Practices to Address the Social Determinants of Health

  • Dula F. Pacquiao
  • Marilyn “Marty” Douglas


Social determinants of health vulnerability require ecological approaches that simultaneously address microlevel and macrosocial transformation. This chapter describes some practices that are geared toward the elimination of social inequalities that create cumulative disadvantages in certain population groups. Emphasis is placed on the role of education in transforming practices of health professionals by developing global citizenship, critical reflection, cultural competence, and community empowerment skills. Integration of the ethical principles of human rights, beneficence, and social justice in practice is the foundation for health advocacy for vulnerable populations. Curricular and extracurricular activities should be designed to strengthen community engagement, advocate for health equity in all policies and programs, and advance collaborative transformation of people’s lives.


Social determinants Global citizenship Advocacy Empowerment Ethics 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Dula F. Pacquiao
    • 1
    • 2
  • Marilyn “Marty” Douglas
    • 3
  1. 1.School of NursingUniversity of Hawaii at HiloHiloUSA
  2. 2.School of NursingRutgers UniversityNewarkUSA
  3. 3.School of NursingUniversity of California, San FranciscoSan FranciscoUSA

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