I. Introduction
The American Medical Association (AMA) approximates that at least 25 cents of every dollar spent on health care in the U.S. is allocated to the management of diseases or debilities that stem from personal behaviors that can be changed by the individual (Andre et al)1. To what extent are people responsible for their own personal conduct and poor health decisions that result in serious, yet avoidable illnesses and disabilities? Will charging people higher health insurance premiums help curb poor health habits?
In Health Disparities in the United States: Social Class, Race, Ethnicity, and Health - Edition 1 by Donald Barr, the author explores the questions, “What is health? How should we define it? How should we measure it?” Barr addresses the “danger of approaching health as a moral imperative” and references Faith Fitzgerald, who points out the “tyranny of health”, where those who are unhealthy in some way are deemed to have behaved poorly. The author explains that people cannot be judged for their bad habits and resulting poor health2. Yet, in some cases, how can people not be held liable for their harmful decisions? It is unfair to encumber those citizens who make healthy lifestyle choices with the health care costs of those who have made detrimental decisions and behave in manners that create risks to their health and wellbeing. People should be held liable for the predictable consequences of voluntary actions; those who knowingly engage in
“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”
According to the Centers for Disease Control and Prevention, “health disparities are preventable differences in the burden of disease, injury, violence, or in opportunities to achieve optimal health experienced by socially disadvantaged racial, ethnic, and other population groups, and communities” (CDC, 2017). It is easy to believe that control on overall health relies solely on making a firm decision (the “right” decision" to lead a healthy lifestyle— by being active and eating a balanced-diet. There are other factors to be considered in evaluating and understanding health disparities: why people seem to be noncompliant? Or why people aren’t seeking medical attention in a timely manner? In reading
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
Some researchers in the field of public health analysis have increasingly focused on how social determinants of health influence health outcomes and disparities (Clarke, C. E., Niederdeppe, J., & Lundell, H. C., 2012). They have also explored strategies for raising public awareness and mobilizing support for policies to address social determinants of health, with particular attention to narrative and image-based information Clarke, C. E., Niederdeppe, J., & Lundell, H. C., 2012). The relationship between the social determinants of health and health disparities has been well researched. In developing policies or programs to reduce and, ultimately, prevent health disparities, upstream contributing factors, known as the social determinants of health, must be taken into consideration when addressing such issues (Dubiel, H., Shupe, A., & Tolliver, R., 2010). Progress toward reducing health disparities will involve support for community-based strategies, enhanced the understanding of SDH, and increased diversity of the health-care workforce. The coordinated efforts to address disparities take into account strategies and actions that build on community infrastructure and an increasingly diverse and culturally competent workforce (Jackson, C. S., & Gracia, J. N., 2014). These efforts will need to overcome low public awareness and concern about social determinants of health; few organized campaigns; and limited descriptions of existing message content. The established relationships
emphasis was on relationships to family, group and country rather than the development of an
Often the term “disparities” is related to a specific racial or ethnic group of people, many variations of disparities exist in America, mainly in regards to health. If any outcome from health disparities can be ascertained is populations and regions in America.
One of the major obstacles for researchers in the field of Health Psychology and Aging is understanding the role of health disparities across different populations. Health disparities can be understood in terms of differences in some facet of health and well-being across different groups of people. The issue of health disparities across different populations is one that must be understood not only in the context of genetic and biological factors, but also in the context of a broader sociocultural perspective. The influence of health disparities are implied in the context of aging, but are discussed across the entire lifespan. The existence of health disparities in later life is often a product of a lifelong experience and life-course trajectory. This essay will address some of the major
Although the overall health of the United States population has improved, large disparities in terms of health outcome and access to healthcare exist between wealthier Americans and their “poorer counterparts primarily because of differences in education, behavior, and environment.” (Longest, 2015, p8). Access to health care and other services is associated with wealth, employment, education and power. Higher education, which translates to higher income, allows people to buy healthier food, live in safer, cleaner neighborhood and access the best healthcare possible. Power on the other hand permits people to secure health for themselves and their families, while others without power have limited or no access to the resources they need to be
The United States is faced with multiple health disparities within the country that encompass many challenges for individuals when it comes to the fairness and access to health care. A health disparity is defined as the inconsistency of treatment between two different groups of individuals. Treatment that could be different could be seen as different care due to age, race, ethnicity, culture, or current socioeconomic status (Koh et al., 2012). Treatment may be different or delivered in different ways between literacy component individuals and illiterate individuals and be viewed as unequal care. Healthcare facilities must be cautious when providing care and be cautious of the health disparities that exist in order to provide equal and
The research on health disparities across the United States is still relatively new. For many within the medical field there are still many who focus on issues of disparities without addressing the structural issues at the base of those disparities. When it comes to interventions to address these disparities and inequalities, research is focused on the role of medical professionals with little research on community engagement and empowerment.
Social determinants of health inequity reflect deeper social divisions, which generate multiple risks that are reproduced over time. Hierarchies of power must be critiqued through the lenses of class and race to make tangible the seemingly abstract connections between social and economic determinants and distribution of health inequity. Racism finds refuge in various forms of material exploitation; narrow interventions that fail to address the root causes that undermine the health and well-being of members of the community will ultimately fail.1 The treatment of Mexican immigrants with tuberculosis (TB) by health officials in Los Angeles from 1914 to 1940 is a telling story that made salient the insidious impact of poverty and race on health, and it provides an important lesson for public health officials.
I think that Americans should be held responsible for their own health outcomes. However, some illnesses that people may have could not be their fault. With that said, I do not think it is fair for someone to be held responsible if the risk factors cannot be changed. For instance, a person could develop heart disease by being a male, heredity, or increasing age (Hahn, Payne, & Lucas, 2013). To further explain my example, I do not think someone who develops a disease from risk factors that cannot be changed. However, if someone smokes or is overweight, which are risk factors that can be changed to reduce the risks of heart disease. If a person chooses not to change their bad health habits, then at this point, they should be held responsible for their own health outcomes. Another example of why someone should be held responsible for their own health outcomes is if the person smokes. Smoking is not only dangerous to the smoker’s health, but it is
Donald Barr’s text Health Disparities in the United States: Social Class, Race, Ethnicity, and Health examines the various factors that can contribute to unequal health outcomes. He starts by defining health and disparities for us, making the reader understand that being healthy is not merely just lacking illness. Health is a multidimensional concept involving absence of disease as well as social role functioning and psychological health. This is crucial to understand, especially when studying healthcare organizations and their impacts as it removes the individual from solely focusing on traditional medicine. When I say “traditional”, I mean treating physical ailments such as the flu. By having an understanding that in order to achieve health one must fulfill multiple dimensions, the importance of alternative sources of medicine, such as chiropractic care, psychiatry, and holistic approaches are shown. Also gained
Overall, I was not surprised that my scores varied depending upon the specific category. I grew up in a household that mainly revolved around school and physically activities including sports so I was expecting to score higher on these two categories. This survey accurately represents what aspects of health that I focus on the most. I was surprised to see that my social health was the highest category because I am usually a quiet person but I have tried to talk more with people since coming to college. My family was never very spiritual or religious so I was expecting my spiritual health score to be lower than all the other categories. This survey is an accurate representation of my overall wellness because the scores matched my expectations.
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.