Social determinants of health

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:

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.

A variety of challenges including personal, social, economic, and environmental factors can determine the health of an individual as well as its community. Others determinants of health include genetics, access to medical care, and socioeconomic measures such as education and poverty. Any interference among these factors can often lead to health disparities, which are health gaps that exist between different communities and populations. Health disparities can affect communities based on gender, age, race, social status, economic status, or special care needs. Therefore to understand which factors affect the health of a community, it is necessary to examine the social and economic conditions in which people live in, as well as the rates of diseases

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:

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

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.

Another U.S. study found that low availability of emotional support and low social participation were associated with all-cause mortality.

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.

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”

The World Health Organisation posits that the 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 shaping the conditions of daily life which are in turn responsible for health inequities, the unequal and preventable disparities in health within population groups and between countries (WHO 2015). This broadly means that a person’s health can be negatively impacted or enhanced depending on their social status, educational attainment, level of income, living conditions and access to resources and social support networks.

Although seen within and between countries are the social determinates of health which are the unjust and avoidable differences in health status( National Rural Health Alliance 2016). The social determinates of health are the reason for increased health issues worldwide.

The aim of this essay is to examine the influence that socio-economic status has on an individual’s health.

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)