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\author{Emilie Lamarche}
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  /Title (theory-sdoh.pdf)
  /Creator (Cheatography)
  /Author (Emilie Lamarche)
  /Subject (Theory - SDOH Cheat Sheet)
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        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Theory - SDOH Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{Emilie Lamarche} via \textcolor{DarkBackground}{\uline{cheatography.com/171396/cs/35965/}}}
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}Emilie Lamarche \\
  \uline{cheatography.com/emilie-lamarche} \\
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 9th December, 2022.\\
   Page {\thepage} of \pageref{LastPage}.
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  Measure your website readability!\\
  www.readability-score.com
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\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{SDOH}}  \tn
% Row 0
\SetRowColor{LightBackground}
Describe a person's place in the world & Social status, social inclusion or exclusion \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
Influence of environment on your health & Dr. Verchow, hippocrates and freud \tn 
% Row Count 5 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Praviously used medical model when diseases were mainly infectious: & Now have chronic illnesses: figure out what causes them \tn 
% Row Count 9 (+ 4)
% Row 3
\SetRowColor{white}
Address SDOH to reduce health disparities: & Will improve health \tn 
% Row Count 12 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{The non-medical factors that influence overall health outcomes  \newline -conditions in which people are born, grow, work, live and age in  \newline and the systems shaping these conditions}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.18988 cm} x{2.78712 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{What do you have for love?}}  \tn
% Row 0
\SetRowColor{LightBackground}
Relationships and supports & Childhood \seqsplit{environment/development} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Family dynamics & Culture \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
Race & Discrimination \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
Gender/gender identity & Sexual orientation \tn 
% Row Count 6 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Influences lifetsyle  \newline  \newline -childhood influences what type of adult you turn out to be}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.63781 cm} x{2.33919 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{What do you have for work?}}  \tn
% Row 0
\SetRowColor{LightBackground}
Education & Food security \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Employment/job security/income & Housing/ neighbourhood \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Geography & Basic amenities \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
Exposure to crime/violence & Access to HC/dentist/physio \tn 
% Row Count 6 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Education most influential since it determines your employment}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.4931 cm} x{3.4839 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{The systems that influence SDOH}}  \tn
% Row 0
\SetRowColor{LightBackground}
Economic policies & Lenght of mat leave: conditions to meet for EI \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Social policies} \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
Social norms & Golf cart with drinks - drinking as a societal influence \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Political systems - the party in power} \tn 
% Row Count 6 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Development agendas} \tn 
% Row Count 7 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{p{0.4977 cm} p{0.4977 cm} }
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{The social gradient}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{} \tn 
% Row Count 0 (+ 0)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{The lower the socioeconomic status the worse their health tends to be - vice versa  \newline -\textgreater{} due to uneven distribution of resources, money and power}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.93643 cm} x{2.04057 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{The SDOH}}  \tn
% Row 0
\SetRowColor{LightBackground}
Early childhood development & Housing \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Employment/working conditions & Education \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Unemployment/job security & Disability \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
Food insecurity & Gender \tn 
% Row Count 7 (+ 1)
% Row 4
\SetRowColor{LightBackground}
Geography & Globalization \tn 
% Row Count 8 (+ 1)
% Row 5
\SetRowColor{white}
Health services & Immigration \tn 
% Row Count 9 (+ 1)
% Row 6
\SetRowColor{LightBackground}
Income & Indigenous ancestory \tn 
% Row Count 11 (+ 2)
% Row 7
\SetRowColor{white}
Race & Social exclusion \tn 
% Row Count 12 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Disability is linked to decreased employment rate and increased Without employment cannot make an income and do not have basic needs \newline Affordable housing is a big issue - link btw poor housing and poor health outcomes \newline Geography affects HC, food and housing - worse conditions due to lack of PHC \newline Immigrants have harder time finding work -\textgreater{} unemployment and worse mental health  \newline Indigneous = double the unemployment rate, more poverty}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Why do SDOH matter?}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{30-55\% of outcomes are directly attributed} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{They are more powerful than medical interventions} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
The complexities make it more difficult to address the health concern & -the more complxities the less likely to receive care \tn 
% Row Count 6 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{-\textgreater{} Promote health adn prevent illness: by understanding the SDOH then can help to improve pt outcomes \newline - need to understand the environment they come from \newline -have cultural humility and understand own biases}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.9862 cm} x{1.9908 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Client Care ELC addressing SDOH}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Culturally appropriate communication} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Understanding ancestry and race} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
Apply best evidence to pt situation: & cost, access to pharmacy \tn 
% Row Count 4 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Know impact of SDOH to guide strategies to health promotion} \tn 
