Healthy Choices

Why are higher income and social status associated with better health? If it were just a matter of the poorest and lowest status groups having poor health, the explanation could be things like poor living conditions. But the effect occurs all across the socio-economic spectrum. Considerable research indicates that the degree of control people have over life circumstances,

In 1946 the World Health Organisation (WHO) defined health as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”. This definition integrates the main concepts of health and identifies that health can be viewed differently by individuals and groups (Bowden, 2006). Health and well-being are the result of a combination of physical, social, intellectual and emotional factors (Dunkley, 2000a).

As stated by the World Health Organization (WHO), ‘health’ is defined as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (WHO, 1948). The health and wellbeing of individuals is generally determined by their circumstances and environment, a phenomenon referred to as the social determinants of health. WHO describes the social determinants of health as:

Naidoo and Wills(2001, p.47) “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’ - WHO (1946).” This definition falls into a holistic way of defining health, which believes that there are more areas to look at when thinking of health than just simply the absence of a disease. It considers the cause of why someone is ill and not just simply about ’fixing it’.

But over the past few decades, the definititon and concept of health has evolved to encompass more elements than just the physical well-being of a person. This is partly attributed to various researches and studies that have taken place around the world in the last 60 years. Already in 1948, the World Health Organization declared that health is “a state of complete physical, mental and social well being and not

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 is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” (World Health Organisation, 2011)

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)

According to the World Health Organization (WHO, 1978), health can be defined not only in terms of absence of disease, injury or infirmity, but also, as a state of mental, physical and social well-being. Over the last decades, many studies have emphasized the role of social circumstances on health status. The tight link between health and a wide range of socioeconomic, environmental and demographics factors have been increasingly recognized and proffer an alternative perspective on how to consider public health, social justice and even restructuring of the health care system (Daniels et. al., 2004). The increasingly acknowledgement that health is also a result of cumulative experience of social conditions and exposure to environmental

Individuals of higher income levels often have private insurance that allows them to see a physician on a regular basis. These individuals are able to prevent many diseases before they exacerbate. They often eat low fat diets or plant based diets. They are educated on their nutritional health and often make better choices when choosing the different types foods to eat. Due to their income, they can afford to eat healthy food and make healthy food choices. Even though these individuals may be predisposed to certain diseases, their diets prevent them from becoming prevalent in their lives. Due to the individual’s socioeconomic status they make enough money that they don’t stress about the necessities in life. These individuals live in areas such as Roswell, Johns Creek. Alpharetta, Buckhead, Kennesaw, and Stockbridge. Individuals of a poor economic status have limited access to healthcare. These individuals often have Medicaid, Medicare, or no health insurance at all. They often eat diets that are high in fat. Individuals of poor economic status aren’t often educated about eating healthy. They often eat unhealthy because it is too expensive to eat healthy. These individuals often receive government subsidiaries such as WIC and SNAP benefits for themselves and their children. There aren’t many healthy food stores if any at all in these neighborhoods. Stores such as Whole Foods, Sprout, and Trader Joe’s aren’t located in poverty stricken communities because the individuals can’t afford the prices. It is a disadvantage that the grocery chains in the neighborhood don’t offer the resident a healthier option. Individuals of poor economic status often fight chronic illnesses such as high blood pressure, diabetes, cardiovascular disease, and often cancer. They often live sedentary lifestyles that contribute to these diseases. They eat diets that are high in red meats one that contributes to

In modern society there is a general consensus that ‘good health’ is something that everyone wants to experience and that each individual knows what this involves. Because there are so many different definitions of health and ill health it can become a very complicated concept. Walsh (2011) states that “In sociological terms ‘health’ and ‘illness’ are contested concepts. This means that the general meaning of these words should not be taken for granted.

The World Health Organisation defined health: “State of complete physical and social well-being and not merely the absence of disease and infirmity” (WHO, 1946 p.100). Many factors influence health such as family traits, behaviours, access to quality healthcare and environment (quality of air, bad/good water and housing conditions) (WHO, 1946). The holistic view of health combines the mind (mental), body (physical), emotional and spiritual elements to a person (Ewes & Simnett, 2003).

This essay will be discussing the extent to which social class and poverty affects health and illness. Firstly, what is social class? Each person’s perception of social class can be different; is social class defined by a person’s accent, the area they live in, or something as simple as their income? Project Britain describes social class as “The grouping of people by occupations and lifestyle”. (Cress, 2014). To find social class Sociologists group people according to common factors, they compare people and various criteria can be conveniently used to place people in social groups or classes. Next we ask the question what determines a person’s health, the NHS defines health as “Physical and mental, it is the absence of disease”. (NHS 2017).

“Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (WHO, 1948.)

Understanding social factors in health has become a central issue recently and a large number of studies has been dedicated in this regard. Social factors are phenomena seen in the interaction between individuals and social groups. In this essay, the importance of understanding such factors and their influence on health are addressed by studying socioeconomic status. Studies results are incorporated to explain health inequalities that arise from socioeconomic status and possible explanations including the material and structural, social selection, cultural and historical explanations cited in the literature are briefly discussed.