The Role of Social Determinants in Population Health

Introduction

The realization that social determinants play a very essential role in shaping health outcomes has been increasingly received by public health professionals, policymakers, and researchers within the past decade. While many traditional medical ways forward focus on biological and behavioral factors, the concept of social determinants opens up the lens to include conditions in which people are born, grow, live, work, and age. Social determinants are rooted in socioeconomic causes and entail income, education, employment, community environment, and health care services accessible to anyone. Better and balanced health status of populations, reduced disparities, and attainment of health equity for all demand keen understanding and working on social determinants. The paper captures social determinants in populations’ health by the use of a synthesis of recent works and proof to illustrate the need for their inclusion in public health approaches.

Social Determinants of Health

This term is basically a nomenclature applied to none other than the non-medical causes of diseases. These are very broad, touching on economic, social, and environmental factors that somehow bear on a person’s or community’s health status. Some of the important social determinants include

Economic Stability

Health has been viewed as built on the basic foundation of one’s finances. People with even income support can afford high-quality foods, safe housing, and subsequent health services. On the other side, those experiencing economic problems are more exposed to illness and health hazards through constant stress, reduced living standards, and restricted access to health facilities.

Education

The level of educational background is connected to health outcomes. Normally, a high level of education usually has a clear correlation with good health outcomes. Education offers people the necessary knowledge and abilities that are necessary for taking informed decisions on health issues. Besides that, education normally opens up employment opportunities for better employment that leads to economic stability.

Social and Community Context

The places and social contexts in which individuals live have serious implications for their health. Strong social support may reinforce mental well-being or serve as a buffer for stress. However, social isolation, discrimination, and exposure to violence each pose serious threats to good health, both physical and mental.

Health and Access to Health

Access to health care is one of the primary determinants of health. The more one uses health services, the greater the chance for prevention, early diagnosis, and early curative care with access to them. However, such health access disparities rooted in low socioeconomic status, geography, or other systemic barriers are sure to create big health disparities.

Neighborhood and Built Environment

The neighborhood one lives in, with its health-promoting resources that include convenient access to healthy food marketplaces, safe spaces for recreation, and clean air and water, has a great influence on health. Substandard living conditions, such as overcrowding, exposure to pollution, and no access to basic services, are partly the causes of various health issues, including chronic diseases and mental disorders.

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Economic Stability and Health Outcomes

Possibly the most important social determinant of health is economic stability, as it tends to influence almost every aspect of a person’s life: people who have stable sources of income can better afford to facilitate access to healthcare, safe housing, and healthy food. On the contrary, the stress of financial instability can pave the way for a variety of health complications, with mental health disorders, vulnerability to infections, and the incidence of chronic diseases like hypertension and diabetes being high on the list.

This relationship between health and economic stability is highly observant in the disparities between man’s societies. People who live in a condition of poverty or with low-income status cannot access quality health care, nutritious foodstuffs, and safe living conditions. These are the factors that make the health gaps self-perpetuating as economically disadvantaged groups bear a disproportionate burden of diseases and mortality. Further, the background of an unstable economy can limit the attainment of education, which may further accumulate disparities in health over some time.

It follows that policies and programs targeted to improve population health must address strategies to improve economic stability, particularly those that increase access to affordable housing, job training, and employment opportunities, and assure adequate healthcare services for all regardless of the economic capability of the individual.

The Impact of Education on Health

Another crucial social determinant of health is education. A better outcome in health is expected with better health literacy because educated people are more likely to engage in health-promoting behaviors, for example, exercise and healthy eating, and avoid risky behaviors, such as smoking and excessive alcohol drinking. Education also provides the knowledge and skills that enable an individual to maintain themselves in a healthy state through an understanding of how to access the healthcare system, interpret health information, and make sound health-related decisions.

Health benefits from education are not just reaped by each individual but filter out to the whole community. Communities possessing more educated people have relatively better health indicators, as they tend to implement health-promotion policies through the initiation and sustenance of public health activities and the development of environments that would be conducive to healthy behavior.

On the other hand, those with less education have a greater risk of a variety of health problems. In comparison with people of higher education, they are more likely to suffer from chronic diseases and mental illnesses and to die prematurely. However, in so far as differences in mortality between the highly and poorly educated very clearly indicate reducing inequalities in education would improve population health.

Social and Community Context: The Role of Relationships and Social Support

The social and community context in which people live may have very strong influences on their health. Social relationships, whether in families, among friends, or with the broader community, provide protection of mental and physical health. Supportive relationships may instill a sense of emotional support that alleviates stress and encourages positive behaviors. For example, individuals with a social support network will most likely exercise regularly, visit a doctor when feeling unwell, and follow a treatment regime.

