Contents
1. Introduction 3
2. The Tower Hamlet Borough Demography 4
3. Diabetes prevalence in London Borough Tower Hamlets 7
3.1 Diabetes and health inequalities in Tower Hamlets 9
4. Social Determinant of Health 10
4.1 Examples of social determinants include: 10
5. National and Local Policy for diabetes 11
Contrarily, the recommended standard the National Audit Office report published in 2009 finds that NHS is performing below the expected levels of care, low achievement of treatment standards and high numbers of avoidable death, and concludes diabetes services in England are not delivering value for money. There were an estimated 3.1 million adults with diabetes in England and the number of people with the condition is expected to
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(National Audit Office, 2013) 12
6. Public Health Provision in Tower Hamlets 13
Conclusion 14
References 15
Public Health England, (2013) Diabetes prevalence model for local authorities and CCGs, (Online), Available at: http://www.yhpho.org.uk/default.aspx?RID=154049 Accessed [12/06/2015] 16
1. Introduction
Health is determined by some social conditions such as people’s work, area of birth, living and working environment. it also includes housing, education, built environment, financial security, and the health system. The world health organisation (WHO) stated that the above conditions are influenced by some very powerful forces which include social policies, economic policy, and political instances.
However, the term social determinants are nowadays greatly perceived as the responsibility of large amount of unwarranted health imbalance. While some imbalances are the consequence of free choice or usual natural differences, others are of external management of some people or groups of people and invariably these could be and could be circumvented
This report intends to focus on diabetes frequency in tower hamlet Borough. Hence, the demographic features of borough of Tower Hamlet will be highlighted with reference to the consideration of social determinant of diabetes in London Borough of Tower Hamlets. The report will likewise evaluate the national, local policy
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.
In simple terms, an individual’s health very much depends on factors which are out of their control. While these factors are highly numbered, I will discuss the most influential aspects which affect our overall health. Various studies have documented the certain relationship between these social determinants of health and it has been evaluated and continuously studied over the years.
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
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.
This essay will focus on type 2 diabetes, which is becoming one of the fast growing chronic health conditions in the United Kingdom (UK). Approximately 700 people are diagnosed with type 2 diabetes each day in the UK (Diabetes Uk, (2014)a). It is costing the NHS about £10billion pounds each year to treat diabetes along with its complication and it is expected to rise in the next couple of years (Diabetes UK, (2014)b).
The World Health Organization defines, "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
Social determinants can strengthen or undermine the health of individuals and communities (Wilkinson & Marmot 2003). For example, in general, people from poorer social or economic circumstances are at greater risk of poor health than people who are more advantaged.
SOCIAL DETERMINANTS OF HEALTH MUHAMMAD AZIZ BENEDICTINE MPH STUDENT SOCIAL DETERMINANTS OF HEALTH Definition: We can define the social determinants of the health as “”These are the circumstances which deal with the daily living conditions of the individuals in a community. In other words these describe in which people are born, live, grow, work and age.
Keleher & MacDougall (2016, p.20) define the social determinants of health as “the fundamental structures of social hierarchy and the social, economic and politically determined conditions that result in good health, ill health or disease, and in which people grow, live, work and age”.
Diabetes continues to be a growing problem for the United States population especially type 2 diabetes, which “accounts for about 90% to 95% of all diagnosed cases of diabetes”(Center for Disease Control and Prevention (CDC), 2014). Type 2 diabetes, formally known as adult onset diabetes, is defined as a “disorder of insulin resistance in which the cells primarily within the muscle, liver, and fat tissue do not use insulin properly. As the need for insulin rises the cells in the pancreas gradually lose the ability to produce enough hormone”(CDC, 2014). Diabetes as a whole affects about “9.3% of the US population or 29.1 million people” (American Diabetes Association (ADA), 2014; CDC, 2014). Despite the high prevalence of the disease, it is only going to continue to grow if nothing is done to correct the problem. The “United States spent an estimated $245 billion on diabetes in 2012” (ADA, 2014; CDC, 2014). This outrageous number and the drastic impact diabetes has on health should emphasis the need to reduce the diabetic population in the future.
The analysis of social determinants and health equity aims to understand the biopsychosocial genesis of the health - disease process, understanding the determinants and social conditions in which a person is born, it grows, live, work , and age (WHO, 2005) this includes political , cultural , economic aspects and aspects related to health systems. Closely linked to the analysis of determinants is in analyzing health inequities, understood as the absence of unfair and avoidable inequalities that are explained precisely by the social determinants of health. The ONS aims to deepen and develop the analysis the health situation in the country with social determinants perspective, for which it has recognized the need
The study aimed to examine the effect of socioeconomic disparities on the incidence of diabetes in countries with universal health care systems. The authors claimed that poverty plays a large role in increasing diabetes incidence among low income citizens. The study followed a quantitative research design (Hsu et al., 2012).
In England alone about three million people have type 2 diabetes. It is nearly four times as common as all types of cancer combined. It is regarded by some experts as the 21st century’s primary public health threat. It accounts for approximately £9bn of the annual NHS spend, and is responsible for more than 20,000 early deaths each
“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.