EFFECT OF SOCIAL DETERMINANTS ON HEALTH2 The social determinants of health are considered as the financial and the social condition which influence dissimilarities in health status between individuals and groups. It is a complex circumstance in which people are born and grown up. They mainly consist of factors such as socio-economic status, neighbourhood, education and social support systems along with provision of health care, food availability(Healthy People, 2020). The circumstances gives rise to societal divisions which are responsible for creating health disparities among people on the basis of social, economic status, ethnicity. Addressing the social determinants of health is vital for improving health and lowering the inequalities and discrepancies in health care. The social determinants lies as a underlying cause for most diseases among people. Social determinants gives rise to health inequalities and social disparities among people, which in turn, affects the health access to the people belonging to lower social or economic class, who remain deprived of health services and treatment, thus leading to increased morbidity. For instance,havingapoorhealthconditionorlackofpropereducationcanaffectthe opportunities for employment, which results in restrain of income(Healthy People, 2020). People with a low income will have limited access to healthcare which leads to hardship. Hardship results in stress, which in turn, encourages an individual to opt for unhealthy modes of coping stress such as substance abuse leading to mental disorders or overeating unhealthy foods causing gastrointestinal problems or obesity. Transmission takes place once an infectious pathogen leaves its host through “the portal of exit”, carried by some “mode of transmission” and enters a new succeptible host through the “portal of entry” to cause infection. This is called the chain of infection. It consist of the six components: infectious agents or pathogen, reservoir or previous host, portal of exit, modes of transmission, portal of entry and new host(Schrank & Branch-Elliman, 2017). The pathogen is the disease causing agent, which is responsible for the infection, the reservoir is
EFFECT OF SOCIAL DETERMINANTS ON HEALTH3 the natural environment for the pathogen to survive, portal of exit is the doorway through which the pathogen leaves the reservoir to infect another host, modes of transmission is the medium through through which the pathogen is transmitted, it can be direct (close contact) or indirect (requires vectors). Portal of entry is the entry point through which the pathogen gain access to the new host and the final component is the new host who gets harmed due to the infection caused by the pathogen. All these components remain interconnected to each other within the “chain of infection”. The nurses can help in breaking the “chain of infection”by encouraging the patients to maintain a clean and hygienic environment, proper handwashing with sanitizers, frequent vaccination, asking the patients to cover their mouth while sneezing or coughing, cleaning and disinfecting the personal equipments(Clark, 2015). Other than these, the nurse should use properly sterilized medical instruments, follow safe injection practice, and appropriate usage of antibiotics to prevent antibiotic resistance.
EFFECT OF SOCIAL DETERMINANTS ON HEALTH4 REFERENCE Clark, M. J. (2015).Population and community healthnursing (6th ed.). Boston, MA: Pearson Chapter 3 Determinants of Health | Healthy People 2020. Healthypeople.gov. (2020). Retrieved 24 March2020,fromhttps://www.healthypeople.gov/2020/about/foundation-health- measures/Determinants-of-Health. Schrank, G., & Branch-Elliman, W. (2017). Breaking the chain of infection in older adults: a reviewofriskfactorsandstrategiesforpreventingdevice-related infections.Infectious Disease Clinics,31(4), 649-671.