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how socio economic factors impact health
how socio economic factors impact health
how social determinants of health contribute to the development of disease
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Social epidemiology is a branch of epidemiology that explains how socio-structural factors influence disease distribution in the society. Since every population is distinguished by the people that are present in it and their traits, this makes it very important to study the social, structural and biological factors that influence the decisions and behaviors of the people as this ultimately has a remarkable effect on health. Theories are postulations that help to explain the relationship between the exposure and outcome. It is not enough to establish causality but there is a need to also understand the likely pathway by which the causality is established. The observation of a recurring mechanism by which certain factors interact to cause a predictable …show more content…
The distribution of income, access to healthcare, education, and occupation is not equal within and between societies; this is further demonstrated in the patterns of health and disease which follow the socio-political changes, and determine the distribution of disease in societies over time. This theory provides a broader view of the social environment beyond the individual perspective. This theory aims to answer contemporary questions such as: what are the health impacts of: the decision by the Nigerian government to borrow more funds to execute structural projects, increase income inequality, immigration laws, insurance policies, structural regulation programs imposed by the International Monetary Fund and the World Bank repealing of the Obama care? These factors operating at the macro level contribute to the margin of health disparity in the population. An example is the decrease in hospital visits among LGBT men after passing into law the right of gay marriage. Another example is the increase in vessico vaginal fistula in Nigeria after passing into law the child marriage law and decreasing the permissible age of girl child …show more content…
Pathway to embodiment: the various mechanisms in which the social, biological, environmental factors affect how the body functions. Exposure, susceptibility and resistance: how inequalities in health status among subjugated groups, exposure to power, wealth, production, lifecourse, etc. affect what an individual is susceptible to and the resistance they develop Agency and Accountability: this claims that the State should be held accountable for the pattern of disease distribution. It also stresses that epidemiologists have the responsibility of conducting rigorous research, giving an accurate report of findings and becoming activists and not just researchers to ensure a decrease in health disparity where injustice is observed,. An example of the application of the ecosocial theory is seen in the in the prevalence of mesothelioma (a type of cancer caused by exposure to asbestos) among low income male factory workers in Nigeria. This can be explained by: Embodiment: the occupational environment does not offer protection to low income workers which cause them to constantly inhale the asbestos until it leads to the development of
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
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.
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.
Richard G. Wilkinson, M. G. (2003). The Social Determinants of Health: The Solid Facts. Denmark: World Health Organization.
Wilkinson, R.G. & Marmot, M.G. 2003, Social determinants of health: the solid facts, World Health Organization.
Current research suggests the countries with the smallest income differences have the best health status rather than the richest countries. Where income differences remain great, as in this country, health inequalities will persist. For example: Children in the lowest social class are five times more likely to die from an accident than those in the top social class, Infant mortality rates are highest among the lowest social
...an, P., Egerter, S., & Williams, D. R. (2011). The social determinants of health: coming
Wilkinson, R. M. (2003). Social determinants of health - the solid facts. [S.l.]: World Health Organization.
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.
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 ...
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.
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).
This is what Wilkinson tries to understand with his theory of income inequality, and thereby hopes to give an explanation to why health differences occur (Rowlingson, 2011). This says that ‘it is not the richest countries that have the greatest health, but it is the most egalitarian societies that are healthier and have a smaller disparity in health’ (Wilkinson, 1996). In this essay the Wilkinson Theory is going to be discussed in depth in order to help explain what psycho-social pathways are and why they affect health on a national level.
However, the importance of social class is increasingly diminishing with proliferate of democracy and human rights. Initially, there was a general notion that some illnesses belonged to certain social ...