NURSING ASSIGNMENT1 It is a common fact that population with schooling facilities, quality occupation, and higher salaries are able to live a healthy life as compared to other individuals who are not able to attain these facilities. Health is always considered as universal need for every community, country as well as society. But people living average life are not getting resources to enhance their lifestyle in order to live a healthy life (Alexander & Vladislav, 2015). There is a relationship between health and socioeconomic attributes in every situation as per scientific scrutiny. As per study, it has been found that there are three main reasons which lead a healthy environment. First is society which is worried about average level of welfare variables like income and health. It is also concern about distribution pattern of these variables between social groups. Most people believe that inequality in society occurs because of government actions and policies (Kuijken et al., 2016). Second is large data which is available on socioeconomic difference related to morality and health aspects provides significant clues related to certain diseases such as cancer, heart disease and so on. Third is proof related to the difference in socioeconomic which are connected with groups that are at high risk and are in need of education related to health. Social and structural inequality As per the study, it has been found that health inequality in society is actually systemic difference within opportunity groups which have objective to attain optimal health and leads to an unavoidable difference in outcome. These social identities have dimension that is connected with the structure which has opportunity to improve health. It also includes race, sexual category, occupation, socioeconomic status, geography pattern. Structural inequality is often linked with personal, systemic and interpersonal drives like racism, classism, homophobia and so on. It offers a fair distribution of health among society (Marmot, 2015). In addition, policies are framed as drive which creates inequality in various levels among society. It may be on organizational, community, state or nation wise. Cultures, social and economy are the terrains on the base of which inequality is being developed in the society related to health aspects (Costa- Font & Cowell, 2019). These are multiple dimensions which are linked with people life by including food, shelter, education, workplace, community, and water which plays an important role in building a social network. Neighborhood and education in school actually shape the life of individual by focusing on health issues related to adults and children in the form of clean, race difference and safe environment. Health is influenced by the option selected by an individual which can be smoke, drugs, healthy diet, exercise on daily base and so on. Health promotion and treatment play a very significant role in contributing to a healthy life. Various researches explored that social environment has a direct impact on the relationship between living conditions and working situation of an individual (Griffin et al., 2019). Various factors such as income, employment environment, and support act are essential for promoting healthy life of an individual in community. In various cases, health is seen from restricted biological prospects related to complex phenomenon in the form of multiple dimensions. These dimensions are based on a
NURSING ASSIGNMENT2 pattern in which individuals spend their life. Health inequality is also considered as development in biomedical services that can explain mechanism of disease so that necessary improvement can be made. These dimensions are also focused on information which is linked with human biology in order to understand disorder connected with health and their correction. Structural inequality is mainly connected with systematic shortcoming of one social group when compared to other groups that are embedded in the structure of society. Structural inequality includes policy, law, governance and so on. It actually creates experiences that are inequitable in nature when compared to social determination. (Source: Inequality in Australia, 2018) Policies help in identifying macro-environmental factors that are significant in determining inequality in health. Living and working situations of individual are being impacted by these factors. In domestic situation, these factors have a moderate impact on local community. Often complexity related to inequality in health is multifaceted and therefore it is essential to make use of multispectral act to handle issue (Ali et al., 2017). This policy is in need of intervention that can handle macro-environmental factors which has a direct impact on health behaviour of the community. Every country in this world is struggling in terms of intervention related to inequality in health despite established government research programs. Different countries have different policies related to poverty, social justice, and inclusion. In most cases, social policies are developed by considering human rights and dignity. In addition, social position also plays a significant role in developing center role of inequality within society. It is mainly divided into two sections. One is central role of power that is connected with recognizing power equality that dominates and generate a positive image in society. Various human rights bodies are working on marginalized societies in order to
