1) The epidemiological transition is the shift from infectious- to chronic-disease causes of mortality that, as Friedan (2015) points out, has occurred all over the world, but particularly in wealthier nations, due to advances in public health and medicine. While the demographic transition can complement the epidemiological transition, it is not the same because it shows an interplay of birth and death rates influencing population growth (Macinko, 2016). Furthermore, unlike the epidemiological transition, the demographic transition does not explicitly isolate disease causes of mortality (Colgrove, 2002).
2) Social stratification is the idea that people are arranged into groups of unequal power according to characteristics like age, sex, race/ethnicity,
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Although his methods were flawed, McKeown’s assertion helps ground (and sometimes re-ground) public health as a discipline of social justice, not a branch of medicine. Thanks in part to McKeown, major institutions like the CDC take seriously socioeconomic factors that impact population-level health outcomes (Friedan, 2015).
4) Link and Phelan (1995) define a “fundamental cause” as a social condition that determines disease risk or access to resources that mitigate risk. Fundamental causes are not linked to any specific medical condition; instead, they impact an individual’s ability to maintain health and avoid unhealthy behaviors. For example, education is a fundamental cause because it equips an individual with resources - knowledge, money, and empowerment - needed to live well and prevent disease.
5) Public health is a multifaceted discipline that works to promote and improve health and prevent disease through population-level interventions (American Public Health Association,
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(2010) describe the poverty line as one threshold by which health is often examined: people are either in poverty and unhealthy or not impoverished and healthy. The social gradient, by contrast, examines patterned health status across socioeconomic position, indicating that health deteriorates incrementally from the highest-status position to the lowest-status position. So a more appropriate comparison for the social gradient would be between the “haves,” “haves less,” “haves even less,” all the way to the “haves little to none.” An illustration of the social gradient in health across economic position according to the Federal Poverty Level is included in the appendix to this
I chose not to use any of the prompts provided, but instead connect the article to what I learned in my sociology class lass quarter. In class we watched part one of film series of Unnatural causes, titled Unnatural Causes: Is Inequality Making us Sick "In Sickness and in Wealth". While reading the article this reminded me about the cases studied in the film to see whether wealth inequality contributes to making people sick. In the film they focused on the social determinants of health, wealth and education. In both the article and part one of the film Unnatural Causes they focused on three different individuals and how their health are affected by they choices they make and the access they have to care.
Public health is a vast field that encompasses many issues. Generally speaking, it deals with the safety and protection of people in a society as well as education
Gavin Turrell, B. F. (1999). Socioeconomic Determinants of Health:Towards a National Research Program and a Policy and Intervention Agenda. Brisbane: Queensland University of Technology.
Unnatural Causes, is Inequality Making us Sick? Is a documentary produced by California Newsreel, and directed by Lleewled M. Smith. Unnatural Cause analyses the factors which can influence the US population‘s health. The film illustrated several families in order to show how their health is influenced depend on different circumstances. The film is supported by the use of survey research which it is a sociological method to gather data. Additionally, the film gives proved sources showing that The US invests billions of dollars on health but still millions of people die every day. In fact, The USA is one of the richest countries in the world, but it is at the bottom of the list concerning life expectancy. An important question that professionals
Social determinants of health (SDOH) are increasingly becoming a major problem of Public Health around the World. The impact of resources and material deprivation among people and populations has resulted in an increase in mortality rate on a planetary scale. Social determinants of health are defined as the personal, social, economic and the environmental conditions which determines the health status of an individual or population (Gardner, 2013). Today’s society is characterized by inequalities in health, education, income and many other factors which as a result is becoming a burden for Public Health around the world. Research studies have shown that the conditions in which people live and work strongly influenced their health. Individuals with high levels of education and fall within the high income bracket turn to have stable jobs, live in the best neighborhood and have access to quality health care system than individuals who have low education and fall with the low income bracket. This paper is to explain different social determinants of health and how they play ...
