The Determinants of Heath that Impact Health Status
MHLTSCI 504
Zijada Sulejmanovic
Boise State University
Abstract
This paper explores published articles that report results from research on determinants of health. Also, defines determinants of health. No matter how much of research is done there will always be a question like what do we do? Where do we start? How can we address and improve poverty, social, education and cultural issues to improve health. Working in health care and working with uninsured and under insured population, patient from different cultures makes me wonder about what can be done. Also, being someone who experienced social inequality, economical and somewhat influenced by cultural norms. I believe that determinants of health are very important and there are some essential determinates of health no matter what health system we look at. Therefore, with so many factors that can affect the health of individual I would like to talk about some factors that have substantial impact on health such as income, education, culture and social inequalities. Through my professional and personal experience I have learned to believe that somehow most of this factors go hand in hand.
The Determinants of Heath and Their Effect on Health Status
The World Health Organization ( WHO, 2008) defined social determinants of health as the circumstances in which people are born, grown up, live work and age, and the systems put in
The overall health of the population can be due impart to the living conditions in which they experience, rather than traditional risk factors of health we first think of. The umbrella term social determinants of health (SDH) can be defined as: 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.
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”
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 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)
“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
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
The social determinants of health are the circumstances that impact and surround people, since are born, grow, work, live, and age, education, income, race and gender, and the broader set of powers and systems that shaping the circumstances of daily life. It is important because it impacts all aspect of daily life of people, and it caused direct and indirect health problems.
Although seen within and between countries are the social determinates of health which are the unjust and avoidable differences in health status( National Rural Health Alliance 2016). The social determinates of health are the reason for increased health issues worldwide.
Social determinants of health encompasses ethnicity, gender and social class. It is seen as the essential
“Failure to acknowledge, and more importantly, to understand the role of Social determinants of Health (SDH) in health and access to health and social services will hamper any effort to improve the health of the population.” (Ompad, Galea, Caiaffa, & Vlahov, 2007). Unemployment, unsafe work environments, globalization and the inability to access health systems are some social determinants of health. Social factors would be considered place of residence, race and ethnicity, gender, and socioeconomic status are also part of social determinants of health. According to “Social Determinants of the Health of Urban Populations: Methodologic Considerations’ Place of residence and an individual’s status within the place are important determinants of health in urban settings. It is important to recognize that the place of residence is
Health determinants are the factors that can have a positive or negative impact on a person’s health. Many things can affect how healthy we are, from a complex interplay between macro to molecular influence to influences from society (for example, the prevalence of drug and alcohol use), to individual factors such as genetic make-up. Education, employment, income, lifestyle, psychosocial and physiological factors can also influence a person’s health and wellbeing. Health can also be significantly affected, and modified to some extent, by the quality and timeliness of the health care services we receive, including preventative health care such as education, screening and immunization.
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
The World Health Organization (WHO) was established in 1948 by the United Nations, serving as a specialized agency to coordinate international health and public health problems (Wilkinson & Marmot, 2003, p. 4). Mason, Gardner, Outlaw, and O'Grady (2016) states that health is created where people live, work, and play; therefore being more dependent on one’s zipcode rather than one’s genetic code (p. 2). One of the goals of the WHO is to create a healthier nation which requires that the factors that challenge or promote health be addressed; these factors are known as the social determinants of health or the core determinants of health (Mason, Gardner, Outlaw, & O'Grady, 2016).
The range of personal, social, economic, and environmental factors that influence health status are known as determinants of health. Social determinants of health reflect the social factors and physical conditions of the environment in which people are born, live, learn, play, work, and age. According to Florida Public Health, Heart disease was the second leading cause of death in 2012, accounting for41, 643 deaths. The heart disease age-adjusted death rate per 100,000 populations decreased between 1990 and 2012 from 286.5 to 155.3. Heart disease was the leading cause of death among individuals 85 years or older, accounting for 30.0percent of deaths in this age group.
Society and culture play an important role in affecting the health and well-being of individuals or a community. The social and cultural factors that determine the health in a society or a culture are income, education, social wealth, occupation, societal support, community structure, accessibility of health services, structural inequality, attitude, cultural beliefs, and legal channels. These factors are linked to produce a disproportionate burden or risk of death, disease, disability and ill health on a particular population or group known as health disparities. Health disparities are induced through a process known as social stratification, which is when individuals in a society are divided into subgroups base on attributes that are considered important by society such as sex, income, race, and education. Stratification is responsible for formalizing inequality in the way of unequal access to valuable resources, such as education, health care, dental care, and housing.