Introduction
Over the past quarter century there has been a growing body of support for the importance of understanding the relationship between poor living conditions and ill-health. These conditions have been referred to as the social determinants of health. There has been a strong push amongst policy makers to study the non-medical determinants of health as opposed to the traditional narrow way of thinking with regards to medical treatments or lifestyle choices (Mikkonen, Raphael 2010). Income and income distribution is thought to be the most important of the social determinants of health because it further influences other social determinants of health for example, low-income families are forced to live under circumstances of
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Historical Background
Minimum wage legislation is one of the oldest government policy instruments used in the labour market. In Canada, early minimum wage laws were designed and implemented to protect women from exploitation. The notion of protecting vulnerable workers was thought to have been based on British minimum wage laws to protect children from exploitative labour in factories (Goldberg, Green 1999). In Canada, the first minimum wage laws were ratified around 1918 in British Columbia and Manitoba. The legislation only protected women. Six Canadian provinces implemented minimum wage legislation covering women by the 1920s. Minimum wage legislation eventually extended to also protect young vulnerable workers and men. In 1925 British Columbia was the first province to modify its minimum wage laws to also protect male workers. Most of the other provinces in Canada had modified their minimum wage laws to also protect male workers by the mid-1930s (Goldberg, Green 1999). By the 1960s, most workers in Canada were covered by minimum wage laws. The original policy objective of minimum wage legislation was to protect women and children, who were thought to be the most vulnerable and exploited groups of workers. Around the time of early minimum wage legislation, related legislation was also being implemented to protect workers
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”
Socio-economic class or socio-economic status (SES) may refer to mixture of various factors such as poverty, occupation and environment. It is a way of measuring the standard and quality of life of individuals and families in society using social and economic factors that affect health and wellbeing ( Giddens and Sutton, 2013). Cockerham (2007 p75) argues: ‘Social class or socioeconomic status (SES) is the strongest predictor of health, disease causation and longevity in medical sociology.’ Research in the 1990s, (Drever and Whitehead, 1997) found out that people in higher SES are generally healthier, and live longer than those in lower SES.
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)
Poverty is the single largest determinant of health. It has a widespread range of negative effects, both on the physical and the mental level, making it a significant public health concern in many countries. Poorer people tend to live shorter lives because there’s a clear correlation between income and access to healthcare. This disparity draws special attention to the significant sensitivity of health and the social environment.
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
Poverty also influences our responses to health and illness. The level of income below that which people cannot afford a minimum, nutritionally adequate diet, suitable and secure housing, heating and hot water, and beds to sleep on.
There has always been a link between social class and health, even with the welfare state and the improvements made to health in all sections of societies over the years, a difference still remains in this area. This difference is applied to all aspects of health, which include life expectancy, general levels of health and infant mortality. Many people argue that as long as the quality of life is
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
Soon after the turn of the last century, Canadian legislators began enacting "policies" to address issues such as the very low wages, long hours of work and unhealthy working conditions prevailing at the time. The model of minimum wage was first enacted upon by British Columbia in the year of 1918, as early as 1914 the demand was made by unions to enact upon the compensation model of minimum wage that was ignored by the government. In 1917 organizations interested them selves into the matter and ensured its delivery from the government. 1918 Mrs Ralph Smith piloted the minimum wage legislation in BC. There were certain provisions that accompanied the minimum wage provisions act the formation of a board of "three members, one of whom shall be the deputy minister of labor, and who shall be the chairman of the Board, with two other members appointed by and holding office during the pleasure of the lieutenant-governor in council, one of whom shall be a woman," with power to ascertain the wages paid to employees in the various occupations, trades and industries in which women are employed in this Province, and to fix a minimum wage this also allowed for empowerment of women, having a female on the board meant more security for the female as well as consideration towards children in aid to stop child labor practices. For the empowerment of females the board had the
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
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.
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).
The aim of this essay is to examine the influence that socio-economic status has on an individual’s health.
Income is the very important factor in determining whether individual stays or become ill. It provides fundamental pre-requisite of human health such as shelter, food, and warmth (K Judge, I Paterson, 2001). The low income creates an individual or family exposure to harmful physical and social environment (The social, Cultural and Economic Determinants of Health in New Zealand: Action to Improve Health, 1998). The studies also show the relation between income inequality and child health outcomes, which higher inequality association with high infant mortality, low birth weight and mortality in people aged 1-14 years in both sexes (A Harding, 1999)
Rowlingson (2011) agrees with Wilkinson and Pickett that there is indeed a strong correlation between income and health and social problems. In her report she includes the ‘Marmot Review’ (Marmot, 2010) which shows evidence that people living in England in the poorest areas compared to those living in the richest will, on average, die 7 years earlier. This suggests a clear link between class and health. The report further notes other additional factors, such as infant mortality, and mental and physical well being go hand in hand with inequality.