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SAN ANTONIO                                                                                                                                                                                                    SAN ANTONIO
             MEDICINE                                                                                                                                                                                                       MEDICINE





        How Social Determinants of Health


        Impact Wellness Programs




        By Roxanne Leal
                                  There are many factors that affect our health. We   trition or how to create a healthy living environment
                                know that eating well, exercising and seeing a doctor   to equip me with the proper resources for leading a
                                when we are sick are simple steps that we can take to   healthy lifestyle.
                                keep ourselves healthy, but our health is also affected   How do we change this? I believe the key is educa-
                                by access to social and economic opportunities. Social   tion. When I was 18 years old, a friend took the time
                                determinants of health include the following factors:   to show me how to eat healthy and the importance of
                                                                           exercise. I was able to change my nutrition and start
                                • Socioeconomic status                     engaging in regular physical exercise, which improved
                                • Education                                my overall well-being and enhanced my enthusiasm
                                • Neighborhood (zip code)                  for living a healthy lifestyle. This friend is the reason I
                                • Physical environment                     got into the corporate health world. Every time I make   derstanding the population is the first step to creating   meet realistic goals and expectations, your employees’
                                • Employment                               a nutrient-packed smoothie or go for a jog, I thank   a successful targeted program. According to the Office   needs, your communication plan objectives and your
                                • Social networks                          that friend. Thanks to that introduction to healthy liv-  of Disease Prevention and Health Promotion, “By   business’s requirements.
                                • Access to care                           ing, I devoted my career to creating those opportuni-  working to establish workplace policies that positively
                                                                           ties for others.                                      influence social and economic conditions and those   Developing Healthy Partnerships
                                  According to the  Centers for Disease Control,   Reaching out to those individuals who need educa-  that support changes in individual behavior, we can   By taking the time to develop partnerships with
                                “Poverty limits access to healthy foods and safe neigh-  tional resources can create positive change in the   improve health for large numbers of people in ways   local health vendors such as dietitians, fitness trainers
                                borhoods and more education is a predictor of better   health of any employee population. The most effective   that can be sustained over time.” Understanding the   and mental health professionals, and making access to
                                health. We also know that differences in health are   and successful benefits programs are only further en-  demographics of your workforce can help you deter-  these services easy to access and understand, organi-
                                striking in communities with poor social determinants   hanced by education—both for leadership and em-  mine what types of benefits will be most effective for   zations can provide their employees with resources
                                of health, such as unstable housing, low income, un-  ployees. Through regular communication, you can   your business and employees.        and services that will help them stay healthy.
                                safe neighborhoods, or substandard education.”   give your employees tips on leading a healthy lifestyle                                      Whether your organization would like to add a cor-
                                  Addressing social determinants of health is impor-  such as balanced nutrition, regular exercise and regular   Building the Best Wellness Program for Your   porate wellness program to your employee benefits
                                tant for improving health and reducing health dispar-  health screenings. Provide information on the effects   Employees                    plan, or would like to enhance an existing program,
                                ities. Studies propose that health behaviors such as   of smoking, obesity, alcohol use and unhealthy prac-  It’s important that you understand how your em-  SWBC’s Employee Benefits Consulting Group can
                                smoking, poor diet, lack of exercise and social and eco-  tices that can lead to high blood pressure, high choles-  ployees feel about the benefits you’re offering them so   provide consulting services to help you design and
                                nomic factors are the main drivers of health outcomes,   terol, stress and depression.           that you can continue to optimize your program over   maintain a plan that meets the requirements of your
                                and that social and economic factors can shape indi-                                             time. You can find out how your employees feel about   organization. SWBC can provide the analytical sup-
                                viduals’ health behaviors. Not only are social determi-  Understanding Your Employee Population   your program by conducting surveys, analyzing   port, develop custom communication materials and
                                nants of health important factors that affect overall   The success of a targeted wellness program is de-  provider reports, or studying provider and actuarial   assess the benefit to your company. Visit swb.us/cus-
                                health, but addressing them can also help reduce   fined by each organization’s unique employee pop-  research. If you’re aware of what your employees like   tom-benefits to learn more.
                                health disparities that are often rooted in social and   ulation. Building a successful wellness program that   or don’t like about their benefits, you can make an ef-
                                economic disadvantages.                    positively impacts the health of your employees be-   fort to highlight those things in your regular commu-  Roxanne Leal has been with SWBC since
                                                                           gins with understanding their demographic makeup,     nication. For example, if your plan includes a free   December 2019. As a Wellness Program
                                Education is Key                           baseline health status, and overall health and well-  annual biometric screening but your employees do not   Manager, Roxanne specializes in developing
                                  I grew up with my grandparents in a low-income   ness education.                               take advantage of it, you can include reminders in your   strategic wellness programs based on high-cost claims,
                                community where nutrition wasn’t a high priority. As   When creating wellness programs for your employ-  communication program. Learning how your employ-  survey data and aggregate reports. She has worked in the
                                in the case with many low-income families, my grand-  ees, it’s crucial to understand their living conditions,   ees feel about their benefits will arm you with the in-  health & wellness industry for over 7 years. SWBC is a
                                parents did not really know enough about proper nu-  income and education levels and access to care. Un-  formation you need to revise your communications to   Gold Circle of Friends Sponsor of the BCMS.


         34     SAN ANTONIO MEDICINE  •    October 2021                                                                                                                                                              Visit us at www.bcms.org     35
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