Impact of Psychological and Social Determinants on Health

Q4 Medicine
Riffat Mehboob
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引用次数: 0

Abstract

The World Health Organization defines the Social Determinants of Health (SDH) as "the conditions under which people are born, grow, work, live, and age, as well as the broader set of forces and systems influencing the conditions of daily life". Psychosocial variables and social determinants both have an important role in determining a person's health and well-being. The psychological, social, and cultural dimensions of these issues can have an impact on a person's behavior and health. Stress, education, poverty, social exclusion, discrimination, and violence are a few examples of these psychosocial determinants. These elements can be protective or, on the other hand, raise the risk of physical and mental illness and lower people's quality of life. Social determinants of health are a combination of social, economic, and physical factors. They play a role in determining the patterns of illness, disease, and health that are observed in a population. They establish the circumstances in which people are conceived, develop, live, work, and age. Health and medical care, economic security, social and communal context, local geography and built environment, and education are all examples of social determinants of health. The connection between individuals and their social and physical environments frequently worsens poor health outcomes. Low socioeconomic position, unemployment, strained family ties, and hazardous neighborhoods have been shown in studies to have a significant negative impact on mental health. Additionally, those who suffer from severe psychological disorders are more probable to experience social segregation, poverty, food insecurity and housing uncertainty all of which can decrease quality of life and hamper rehabilitation. Pakistan experienced the largest gain among the SAARC nations between 2013 and 2018, increasing its happiness score by 26 points, and is expected to rank among the top 20 gainers globally in 2020 [2]. However, it lowers to 4.934from 2018-2020 and is ranked 105 out of 149 happiest countries. There could be a number of causes for this downward tendency. The need of the hour is to pinpoint the causes of Pakistan's declining happiness level. These findings would help policymakers get rid of or manage the factors contributing to people's lower levels of happiness. It is improbable to understate the importance of social and psychological factors in determining health. Healthcare systems and politicians may create initiatives that successfully promote well-being, lessen health inequities, and enhance overall health outcomes by understanding and addressing these variables. A healthier and more equal society must be built via comprehensive strategies that incorporate socioeconomic inequities and mental health care. In order to promote a more inclusive and sustainable society, the international community is making great progress towards reaching many Sustainable Development Goals (SDGs). We are covering several SDGs described by United Nations which include: SDG 1, “No Poverty”; SDG 2, "Zero Hunger"; SDG 3, "Good Health and Well-being"; SDG 4, "Quality Education"; SDG 5, "Gender Equality"; SDG 8, "Decent Work and Economic Growth" and SDG 10, "Reduced Inequalities". The elimination of poverty, hunger, and inequality, as well as the promotion of sustainable economic growth, are the top priorities behind these objectives. By achieving these objectives, we can collectively work towards a more sustainable and equitable future in which no one is left behind.
心理和社会决定因素对健康的影响
世界卫生组织将健康的社会决定因素定义为“人们出生、成长、工作、生活和衰老的条件,以及影响日常生活条件的一系列更广泛的力量和制度”。社会心理变量和社会决定因素在决定一个人的健康和福祉方面都发挥着重要作用。这些问题的心理、社会和文化层面可能对一个人的行为和健康产生影响。压力、教育、贫困、社会排斥、歧视和暴力是这些社会心理决定因素的几个例子。这些因素可以起到保护作用,但另一方面,也会增加身体和精神疾病的风险,降低人们的生活质量。健康的社会决定因素是社会、经济和身体因素的综合。它们在确定在人群中观察到的疾病、疾病和健康模式方面发挥作用。它们构成了人们孕育、发展、生活、工作和衰老的环境。健康和医疗保健、经济安全、社会和社区环境、当地地理和建筑环境以及教育都是健康的社会决定因素。个人与其社会环境和物质环境之间的联系往往使健康状况恶化。研究表明,低社会经济地位、失业、紧张的家庭关系和危险的社区对心理健康有显著的负面影响。此外,那些患有严重心理障碍的人更有可能经历社会隔离、贫困、粮食不安全和住房不确定,所有这些都可能降低生活质量并妨碍康复。2013年至2018年期间,巴基斯坦是南盟国家中幸福指数涨幅最大的国家,幸福指数提高了26分,预计到2020年,巴基斯坦将跻身全球幸福指数涨幅前20名[2]。然而,从2018年到2020年,它降至4934,在149个最幸福的国家中排名第105位。造成这种下降趋势的原因可能有很多。当务之急是找出巴基斯坦幸福水平下降的原因。这些发现将有助于政策制定者摆脱或管理导致人们幸福感较低的因素。不可能低估社会和心理因素在决定健康方面的重要性。卫生保健系统和政治家可以通过理解和处理这些变量来制定举措,成功地促进福祉,减少卫生不公平,并提高整体卫生结果。必须通过将社会经济不平等现象和精神卫生保健结合起来的综合战略,建立一个更健康、更平等的社会。为了促进一个更加包容和可持续的社会,国际社会在实现许多可持续发展目标方面取得了巨大进展。我们将介绍联合国描述的几个可持续发展目标,包括:可持续发展目标1,“无贫困”;可持续发展目标2,“零饥饿”;可持续发展目标3,“良好健康和福祉”;可持续发展目标4,“优质教育”;可持续发展目标5,“性别平等”;可持续发展目标8,“体面工作和经济增长”和可持续发展目标10,“减少不平等”。消除贫困、饥饿和不平等以及促进可持续经济增长是这些目标背后的首要任务。通过实现这些目标,我们可以共同努力,创造一个更可持续、更公平的未来,不让任何人掉队。
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来源期刊
Pakistan Journal of Medical & Health Sciences
Pakistan Journal of Medical & Health Sciences MEDICINE, GENERAL & INTERNAL-
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期刊介绍: Pakistan Journal of Medical and Health Sciences is an international biomedical journal from Pakistan. We publish materials of interest to the practitioners and scientists in the broad field of medicine. Articles describing original qualitative, quantitative, human/animal clinical or laboratory studies are considered for publication.
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