This paper discusses the social determinants of lung cancer in Australia, including unemployment, physical environment, and health literacy. It highlights the impact of these factors on the prevalence and progression of the disease, and suggests interventions to raise awareness and reduce the burden of lung cancer.
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Running head: LUNG CANCER Name of the student: Name of the university Author’s note:
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1 LUNG CANCER Introduction: With the increased prevalence of the chronic diseases, lung cancer is highlighted as one of the national health priorities in Australia affecting 9% of the total population of Australia (Abdelsattar, Hendren and Wong 2017). As discussed by world health organization the most relevant social determinants contributed to this issue are low socio-demographic status, physical environment, and health literacy which contributed most in the development. This paper will highlight each social determent in the following paragraphs. Discussion: Smoking is highlighted as one of the major cause of the lung cancers in Australia contributed to 80 to 90% of the mortality rate in men and women.One of the crucial reason for developing smoking habits is unemployment (Pageet al. 2016). As discussed by Reck et al. (2016) unemployment has a devastating impact on the lives of individuals and because of employment, a considerate number of the individuals are exposed high psychologicaldistress such asanxiety, depression which resulted in the developmentof the habit of smoking frequently. Consequently, individuals lower socio-demographic are more prone to smoking (Abdelsattar, Hendren and Wong 2017).The patient with early onset symptoms of lung cancer tendtoexperiencesweightlossandlossofappetite(Fieldetal.2016).Becauselow sociodemographic status individuals with lung cancer failed to afford the cost of the health care facilities and sometimes became of remote areas, the advance heath facilities are not available to them which further worsen the progress of disease (Fieldet al. 2016).Therefore, in order to reducetheprevalenceandincidentsoflungcancerinAustralia,providingemployment opportunity to the individuals with low sociodemographic status along with the counsellor to
2 LUNG CANCER reduce the anxiety indirectly reduce the prevalence of cancer (Abdelsattar, Hendren and Wong 2017). Another crucial social determinant of the health is the physical environment where individuals are more prone to smoking because of the peers they follow or parents who smoke on a daily basis (Mooreet al.2015). A study suggested that adolescents of 12 to 17 years frequently develop the habit of smoking because of the peers they follow in school or colleges. Amongst 12to15year olds,3.0% were current smokers (Pageet al. 2016).These adolescents also develop habit of smoking because of the parents who smoke frequently in the home setting in front of their children. Consequently, because of autonomy attitude they tend to develop habit of smoking. In case of adults of aged in between 18 to 36 , because of smoking habits in the work place, expose to toxins and other smokers give rise to small lumps in lungs whereindividuals experience cough (often with blood),wheezing and shortness of breath (Abdelsattar, Hendren and Wong 2017).Therefore, in order to reduce the prevalence of the lung cancers, work place policies can be amended to reduce the active and passive smoking as well as home bans , school bans, replacement with e- cigarette can be done. As discussed by Denton et al. (2017) inadequate literacy regarding smoking habits and associated health impacts are highlighted as one of the crucial social determinants of the health for increasing prevalence.Due to lack of the health literacy , especially in the indigenous area wherelack of opportunity of education, advance technology and low socio demographic status, a considerate number of individuals are unaware of the early symptoms and risk factors of the lung cancer and continue to smoke. As discuss by in2014-15, smoking rates among the indigenous was close to 39% and majority of them developed early onset symptoms (Thorntonet al.2016).Even if they develop early onset symptoms of lung cancer, because of the exposure to
3 LUNG CANCER toxins or other gas, lack of inadequate literacy intensifying the progression of disease (Kinsinger et al.2017). Therefore, to reduce the prevalence of lung cancer health promotional campaign is required to raise awareness in population which will reduce the global burden of disease and prevalence of lung cancer in Australia (Kinsingeret al.2017). Conclusion: On a concluding note, lung cancer is one of the major chronic cancer which is influenced by social determinants of health such as unemployment, physical environment, and health literacy. A considerate number of the individuals are exposed high psychologicaldistress such as anxiety, depression because of unemployment, physical environment and health illiteracy which further increases the burden of disease. To reduce the progress, proper intervention is required to design for raising awareness.
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4 LUNG CANCER Reference : Abdelsattar, Z.M., Hendren, S. and Wong, S.L., 2017. The impact of health insurance on cancer care in disadvantaged communities.Cancer,123(7), pp.1219-1227. Denton, E. J., Hart, D., Russell, P. A., Wright, G.,and Conron, M. 2017. Lung cancer and socio‐ economic status: inextricably linked to place of residence.Internal medicine journal,47(5), 563- 569. Field, J.K., Duffy, S.W., Baldwin, D.R., Brain, K.E., Devaraj, A., Eisen, T., Green, B.A., Holemans, J.A., Kavanagh, T., Kerr, K.M. and Ledson, M., 2016. The UK Lung Cancer Screening Trial: a pilot randomised controlled trial of low-dose computed tomography screening fortheearlydetectionoflungcancer.Healthtechnologyassessment(Winchester, England),20(40), p.1. Kinsinger, L.S., Anderson, C., Kim, J., Larson, M., Chan, S.H., King, H.A., Rice, K.L., Slatore, C.G., Tanner, N.T., Pittman, K. and Monte, R.J., 2017. Implementation of lung cancer screening in the Veterans Health Administration.JAMA internal medicine,177(3), pp.399-406. Moore, S.P., Antoni, S., Colquhoun, A., Healy, B., Ellison-Loschmann, L., Potter, J.D., Garvey, G. and Bray, F., 2015. Cancer incidence in indigenous people in Australia, New Zealand, Canada, and the USA: a comparative population-based study.The Lancet Oncology,16(15), pp.1483-1492. Page, B.J., Bowman, R.V., Yang, I.A. and Fong, K.M., 2016. A survey of lung cancer in rural and remote Aboriginal and Torres Strait Islander communities in Queensland: health views that impact on early diagnosis and treatment.Internal medicine journal,46(2), pp.171-176.
5 LUNG CANCER Reck, M., Rodríguez-Abreu, D., Robinson, A.G., Hui, R., Csőszi, T., Fülöp, A., Gottfried, M., Peled, N., Tafreshi, A., Cuffe, S. and O’Brien, M., 2016. Pembrolizumab versus chemotherapy for PD-L1–positive non–small-cell lung cancer.New England Journal of Medicine,375(19), pp.1823-1833. Thornton, R.L., Glover, C.M., Cené, C.W., Glik, D.C., Henderson, J.A. and Williams, D.R., 2016. Evaluating strategies for reducing health disparities by addressing the social determinants of health.Health Affairs,35(8), pp.1416-1423.