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July 31, 2025 20 mins

In this episode of Real Talk, Dr. Rachel Risner sits with Quincy to discuss Social Determinants of Health. Social Determinants of Health are the personal, social, and environmental factors that shape your health and well-being. These include things like how much money you make, where you live, and what resources your neighborhood offers. They are all the nonmedical aspects of your life. Yet research shows Social Determinants of Health aren’t just related to your health — they can actually determine your health. Listen for ways you can address social determinants of health and improve overall health outcomes in your community.

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Episode Transcript

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SPEAKER_01 (00:00):
Welcome back to Real Talk Community Health Care in
Action.
Today, we are going to discusssocial determinants of health.
You may be wondering what thateven means.
Social determinants of healthare the personal, social, and

(00:22):
environmental factors that shapeyour health and well-being.
These include things like howmuch money you make, where you
live, and what resources yourneighborhood offers.
They are all non-medical aspectsof your life.
Yet, research shows socialdeterminants of health aren't
just related to your health.
They can actually determine yourhealth, meaning they influence

(00:46):
your risk for certain medicalconditions, the medical care
you're able to receive, and howyou feel from day to day.
Joining me to discuss this moreis Dr.
Rachel Reisner, Associate Deanof Academic Affairs at Frontier
Nursing University.
Dr.
Reisner graduated from Frontierin 2010 as a family nurse
practitioner.
She went into family practicefor the next 18 months before

(01:07):
being recruited by Oklahoma CityUniversity to help write the
curriculum for their BSN to DNPprogram.
She went on to earn both her DNPand a PhD in nursing education
from Oklahoma City University.
Dr.
Reisner began teaching atFrontier in 2014, holding
various positions, includingcourse faculty and course
coordinator, before being namedthe Associate Dean of Academic

(01:31):
Affairs in 2018.
In 2022, Dr.
Reisner was selected toparticipate in the National
League for Nursing and WaldenUniversity College of Nursing
Institute for SocialDeterminants of Health and
Social Change.
Dr.
Reisner, welcome.

SPEAKER_00 (01:45):
Thank you so much.
I'm glad to be here today.

SPEAKER_01 (01:47):
So starting out, Can you just tell us what are the
social determinants of healthand why do they matter?

SPEAKER_00 (01:57):
Yes, absolutely.
So social determinants ofhealth, they're the conditions
in which people are born, grow,live, work, and age.
And all of those things canimpact a person's health.
These factors can include thingslike having access to health
care, education, employment,education, housing and social

(02:21):
support.
Social determinants of healthmatter because they play a
really significant role inshaping an individual's overall
health and wellbeing.
These factors can reallyinfluence a person's risk of
developing certain healthconditions.
being able to access healthcareservices, and your overall
quality of life.

(02:43):
For example, individuals whohave limited access to
healthcare or live in areas thatmay have poor air quality might
be at a higher risk fordeveloping chronic diseases such
as asthma or heart disease.
Additionally, individuals whoexperience social isolation or
lack of stable housing can bemore susceptible to experience

(03:05):
mental health issues such asdepression.

SPEAKER_01 (03:07):
And so how can social determinants of health
impact and determine our overallhealth?

SPEAKER_00 (03:18):
So social determinants of health can have
a significant impact on aperson's physical and mental
well-being.
So if an individual who lacksaccess to quality health care or
maybe a person lives in anunsafe neighborhood, that person
may be at higher risk fordeveloping chronic diseases or
experiencing poor healthoutcomes.

(03:41):
Other factors such as incomelevel, education, employment
status, and social supportsystems Thank you.

(04:09):
A lack of education can alsolimit individuals' understanding
of how to make healthy choicesand access appropriate
healthcare resources.
So social determinants of healthcan impact mental wellbeing as
well.
For example, if an individual isfacing discrimination, social
isolation, or economicinstability, they may experience

(04:32):
a higher stress level or anxietyor other mental health
conditions such as depression.
So these factors reallycontribute to an unhealthy
coping mechanism and can lead tosubstance abuse or unhealthy
eating habits, which also affecta person's overall health.

SPEAKER_01 (04:53):
Can you give us some examples of like direct examples
of the social determinants ofhealth and like how that might
impact a certain area of yourhealth?

SPEAKER_00 (05:06):
Yes.
So there are a lot of examplesof social determinants of
health.
They include things like incomelevel, education level, access
to education, access to healthyfood options, having access to
social support networks, andbeing exposed to environmental

(05:26):
toxins.
Some other examples of socialdeterminants of health include
access to those healthcareservices, but Do you have
housing, like a stable house tolive in?
Do you have a job?
Are you experiencingdiscrimination or racism?
Is your neighborhood safe?
All of these factors play areally significant role in

(05:48):
determining an individual'soverall health and well-being.
Some individuals with lowerincome levels, they might
struggle to afford healthy foodoptions or they might not have
access to quality health care.
All of that can lead to higherrates of chronic diseases such
as obesity and diabetes.
Similarly, individuals living inan unsafe neighborhood might

(06:11):
experience higher levels of thatstress and anxiety, which,
again, can impact their overallmental health and quality of
life.
So one thing I was thinking

SPEAKER_01 (06:21):
about is, like, transportation and access to
transportation.
So you may live somewhere...
where public transportation isreally good and you have access
to a bus stop nearby or it'sreally walkable.

