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discuss the social determinants of health
how socio-economic status affect health of an individual pdf
discuss the social determinants of health
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Health is something that many would not associate as being a social issue, yet many sociologists have argued that it is a major social issue. They argue that the way we experience and understand health is dependent upon society. In 1946, the World Health Organisation (WHO) defined health as, “a state of complete physical, mental and social well-being” (WHO, 2003). This definition is very holistic in the sense that it encompasses all aspects of a person’s life. It is also very idealistic and unattainable for most people. Health can also be seen as, “the absence of illness”, which alternatively is a more traditional view, that views disease and illness as a deviation from the bodies norms (Blaxter, 2010, p5). There is no definition of health that is subscribed to by everyone, and how people understand it is shaped by society. Although health is experienced in the body, we relate to it through social institutions such as medicine and our status in society can have a profound effect on our chances of being healthy. Through looking at the different ways health relates to society, I will attempt to show how health is a social issue as well as a biological one.
When the NHS was introduced in 1948, officials thought that after treating the backlog of unhealthy people the demand for healthcare would decline, as everyone would become healthier (Moore, 2008, p281). This was however a mistaken assumption and instead demand for healthcare rose. This was because standards of health changed with better healthcare, so people constructed a new idea of what “healthy” was. This shows that people view health relative to the people around them and that health is not fixed, but is instead subject to society. Dubos noted in his book, “Mirage of Health”...
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..., D. 1998., Independent Enquiries into Inequalities in Health. London: Stationary Office.
•Macionis, J,. Plumber, K., 2012. Sociology: A Global Introduction. 5th ed. Harlow: Pearson.
•Siegler, V., 2011. Social inequalities in alcohol-related adult mortality by National Statistics Socio-economic Classification.[pdf] Available at: http://ons.gov.uk/ons/rel/hsq/health-statistics-quarterly/no--50--summer-2011/social-inequalities-in-alcohol-related-adult-mortality-by-national-statistics-socio-economic-classification--england-and-wales--2001-03. [Accessed 19th december 2013].
• Conrad, P. and Schneider, J., 1980. Deviance and Medicalisation: From bad to sickness. St Louis: Mosby.
•Fox, N., Ward, K., O'Rourke, A., 2005. Pr-Anorexia, Weight Loss Drugs and the Internet: An Anti-Recovery Explanatory Model Of Anorexia. Sociology of Health and Illness, Vol 27 (7): pp944-971.
The original ethos behind the NHS was the belief that, through the provision of universal and complete health care, free at the point of provision, the NHS would eliminate significant disease and thereby work itself out of a job. Clearly a naive view by today's standards, this ethic remains one of the problems of the NHS today: the electorate still believes that there is intrinsic value in a universal and complete NHS, although no-one can agree on exactly what constitutes 'complete' health care, and none can say what the actual benefit of attempting to provide this (rather than rationed care)...
Pro-Anorexia Websites Cyberspace, something that was once considered a fad, has developed into a tool that allows people struggling with anorexia to potentially find sanctuary from the regulatory systems in popular culture that are applied to women’s bodies. Cyberspace provides an alternative space for women with eating disorders or body issues. The space created by cyberspace is potentially safer for women to meet because it allows anonymity while simultaneously being part of a community that the built environment is unable to provide. The components that make up pro-anorexia websites are usually considered abnormal, repugnant, or deviant within popular culture, because popular culture does not accept the way anorexics interpret images of the body. This popular view of people with anorexia does not allow anorexics to function as an accepted part of public space or popular culture.
Outlined within this essay are two sociological theories which have been investigated this will be in conjunction with a contemporary health issue. This then will be related to how the individual’s lifestyle and social class to give the reader a better understanding of this health issue.
Conrad, Peter, and Joseph W. Schneider. 1992. Deviance and Medicalization: From Badness to Sickness. St. Louis: Mosby.
