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The Social Determinants of Cardiovascular Disease (CVD) 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. Communities are sometimes largely unaware that social factors rather than medical ones, such as income, and employment status, shape our health. Our health is also determined by the health and social services we receive, and our ability to attain high education levels, food and safe housing, among other factors. Social determinants of cardiovascular diseases are found largely outside the healthcare systems, social factors of cause-and-effect work with traditional risk factors within the health care system to determine ones overall health. Stress and Employment At the …show more content…
Level of income shapes overall living conditions, affects psychological functioning, and influences health-related behaviours like CVD such as quality of diet, extent of physical activity, tobacco use, and excessive alcohol use. Negatively affected psychological functioning can lead to the desire to cope using costly and body-harming drugs, which in the end can mean more health issues later on, for example: “Legislation as it affects individuals can also be highly unequal. Taking high quality cocaine as a successful stockbroker in New York City is very different from stealing to fund one’s habit as an unemployed youth in downtown Washington DC. And the care and treatment available to such individuals will also be very different. The stockbroker will be able to afford the purer powdered cocaine, while the unemployed youth is far more likely to be taking crack cocaine” (Global Health Watch,
According to the World Health Organisation (2017) the social determinants of health are defined as the conditions where people are born, grown, work and live, which also includes the health system. The social determinants of health determined populations health’s outcomes and therefore linked with health inequalities (WHO, 2017)
Wilkinson, R. G., & Marmot, M. G. (2003). Social determinants of health: The solid facts.
“The health of individuals and populations is influenced and determined by many factors acting in various combinations. Healthiness, disease, disability and, ultimately, death are seen as the result of … human biology, lifestyle and environmental (e.g. social) factors…” (Mary Louise Fleming, 2009) There are many unchangeable contributing factors that play a role in a person’s health condition, this can be anything from the gender and location that they were born into, to genetic impairments and the lifestyle that their parents raised them in or even government policies; but for as many unchangeable factors, there are also changeable factors. In Mr. A’s case he was born from Pacific Islander descent, therefore it can be assumed that he was born into an obese family with little money, and was raised in poorer living conditions than the average Australian. Due to this, his health is expected to be worse that the average Australian because his social determinants make it so. He is now a full-grown man with a family, but still lives in problematic conditions due to his upbringing and culture along with the minimal to no levels of prevention shown. There are many risk factors that have affected Mr. A’s health due to the social determinants that he has been faced with such as obesity, type 2 diabetes, arthritis, etc. There are also upstream and downstream factors affecting his health, “While upstream and midstream determinants influence the type, likelihood, number and severity of diseases that affect a person, downstream inequities come into play when a person becomes ill.” (AMA, 2007). These factors have had a major role in the result of his heart attack. Finally, his level of prevention exhibited is a key aspect on how much of an eff...
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 ...
Being susceptible to health issues, can result from an interaction between the resources available to individuals and the built environment. Also, these negative health issues can be due to disadvantaged social status, leading to a plethora of ill effects, such as degraded neighborhoods, food deserts, and lack of community mobilization. The complex interactions of these factors over the course of time can create vulnerabilities in the
Wilkinson, R. M. (2003). Social determinants of health - the solid facts. [S.l.]: World Health Organization.
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
Wilkinson, R.G. & Marmot, M.G. 2003, Social determinants of health: the solid facts, World Health Organization.
Social determinants of health has been a large topic for many years and can have a positive and negative effect on individuals, families and communities. (World Health Organisation, 2009) The social determinants of health are the conditions in which people are born, grow, live, work and age, including the health system. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels, which are themselves influenced by policy choices. Social determinants have many factors and in this essay education will be the main social determinant of health discussed and how this could have an impact on the physical and mental sides of health.
...an, P., Egerter, S., & Williams, D. R. (2011). The social determinants of health: coming
Pincus, T., Esther, R., DeWalt, D.A., & Callahan, L.F., (1998) Social conditions and self-management are more powerful determinants of health than access to care. Ann Intern Med. 1998 Sep 1;129(5):406-11.
Social Determinants of health is the “conditions in which people are born, live, work and age that affect their health” Healthypeople.gov. (2017). Social Determinants of Health | Healthy People 2020. [online] Available at: https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health [Accessed 22 Sep. 2017]. The determinants of health are important because it helps create policies to make changes, as well as improving public health conditions by addressing the different health outcomes an individual can face and improving the need for healthier conditions. Healthy People 2020 organizes the determinants of health in both a social and physical determinant which has an impact on health.
Over the years, the social determinants of health (SDOH) have been receiving more attention due to its importance in determining peoples’ health access, health quality and health outcome. The social determinants of health have been described by various scholars as the situation or environmental condition in which people are born, or where they grow, live and work; unfortunately these conditions have continued to affect and determine people’s ability to access proper care.1-5 In other words, the SDOH continues to consciously and unconsciously influence people’s access to most opportunities in life including access to healthcare services both in developed and developing countries.2 This issues have continue to deteriorate in most developing countries increasing people’s susceptibility to multi-morbidity among different age groups, with a slight increase among the elderly.6
In an assessment factors such as physical environment, social environment, personal habits are all obtained to help establish risks that a population may have in correlation to the history and factors that influence a person’s health status and outcome within a web of causation. A web of causation according to Stanhope and Lancaster (2008) is “an epidemiological triangle, reflecting the complex interrelationships of numerous factors interact in, to increase or decrease a risk of disease.” Public health nurses can use this web of causality as a tool to help assign risk factors that impact a community (p.711). One’s education level, living conditions, poverty level, genetic factors and access to health care can all be applied t...
The health of an individual and their communities is affected by several elements which combine together. Whether an individual is healthy or not, is determined by their circumstances and environment.1 To a greater extent, factors such as where an individual lives, their relationships with family and friends, the state of their environment, income, genetics and level of education all have significant impacts on health, however the more frequently considered factors such as access and use of health care facilities regularly have less of an impact.6 Determinants of health is a term which was introduced in the 1970s as part of a broader analysis of research and policy on public health. Researchers argued that there was a lot of attention and too much expenditure on health being dedicated to individuals and their illnesses, and little or no investment in populations and their health. It was decided that public health should be more concerned with social policies and social determinants than with health facilities and the outcomes of diseases.7 The determinants of health include social and economic environment, physical environment and an individual’s behaviour and characteristics. The environment of an individual determines their health, holding responsible an individual for having poor health or acknowledging them for good health is inappropriate. Individuals are not likely to be able to control several of the determinants of health. These determinants that make individuals healthy or not include the factors above, and numerous others.6