In contrast, poor social relationships and isolation bring in ill health. In that respect, loneliness has been linked to increased risks of several mental health disorders, cardiovascular disease, and premature death. In fact, the scale of discrimination by race, gender, sexual orientation, or other individual characteristics is directly proportional to the chances of being less healthy due to the stress, as well as social exclusion linked with discrimination.

In that case, health improvement in the population should be implemented on a backdrop of strategies to also improve the supportive social networks, decrease social isolation, and henceforth promote inclusive societies. Enhanced social connections and community engagement through increased public health programs can be the key important part of realizing healthy populations and reducing inequities.

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Healthcare Access and Quality

Access to quality health care is a core determinant of health. With more frequent access to health-care services, individuals are likely to benefit from preventive care, early diagnosis, and effective treatment for any health conditions that may arise, which will contribute to good health and a high quality of life.

However, considerable disparities in healthcare access persist. Socioeconomic status, geographic location, and systemic obstacles combine to form an individual’s capability to access healthcare effectively. For instance, patients in rural or underserved areas often have poor access to a healthcare provider, which results in delays in reaching care. Other financial common barriers to access include low income and a lack of health insurance, which would often be a source of a barrier to effective access to care services, thereby creating unmet health needs.

The improvement in access to care is an important target on the road to achieving health equity and improving population health. These efforts need to focus on availability of care as well as financial and system barriers to accessing care. Expanding coverage, availability of providers in short-supply areas, and reduction of systemic bias in delivering care are steps that can assist people in getting the care they need.

The Role of Neighborhoods and the Built Environment in Health

Neighborhoods and the built environment individuals reside in relation to health are associated. The more a community offers nutritionally good food; space for recreation; easy access to clean air and water; and access to health care facilities, the healthier the community.

Take, for example, neighborhoods that have access to grocery stores that offer fresh fruits and vegetables; they are likely to have residents with very healthy diets. Contrastingly, neighborhoods with restricted access to foods that are healthy, a phenomenon known as “food deserts,” have been linked to increased rates of obesity and other diet-related chronic diseases.

Moreover, facilities that offer relaxation, parks for strolling, and footways encourage people to conduct physical activity and, therefore, rise to a better plenitude of physical and mental health, while it is exactly in high-crime neighborhoods, bad air quality, and poor quality of housing that all this became breeding grounds for a list of health problems that vary from respiratory to mental health disorders.

It is essential to, therefore, promote health population-wise through the built environment, supportive of increased access to healthful foods, safe and accessible recreational spaces, diminished pollution, and assurance that all persons have access to safe and affordable housing.

Conclusion

Some of the social health determinants include economic stability, education, social and community context, health care access, built environment, and all those elements that contribute to the general health of populations. Through the achievement of better health for all populations, appropriately addressing these determinants reduces disparities in health and brings health equity.

This in turn places public health strategies beyond the traditional medical approaches in addressing social, economic, and environmental conditions that influence health. Factors that create health inequities must be addressed to ensure healthier communities where quality of life is enhanced for all people.

References

  1. Kavanagh, J.M., 2021. Crisis in Competency: A Defining Moment in Nursing Education. Online Journal of Issues in Nursing26(1).
  2. Braveman, P., Egerter, S. and Williams, D.R., 2011. The social determinants of health: coming of age. Annual review of public health32(1), pp.381-398.
  3. Kindig, D.A., 2007. Understanding population health terminology. The Milbank Quarterly85(1), pp.139-161.
  4. Forker, J.E., 1996. Assessing competency for community-focused nursing practice. Nurse Educator21(3), pp.6-7.
  5. Flores, A.B., Collins, T.W., Grineski, S.E. and Chakraborty, J., 2020. Disparities in health effects and access to health care among Houston area residents after Hurricane Harvey. Public health reports135(4), pp.511-523.
  6. Hamstead, Z., Coseo, P., AlKhaled, S., Boamah, E.F., Hondula, D.M., Middel, A. and Rajkovich, N., 2020. Thermally resilient communities: Creating a socio-technical collaborative response to extreme temperatures. Buildings & Cities1(1).
  7. Keim, M.E., 2020. The epidemiology of extreme weather event disasters (1969-2018). Prehospital and disaster medicine35(3), pp.267-271.
  8. Zeppetello, L.R.V., Parsons, L.A., Spector, J.T., Naylor, R.L., Battisti, D.S., Masuda, Y.J. and Wolff, N.H., 2020. Large scale tropical deforestation drives extreme warming. Environmental Research Letters15(8), p.084012.

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