Social Determinants of Health

Project Summary

Kimberly Calero (Public Policy/Biology/Chemistry), Alexandra Diaz (Biology/Linguistics), and Cary Shindell (Environmental Engineering) spent ten weeks analyzing and visualizing data about disparities in Social Determinants of Health. Working with data provided by the MURDOCK Study, the American Community Survey, and the Google Places API, the team built a dataset and visualization tool that will assist the MURDOCK research team in exploring health outcomes in Cabarrus County, NC.

Click here to read the Executive Summary

Year
2018
Contact
Paul Bendich
Mathematics
bendich@math.duke.edu

Disciplines Involved: Sociology, Public Policy, PreHealth/PreMed, Global Health, Environmental Science, all quantitative STEM

Project Lead: Alexandra Cooper

Project Manager: Mara Sedlins

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Stress proliferation is a concept within the stress process paradigm that explains how one person’s stressors can influence others (Thoits 2010). Combining this with the life course principle of linked lives explains that because people are embedded in social networks, stress not only can impact the individual but can also proliferate to people close to them (Elder Jr, Shanahan and Jennings 2015). For example, one spouse’s chronic health condition may lead to stress-provoking strain in the marital relationship, eventually spilling over to affect the other spouse’s mental health. Additionally, because partners share an environment, experiences, and resources (e.g., money and information), as well as exert social control over each other, they can monitor and influence each other’s health and health behaviors. This often leads to health concordance within couples; in other words, because individuals within the couple influence each other’s health and well-being, their health tends to become more similar or more alike (Kiecolt-Glaser and Wilson 2017, Polenick, Renn and Birditt 2018). Thus, a spouse’s current health condition may influence their partner’s future health and spouses may contemporaneously exhibit similar health conditions or behaviors.

However, how spouses influence each other may be patterned by the gender of the spouse with the health condition or exhibiting the health behaviors. Recent evidence suggests that a wife’s health condition may have little influence on her husband’s future health conditions, but that a husband’s health condition will most likely influence his wife’s future health (Kiecolt-Glaser and Wilson 2017).

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