The biomedical model of health has been criticised because it fails to include the psychological and social causes relating to an individual’s medical illness or health, looking only at the biological causes (Giddens and Sutton, 2013). Therefore, sociologists being aware of the impacts of social structure and lifestyle on health have put in various efforts to place the study of ‘the social’ at the core of health and healthcare examination.
As discussed, it is clear that when it comes to public health the lines are often quite blurred. The Biomedical Model and the Lifestyle Theory Model both have their advantages however a common theme throughout both models is that they are both too reductionist in their approach to health. They failed to consider other health models viewpoints, or incorporate external factors such as the social gradient into their reasoning behind the cause and effect of bad health. Therefore instead of trying to categorise health into definite ‘health models’, health needs to be accepted more for what it is - a forever changing and adapting concept.
Health as a Social Construction In my essay, I aim to find out why social construction affects the health of our society. Ill health may be defined as 'a bodily or mental state that is deemed undesirable'. This means that health is the condition of the body both physically and mentally. Social construction of health refers to the way health varies from one society to another.
In this essay I am going to investigate whether health is easily defined as the absence of disease or physical injury. According to Health psychology (2009) ‘World Health Organisation defined health as a complete state of physical, mental and social well-being and not merely the absence of disease or infirmity’. In order to achieve good physical a nutrition diet is needed, healthy BMI, rest and adequate physical exercise is needed.
In some way, public health is seen as a modern philosophical and ideological perspective based on ‘equity’ and aimed to determine inequitable in society. It seen as a ‘science’ and ‘art’ in the sense that it deals with the cause of disease, treatment of illness as well as it involves laboratory experiments, intervention and promoting of health of the population. Winslow (1920, p. 23) defined public health as ‘the science and art of preventing disease, prolonging life and promoting physical health and efficiency through organised community efforts for the sanitation of the environment, the control community infections, the education of the individual in principles of personal hygiene, the organisation of medical and nursing service for early diagnosis and preventive treatment of disease, and the development of social machinery which will ensure to every individual in the community a standard of living adequate for the maintenance of health. On the other hand, it is ‘the science and art of preventing disease, prolonging life and promoting health through organised effort of society’ (Acheson, 1998; in Cowley S, 2002, p. 261).
Puffjacket. ( 2010) Why Is Health Difficult To Define? [online] Available at: http://www.etudier.com/dissertations/Why-Is-Health-Difficult-To-Define/35259.html [Accessed:5 Jan 2014].
Although philanthropic groups have been concerned about social inequalities for centuries, the issue of health inequalities in the UK was rejuvenated in the 1980s by the publication of the Black Report (Black and Townsend et al., 1982). Data amassed by the Black Report illustrated marked differences in mortality rates between the occupational classes, for both men and woman alike, at all ages. A class gradient was observed for most causes of death. The Black Report provided four theoretical explanations of the relationship between health and inequality:
The notion of health is contextual and an interactive, dynamic process between person and environment (Schim et al, 2007). Both wellness and illness are conceptualized by the ‘person’, existing on a continuum across the lifespan (Arnold & Boggs, 2001).
Introduction: For this essay I am going to critically discuss the biomedical model as well as the social model of health and how they both relate to the lay perspectives on health and illness.
This also discusses health in relation to social institutions, for example family, employment and school. However, health can be defined in a number of ways, such as negative and positive. The negative is where health is perceived to be the absence of disease or abnormalities in the body. This is similar to the positive, where health focuses on the presence of certain attributes, rather than the absence of them. This is different from the World Health Organisation (WHO 2008) where health requires a person to be completely physically, mentally and socially well, but not just in the absence of disease and illness.
The main topic of this chapter is health and disease. “The conceptions of health and disease held by individuals and society may vary” (Baillie et al., 2013). This means that society may play a role in how individuals handle their health care, but individuals may also have different views on their health and prefer other methods or options. This chapter also covers the goals that health care aims to provide. These goals are driven to help those who are ill gain the highest satisfaction of life, but this is not always the case because of different situations and perspectives. Another important topic in this chapter is the importance of the needs of a person and the contributions of society. These two factors help determine the basis for distribution