Social Environmental Factors In Public Health

Some experts in the field have concluded that the health effect of social relationships may be as important as established risk factors such as smoking, physical activity, obesity and high blood pressure.

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.

Health as a whole is determined by the quality of life, as well as an individuals’ ability to create personal positive social and physical environments. These environments include homes, schools, workplaces and the community as a whole. According to the World Health Organisation (WHO, 2003), the social determinants of health are conditions in which people live, work, and grow, where these factors are influenced by money, power and available resources. There are five main aspects of social determinants: economic stability, social/community health, general health, education, and the surrounding built environment, where each determinant refers to multiple key issues. These determinants commonly affect health, the functioning of people, their quality of life, as well as social, economic and physical risks. Examples of social determinants include:

“The social determinants of health 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” (World Health Organisation (WHO), 2009). The social determinants of health can be divided into 5 categories, age, sex and hereditary factors, individual lifestyle factors, social and community networks, living and working conditions and general socioeconomic, cultural and

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.

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

In this assignment I will be writing about two sociological perspectives and discus there patterns and trends of health and illness to two social groups.

High-quality social relationships, wherein people experience camaraderie and happiness, yield substantial health benefits. For instance, social ties such as marriage and religious involvement have been linked to healthier choices with diet and exercise, possibly because these connections promote positive behavioral norms (Umberson and Montez, 2010). High-quality social relationships also promote mental health by offering individuals a sense of place within a meaningful environment. When people feel connected and supported, they tend to experience a greater sense of control, a psychological state shown to be both associated and causally linked to good health (Lachman and Weaver, 1998). Positive psychological effects of social relationships improve physical health by making it easier for the body to maintain chemical homeostasis over long periods of time by alleviating its “allostatic load” (Umberson and Montez, 2010). Ultimately, these components of high-quality social relationships make people less likely to get sick and die.

these issues though those might be temporary. A final solution will have to be a national policy change in immigration, however, until then we could pursue some international options to aid undocumented immigrants in the United States.

Josh et al (2000) suggested that Social Capital was an important explanation regarding health issues. Supporting the theory that life chances are influenced by social environment and the people around us (Holborn, Burrage and Langley, 2009).

The impact of SDOH has the largest effect on children, who account for the poorest segment of the population in the U.S. (Garg, Toy, Tripodis, Silverstein, & Freeman, 2015). Public health has played a significant role in the way we look at health care delivery. Although factors specific to individual’s, such as genetics which influence health, health outcomes cannot be confined to looking at genetics alone, nor can biomedical interventions be the only factor for improving health. Social and environmental factors have long been acknowledged as contributing factors to understanding health and providing treatment.

In this readings the authors tries to inform the readers about the empirical and theoretical literature that can help explain the different factors that might push or pull an individual from obtaining proper healthcare. To help the readers understand the main concepts the authors included two case studies. The first case study was about a woman name Jan, who is the mother of four kids, is unemployed and is having a hard time supporting her family. The second case study was about Susana who is married to an abusive husband despite of her loyalty to him. With both of these case studies the authors explains that Social Determinants of Health affects every one of us one way or another and that it will take more

“Healthy individuals cannot survive when society is sick.” On the other hand, aspects of social structure influence health and illness. Social factors not only affect life expectancy, but the possibilities the one will experience diseases and in turn, the health care that they will receive.

It seems plausible to suggest that distal causes impact on health outcomes. Kroenke (2008) points out that, for instance, poor housing conditions are reflected in low health status both in short and long-term. As well as the distal materialistic aspect of social factors, other factors including social cohesion, group norms and social structures are also determinants of health as it is evident that such factors are particularly important for women especially in advance age (Blaxter, 2001). Due to the significant addition that studying social factors brings to understanding health, differences in social factors between groups have been extensively studied using various measures such as socioeconomic status.