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Where you are born, the school you attend, your highest level of education, your race, age, and sex, these are all things that can directly, or indirectly impact your health. The social determinants of health is a phrase that can better be used to sum them all up. It refers to the social situation you exist in, and how that affects your ability to purchase healthy foods or obtain the medical care you need, and so much more. When it comes to certain measurements of health, people who fall within certain groups or populations, for example, minorities, or people of lower socio-economic statuses (SES), tend to have worse results than their white, or higher SES counterparts. These differences in health outcomes are referred to as disparities. As social scientists, healthcare professionals, and anyone with the means to address these disparities, we are ethically obligated to do so. There are already several initiatives aimed at addressing the social determinants of health. Through these initiatives, those in need are provided with things such as food vouchers, ride vouchers, and health education. What is missing, are organized studies with specific goals and appropriate sample sizes to address the efficacy of these initiatives. Once we have more such studies to provide us with data that supports the efficacy of these interventions, we can then advocate for policies that will make these resources widely available and encourage health equity. / Urban Bioethics

Drexel University, a private university in Philadelphia, is expanding its campus to attract more students, faculty, and researchers. The current President, John Fry, envisions transforming West Philadelphia into an innovation district. The university is working with real estate developers on a $3.5 billion real estate project at Schuylkill Yards, in addition to mixed-use student housing and projects. The development goals of the university will impact the social conditions of the long-term residents of the two neighboring communities, Mantua and Powelton Village. In addition to the larger developers who are working with Drexel, numerous small-scale developers are developing market-rate student housing around the periphery of the two communities. In the process, the developers are disrupting the character of the neighborhoods and changing the racial demographics of the Mantua community from a predominantly African American community into one that reflects predominantly White and Asian demographics of the university. The combination of Drexel University and the developers is threatening to “studentify” the Mantua community. In the process Mantua, is at risk of losing the cultural elements that have defined the neighborhood for decades, in addition to their sense of belonging in the neighborhoods where the residents have lived for generations. This research is a qualitative assessment of the social changes to the two communities as a result of Drexel’s expansion activities. A social sustainability framework was developed based on the results of a cultural landscape assessment and structured and semistructured interviews of long-term residents, business owners, community leaders, and university officials. / Geography

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