Theoretical question

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Theoretical post

Tell me more about the specific constructs of the SDOH model that align most specifically with your project intervention of hypertension in the homeless and what other models you considered for your theoretical framework.

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Theoretical Framework for Hypertension in the Homeless Population

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Theoretical Framework for Hypertension in the Homeless Population

The theoretical framework that will be employed for this capstone project is the Social Determinants of Health (SDOH) model. According to Nutbeam & Lloyd (2021), the SDOH encompass the conditions under which individuals are born, mature, live, work, and age. These conditions are shaped by a broader array of forces and systems that dictate daily life circumstances. Such determinants offer an all-encompassing perspective to grasp the varied elements leading to health disparities across different populations.

In the context of hypertension among the homeless population, the SDOH model is particularly relevant. The intersection of economic distress, affordable housing shortages, unemployment, and systemic inequities leads to homelessness. Homelessness also increases the risk of environmental hazards, poor nutrition, stress, and limited healthcare access (Hopkins & Narasimhan, 2022). These factors may affect hypertension both directly and indirectly. Consequently, comprehending the intricate web of social determinants is essential for formulating targeted interventions to mitigate the prevalence and impact of hypertension within this vulnerable demographic.

For instance, limited access to healthcare means that homeless individuals might not receive regular blood pressure screenings or necessary medication. Their dietary options, often determined by what’s cheapest or most accessible, might not be conducive to heart health. Furthermore, the chronic stress of being homeless — from the daily struggle to find shelter to the stigma associated with homelessness — can elevate blood pressure.

By employing the SDOH model, this capstone project will provide a holistic analysis of the factors contributing to hypertension in the homeless population. This framework not only helps in understanding the immediate medical concerns but also the broader societal issues at play. This comprehensive perspective is crucial for designing effective interventions and policies aimed at alleviating the health burdens faced by the homeless.

References

Hopkins, J., & Narasimhan, M. (2022). Access to self-care interventions can improve health outcomes for people experiencing homelessness. 
bmj
376.

Nutbeam, D., & Lloyd, J. E. (2021). Understanding and responding to health literacy as a social determinant of health. 
Annu Rev Public Health
42(1), 159-73.

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