Social Determinants Of Health Analysis

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:

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

“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”

She is currently on staff in Springfield Green County Health Department and she services the WIC coordinator.

The definition of health is fluid, ever changing and carries different meanings across individuals, societies and cultures. Although it is difficult

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

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

St. Paul's L'Amoreaux Centre provides programs and services for older adults from all backgrounds. Most of these clients have children living nearby or in the GTA area. The clients at SPLC are all independent and can live on their own. Some of the important determinants of health that are relevant to this client group is income and social status, social support networks, education and literacy, social and physical environments, personal health practices, coping skills, biology and genetic endowment, health services, gender, and culture. All these social determinants of health will affect each individual in a different way, so as a nursing student we have to pay attention to how one determinant of health may be a concern for one specific client.

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

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.

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).

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

For example a person living in a deprived council estate, with a very low income has been proven to be more at risk of developing health issues compared to someone from a higher social class as there is a strong correlation between poverty and ill health. This has been backed up by (WHO, 1946) that state that ‘poverty creates ill-health because it forces people to live in environments that make them sick.’