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Socio-economic influences on health outcomes
Socio-economic influences on health outcomes
How social determinants of health contribute to the development of disease
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Public health is a broad field and always encompasses the study of diseases in populations in all its forms. In her essay, Nancy Krieger (1994) seeks to discuss the origins, characteristics and problems of the “web”. Her discussion also seeks to include the “web’s” hidden reliance upon the structure of biomedical individuality to guide the selection of factors included in the “web”. The methods used in Epidemiology and the web of causation: has anyone seen the spider, involved a thorough secondary research. Krieger study involved examining various contemporary strategies to the epidemiology concept. The contemporary strategies that Krieger dealt with fall under two categories. These categories are those which major on “biological evaluation and adaptation and those which emphasize on social production of diseases” (Krieger, 1994). …show more content…
Rather than understanding the origin and inferences for public health, epidemiology is more apprehensive with the intricately modeling multifaceted association. Moreover, she found that the “web’s” suggestive question has been less addressed by the contemporary approaches. It is clear based on this that student in epidemiology may be lacking in generating epidemiology hypotheses. This is simply because the chances of them being taught study design and data analysis are high. On the other hand less is taught on way of generating epidemiology hypotheses as well as the societal of dynamics of health and diseases. Krieger shows that epidemiology is suffering from lack of well articulated and comprehensive epidemiology theory and
Mary Louise Fleming, E. P. (2009). Introduction to Public Health. Chatswood, NSW, Australia: Elsevier Australia.
International Journal of Epidemiology 36.6 (2007): 1229-234. International Journal of Epidemiology. Oxford University Press, 28 Sept. 2007. Web. The Web.
Although very divergent in their focus, the existing theoretical models seem to have some similarities and differences. This is especially true in regard to their factors of analysis when considering social determinants of health. For example, Krieger’s ecosocial theory encompasses and acknowledges the roles of social and psychosocial processes of disease process (WHO 2010).
“Epidemiology is the study of distributing in determinants of disease and disability and populations” (Mausner & Bahn 1974). It’s a basic science of the public’s health and is a measured scientific control that relies heavily on data and study design. Those who study epidemiology focus on specific population and how disabilities and disease affect them. Epidemiological methods have been applied to infectious disease outbreak investigations, but also to studies of longer-term chronic disease investigations. The Behavioral Risk Factor Surveillance System is the largest telephone survey in the world. It’s used to determine the commandments of many health risk behaviors among populations. Surveys were developed and conducted to mon...
From there, “the minimum educational requirement to work as an epidemiologist is a master’s degree from a school of public health. Some jobs require a doctorate” (“Institute”, 2009 p. 23). Most jobs require a strong background in statistics and the master’s degree to have an emphasis in epidemiology. Any growth within the field usually requires a doctorate. However, simply having a master’s in public health does not guarantee a career in epidemiology. Many other factors are required or heavily encouraged. To determine these factors, current epidemiologists were asked how they achieved success in their jobs in a 2002 survey conducted by Ross Brownson, Jonathan Samet, and Stephen Thacker. The most common positive comments were “the choice of institution from which a scientist graduates, the choice of hot research topics, and hard work. For many persons, access to a strong mentor has been noted as one of the most important career advantages.” (Brownson et al., 2002). Many also stated that an intense curiosity was needed to be successful. In addition, due to the unpredictability of disease, epidemiologists must be willing to work unconventional hours. Therefore, epidemiology is not an easy career to begin. Nonetheless, it can be a very rewarding career. Most people choose epidemiology because they
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.
Public health is a concept that will always be subject to conflicting opinion. Over the year’s different ‘models’ of health have been formulated in order to categorise public health into dominant areas of cause and effect. The two models in which this essay will be focusing on are the Biomedical Model and the Lifestyle Theory Model. Although both models have equally arguable advantages and disadvantages, it is difficult to state either model as being ‘right’ or ‘wrong’ in defining the correct pathway to resolving the central health issues of today.
The sociological approaches focus on identifying the two sociological theories. We critically analysed the biomedical model and doctor patient relationship. We also evaluated how the medical professionals exercise social control and medical professional’s contribution to ill health. The difference between society and health is studied by sociologist in relation to 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 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
Public health as it is implicated in the lives of the community – it is important to conceptualise what this might mean. Moreover, public health has seen as a multidiscipline perspective in which it can be defined on many levels, and I find that it could be elusive to understand its meaning. By simple understanding of public health, I refer to an approach derived by Winslow (1920) and Baggott (2000).
Epidemiology Epidemiology is the study of the demographics of disease processes, including the study of epidemics and other diseases that are common enough to allow statistical tools to be applied. It is an important supporting branch of medicine, helping to find the causes of diseases and ways of prevention. It can, using statistical methods such as large-scale population studies, prove or disprove treatment hypotheses. Another major use of epidemiology is to identify risk factors for diseases. Epidemiological studies generally focus on large groups of people and relate to a target population that can be identified.
In the 1960s, doctors in the United States predicted that infectious diseases were in decline. US surgeon Dr. William H. Stewart told the nation that it had already seen most of the frontiers in the field of contagious disease. Epidemiology seemed destined to become a scientific backwater (Karlen 1995, 3). Although people thought that this particular field was gradually dying, it wasn’t. A lot more of it was destined to come. By the late 1980s, it became clear that people’s initial belief of infectious diseases declining needed to be qualified, as a host of new diseases emerged to infect human beings (Smallman & Brown, 2011).With the current trends, the epidemics and pandemics we have faced have created a very chaotic and unreliable future for mankind. As of today, it has really been difficult to prevent global epidemics and pandemics. Although the cases may be different from one state to another, the challenges we all face are all interconnected in this globalized world.
This assignment consists of two parts. Whereas part 1 will analyses the causes and impacts of health issues to individual, communities and nation. Also will address the preventive measure and methods to overcome from these health issues noted. Moreover in this part will discuss the understanding of global and national health priorities. On the other hand part B will give a comparison about the primary and secondary data of the global burden of disease with that of Maldives situation. Finally, there will be a conclusion based on the findings of this essay.
Taylor P., (2003), the lay contribution to public health in: Public health for the 21st century. Buckingham Open University Press, Buckingham, 2003, pp 128 – 144.
Epidemiology research, understanding of study design and methods, hypothesis formation, and writing a scientific poster help me develop pertinent research skills to success in a future in biomedical science. I aim to earn a Ph.D. in biomedical science and continue in health science that will positively impact the population. I believe that public health can fit together with biomedical science to find insight to molecular mechanisms and complex understanding of what diseases are seen in research fields like epidemiology. I am passionate about public health and epidemiology foci of nutrition so working on a project to prevent and dec...