Norma James is a 65 years old widow who lives alone. Mrs. James has a medical history of Type 2 diabetes mellitus and hypertension and has also been diagnosed with atrial fibrillation. Mrs. James has been a smoker since her 20s and smokes about a ½ pack of cigarettes per day. She has two adult sons who lives far and has minimum contact with them. She does not work and has a very limited savings. She relies on Old Age Security Benefits for income. She has been living in the same neighbourhood for years but has only few individuals who she considers friends. She prefers to spend her time alone at home watching television, reading or watching over her six cats.
Social Determinants of Health are conditions such as living conditions or environments one has experienced while living their life and how that affects one’s health (Mikkonen, J., & Raphael, D., 2010). In this case study of Norma James presented above, the three Social Determinants of Health (DOH) relevant to this case study are Income and Income Distribution, Health Services and Social Safety Net. The following of the paper will discuss the three DOH’s relevant to Mrs. James and how they are affecting her.
The first DOH that is relevant to the case study of Mrs. James is Income and Income Distribution. Out of the fifteen DOH’s Income and Income Distribution is considered the most important (Kozier et al, 2014). With a low or high income, one’s ability to purchase food, shelter, and other essential health requirements
Another U.S. study found that low availability of emotional support and low social participation were associated with all-cause mortality.
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 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)
Social determinants of health encompasses ethnicity, gender and social class. It is seen as the essential
emphasis was on relationships to family, group and country rather than the development of an
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.
In the last few years, nurses and other healthcare professionals (HCPs) are under the spotlight of the media and the public due to issues addressed in documents such as The Francis Report (2010). This is good in a sense though as it gives us the opportunity to better ourselves as HCPs and improve the standard of care for everyone. It is now a widely known idea that there are many different factors that affect our health and wellbeing not just biological factors as believed to be the case not very long ago when a biological view was taken when addressing a person's health. However, this has all changed for the better where now healthcare is individualised, holistic and takes in to account the individuals own circumstances i.e. the social determinants of health and wellbeing (social determinants), not a simple one size fits all approach. This essay is going to discuss some of these factors so that we can learn to reduce these inequalities in healthcare and make great healthcare more accessible to everyone. The factors that will be discussed are individual lifestyle choices, housing conditions and .
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.
Social determinants have immense important role in the health of people. Socio-economic position and ethnic identity are two factors which affected the health and wellbeing of people. This essay looks into two important social determinants of health.
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
The aim of this essay is to examine the influence that socio-economic status has on an individual’s health.
The influence of the population health is based on the role of the government but is not limited within the health sector but by various sectors outside the health systems. The health system is strengthened by the human resource development and the capacity to build and regulate the public health in the important areas of the health sector. The contributions to the health population are derived from the social determinants of health such as the living conditions, education, and the social security measures. Other areas for action are the population stabilization, reducing the impact of climate change on health and improving the community participation. Making public health a shared value across the various sectors is a politically challenging
Understanding social factors in health has become a central issue recently and a large number of studies has been dedicated in this regard. Social factors are phenomena seen in the interaction between individuals and social groups. In this essay, the importance of understanding such factors and their influence on health are addressed by studying socioeconomic status. Studies results are incorporated to explain health inequalities that arise from socioeconomic status and possible explanations including the material and structural, social selection, cultural and historical explanations cited in the literature are briefly discussed.