reply 1 The two social determinants that I have chosen are income and housing. My first example is that the mortality rate for cardiovascular disease, all cancers combined, and diabetes is higher for those from lower educational levels and below the poverty line versus those who are above it. A 2015 National Health Survey says that those who make less than $35,000 a year are more likely to be diagnosed with the above-mentioned diseases than their counterparts. (National Library of Medicine) My second example is housing: unstable housing, exposure to unsafe environments, and potential health hazards hurt health. These health hazards can vary from unsafe housing like potential lead poisoning to neighborhood hazards as violence, drugs, and unsanitary neighborhoods. (Medical News Today) Aside from the initial Aids outbreak and the revolutions that had to go underway to gain some control of the spread of the illness, the two socioeconomic determinants I have chosen are a greater risk due to their continued growth in prevalence. As the divide between the middle class and the poor grows, the disadvantaged are at a higher and higher risk of contracting diseases. I find the idea of Diffusion of Innovation Theory intriguing. Like our cell phones or the newest technology that everyone must have, things have a way of spreading like wildfire. New ideas, practices, and products have a way of spreading through a community. The theory goes on to describe the key players in diffusion which are innovators, early adopters, early majority, late majority, and laggards. (I’m a big fan of the use of marketing to distribute information that might not otherwise be seen or heard.) It is a way to get people excited and active in new policies or initiatives and can be used in public health objectives. For example, a commercial for a new diabetic drug is airing during Nana’s favorite soap opera that she watches every single day. It is accompanied by a catchy tune that she can’t seem to shake. The next time she visited her physician, she asked about the new drug and if it would help her. The best example of how marketing (DIT) can positively affect communities would be the use of commercials, radio, television, and internet advertising, to help inform people about the difference in vaccinations for Covid 19 from the very beginning of the epidemic. I know that I had questions for my physician about my choices of vaccinations and which would be best for me. My mother (who has MS) was prompted by all the ads to have in-depth conversations with her doctors about how she should take the initiative to protect herself in the best way possible during one of the most confusing times of my life. References GHEP Staff (2017). Social Determinants of Health in the United States: Addressing Major Health Inequality Trends for the Nation, 1935-2016 Social Determinants of Health in the United States: Addressing Major Health Inequality Trends for the Nation, 1935-2016 - PMC (nih.gov)Links to an external site. Adam Bernstein MD ScD (2021). How Can Housing Influence Health, How can housing influence health? (medicalnewstoday.com)Links to an external site. reply 2 My research into the complex interplay between many variables and health outcomes has led me to conclude that Americans' socioeconomic situation and their ability to obtain healthcare are two of the most important social determinants impacting their health. Not only do these factors affect people's health, but they also affect society as a whole. To start with, we may think about SES. Research has repeatedly highlighted its significant impact on health outcomes. In their research, Adler and Stewart (2010) shed light on the complex relationship between socioeconomic status (SES) and health inequalities. They explain how variables like income, education level, and employment interact to determine who has access to health promotion tools and opportunities. People from lower socioeconomic backgrounds often have difficulties obtaining enough healthcare, healthy food, stable housing, and excellent education, all of which contribute to their worse health (Adler & Stewart, 2010). Second, one of the most important factors is the availability of healthcare. Uneven access to healthcare, which disproportionately affects marginalized communities, persists despite the fact that medical technology has evolved in the US. When it comes to improving health outcomes and decreasing health inequalities, the CDC stresses the importance of healthcare access (CDC, 2020). Health disparities are worsened when people do not have easy access to medical care, which delays diagnosis, treatment, and preventative measures. Why, therefore, are these factors more consequential to society than infectious illnesses like HIV, COVID-19, or influenza? Addressing socioeconomic factors provides a more comprehensive and long-term solution to improve population health, even if infectious illnesses certainly present serious risks. The World Health Organization (WHO) highlights the need to tackle socioeconomic determinants in order to attain health equality. It is worth noting that these variables are fundamental to how people experience health and illness (WHO, 2020). We can alleviate the core causes of health inequalities and promote a healthier and more resilient society by addressing socioeconomic gaps and improving access to healthcare services. To sum up, if we want to make America a better place, we must learn about and do something about the social determinants of health. Giving priority to measures that address socioeconomic gaps and improve access to healthcare can result in a more equitable health environment where everyone has a chance to thrive. Instructor Guidance I'd want to study "access to health care services" since it affects community health. This hypothesis states that equal healthcare access improves community health. Healthcare access is crucial for reducing health inequities and improving well-being at the state and national levels. For instance, state-level healthcare access discrepancies might affect people's health. States with low healthcare resources may postpone preventive care, diagnosis, and treatment, leading to inferior health outcomes (Leiyu Shi & Stevens, 2010). Healthcare access gaps lead to national health disparities across demographic groupings. Due to geography, insurance, and culture, racial and ethnic minorities, low-income people, and rural communities typically have trouble getting healthcare (Smedley et al., 2003). Mobile health clinics address the social determinants of healthcare access in my community. Rural and urban areas without healthcare facilities get services from these clinics. Mobile health clinics provide preventative screenings, primary care, and health education to disadvantaged groups, improving healthcare access and outcomes (Arcury et al., 2012). For health equality and population health, healthcare access restrictions must be addressed. Mobile health clinics and extending healthcare coverage may help ensure that all people, regardless of socioeconomic class or geography, have equal access to healthcare. References: Adler, N. E., & Stewart, J. (2010). Health disparities across the lifespan: Meaning, methods, and mechanisms. Annals of the New York Academy of Sciences, 1186(1), 5-23. Centers for Disease Control and Prevention (CDC). (2020). Social determinants of health: Know what affects health. Retrieved from https://www.cdc.gov/socialdeterminants/index.htmLinks to an external site. World Health Organization (WHO). (2020). Social determinants of health. Retrieved from https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1Links to an external site. Leiyu Shi & Stevens, G. D. (2010). Vulnerability and unmet health care needs. Journal of General Internal Medicine, 25(5), 453–458. Smedley, B. D., Stith, A. Y., & Nelson, A. R. (Eds.). (2003). Unequal treatment: confronting racial and ethnic disparities in health care. National Academies Press. Arcury, T. A., Gesler, W. M., Preisser, J. S., Sherman, J., Spencer, J., & Perin, J. (2012). The effects of geography and spatial behavior on health care utilization among the residents of a rural region. Health Services Research, 47(2), 814–830.
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