(06:41):
And then perhaps you have tomove and you're moved to an area
where public transportation isnon-existent to a point and you
need to travel by car, but youcan't afford a car.
And so that is a socialdeterminant of health.
Is that correct?

SPEAKER_00 (07:01):
That is correct.
And I'll take that one stepfurther.
You may not have a dependablecar and access to health care
may be a ways away.
Not everybody has access tohealth care in their
neighborhood.
And so if you don't havedependable transportation and
you have to access health care,but you have to drive 30 minutes

(07:23):
or an hour, that really impactsa person overall as well.
Okay, so then I'm going

SPEAKER_01 (07:30):
to take it.
further.
And so if you need a car totravel, let's say for a job, so
you have to get a job that's asclose as you can to walk to, and
that could impact your insuranceand your health insurance.
And so not getting as highquality of health insurance, or

(07:50):
maybe you don't have paid timeoff, things like that, which can
impact your overall health andaccessing health care.

SPEAKER_00 (08:00):
Absolutely.
And then if you can't accesshealth insurance, then you can't
access healthcare.
And if you do access healthcare,can you afford the medication
that might be prescribed?
You know, sometimes people haveto choose between what they're
going to eat and whatprescriptions they pick up at

(08:21):
the pharmacy.
Yeah, that's, yeah, that's hard

SPEAKER_01 (08:25):
to think about.

SPEAKER_00 (08:26):
Yes.

SPEAKER_01 (08:29):
So As we're talking about how this impacts the
community, how can individualsand communities work to address
social determinants of health,especially considering employers
as well?

SPEAKER_00 (08:48):
So we all need to work together.
It's a group effort.
It's teamwork because we need tobe advocates for others.
We need to advocate for policiesthat promote equity and access
to these resources that we'retalking about.
We've got to be able to helpothers.
build strong social supportnetworks, and we've got to be

(09:10):
able to promote education andawareness about the importance
of how these factors impact aperson's health.
So you can do this on anindividual level, or you can do
this by working with others,like volunteering in your
community, supporting otherlocal organizations that may
address some of these socialdeterminants of health, like is

(09:33):
there a food bank that'savailable?
Is there a place that providesschool supplies for children?
Is there a volunteer clinic?
So things that individuals cando to help contribute in their
communities.
And so participating in thesecommunity initiatives that

(09:54):
really will help improve accessto healthcare, access to
education and other economicopportunities.
We can all individualize andprioritize our own health by
adopting healthy lifestyles andbehaviors, seeking regular
healthcare and addressing socialor economic barriers that may

(10:15):
impact their wellbeing.
But we've also talked aboutareas where you do struggle with
having a dependable car fortransportation or affording the
gas to put in the car or makingit because you have no
transportation.
So we really need to worktogether as individuals, but

(10:36):
with each other on teams so wecan improve services that are
available to people incommunities.

SPEAKER_01 (10:43):
The other thing I just thought about when you were
going through that list, childcare, so access to child care,
especially for single parentswho have to also try to have a
job, because that can createadditional barriers.

SPEAKER_00 (10:58):
Absolutely.
And then if...
There's a situation where youhave to leave work because your
child is sick and you have to gopick them up.
The financial impact that thatcan make on the individual
family, losing those hours atwork.
And so it can be very much adomino effect that people

(11:20):
experience.
And so we really do have to worktogether.
We've got to get our communityleaders involved.
We need to collaborate withpeople, health care providers,
social service agencies, otherstakeholders that are in our
communities that can really helpto provide and implement

(11:41):
strategies that will improve aperson's overall health outcome.

SPEAKER_01 (11:47):
The other

SPEAKER_00 (11:47):
things

SPEAKER_01 (11:48):
I was thinking about that they correlate with health,
but I guess not whenever itfirst comes to mind.
So like air quality, advocatingfor good air quality and clean
water and public education, allof those things need to be
improved in order to address thesocial determinants of health.

SPEAKER_00 (12:11):
Absolutely.
Some of us take things forgranted, but not everyone has
access to clean water.
Not every state has rules aboutemissions and what's in the
environment, what you'rebreathing.
Do you live by a factory?
Is the air quality poor becauseof the neighborhood that you

(12:33):
live in?
And so all of these factorsreally impacts a person's
overall health.
And again, we've just got towork together.
We've got to work with others.
And we've got to get ourcommunity leaders involved so we
can help people live an optimal,healthy life.

