Better Care For A Lower Fare

To help counter these negative racial effects, there have been different movements in the borough to help concentrate the influence of communities that have traditionally lived in the area. Middle class African Americans in Brooklyn, specifically, have searched for ways to continue to help define Brooklyn in a way that isn’t resistant to change, but that helps to keep the influence of groups such as black Brooklynites inside the

Every New Yorker has the right to a safe and affordable place to live in. New York’s shortage of affordable housing has reached a crisis point. Poor and elderly people throughout New York City are at a greater risk of homelessness and forced low-income residents do not have food or medical care to stay in their homes. A sinful structure of homelessness in New York City is New York’s shortage of affordable housing. Millions of New Yorkers are desperate to find affordable housing and tens of thousands are forced to live either in dirty shelters or on the streets. Recent data indicates that nearly 60,000 people, including more than 23,000 children, stay in the city’s main homeless shelter system (Guelpa). A small amount of poor renter households received a housing subsidy from the local government. Little assistance is being provided which means that most poor families and individuals that seek assistance

Communities are sometimes largely unaware that social factors rather than medical ones, such as income, and employment status, shape our health. Our health is also determined by the health and social services we receive, and our ability to attain high education levels, food and safe housing, among other factors.

Health has been influenced by many factors such as poor health status, disease risk factors, and limited access to healthcare. All these factors are due to social, economic and environmental disadvantages. According to the World Organization (WHO) (2015), “the social determinants of health are mostly responsible for health inequities, which is the unfair and avoidable differences in health status seen within and between countries”

Health as a whole is determined by the quality of life, as well as an individuals’ ability to create personal positive social and physical environments. These environments include homes, schools, workplaces and the community as a whole. According to the World Health Organisation (WHO, 2003), the social determinants of health are conditions in which people live, work, and grow, where these factors are influenced by money, power and available resources. There are five main aspects of social determinants: economic stability, social/community health, general health, education, and the surrounding built environment, where each determinant refers to multiple key issues. These determinants commonly affect health, the functioning of people, their quality of life, as well as social, economic and physical risks. Examples of social determinants include:

The determinants of health are economic and social conditions that affect people’s health status. These influence the living and working conditions that impacts people’s everyday living condition. Factors such as the place and the environment we live in, genetics, educational level or work status and income, as well as friends and family are some of the aspects that affects our health condition. On the other hand, the people that have an access to good health care and have financial stability are less susceptible and are often less affected. (NANB, 2009)

“The social determinants of health are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life” (World Health Organisation (WHO), 2009). The social determinants of health can be divided into 5 categories, age, sex and hereditary factors, individual lifestyle factors, social and community networks, living and working conditions and general socioeconomic, cultural and

The geographic-level aspects involve a range of dimensions, ranging from physical characteristics of the area – such as location and climate (Bloom and Sachs 1998, APUD Wagstaff, 2001), to the infrastructure offered (Macintyre et. al., 2002) such as health services (quantity and quality), sanitation, water supply, roads, and so forth. One interesting hypothesis is that the presence of favorable aspects, like low crime rates, street cleanness and lightening, recreation places, among other “amenities” in the region under analysis mitigate the effects of unfavorable individual circumstances over health; whereas the adverse ones, such as pollution, lack of sanitation or low accessibility to urban facilities, amplify the already perverse influence of deprived individual characteristics on health status (Macintyre et. al., 2002; Kennedy et al., 1998). In California, for instance, Haan, Kaplan and Camacho (1987) found that people from poor areas experienced higher mortality rates (after controlling proper age, race and sex) than the population from non-poverty areas. Such risk of death persisted even after socioeconomic and behavioral adjustments. Similar findings have been reported by Humphries and Carr-Hill (1991); Jones and Duncan (1995) and Duncan et.al. (1993), supporting the hypothesis of the social environment´s influence over health, independently of the individual-level.

The social determinants of health are the circumstances that impact and surround people, since are born, grow, work, live, and age, education, income, race and gender, and the broader set of powers and systems that shaping the circumstances of daily life. It is important because it impacts all aspect of daily life of people, and it caused direct and indirect health problems.

Although seen within and between countries are the social determinates of health which are the unjust and avoidable differences in health status( National Rural Health Alliance 2016). The social determinates of health are the reason for increased health issues worldwide.

Social determinants of health encompasses ethnicity, gender and social class. It is seen as the essential

Socioeconomic status and gender is considered a cause of racial disparities in health since it constrains access to power, social and psychological resources, and economic capital. Those with low socioeconomic status and in segregated areas have less access to quality elementary and high school education since they normally have less qualified teachers, lower test scores, and fewer connections to colleges. These individuals also experience less employment opportunities because employers discriminate based on the residence of the job applicants since they view individuals in low-income areas as being drug users, having poor communication skills, low reading levels, and family issues. This leaves the residents in racially segregated neighborhoods jobless so they cannot increase their socioeconomic status (Takeuchi et al. 2010). The state of poverty is likely to continue for these individuals because they do not possess the necessary means to reduce their

The difference in health outcomes and the determinants between parts of a population caused by social, demographic, environmental and geographic characteristics is defined as health disparities (Dore & Eisenhardt,2015). Societal, economic, and political forces impact social determinants. (Dore & Eisenhardt, 2015) have indicated that health inequities are avoidable and preventable when appropriate actions are taken to lower the risk of illness.

A major influence on health in a community is the availability of services and opportunities within the neighborhood. Public health can be further influenced by the social environments. Accessibility to health care along with education and employment opportunities are fundamental factors to be considered (Riegelman & Kirkwood, 2015). These elements create both advantages and disadvantages for those living within the neighborhood. If we want to improve public health outcomes, we must consider and evaluate these along with many other contributing factors.

This essay will discuss ways in which a person’s socioeconomic class and his/her social situation can have an impact on his/her health, using examples. We believe that there is a direct link between socioeconomic/social class and health (Adler et al. 1994). I will be defining the key terms: socioeconomic and health, social class then proceed to discuss about how poverty, income, employability, environment and housing can impact on a person’s social situation and their health.