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social determinants and health outcomes
how does socio economic factors affect health
social determinants and health outcomes
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A considerable amount of literature has been published about the relationship between social inequality, the social determinants of health and poor health outcomes. Research has also been done to assess how political economies as a tool can be used to address the dynamic of said relationship. Coburn (2010), noted that, “the implication of “a” political economy is that there are actually a variety of political economies”, which suggests that each type can produce different results and ultimately shape the social determinants of health and health outcomes differently. This can also an indication that the level of social inequality under the respective economies will differ as well. Coburn, also notes that, “political economy … focuses on the …show more content…
Graham (2004) & Taylor (1996), posits that social determinants of health came out of a search for a certain mechanism that allowed people from unique socioeconomic backgrounds to experience varying degrees of health and illness (as cited by Raphael, 2010). This idea takes into consideration that one’s socioeconomic status affect one’s health and pervasiveness of diseases at varying levels. McMullin & Davies (2010), observes, people who have more money, with higher education, and have better jobs tend to live longer and do not get as sick as do those with lower incomes, lower education, and bad jobs Hence, the relationship between social inequality, social determinants of health and poor health outcomes. However, in addition to socioeconomic status, some other social determinants of health include: “social support networks, education, employment and working conditions, physical and social environments, biology and genetic endowment, personal health practices and coping skills, healthy child development, gender, culture, and health services”, (p. 147). They are circumstances in which people usually have no control; they are born in, grow with, live, work, and age with some of these …show more content…
The greatest benefit comes from how a political economy analyses power, influence, and political ideology to shape public policy-making. (Bryant 2015, Coburn 2010, and Raphael 2010,2015) agree that, social democratic welfare states (e.g., Denmark, Norway, and Sweden) have the most ideal political economy, as they are least stratified and enjoy more government funded social aid programs, hence, less prevalence of social inequality. Therefore, the recipe for achieving a society with low social inequality and improved conditions for SODH; involves a change in the political economy, which requires governments addressing social and or public policies. In providing more social for its people, will in turn improve health outcomes and result in
Adler, N. E., & Ostrove, J. M. (1999). Socioeconomic status and health: what we know and what we don't. Annals of the New York academy of Sciences, 896(1), 3-15.
Shahab, Lion "Socioeconomic Status and Health." Cambridge Handbook of Psychology, Health and Medicine. Cambridge: Cambridge University Press, 2007. Credo Reference. Web. 8 May 2014.
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.
Americans assume that health care is the key to good health, however there is little evidence for this belief. There is always something beyond medical care. Much evidence reflects that the way in which people live, learn, work, and play has a greater impact on one’s health. There are also many factors referred to as ‘social determinants of health’ that affect Americans ' health in homes, work environments, and communities. These social determinants serve as barriers standing in the way to better health.
Since the resurgence of unregulated capitalism in the late 20th century, social inequalities have grown significantly, with one percent of the most powerful countries attaining more wealth than half the world (Dunklin 2). Canada’s income gap has also risen, exacerbating morbidity and mortality (Bryant 47). However, the extent that government should reduce social inequities is controversial in a liberal democracy, which prioritizes economic freedom. That being said, social inequalities may lead to wealthier individuals gaining an advantage in policy making (Bryant 54; Rein 63), undermining the liberal democratic value of political equality. Moreover, the ideal of economic freedom is shrinking in today’s global economy, which exhibits massive enterprises stifling competition and creating economic instability (Foster 2). In light of these issues, the aim of this essay is to detail how unregulated capitalism detracts from a liberal democracy by undermining political equality and economic freedom.
Throughout this class we have talked about how various disparities can influence both how and when you need health care, be it for physical or mental reasons. Basically if you aren’t a middle class and above white male with a good job you’re basically fucked. Things such as race, gender, education, the environment you grew up in, who you know, and of course your insurance and income play a huge role in how you experience all aspects of healthcare. As explained in the Link&Phelan article, certain social factors can cuase specific health results. As explained in the article the Fundamental Causes Theory “claims that new mechanisms arise because persons of higher socioeconomic status are able to deploy wide range of resources- including knowledge, money power, prestige, and beneficial social connections- that can be used individually and collectively in different places and at different times to avoid disease and death.” What this means is basically those who are better off are more suited and have more chances to combat sickness and to elongate their lives.
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...
(Williams and Bendelow, 1998). The social model of health looks at factors such as; the social, environmental, economic and cultural factors which are the broader influences on health instead of diseases and injuries. ‘the social model locates people in social contexts, conceptualizes the physical environment as socially organized, and understands ill health as a process of interaction between people and their environments’ (Broom, 1991, 52). Social model of health perceives health and illness in different ways other than just medical facts, by looking at the broader factors that can cause ill health or be the source of you being ill such as; being in poverty; having poor housing, job-related stress, pollution, family, employment status, working conditions, health services, housing, environmental pollution, friends, income, education, social life, national food deprived neighbourhoods as well as poor life choices, these factors can shape your physical along with your mental health and it is not just science that can shape our physical and mental
Health inequality is part of American life, intertwined and entangled with other social problems; gaps in income, education, age, race and gender. Gaps that social analysts cannot say for sure which factors are cause and which are effect. The unclear outcome is a huge chicken-and-egg puzzle, its solution reaching beyond health care. Because of that, everyday realities often control whether people live in health or in illness, to a ripe old age or early death. Clearly, poverty affects some groups more than others. The relationships between social class and general well being are persistent and troublesome; even in the twenty first century, life looks different for those belonging to upper and middle social classes compared to the lower social classes (Parsons 1942: 7).
Even in the most prosperous countries, people who are less affluent have considerably shorter life expectancies and much more sicknesses than people who are wealthy. Social determinants are considered to be the circumstances in the places where people dwell, gain knowledge of life situations, where someone’s job is, where we have fun, and age which is also included as a social determinant. These social determinants have an effect on a wide array of health risks and outcomes. “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. The social determinants of health are mostly responsible for health inequities--the unfair and avoidable
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.
The documentary stated that over that 47 million Americans do not have healthcare coverage. 7% of Americans reports very good to excellent health. 37% of lower income Americans has poor health (California Newsreel, 2008). The middle class numbers are not too far from the lower class. Good health decreases significantly as the socioeconomic class status gets lower. “Low income increases one’s exposure to a host of health risks, such as crime, poor housing, and poor nutrition. Conversely, sick people both tend to work less and tend to accrue medical bills, thus lowering their household earnings and accumulated wealth. Therefore, low income can damage health, and sickness can lead to the loss of income” (Peter Muennig, 2008). This increases the
Significant health inequalities exist between different social classes. Moreover, lower social classes consistently describe their health as poorer in comparison to higher social classes [1]. Marmot’s central theory is that “the relationship between social circumstances and health is a graded one: the higher a person’s social position, the better his or her health” [2].
The World Health Organisation define health inequalities as; ‘differences in health status or in the distribution of health determinants between different population groups. Some health inequalities are attributed to biological variations or free choice and others are attributable to the external environment and conditions mainly outside the control of the individuals concerned’ (Who.int, 2013). Therefore, while some variation in health experience is unavoidable, much of it can be attributed to unequal opportunities, that is, social inequality (Tones and Green, 2004, p. 68).