SPEAKER_01 (12:57):
What about for employers?
Can you think of anything, likeany specific recommendations for
employers to help address this?

SPEAKER_00 (13:06):
So I think it depends on the employer.
But I think just overall...
kindness and understanding cango a long way.
So we'll go back to that examplewe talked about earlier.
If you're at work and you'repaying daycare, I know so many
of you know how much daycarecosts, and you have to go pick

(13:28):
up your child because they havea fever, but then you're losing
hours at work.
Maybe you don't have access atwork to personal time off.
So that's one thing thatemployers can do is develop
policies in the workplace.
So if you do have to leave work,you could use those PTO hours to

(13:49):
cover the time that's beingmissed so your check isn't
impacted.

SPEAKER_01 (13:52):
What are some resources or organizations that
can help people learn more aboutsocial determinants of health
and addressing them?

SPEAKER_00 (14:03):
So there are a lot of resources are available.
The World Health Organization,the Centers for Disease Control
and Prevention.
But I will tell you that whenyou think about social
determinants of health and thoseorganizations, you have to have
a way to access those.
And so that relates back to canyou afford or do you have access

(14:26):
to the Internet?
I know a lot of the localcommunities, you can go to the
library and you can access theirInternet.
to look up information aboutsocial determinants of health.
But some of the local communityhealth centers, they may not
label it social determinants ofhealth, but what information do
they have about staying activein doing exercises?

(14:52):
Are there...
Are there places that you can goto access healthy foods like
farmers markets?
And I know a lot of the farmersmarkets nowadays, their prices
actually may be cheaper than atthe grocery store.
Do you have those around?
So when we think aboutresources, I think we need to

(15:13):
think outside of the box and notjust what's labeled social
determinants of health.
So another example is just likethis podcast.
This is giving you valuableinformation about this topic.
But there are other resourcesthat are out there.
Some nonprofit organizationsprovide information or classes

(15:35):
that can help you live a healthylifestyle.
Some universities offer freecourses that focus on public
health, health equity, socialdeterminants of health.
And you may be able to learnabout advocacy, education, but
then all of those other supportservices for the communities.

(15:57):
Is there a place in yourcommunity that has a list of the
support services that areavailable to people?
And so that also impacts thesocial determinants of health.
And so this happens at really alocal, a state, and a national
level to access those resources.

SPEAKER_01 (16:17):
Right.
And I think off the top of myhead, one thing I know with the,
I believe it's with the publicschools where I live in Fayette
County, they offer free lunchesto students in the summertime.
So I think the public schoolssystem can be a good resource as

(16:37):
well for, for resources to helpimprove your social determinants
of health.

SPEAKER_00 (16:43):
Yes, absolutely.
And I wish that the, Yeah.

(17:16):
on Tuesdays at five o'clock, orif you need to access the food
pantry, you can go here onSaturdays at noon.
And just providing thatinformation in a public place
where it's all together, itwould really help individuals
and families to live a morehealthy lifestyle and to reduce

(17:39):
a lot of the barriers.

SPEAKER_01 (17:41):
And I think the other thing for community
members and community leaders isThinking about sometimes we have
these resources in place, but wekind of put a lot of barriers
around those resources.
So whether that's the locationof them or the availability or
the timing of them.

(18:01):
So I think that's just somethingwe should take into
consideration as well.

SPEAKER_00 (18:07):
I agree.
And to add to that, sometimesthere's an income limit.
And so you have this group ofpeople who live in this donut
hole where they make too muchmoney to qualify for some of the
resources that are available,but they don't make enough money
to have adequate transportationor adequate housing or to be

(18:30):
able to afford childcare.
And so, again, eliminating thosebarriers so that everyone
Everybody can access theresources in a community.

SPEAKER_01 (18:41):
And that's all to create a healthier community and
healthier neighborhoods, right?
Yes.
Yes, it is.
Absolutely.
Is there anything else that we

SPEAKER_00 (18:51):
missed or that you think we should mention?
I just would like to add at theend that food insecurity and
housing instability andtransportation barriers, they're
a real thing that individualsand families experience.
So get involved with yourcommunity, see how you can

(19:13):
volunteer, see how you cancollaborate to improve the the
overall health of individualsand families and decrease the
barriers to some of thoseservices that are available.

SPEAKER_01 (19:29):
Thank you so much for joining me today.
Thank you.
This is such an important topicfor us to be aware of in order
for us to be better advocatesfor our own health and to
advocate for community resourcesand health.
Social determinants of healthstart affecting you at the
moment you're born and theycontinue to shape your health

(19:50):
the older you get.
Thank you for joining us today.
We'll see you next time.
This podcast is brought to youby Frontier Nursing University
and the Woodford County Chamberof Commerce.
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