Health: A Major Social Issue

As stated by the World Health Organization (WHO), ‘health’ is defined as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (WHO, 1948). The health and wellbeing of individuals is generally determined by their circumstances and environment, a phenomenon referred to as the social determinants of health. WHO describes the social determinants of health as:

Compare the role of two complementary therapies with those of more orthodox treatments – M2

In 1946 the World Health Organisation (WHO) defined health as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”. This definition integrates the main concepts of health and identifies that health can be viewed differently by individuals and groups (Bowden, 2006). Health and well-being are the result of a combination of physical, social, intellectual and emotional factors (Dunkley, 2000a).

Sociology: Some guiding principles Social exploration of health – Group & individual experiences – Unique, individual factors of health/illness BUT also shared, social  factors Medical knowledge, practice, & technology  – Often constructed as THE TRUTH, without reference to the historical  and cultural development of medicine ‐ sociology critiques what is  meant by TRUTH. Health is socially shaped – What is means to be healthy or ill shifts between generations and  within generations; across cultures and within cultures 3 2/17/2016 Identifying a sociological approach Key features of a sociological approach:   Social distribution and production of health patterns of health and illness eg gender, class, age Social construction of health defining and meanings of health and illness Social organisation of health social processes to manage health and illness eg power; which health services receive funding priority etc., ‘who does what and to whom’

Naidoo and Wills(2001, p.47) “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’ - WHO (1946).” This definition falls into a holistic way of defining health, which believes that there are more areas to look at when thinking of health than just simply the absence of a disease. It considers the cause of why someone is ill and not just simply about ’fixing it’.

“Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” (World Health Organisation, 2011)

The definition of health is fluid, ever changing and carries different meanings across individuals, societies and cultures. Although it is difficult

In modern society there is a general consensus that ‘good health’ is something that everyone wants to experience and that each individual knows what this involves. Because there are so many different definitions of health and ill health it can become a very complicated concept. Walsh (2011) states that “In sociological terms ‘health’ and ‘illness’ are contested concepts. This means that the general meaning of these words should not be taken for granted.

Rowlingson (2011) agrees with Wilkinson and Pickett that there is indeed a strong correlation between income and health and social problems. In her report she includes the ‘Marmot Review’ (Marmot, 2010) which shows evidence that people living in England in the poorest areas compared to those living in the richest will, on average, die 7 years earlier. This suggests a clear link between class and health. The report further notes other additional factors, such as infant mortality, and mental and physical well being go hand in hand with inequality.

But over the past few decades, the definititon and concept of health has evolved to encompass more elements than just the physical well-being of a person. This is partly attributed to various researches and studies that have taken place around the world in the last 60 years. Already in 1948, the World Health Organization declared that health is “a state of complete physical, mental and social well being and not

The World Health Organisation defined health: “State of complete physical and social well-being and not merely the absence of disease and infirmity” (WHO, 1946 p.100). Many factors influence health such as family traits, behaviours, access to quality healthcare and environment (quality of air, bad/good water and housing conditions) (WHO, 1946). The holistic view of health combines the mind (mental), body (physical), emotional and spiritual elements to a person (Ewes & Simnett, 2003).

There are many different reasons why health inequalities exist due to many factors one extremely important one is social class. Socio-economic inequalities have been researched in the UK for many years. In the early 20th century the government started an occupational census which gave the researchers the opportunity to examine health outcomes of social class. The five class scheme was introduced in 1911 and a variation has been used since. In 2001 the National Statistics Socio Economic Classification replaced the older version. Social class is a name used to identify people who are similar in their income

“Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (WHO, 1948.)

This essay will be discussing the extent to which social class and poverty affects health and illness. Firstly, what is social class? Each person’s perception of social class can be different; is social class defined by a person’s accent, the area they live in, or something as simple as their income? Project Britain describes social class as “The grouping of people by occupations and lifestyle”. (Cress, 2014). To find social class Sociologists group people according to common factors, they compare people and various criteria can be conveniently used to place people in social groups or classes. Next we ask the question what determines a person’s health, the NHS defines health as “Physical and mental, it is the absence of disease”. (NHS 2017).

The World Health Organisation (WHO) defines Health as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”