The Social Determinants of Health: How Where We Live, Learn, Work and Play Impacts the Health of Americans

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 is a state of complete physical, mental, spiritual and social wellbeing, and not just the absence of disease” (WHO, 1974). Health inequalities are the differences in health or healthcare opportunities in different societies this may be due to income,

“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”

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)

Poverty is the single largest determinant of health. It has a widespread range of negative effects, both on the physical and the mental level, making it a significant public health concern in many countries. Poorer people tend to live shorter lives because there’s a clear correlation between income and access to healthcare. This disparity draws special attention to the significant sensitivity of health and the social environment.

“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

Social determinants of health encompasses ethnicity, gender and social class. It is seen as the essential

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

Social determinants are regarded as the life you were born in i.e. your ethnicity, age ,gender etc. this also links to the determinant factors i.e. environment, economic, social status and lifestyle (REFERENCE) Social determinant of health strongly impact on the health outcome of individuals Many health researchers regard social position as the fundamental cause of health (REFERENCE). Social determinant can influence the care and support each individual received in order to manage their diabetes. Living in a deprived area where there is no availability of community based resources, ‘men and women of working age in the most deprived population groups are twice as likely to die prematurely as those who are relatively affluent;’(Inequality in Health and Social care use 2003) therefore you have to access healthcare services outside the area, this can stop individuals from seeking treatment as they might not have bus fare or access to a private car.(Reference).The impact of austerity cuts also impact on individuals of the

These disparities are obvious in some key measures of wellbeing including life expectancy, the risk for disease, and access to health care (Disparities in Health, 2015). Historically, the major factors contributing to shorter longevity and high rates of disease are overcrowding, poor sanitation and low availability of treatment facilities. However, the change of theses socioeconomic

According to the Centers for Disease Control (CDC), “health equity is achieved when every person has the opportunity to attain his or her full health potential and no one is disadvantaged from achieving this potential because of social position or other socially determined circumstances” (U.S. Department of Health and Human Services, 2015). Satcher (2010) reports that health inequities are “systematic, avoidable, and unjust” disparities (p. 6). He also states that the World Health Organization (WHO) concluded that social conditions are the most important determinant of a person’s health. Social conditions “determine access to health services and influence lifestyle choices” (Satcher, 2010, p. 6). These determinants must be addressed in order to reduce health inequity. Inequity can be

The difference in health outcomes and the determinants between parts of a population caused by social, demographic, environmental and geographic characteristics is defined as health disparities (Dore & Eisenhardt,2015). Societal, economic, and political forces impact social determinants. (Dore & Eisenhardt, 2015) have indicated that health inequities are avoidable and preventable when appropriate actions are taken to lower the risk of illness.

There are considerable health inequalities amongst Britain’s social classes. Health is formed by socio-economic, political and environmental factors; these elements shape inequalities and influence the health of various social groups in Britain.

According to Mackenbach et al. (2017) death rates and poor self-assessments were high in areas that had lower socioeconomic status (Mackenbach et al., 2017). Although, inequalities between socioeconomic groups did vary among countries, some higher and some lower (Mackenbach et al., 2017). The cause of death also appears to affect these variations among groups. Mackenbach et al. suggests “improving educational opportunities, income distribution, health-related behavior, or access to health care” may reduce socioeconomic status inequalities in these countries (Mackenbach et al.,