The World Health Organization (WHO) was established in 1948 by the United Nations, serving as a specialized agency to coordinate international health and public health problems (Wilkinson & Marmot, 2003, p. 4). Mason, Gardner, Outlaw, and O'Grady (2016) states that health is created where people live, work, and play; therefore being more dependent on one’s zipcode rather than one’s genetic code (p. 2). One of the goals of the WHO is to create a healthier nation which requires that the factors that challenge or promote health be addressed; these factors are known as the social determinants of health or the core determinants of health (Mason, Gardner, Outlaw, & O'Grady, 2016).
The factors included in the determinants of health are health services, employment/working conditions, education and literacy, physical environments, social support networks, personal health practices and coping skills, social environments, healthy child development, biology and genetic endowment, culture, financial and social status, and gender (Mason, Gardner, Outlaw, & O'Grady, 2016, p. 3). Health People 2020 further breaks these factors down into a “place-based” organizing framework which is reflecting five main areas of social determinants of health: economic stability,
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These forces and systems include economic policies and systems, development agendas, social norms, social policies and political systems” (para. 1). In 2005, the WHO created the Commission on Social Determinants of Health to guide, support, and strengthen countries’ abilities to improve, implement, and evaluate initiatives on health promotion discriminations by addressing the determinants of health (WHO, n.d.; Commission on 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:
In Sridhar Venkatapuram’s (2010) article Global Justice and the Social Determinants of Health, the main argument presented is of the Commission on the Social Determinants of Health (CSDH) 2008 final report and examines the lack of general support the findings have received. The main concept of this analysis appears to mirror that of the CSDH’s report on “whether science, linked with ethics, can motivate global action, and whether the public scrutiny and deliberation…can meaningfully be brought together in global health policy” (Venkatapuram, 2010, p. 120). The premise behind this concept is that by bringing professionals together to address the strengths and weakness of the model, the theory behind social determinants of health will gain momentum.
I assume that in today’s world, there is a lot of information and scholarly research available that shows factors such as economic status, income, social situations, education, ethnicity, employment, availability of affordable housing and geographical (place where one was born and lives) conditions have a tremendous impact on the health and well-being of individuals, countries and communities (Amaro, 2014). Inequalities in health and well-being are created by social determinants and economic conditions for many in our community (Brannigan &Boss). The people that are affected the most are people with low income and minority groups here in the United States. This creates health disparities and unequal care (Brannigan &Boss). In many developing and under-developed countries, the situation is dire: lack of modern health services, illiteracy, poor economic conditions has created a cultural situation of desperation and unhealthy behaviors. Corruption by African governments is rampant. To improve the health and wellbeing of communities, we need to start thinking of how we can create a culture of health.
“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”
“Failure to acknowledge, and more importantly, to understand the role of Social determinants of Health (SDH) in health and access to health and social services will hamper any effort to improve the health of the population.” (Ompad, Galea, Caiaffa, & Vlahov, 2007). Unemployment, unsafe work environments, globalization and the inability to access health systems are some social determinants of health. Social factors would be considered place of residence, race and ethnicity, gender, and socioeconomic status are also part of social determinants of health. According to “Social Determinants of the Health of Urban Populations: Methodologic Considerations’ Place of residence and an individual’s status within the place are important determinants of health in urban settings. It is important to recognize that the place of residence is
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
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
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 .
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
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”
Social determinants of health are social, economic and physical factors that affect the health of individuals in any given population. There are fourteen social determinants of health but Income is perhaps the most important of these because it shapes living conditions, influences health related behaviors, and determines food security. In Canada, people with lower incomes are more susceptible to disease/ conditions, higher mortality rate, decreased life expectancy and poorer perceived health than people with high incomes. In numerous Canadian studies and reports, there has been more emphasis on health being based on an individual’s characteristics, choices and behaviours, rather than the role that income plays as a social determinant of health. Although Canada has one of the highest income economies in the world and is comprised of a free health care system, many low income families are a burden on the system because of the physical and mental health issues influenced by income insecurity. Low income individuals are heavier users of health care services because they have lower levels of health and more health problems than do people with higher incomes. This essay will address income as a social determinant of health in three key sections: what is known on the issue, why the issue is important and how can health and public policies address the issue. The main theme that runs through the essay is the income related health inequalities among low income groups compared to
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 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)