Chronic diseases are the leading cause of death and disability in Hamilton County, Ohio. Social Determinants of Health (SDOH) are factors in which people live, work, learn, play, and worship that impact the opportunity to access the resources needed to live a healthy life. Inequities in SDOH disproportionally impact the burden and health outcomes related to chronic diseases especially within high concentrated disadvantaged communities in Hamilton County. Addressing SDOH through policy, systems, and environmental change strategies utilizing the Centers for Disease Control and Prevention framework allows Hamilton County Public Health (HCPH) to identify and address the root cause of chronic disease related health disparities seen in Hamilton County.
HCPH will convene a multisectoral leadership team to develop an SDOH Accelerator Plan that identifies specific meaningful and impactful strategies to address SDOH within the high concentrated disadvantaged communities. The SDOH Accelerator Plan will include policy, system, environmental, and programmatic strategies to address the following SDOH priority areas that impact chronic disease burden and health outcomes: built environment; food and nutrition security; social connectedness; and tobacco-free policies. By September 29, 2023, HCPH will (1) increase collaboration and engagement across multisectoral partners to improve health and social outcomes for people experiencing health disparities and inequities; and (2) develop one implementation ready SDOH Accelerator plan that, once implemented, will lead to reduced health disparities and increased health equity within Hamilton County, especially within high concentrated disadvantaged communities.
Health equity and the health status of a person are influenced by many factors. One way to look at how several factors influence the health of a person and community is to look at the level of concentrated disadvantage. Concentrated disadvantage is an effective measure that considers aspects of poverty. It is an indicator that measures a community’s level of economic disadvantage, calculated using the community’s percentage of individuals living with five indicators: (1) below the poverty line; (2) on public assistance; (3) female-headed households; (4) unemployed; and (5) younger than 18. HCPH identified high concentrated disadvantage communities within HCPH’s jurisdiction as the target population for this proposal. Priority high concentrated disadvantage communities include Lincoln Heights, Lockland, North College Hill, Addyston, Cheviot, Mt. Healthy, Elmwood Place, Woodlawn, Arlington Heights, and Golf Manor.
HCPH understands the importance and role SDOH have on the health of residents and the overall community. HCPH’s WeTHRIVE! initiative was created in 2009, to partner with communities, schools, and childcare providers to identify the unique needs within their community or school to ensure that all individuals of can thrive and address priorities that threaten or limit optimal health. WeTHRIVE success has been built on learning to tap into the collective intelligence of the community. Key staff and partners are not only in place but are trained and have the necessary relationships crucial to successfully advancing these efforts. HCPH has the experience, skills, and ability to meet the goals and objectives outlined in this proposal at the time of the grant award. Development of an SDOH Accelerator Plan will provide HCPH a framework for addressing the specific SDOH factors impacting the burden and health outcomes of chronic diseases within high concentrated disadvantaged communities in Hamilton County. The developed SDOH Accelerator Plan aligns with the work of the WeTHRIVE! initiative and community health improvement plans, allowing HCPH and partner agencies to maximize impact and reach of all the work ensuring all residents in Hamilton County have the resources needed and ability to achieve optimal health.