NURSING ASSIGNMENT3 understand collection of social power. Central role of power tracks social determinates in health inequality through political process which is engaged in both ways, one is disadvantage society and other is responsibility of the state (González et al., 2016). It is also important to explain factors which create a difference between social cause and factors which can determine advantage for the community. Factors which are connected with health and social dimension have the ability to create unequal distribution by misleading policy. Social and health principles are often connected with positive impact of social factors such as income and education. Social production and distribution of health Socioeconomic inequality in a society leads to unequal exposure to various environmental factors. These factors directly impact most disadvantaged groups which leads them to enter into more risky health environment. As per the study, it has been found that Europe area itself consists of a population of 80 million which are relatively impacted by health issues. Most of the people lives around homes that are built near damp with no insufficient heating and sanitary facilities. According to European ministries of health and environment inequality in health has become one of the biggest challenges for government at the present time (Vargo et al., 2016). Some research advised that socio-economic position in health is less in women than men but other evidence suggested that health issues are faced by every gender in various life stages. It has been found that social condition act as most powerful factor which influences healthy situation. Other factors like poverty, insecurity of food, discrimination, occupational status lead to unhealthy conditions that generate inequality in health. Health can be influence in two ways either positive or negative and some of factors that can impact health are biological and are fixed relatively as compared to other factors. In most of the cases, social determinants related to health often arise due to social and economic situation in which individual is living. Social and economic factors actually decide environment in which a person has to grow up it may be education service, income generation and occupation type (Rovers & Mages, 2017). In addition, these factors also influence lifestyle and health of every individual living in society. Social determinants have a great contribution in creating inequality related to health in social groups. It happens because social determinants are not usually distributed equally across society. Health is influenced in both ways directly as well as indirectly by social determinants. One of the best example is limitation to education can result in a limited scope of employment that increases risk to poverty. People living in poor situation have direct impact on health by creating inequality. Health social determinants are interlinked with each other and operate on different levels just like poverty is connected with poor housing, diet and health care.
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NURSING ASSIGNMENT4 (Source: Inequality in Australia, 2018) Social inequality is actually an unequal distribution of various goods and services among society. Social epidemiologist makes use of life chance indicators like education, employment, income and so on to display its importance. Some people believe that it is a mechanism which is connected with distribution aspect which is essential from skills and knowledge point of view so that an improved relationship can be developed between individual and their health life. Social inequality issue is being focused to explore relationships among socioeconomic indicators and health. Social inequality must be kept away from biological differences in order to understand possible options which can be accepted or imposed to enhance health determinants (Cushing et al., 2015). Sometimes inequality attributes are linked to an external environment which falls outside of control and therefore these factors are unavoidable and often lead to health inequality. Social relationships is integration of three major components, one is social network integration degree, interaction that is supportive in nature and perceived support from individual. Social network usually displays structural aspects which are in a relationship with functional aspects. Social support is divided into three subcategories that involve emotions and practical support. As per various researches, it is considered that both social integration and social support play a very significant role in improving social and functional structure of society. It also reduces risk related to mortality by directly impacting risk factors which increase survival chance by 50%. Social capital was used first in exploring regional differences between individual in the form of morality. Up till now, exact exploration of social capital has been conducted and often considered as conceptual overlap of social relationships. It is linked with attributes of social
NURSING ASSIGNMENT5 structure which are present in the society in the form of interpersonal trust, civil engagement and mutual understanding. It also acts as available resource which can be utilized by individual in order to improve their lifestyle through number of actions. Social capital operates on two levels, one is macro and other is meso level. Micro level includes social, economic and political attributes where meso level includes attributes of society, individual behaviour and norms. Social capitals always have a positive influence on health both in multi and individual level. (Source: PHAA, 20019) Work stress is also critical factor for healthy because an imbalance in professional life has a direct correlation with personal life. In fact, things happening in professional life have ability to influence personal life. Therefore, it is important to identify a factor that generates stress in working situation in order to control adverse impact of work stress on health. In most cases, stress is generated in such situations where job demand is high and control factors are very low in order to provide set direction towards objective. Work stress is being created by imbalance between high efforts and low recognition in terms of esteem, job security and promotion. This leads to generation of negative emotions that are harmful for health of the individual. Role of determinants Poverty and inequality Poverty is considered one of the significant determinants which results in economic equality. In addition, poverty is responsible for poor health condition which leads to illness and sometimes premature death. Poverty gives birth to inequality because resources are not distributed in society equally which results in financial crises, poor environment, unbalanced diet and limited accessibility to various resources (Loayza & Rigolini, 2016). People living in poor and undeveloped areas are considered to be in more risk situations as compared to people living in a healthy environment. Children groups are considered at more risk as compared to adults and have to face depression in their childhood.
