Studies have shown that the social and built environment can play an important role in the development of type 2 diabetes and self-care behaviors (Christine et al., 2015; Gebreab et al., 2017; Pasala, Rao, & Sridhar, 2010; Sidawi & Al-Hariri, 2012; Smalls, Gregory, Zoller, & Egede, 2014; Winkleby & Cubbin, 2003). Social environment includes factors such as safety, violence, social disorder, social cohesion, and collective efficacy of the neighborhood (National Research Council (US) et al., 2013). Whereas, the built environment can be defined as “environments that are modified by humans, including homes, schools, workplaces, highways, urban sprawls, accessibility to amenities, leisure, and pollution” (Pasala et al., 2010, p. 63). Studies …show more content…
Another cross-sectional study by Gary et al. (2008) explored whether perceived neighborhood problems (e.g., crime, access to exercise facilities, access to public transportation, trash and litter, lighting at night, and access to nearby supermarket) were associated with health outcomes and behaviors among diabetic patients. The findings from this study depicted that more neighborhood problems were reported by individuals who lived in neighborhoods with higher poverty rates (33%) as compared to those who lived in neighborhoods with lower poverty rates (16%) (Gary et al., 2008). This study also found that individuals who reported more neighborhood problems were significantly more likely to smoke (15%) and had poorer control of blood pressure (25% < 130/80 mmHg) in comparison to individuals who reported fewer neighborhood problems (Gary et al., 2008). Additional studies have provided evidence to support the notion that the built and social environment do have significant influence on the development of type 2 diabetes. For example, a population-based cohort study by Gebreab et al. (2017) examined the associations between neighborhood social and physical environments [(e.g., social cohesion, availability of favorable food stores (grocery stores, fruit and vegetable markets, and supermarket chains and non-chain stores), unfavorable food stores (convenience stores, liquor
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.
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.
Gentrification has disadvantages on housing but may lead to healthier outcomes for the residents. The Department of Health surveyed the community’s smoking, diet and physical activity, which are risks factors for a variety of health problems like high blood pressure. It was concluded that Washington Heights had 12% smokers, which is lower than New York’s average. However, 31% of community members consume multiple drinks with high sugar content on a daily basis and are less likely to perform physical activity. The rate of stroke hospitalization, is higher in Washington Heights than City rates. Healthcare providers as well as the system needs to target these trends as well as making health care more access to the community. The Affordable Health
A variety of challenges including personal, social, economic, and environmental factors can determine the health of an individual as well as its community. Others determinants of health include genetics, access to medical care, and socioeconomic measures such as education and poverty. Any interference among these factors can often lead to health disparities, which are health gaps that exist between different communities and populations. Health disparities can affect communities based on gender, age, race, social status, economic status, or special care needs. Therefore to understand which factors affect the health of a community, it is necessary to examine the social and economic conditions in which people live in, as well as the rates of diseases
Molly is on a low social economic status as she is only able to work part time. Green and Tones (2010) contends that, low income limits access to nutritional food and housing which can consequently lead to poor physical health and social exclusion. Furthermore, Hill et al 2013 s proposes that, type 2 diabetes disproportionately
“Failure to acknowledge, and more importantly, to understand the role of Social determinants of Health (SDH) in health and access to health and social services will hamper any effort to improve the health of the population.” (Ompad, Galea, Caiaffa, & Vlahov, 2007). Unemployment, unsafe work environments, globalization and the inability to access health systems are some social determinants of health. Social factors would be considered place of residence, race and ethnicity, gender, and socioeconomic status are also part of social determinants of health. According to “Social Determinants of the Health of Urban Populations: Methodologic Considerations’ Place of residence and an individual’s status within the place are important determinants of health in urban settings. It is important to recognize that the place of residence is
The purpose of this paper is to identify one health problem that is most prevalent in my community. Residential demographic information will be provided. I will use Milio's framework for prevention to analyze this health problem. Then, compare the health problem to Healthy People 2020 national goals. Lastly, I will introduce one long term goal and three short term goals with their interventions.
The video Unnatural Causes: In Sickness and in Health highlights the various disparities that impact population health outcomes among different groups. The frequency of violence and crime is one such feature that impacts health. Areas affected with an increased prevalence of violence and crime, will likely have residents that feel unsafe outside their homes. If patrons are not safe in their homes or neighborhoods, they are less likely to active within their community. This particularly affects children. If they are unable to play outside safely, there are more likely to live sedentary lives as they grow into adulthood. This impacts population health because a sedentary lifestyle increases the risk for developing certain cancers and other poor
Improving the health of the socially and economically disadvantaged is a major task. Many Americans are living with poor health because of their socioeconomic statuses and it has many negative effects on their long term health. Improving access to health care is not enough to help fix the lower death rates among low income families. Our social status in our economy has large effect on our lives including how we are able to live our lives and in tern it has large measurable effects on our health. San Antonio is no exception, in low income areas the mortality rates by diabetes are stunning and need to be changed in order to help improve the lives of so many people. In my essay I will be proposing a plan to help lower
Health disparities are not based on income but on location. In Chicago, health disparities are a major problem because of segregation. While, on the Northside, someone is less likely to experience health disparities, it’s different on the South and West Sides. When someone looks at a map, they do not see how segregated a city is, but when someone is analyzing a certain neighborhood in Chicago, they will be able to see how segregated the city is. A study shows how neighborhoods in
Racial and ethnic health disparities plays a significant role when it comes to those living in a what is considered a low- economic community because people are more susceptible to poor air quality, high blood pressure related to stress, and violence. Inaccessibility to healthy foods forces people to have to eat unhealthy and struggle with the risk that can lead to obesity or high cholesterol down the road (Noonan, A et al ,2016). Also social racism with having limited income, and education can cause people to act out in a negative way due to being frustrated and can cause one to act out in a violent way which can cause a spike in crime. So much can be done to strengthen low economic communities such as re-opening schools in the neighborhood,
The episode watched, presented diabetes as an “common source epidemic” plaguing Americans, but goes further to say that is it more than just bad eating habits, it is also our “car centric society” that contributes to the epidemic (Baroff, 2012). The episode presented people of varying ages fighting against diabetes, obesity, or lack of a safe outdoor recreation area. The episode also provided several examples of towns that were changing the landscape of their communities to make them more exercise and socially friendly.
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.
Roux and Mair wrote that within neighborhoods both Social and Physical environments contribute to health and healthy inequalities. We know that where you live determine how long you will live and what type of health issues you will have, but I will focus more on physical environment. Communities with limited space for physical activities, limited sidewalks, limited playground, little access to public transportation all results in having unhealthy individuals. But even if kids are lucky to have some sort of playground or park, these communities are still plaque with unequal exposure to air pollution and other toxic substances that results in chronic illness. We are what we eat, and in these poor and low-income communities where fast food restaurants
It is difficult to measure the health of an entire city since health is multidimensional. Therefore, looking at population’s well-being in regards to their physical, psychological, social, emotional, and spiritual perspectives are necessary. These dimensions are further affected by health amenities, health promotion, environmental enhancement, and social care within the city (Webster & Sanderson, 2013). In order to evaluate these four factors, objective and subjective data about the city should be collected and analyzed.