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Socio economic factors affecting health
Socio economic factors affecting health
South Africa Apartheid World Context
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South Africa, known as a developing middle-income country, underwent a peaceful transition from apartheid to a constitutional democracy and considerable social progress has been made. Yet, the health and well-being of most South Africans remain afflicted by the persisting social disparities and inadequate human resources that we are faced with. These factors are not only affected by the healthcare or access to health services but, result from multidimensional and complex factors linked to the social determinants of health, which include a range of social, political, economic, environmental, and cultural factors, including poverty, inequality and lifestyle of the people. For many years, it has been recognised that people with the lowest socio-economic …show more content…
Social epidemiology is a sub-division of epidemiology that focuses on the social conditions affecting the health and population levels, with an underlying that the way in which health and disease are dispersed among members of a community is a reflection of how advantages and disadvantages are dispersed, in a community (Williams, 2016). Social epidemiology refers to the societal factors that determine the patterning of disease within and across a population (Miller et al, n.d: pp 17-25). Social epidemiologists suggest that not all people are created equally and thus are separated by economic, political, social and other forms of structures that determine unequal distribution (Miller et al, n.d: pp 25-30). These epidemiologists also seek to identify and explain patterns of morbidity and mortality, which are not at random, but more geographically and socially patterned. According to, Miller et al (n.d), in the 1960s and 1970s, a new branch of epidemiology emerged focusing on the health impact of social conditions and status as key determinants of morbidity and …show more content…
The social determinants of population health have been debated in South Africa since the colonial period. Specifically, Tuberculosis was debated, focusing on whether the persistently high rate of this disease observed in Africans was caused due to a lack of acquired immunity to the bacilli introduced in impoverished living conditions faced by most black South Africans (Myer et al., 2004: pp 112-125). The social determinants I chose to investigate and elaborate on are poverty (inequality and unemployment), disease (HIV, tuberculosis, hypertension and obesity), lifestyle (use of tobacco and nutrition), education and the environment affecting the health of South
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 ...
...an, P., Egerter, S., & Williams, D. R. (2011). The social determinants of health: coming
Mukherjee, S. (2013, July 30). Four Ways That Poverty Hurts Americans’ Long-Term Health. Retrieved November 12, 2014, from http://thinkprogress.org/health/2013/07/30/2381471/four-ways-poverty-impacts-americans-health/
Wilkinson, R. G., & Marmot, M. G. (2003). Social determinants of health: The solid facts.
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)
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 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.
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.
Wikipedia. 2013. Social determinants of health in poverty. [online] Available at: http://en.wikipedia.org/wiki/Social_determinants_of_health_in_poverty [Accessed: 13 Dec 2013].
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
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
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.
...0). This should be considered when measuring the impact of the evidence illustrated in table 1. While investigation is still in its infancy, researchers are examining the influence of different dimensions of social class and its various associations with health, thus allowing more accurate connections to be made. For example, improvements have been made to the classification process with the introduction of the NS-SEC. Widely regarded as a more precise measure than the Registrar General’s Social Class classification, and now widely used in ONS, the NS-SEC addressed many of the discrepancies associated with the old classification (Donkin et al., 2002b). This classification is present in the evidence illustrated in table 2 and figure 1. Both sets of evidence clearly demonstrate that health inequalities, in relation to social class, have increased in the 21st century.
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
Phillips, H. T. (1957). An Inter-Racial Study in Social Conditions and Infant Mortality in Cape Town. The Milbank Memorial Fund Quarterly, Vol. 35, No. 1, pp. 7-28.