion Research Conference, Roskilde University, June 12 14, 2019.
Available from: 2019-12-31 Created: 2019-12-31 Last updated: 2020-01-23Bibliographically approved

Open Access in DiVA

Melder, C. (2019). It´s time to rewrite the model of social determinants of health. Oral presentation at The 9th Nordic Health Promotion Research Conference (NHPRC) June 12-14, Roskilde, Denmark. In Book of Abstract. p. 24(1965 kB)7 downloads
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File name FULLTEXT01.pdfFile size 1965 kBChecksum SHA-512
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Type fulltextMimetype application/pdf
The SDH-SRPB model(1142 kB)1 downloads
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Poster(1189 kB)2 downloads
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