Housing As A Social Determinant Of Health

Many areas in the United States contain an abundance of neighborhoods that function with little to no healthy food sources nearby because of the large number of people in poverty. With the fleeing number of locally owned grocery stores and convenient fast food restaurants sprouting in urban and rural areas, residents do not have an adequate quantity of fruits and vegetables readily available. The City of Baltimore defines a food desert as “an area where the distance to a supermarket is more than one quarter of a mile; the median household income is at or below 185 percent of the Federal Poverty Level; over 30 percent of households have no vehicle available; and the average Healthy Food Availability Index score [convenience stores, corner stores, and supermarkets] is low” (Food Deserts). Baltimore City today “ranks second among similarly sized cities for the number of low-income people living in food insecure areas” (Freishtat, 2014). Leaving eight percent of white Baltimoreans living in food deserts compared to the 35 percent of black Baltimoreans, and 30 percent of children living in food deserts in Baltimore alone (Buczynski, 2015).

emphasis was on relationships to family, group and country rather than the development of an

“Aboriginal & Torres Strait Islander people have a greater amount of disadvantage and significantly more health problems than the non-Aboriginal & Torres strait Islander population in Australia”

Poverty and war are two social determinants of health that interact directly to shape an individuals life. Eldon Starlight in Richard Wagamese’s Medicine Walk can be identified as an alcoholic who struggles with mental injuries. Many social determinants of health impact Eldon’s health and quality of life, shaping who he is. As we examine the effects of poverty and war we come to understand their influences on Eldon’s life. Poverty and war can have permanently altering effects on an individual’s life.

Norma James is a 65 years old widow who lives alone. Mrs. James has a medical history of Type 2 diabetes mellitus and hypertension and has also been diagnosed with atrial fibrillation. Mrs. James has been a smoker since her 20s and smokes about a ½ pack of cigarettes per day. She has two adult sons who lives far and has minimum contact with them. She does not work and has a very limited savings. She relies on Old Age Security Benefits for income. She has been living in the same neighbourhood for years but has only few individuals who she considers friends. She prefers to spend her time alone at home watching television, reading or watching over her six cats.

There is growing research into what has become known as the social determinants of health; the central claim arising from this research is that “various social factors have a strong influence on population health and on inequalities in health outcomes across social groups”. (Preda & Voigt, 2015) Social determinants of health are conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality of life outcomes and risks. Conditions such as social, economic, and physical in various environments and settings such as school, church, work, or neighborhood have been referred to as “place”. (HP 2020) According to Healthy People 2020 (2016) understanding the relationship between how population groups experience “place” and the impact of “place” on health is fundamental to the social determinants of health. Healthy People 2020 (2016) have developed an approach to social determinants by organizing a “place-based” framework, reflecting five key areas of social determinants of health. Each of these five determinant areas, economic stability, education, social and community context, health and healthcare, neighborhood and built environment; reflects a number of critical components that make up the underlying factors in the arena of social determinants of health. Differences in social, economic, and environmental circumstances lead to health inequalities that are socially produced and therefore

Food insecurity is one of the leading public health challenges in the United States today, since millions of people (children and adults) are food insecure because of insufficient money income and other socioeconomic and demographic factors. (Seligman, Kushel, & Laraia, 2010)

One of the main determinants of Health and Illness globally is poverty. Poverty and poor health worldwide are intricately linked. Health is a multifactor reality, and there are many elements which influence our wellbeing; food, water, shelter, clothing, education, etc. And what they all have in common is that poverty undermines access to all of these basic elements.

Another U.S. study found that low availability of emotional support and low social participation were associated with all-cause mortality.

Conditions of birth and people’s growth, lifestyles, occupations and age strongly influence their health. This essay focuses on children between the ages of zero to 19 and examines what the social determinants of health are. Firstly, it attempts to analyse poverty, family violence, addiction and the impacts on the health of younger New Zealanders who are exposed to those determinants. Secondly, strategies, initiatives and prevention services are identified at national, regional and local levels to investigate what the government and other non-government organisations are doing to ensure that the rights of children are being upheld. Children deserve to have the best start in life to enable healthy growth and development of their own special skills and talents. They need warm, healthy homes to live in, good nutritious food to give them energy to grow and learn, and opportunities for education, along with other activities that help them progress through life. They need the support and care of their parents, whanau and communities that have their best interests at heart.

A communicable disease chain is the mechanism by which an infective agent or pathogen is transmitted. The chain requires an infective agent, a source of infection, a mode of transmission and a host. An example of an infective agent could be bacteria, a virus, fungus, protozoan or helminth. The source of infective agents can be transmission from host to host, an infected human or animal, insects, soil or livestock. The mode of transmission is how the infective agent is carried from host to host. Transmission can be by air, ingestion or physical contact. To complete a life cycle or to replicate, the infective agent requires a host.

these issues though those might be temporary. A final solution will have to be a national policy change in immigration, however, until then we could pursue some international options to aid undocumented immigrants in the United States.

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.

Social determinants of health are social, economic and physical factors that affect the health of individuals in any given population. There are fourteen social determinants of health but Income is perhaps the most important of these because it shapes living conditions, influences health related behaviors, and determines food security. In Canada, people with lower incomes are more susceptible to disease/ conditions, higher mortality rate, decreased life expectancy and poorer perceived health than people with high incomes. In numerous Canadian studies and reports, there has been more emphasis on health being based on an individual’s characteristics, choices and behaviours, rather than the role that income plays as a social determinant of health. Although Canada has one of the highest income economies in the world and is comprised of a free health care system, many low income families are a burden on the system because of the physical and mental health issues influenced by income insecurity. Low income individuals are heavier users of health care services because they have lower levels of health and more health problems than do people with higher incomes. This essay will address income as a social determinant of health in three key sections: what is known on the issue, why the issue is important and how can health and public policies address the issue. The main theme that runs through the essay is the income related health inequalities among low income groups compared to

The target population for this quality improvement project are individuals experiencing food insecurity. The specific population being targeted are those accessing the services at the One Roof Community Centre located at 99 Brock Street, Peterborough, Ontario. Peterborough, Ontario is specifically at risk for food insecurity, being that 11.5% of households experience food insecurity in this region (Peterborough Social Planning Committee, 2015). Additionally, one in seven children experiences food insecurity in Peterborough. Low incomes are not enough to cover the expenses of eating healthy foods (Peterborough County-City Health Unit, 2015).