% Row Count 6 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{p{0.4977 cm} p{0.4977 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Quality improvement ELC on SDOH}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Evidence-informed practice} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Participate in research} \tn 
% Row Count 2 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{p{0.4977 cm} p{0.4977 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Leadership ELC on SDOH}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Facilitate system change} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Improve client care} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Participate in professional associations, writing letters to politicians to advocate for health care} \tn 
% Row Count 4 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.28942 cm} x{2.68758 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Education ELC on SDOH}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Educate:} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Self (reflection) & Client and community \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{members of the healthcare team} \tn 
% Row Count 3 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.34379 cm} x{3.63321 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{SDOH of indigenous populations}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Impacted by discrimination and health inequities} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Proximal: & daily aspect, education, employment \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\seqsplit{Intermediate:} & Systemic: health care system \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
Distal: & Hx of discrimination, racism \tn 
% Row Count 6 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{p{0.4977 cm} p{0.4977 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Rural and remote populations}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Lower overall education levels} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Decreased access to education and employment} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Higher smoking rates} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Less access to healthy food} \tn 
% Row Count 4 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Rural and remote populations}}  \tn
% Row 0
\SetRowColor{LightBackground}
Factors: & Considerations: \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Lower overall education levels & Decreased healthcare resources \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Decreased access to education and employment & Travel time \tn 
% Row Count 6 (+ 3)
% Row 3
\SetRowColor{white}
Higher smoking rates & Less practitioners \tn 
% Row Count 7 (+ 1)
% Row 4
\SetRowColor{LightBackground}
Less access to healthy food & Ethical dilemmas providing care in small community \tn 
% Row Count 10 (+ 3)
% Row 5
\SetRowColor{white}
More indigenous populations & Telehealth \tn 
% Row Count 12 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Education level is more influential determinant \newline -pregnancy and childbirth: they sometimes need to stay in other communities after 36 weeks \newline -may not have specialized services  \newline -SLP, dietetics can be facilitated through telehealth}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.78712 cm} x{2.18988 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Inner-city populations}}  \tn
% Row 0
\SetRowColor{LightBackground}
Factors: & Considerations: \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Poverty and unemployment & Access to care \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Homelessness & Trauma informed, harm reduction \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
Food insecurity & Support \seqsplit{services/resources} \tn 
% Row Count 7 (+ 2)
% Row 4
\SetRowColor{LightBackground}
Racism & Policy/advocate \tn 
% Row Count 8 (+ 1)
% Row 5
\SetRowColor{white}
Infectious diseases, substance use, trauma & -\textgreater{} programs \tn 
% Row Count 10 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Harm reduction: safe injection sites, safe supply of opioids  \newline Recgonize psychological aspects  \newline advocate to address health inequities: harm reduction, housing  \newline Screen Hep C/HIV}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.58804 cm} x{2.38896 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Refugee and immigrant populations}}  \tn
% Row 0
\SetRowColor{LightBackground}
Poor living conditions & Limited access to HC \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Employment & Housing \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
Poverty & Social safety net \tn 
% Row Count 4 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Decreased employmnet - language barrier, discrimmination  \newline Trauma and stress they experienced in their homeland}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.74195 cm} x{3.23505 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{LGTB2SQ}}  \tn
% Row 0
\SetRowColor{LightBackground}
Factors: & Barriers: \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Depression and anxiety & Homophobia (real or perceived) \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Substance abuse & Heteronormative care \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
Family planning & Providers with limited knowledge \tn 
% Row Count 7 (+ 2)
% Row 4
\SetRowColor{LightBackground}
 & Limited coverage for gender-affirming surgery/ hormones \tn 
% Row Count 10 (+ 3)
% Row 5
\SetRowColor{white}
 & Long application process \tn 
% Row Count 11 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Non-disclosure affects quality of care  \newline -creates delays in medical diagnosis and treatment if they do not disclose}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Asking about SDOH in practice}}  \tn
% Row 0
\SetRowColor{LightBackground}
Include social Hx in SOAP note & Cultural humility \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Help access resource and supports & Self reflection of biases \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
CLEAR or RESPECT formats to help with questions & Improving access to care \tn 
% Row Count 7 (+ 3)
% Row 3
\SetRowColor{white}
Partner with local groups and PHC angencies & Be aware of available resources in community \tn 
% Row Count 10 (+ 3)
% Row 4
\SetRowColor{LightBackground}
Municipal committees and elections & Research \tn 
% Row Count 12 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{If you don't ask they don't usually bring it up}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{CLEAR tool kit}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{1. Treat} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{2. Ask} \tn 
% Row Count 2 (+ 1)
% Row 2
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\mymulticolumn{1}{x{5.377cm}}{3. Refer} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{4. Advocate} \tn 
% Row Count 4 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}