NURSING ASSIGNMENT6 Policy Every country is trying to create policy in order to reduce inequality among society and therefore they have focused their interest on poverty because they believe that poverty is one of the biggest reasons for inequality in society. Every government must consider health inequality issues as their main priority for long term. Government must gather all the relevant information related to this issue in order to develop their short term goals (Niederdeppe, Heley & Barry, 2015). This information will set as base for their action on health inequality issues by properly addressing poverty and related determinants. As per the study, it has been found that health inequality issue resolution needs a combined approach of both government as well as other health care sectors in the form of partnership. This strategy will be helpful to some extent in health inequality while considered wide range of policymaking decision. Social exclusion and discrimination Social exclusion plays very significant role in protecting individuals from ill impact of health inequality. It is actually a method in which people which belong to risky group are secured by preventing them to take an active part in society so that factors such as poverty, unemployment, society impact may not influence them. Therefore it can be considered that social exclusion is mainly focused on impact of poverty on society (Killen, Rutland & Yip, 2016). It helps in creating isolation with in the society in order to maintain a healthy environment for individual which are at risk. Some people connect social exclusion with discrimination which can be developed on the base of gender, race, disability and religion. In this situation, equality legislation plays its role by ensuring that no discrimination gets promoted on the base of inclusion, inequality and diversity. Gender When it comes to gender prospect health and mortality becomes one of the complex issues because still researches are able to understand this prospect fully. Gender differences in social determinants have different impact on the life of men and women. In some cases, impact of social determinants is same on both men and women (Black et al., 2017). From research it has been found that women have advantage over men because of their biological formation related to life expectation. Because of this biological difference, men die in younger age as compared to women. Unemployment and job security issue impact mens health more than women because from generations men are considered earning source of a family and in this situation, if person is not able to support to his family he will surely face stress environment which is fully of depression and anxiety. Health service
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NURSING ASSIGNMENT7 Equality in primary health care is right of every individual because it offers great support to healthy live in community. People which belong to risk group must be offered primary health care service in order to stop spreading of disease in the community. Poor environment also support growth of disease and therefore it is important responsibility of government to take care of this issue by offering their support in the form of partnership with social welfare groups (Hone, Macinko & Millett, 2018). In most case, it has been seen that people belong to poverty are often deprived of quality health care because they are not able to pay costly fee of the hospitals due to their poor income. After become ill every people come in equal category and it becomes fundamental to offer them quality health care service. Education Often foundation is setup in earlier childhood through means of education but people belong to poverty group struggle for education. Even if they get education, it is not of quality standards and results in health inequality. They even start believing that they do not have right to get education and have considered it as Gods will. In this situation, one education has the power to change their mindset of people living in poverty that they can improve their life style with the help of education. Lack of education actually close all the possible doors which can help these section of people to come out of poverty and improve their life journey by change their habits, diet and other related things. Often poverty is connected with underlying determinant that gives birth to illness and health related issues. In order to prevent society, education is seen as reform that has the ability to eliminate those determinants which has direct impact on health inequality. Many research has been conducted which directly explore that health inequality in society is related to poor experience of society with education service. Education act as level of socioeconomic status of individual in the society. Conclusion Every country on the global level is determined through its socioeconomic as well as biologic pattern. Even