Social Determinants of Health Essay

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:

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).

Naidoo and Wills(2001, p.47) “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’ - WHO (1946).” This definition falls into a holistic way of defining health, which believes that there are more areas to look at when thinking of health than just simply the absence of a disease. It considers the cause of why someone is ill and not just simply about ’fixing it’.

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

Education has a significant correlation on health outcomes. The following presented case study will demonstrate how the Social Determinants of Health (SDOH) directly impacts health status. As described in Appendix A, Mrs. Smith is a 68-year-old female who was diagnosed with type I diabetes mellitus 37 years ago. She presented in hospital with a pressure ulcer on her left foot, which has increasingly worsened and become necrotic in certain areas. She has had uncontrolled blood glucose levels for many years and often does not prescribe to her medication schedule “because it doesn’t really work anyways.” She has a long history of neuropathy resulting from her poorly controlled diabetes mellitus. She also has difficulty understanding the

The World Health Organisation posits that the social determinants of health (SDoH) are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life which are in turn responsible for health inequities, the unequal and preventable disparities in health within population groups and between countries (WHO 2015). This broadly means that a person’s health can be negatively impacted or enhanced depending on their social status, educational attainment, level of income, living conditions and access to resources and social support networks.

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

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

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)

It is very difficult to compare and contrast the concept of health and ill health as they differ with difference in the social norms and how people interpret them. As per the Australian Institute of Health and Welfare, World Health Organization (WHO) has defined health as 'a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’. Illness as per them, is a more subjective concept related to personal experience of a disease, particularly the ones of chronic and infectious nature.

The correlations between level of education and socioeconomic status, and therefore the general health of an individual, are repeatedly proven to be evident across the globe.

According to Floyd, Mimms and Yelding (2008) Webster’s Dictionary defines health as “the condition of being sound in body, mind and spirit… freedom from physical disease or pain.” This definition has very much taken the holistic view. Wellbeing is a term in which reflects on the positive emphasis on health and can be broken down into six aspects know as environmental, physical, social, emotional, mental and spiritual. To achieve a high balance of wellbeing it is vital that a person is able to balance and take care of each aspect effectively. Underdown (2007) implies that in 1948 the World Health Organization (WHO) defines health as ‘a state of complete physical, mental and social well-being and not just the absence of disease or infirmity.’ This definition took a holistic view as it mentions mental and social wellbeing and it was supported as it focused on a person being healthy rather than not being ill. However, this definition has been widely criticized. Seedhouse (1986) believed that for someone to be in perfect state of health is unachievable and unrealistic.

Naidoo & Wills (2000) defined health in two main ways: the positive approach, where health is viewed as a capacity or an asset, and the negative approach, which emphasises the absence of illness, diseases or disorders. “Health” as defined by the World

The World Health Organisation (WHO) defines Health as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”

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