Germov (2015: 87-93) states that the most common explanations of health inequality can be grouped into five main categories. These five categories are artifact explanations, natural/social selection explanation, cultural/behavioral explanation, materialist/structural explanations, and psycho-social/social capital explanation of the social gradient of health. Basically, health inequality has to do with what your status is as an individual, cultural, economic, as well as education level. In the textbook, Germov (2015: 516) defines the term social gradient of health “as a continuum of health inequality in most countries from high to low.” Meaning the poorest group has the worst health status, while each group above the poorest has a better health status. An example of this injustice would be the indigenous
When we consider the education of our children in the United States, we must consider their health as a significant issue as it can positively or negatively impact a student’s education. It has generally been acknowledged that there is a great disparity in our country in the area of health care. Healthy People2010, a published report put out by the Health and Human Services Division of the Unites States Government (2000) has included as part of its Goals for 2010, to eliminate health disparities among different segments of the population. According to this report, health differences occur depending on a persons gender, race or ethnicity, education or income, disability, rural locality, or sexual orientation. In this paper, I will mostly concentrate on racial and ethnic differences as well as socioeconomic differences. According to the Healthy People 2010 report, biological and genetic differences do not explain the health disparities experienced by non-White populations in the United States. Besides "complex interaction among genetic variations, environmental factors, and specific health behaviors," Health and Human Services says, "inequalities in income and education underlie many health disparities in the United States." Also, "population groups that suffer the worst health status are also those that have the highest poverty rates and least education." Health, United States (1998) reported that each increase of income or education increased the likelihood of being in good health. According to this report, those with less education tend to die younger than those with more education for all major causes of death including chronic diseases, communicable diseases and injuries. There are several factors that account for differences between socioeconomic and racial and ethnic groups. These factors include a lower sedentary life style, cigarette smoking and less likely to have health insurance coverage or receive preventive care among these groups.
The public needs to address racial disparities in health which is achievable by changing policy addressing the major components of socioeconomic status (income, education, and occupation) as well as the pathways by which these affect health. To modify these risk factors, one needs to look even further to consider the factors. Socioeconomic status is a key underlying factor. Several components need to be identified to offer more options for those working on policy making. Because the issue is so big, I believe that not a single policy can eliminate health disparities in the United States. One possible pathway can be education, like the campaign to decrease tobacco usage, which is still a big problem, but the health issue has decreased in severity. The other pathway can be by addressing the income, by giving low-income individuals the same quality of care as an individual who has a high
Furthermore, Wilkinson and Pickett (2010) argue that health and social problems are worse in more unequal societies. Because of inequality, poverty, social exclusion with the underclass and their welfare dependency, life expectancy is less, mental illness and drug use is high and educational success and social mobility is limited. Data about the United States’ society also finds a correlation between lower death rates and higher incomes, a core t...
Social determinants of health have attracted the attention of governments, policy makers and international health organisations over the last three decades (Hankivsky & Christoffersen 2008). This is because social conditions which people are born in, live and work play an important role in their health outcomes (WHO 2015). According to Kibesh (1200) social determinants drive health disparities, disrupts the human developmental process and undermine the quality of life and opportunities for people and families (ref). Thus, several theories have been developed over the years to provide in-depth understanding of the social determinants of health and to reduce health inequalities (Hankivsky & Christoffersen, 2008). However, there is still significant
Socioeconomic Disparities and health are growing at a rapid rate throughout the United States of America. To further understand the meaning of Socioeconomic Disparities, Health and Socioeconomic disparities & health, this essay will assist in providing evidence. Disparities can be defined in many ways, of which include ethnic and racial background and class types that deal with it the most. Due to the low income some individuals receive, they have less access to health care and are at risk for major health issues. Although, ethnicity and socioeconomic status should not determine the level of health care one should receive or whether not the individual receives healthcare.
Socio-economic class or socio-economic status (SES) may refer to mixture of various factors such as poverty, occupation and environment. It is a way of measuring the standard and quality of life of individuals and families in society using social and economic factors that affect health and wellbeing ( Giddens and Sutton, 2013). Cockerham (2007 p75) argues: ‘Social class or socioeconomic status (SES) is the strongest predictor of health, disease causation and longevity in medical sociology.’ Research in the 1990s, (Drever and Whitehead, 1997) found out that people in higher SES are generally healthier, and live longer than those in lower SES.
Most of these articles also argued that healthy policies by themselves cannot achieve the expected health improvement.1-3,7-13 This is why the US healthcare access cannot be improved without paying attention to the social and environmental needs of the poor Americans, who in most cases are at the receiving end. The social determinants of health can only be improved through actions targeted at the factors that improve life.1-3,4-5 Government policies should be translated into actions that are centered on enhancing the conditions in which people live, work, play, and grow.1,3,12 The situation that people are born into should not control their destiny, access to healthcare or other opportunities in life, because it will be then unfair and unjust. 1-3,7-13
Socioeconomic status (SES) commonly refers to the “social standing or class” of an individual or a group. It is the economic and sociological combined total measure of a person's work experience and of an individual's or family's economic and social position in relation to others. It is often measured based on income, education, and occupation. Socioeconomic status is a major determinant of health as poor social and economic circumstances affect health throughout the life course. This can be demonstrated by the fact that health outcomes worsen as one descends down the social gradient in all societies.
Public Health is the science of preventing disease and promoting health through many different ideas and functions by informing society and different community-based organizations. The idea behind Public Health is to protect and serve; it helps improve the lives of countless individuals through promoting a healthier lifestyle, education, research, prevention, detection, and response management. From the beginning, the idea of Public Health has become a stepping-stone that is essential to the longevity of humans and the environment. As society progresses and new advents are created or modified, Public Health