identifying these factors still nothing has improved related to medical care and related technology. There are some health promoters which has taken these issues beyond clinic approach despite of changing behaviour. Various researches are not able to completely address health inequality. Though these health improvement strategies play very significant role in enhancing balance among society but still they are not sufficient. These are various determinants which enhance health inequality among society such as education, poor structure, racism and so on. But poverty is considered one of the most impactful determinant which leads to health inequality among society. Structural imbalance in society also supports health inequality by creating such impact which does not allow these people to explore health improvement strategies. In addition, unemployment is another important determinant which leads to health inequality because it creates stress environment around the individual and restricts them to think positive about their life. It also leads to low income by which individual is not able to get a healthy diet which can prevent them from sickness and poor living standards. Education
NURSING ASSIGNMENT8 is considered one of the significant method by which impact of health inequality can be reduced among society. It helps in creating awareness among society related to health by guiding basic rules right from their childhood that can prevent them in entering in unhealthy zone. In this situation, government has to enter in to partnership with other social welfare associations in order to address this health inequality purposefully. Living condition of individual also contributes to their health status. Person living in poor condition often face difficult to their health as compared to person living in healthy environment, high income are going to enjoy healthy life. References Alexander, B., & Vladislav, B. (2015). Structure and content of the educational technology of managing students' healthy lifestyle.Journal of Physical Education and Sport,15(3), 362. Ali, S., Tsuchiya, A., Asaria, M., & Cookson, R. (2017). How robust are value judgments of health inequality aversion? Testing for framing and cognitive effects.Medical Decision Making,37(6), 635-646. Black, C. J., Peñaherrera-Aguirre, M., Minera, C. E. C., & Figueredo, A. J. (2017). The influence of life history strategies on regional variation in social and sexual equality in Italy, Spain and Mexico.Mankind Quarterly,57(3), 338. Costa-Font, J., & Cowell, F. (2019). Incorporating inequality aversion in health-care priority setting.Social Justice Research,32(2), 172-185. Cushing, L., Morello-Frosch, R., Wander, M., & Pastor, M. (2015). The haves, the have-nots, and the health of everyone: the relationship between social inequality and environmental quality.Annual Review of Public Health,36, 193-209. González, M. G., Swanson, D. P., Lynch, M., & Williams, G. C. (2016). Testing satisfaction of basic psychological needs as a mediator of the relationship between socioeconomic status and physical and mental health.Journal of health psychology,21(6), 972-982. Griffin, S., Love-Koh, J., Pennington, B., & Owen, L. (2019). Evaluation of Intervention Impact on Health Inequality for Resource Allocation.Medical Decision Making,39(3), 171-182. Hone, T., Macinko, J., & Millett, C. (2018). Revisiting Alma-Ata: what is the role of primary health care in achieving the Sustainable Development Goals?.The Lancet,392(10156), 1461-1472.
NURSING ASSIGNMENT9 Killen, M., Rutland, A., & Yip, T. (2016). Equity and justice in developmental science: Discrimination, social exclusion, and intergroup attitudes.Child Development,87(5), 1317-1336. Kuijken, N. M. J., Naaldenberg, J., Nijhuis‐Van der Sanden, M. W., & Van Schrojenstein‐ Lantman de Valk, H. M. J. (2016). Healthy living according to adults with intellectual disabilities: towards tailoring health promotion initiatives.Journal of Intellectual Disability Research,60(3), 228-241. Loayza, N., & Rigolini, J. (2016). The local impact of mining on poverty and inequality: evidence from the commodity boom in Peru.World development,84, 219-234. Marmot, M. (2015). The health gap: the challenge of an unequal world.The Lancet,386(10011), 2442-2444. Niederdeppe, J., Heley, K., & Barry, C. L. (2015). Inoculation and narrative strategies in competitive framing of three health policy issues.Journal of Communication,65(5), 838- 862. Rovers, J. P., & Mages, M. D. (2017). A model for a drug distribution system in remote Australia as a social determinant of health using event structure analysis.BMC health services research,17(1), 677. Vargo, J., Stone, B., Habeeb, D., Liu, P., & Russell, A. (2016). The social and spatial distribution of temperature-related health impacts from urban heat island reduction policies.Environmental Science & Policy,66, 366-374. UNSW. (2018).Inequality in Australia, 2018[online]. Accessed on 28/12/19.