Professor Sir Michael Marmot, MBBS, MPH, PhD, FRCP, FFPHM, FMedSci is the Chair of the Commission on Social Determinants of Health, Director of the International Institute for Society and Health, and a Research Professor of Epidemiology and Public Health at University College in London. Marmot was knighted by the Queen for his services to Epidemiology and understanding health inequalities in year 2000; furthermore, he has led a group to perform extensive research regarding such issues over the past 30 years. As Principal Investigator of the Whitehall Studies of British civil servants, he has investigated explanations for an inverted social gradient in morbidity and mortality. He leads the English Longitudinal Study of Ageing (ELSA) and chairs …show more content…
The core argument of this book points back to individual autonomy, a sense of control over the lifestyle one chooses to live. Marmot believes this to be as big of a factor as financial circumstances. He states that “The circumstances in which we live—that foster autonomy and control over life, love, happiness, social connectedness, riches that are not measured by money—affect illness” (Marmot, 14). Inequalities in health present themselves because such benefits of life are disbursed unequally throughout society. From a public health perspective, the term health is defined as the complete mental, physical, and social well- being of an individual and not merely the absence of disease. However, to the average individual, health is mostly associated with the physical well- being of a person rather than any other aspect mentioned. Marmot also notes that “The lower in hierarchy you are, the less likely it is that you will have full control over your life and opportunities for full social participation," (page 23). This implies that individual autonomy and one’s social participation, or lack thereof, may lead to deterioration in health. In no way does this divert attention from things such as genetics and medical care as essentials to health; rather, this places emphasis on circumstances in which people live and/or work as other major influences of health. For example, someone with a formal education and a wealthy upbringing will most likely experience a longer life with better health as opposed to someone without education and a high income. Even with this information, it is still difficult to conclude whether education would lead to great health for all. If you place education on the backburner and put income on center stage, you may notice that the findings are almost identical: low income
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
These are a few potential links between social inequalities and the health of the population: income and wealth distribution, unemployment, the ageing society, gender and health, mental illness and suicide and disability and dysfunction. I am going to discuss each of these and see the health impact on people in each group.
“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”
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,
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.
The research surrounding social determinants of health has contributed to identifying the causes of disease, access to health care services, and several other predictors in the pre-cautionary risks surrounding the health care industry and the systemic problems created by exclusion. John W. Frank and J. Fraser Mustard (1994) authors of the article “The Determinants of Health from a Historical Perspective” argue that these issues have always been present in history. They suggest that since the introduction of the National Health Services to the United Kingdom in 1948 , the belief was that “the gradient in health across the social classes (the highest social class had the lowest mortality rates, and the lowest social classed had the highest mortality
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.
The barriers of mental healthcare access are a notable issue for many Canadians and Canadian youth. Nearly 20% of Canadian youth suffer from a mental illness or disorder, however, only 1 in 5 youth who have a mental illness receive the appropriate mental health care (Canadian Mental Health Association, 2014). These barriers may include structural barriers such as the uninsured costs of mental health services, the long waiting list for services that are insured and attitudinal factors such as fear of stigmatization (Sareen et al. 2007). The barriers of the mental healthcare available to our youth may be a contributing factor as to why suicidal death is the second leading cause of death among Canadians aged 15-24 (Canadian Mental Health Association,
Social influences and class structure affect people’s health. People who live in poverty and are at the bottom of the socioeconomic ladder have worse health than those who have more money. In essence, inequality in society is making people sick. For example, the United States is a country that has very wealthy people along with a staggering amount of poor individuals, yet it is one of the richest countries in the world. It is clear that there is a widening gap of inequality in America, and according to the film Unnatural Causes: Is Inequality Making Us Sick? (2008), the United States spends $2 trillion per year on medical care, but American citizens live shorter, sicker lives than most industrialized countries. But how is this possible?
In order to understand illnesses and diseases, it is of most importance to recognise the main factors which are contributing to the individual’s health outcome. There needs to be a greater emphasis on recognizing and understanding the social determinants of health, through examining the sociology theories. Recognising the social theories and philosophies allows for understanding why and how health inequalities exist in order to implement effective intervention. By focusing on social determinants of health emphasis is placed on improving the overall health of communities and reducing the persisting health inequalities. The first episode of the television series Devils Dusts convincingly displays the vast range of ways in which social determinates of health including gender, class, indigenous background and workplace environment influence each of the main characters exposure to asbestos. An individuals exposure to asbestos has significant detrimental health consequences.
Health inequalities are preventable and unjust differences in health status experienced by certain population groups. People in lower socio-economic groups are more likely to experience health inequalities than people in higher socio-economic classes. Health inequalities are not only found between people of different
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.
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.
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).
In this section, I am going to discuss how social determinants of health, as exemplified by my observations, affect people in the area serviced by the NHS Trust I am training with. As I have mentioned in my introduction the road construction was to expand roads and build more cycling lanes. The negative aspect of this was noise pollution, more dusts and traffic level reduced. It can be very disturbing for people living near the road as road construction may begin early in the morning and finish late in the evening. The dusts from the road construction can cause asthma to individuals. The positive aspect of this could be to encourage people to cycle more because cycling is known to be a form of exercise. In terms of health, this reduces the