Narratives of Health and Illness

Introduction to Social Determinants of Health Narratives

The main purpose of the paper is to describe the social determinants that shape up the health shape health narratives. Social Determinant of Health (SDoH) are the social factors causing an impact over the health; bearing the social conditions under which the people are born, showing an experience to live, grow, work and age are the main determinants of good health or having ill-health. The factors include the culture, gender, affected with the health services, socioeconomic position [income, having a good education along with the occupation], social environments such as the social inclusion, social capital, and even due to the physical environments, having an early life, employment and working conditions (Medvedyuk, 2018). The health narratives are the stories associated with the individual to reflect on the SDoH and life experience that can make a sense of their wellbeing along with securing the health care system (Maani, 2020).

Health Narrative

The term narrative health includes the key aspects of the interprofessional community that works outside the medicine, associating with the community and patient as being one of the vital learning and stories. With the wide health disparities observed in the different regions, the important key elements are the health care and also to address the health that could define with the new definitions. Narratives have been an important way to describe how the communities have addressed the health and how there can be a place of the hospital identified within their core health. Narrative Health is not the only way to storytelling but also found within story listening (McKee, 2018). Through the narrative style of describing one own evidence and help to understand the health programs which can be listened through the patient's learners outcomes as described by various health professions. The individuals while describing their narratives, apart from the oral discussion, story, they can even include through the writing pedagogy and identified with the techniques to decentralize and relate with the practitioner-patient binary of illness (Medvedyuk, 2018). It would be an important step to describe the patients’ stories of health along with attaining the experiences with health care. Health narratives are move from the history of health to evaluate the complexities of a story that helps to access the human aspects of illness that can be absorbed and understood (Niederdeppe, 2016).

Understanding a Person’s Health Experience

The narrative ways of describing the health experience have been used to improve the communication stream to strengthen between the physician and patient. Narrative health of describing the health experience can help to judge the skills or recognizing, the person's health changes, constant absorption, or experiencing the interpretation, by detailing the moved illness. Through adequate narrative competence, having the defined skills can help to move ahead with the key ideas that can present the overall realm of medical practice (Gurrola, 2018). Through the individual experience, people within the communities, it is important to introspect the social determinants of health and also acquire health equity. With the journey of the person's health transformation, illness the health impacts, changes, and even how the body reacted or accepted the medication can be recorded and documented (Fogarty, 2018).

 What is SDOH?

Social determinants of health are the predetermined, existing, and past conditions, under which people are born, are able to grow, live, and eventually also work and age.  The factors within the social determinant of health include socioeconomic status, having a rightful set of education, a better neighborhood along with a secure physical environment (Blas, 2018). Additionally, the Social Determinants of Health (SDoH) framework has been used numerous times to map the health inequalities between the two regions (Carey, 2017). Through addressing social determinants of health, it is important to judge and evaluate the key health and even reduce the health disparities. With the extensive use of the health care system is essential as the majority of the health, can be noted as relatively weak health determinant and subsequently it would be an achieved health outcomes that could define the array of factors, that covers the majority of the underlying genetics, involves the health behaviors, social and even includes the environmental factors along with the health care. As such, there have been currently no consensus that could map out how there can be a magnitude that could help understand the relative contributions that can be associated with each factor to health (Elwell-Sutton, 2019). Additionally, it is also duly noted to be one of the defined health behaviors, like that of smoking, diet, along with exercising and even noting the social and economic factors that could relate to the health outcomes. Such factors would address the social and economic factors that can eventually be shaping up the individuals’ health behaviors. Such as, if the children born to the parent that has attained higher education, would have overcome the environment wherein there can be a barrier to health like lack of safety, experiencing the exposed garbage along with the lower chances of having substandard housing (Fogarty, 2018).

Social determinants are also likely to show health impacts, reducing health disparities, and noting the social and economic disadvantages. The social determinants help identify the particular parts of the population in focus and to determine the regularities in the poor health along with the counteracted that is the issue. The approach helps to identify the health summary, problems, and the health inequalities within the focused particular groups.

Adam’s Health Narrative and Key Points

Adam Health narratives have described the as the long-honored and even the integral piece describing the human experience (Gurrola, 2018). The content involves the key analysis that has been included in the far cultural traditions, along with holding key respect to our friends that could understand the myths and tropes, ascertaining the cultures that would not be tremendously different. Adam's health narrative descrives the act of sharing our experiences, forming a viewpoint, framing set points, and even relating to the oral tradition that could engage collective humanity, at large, and relates to the identification within the second community.

SDOH of Racism and Education Shaped Adam’s Health Experience

The social determinants of health (SDOH) are identified as the nonmedical factors that cover the wide health, including health and also be related to the knowledge, attitudes, that can be based on the beliefs, or behaviors (e.g., smoking). SDOH are known to be "upstream" factors and include the social disadvantage, risk exposure, and even involves the social inequities which would play a fundamental causal role as defined within the poor health outcomes (Hansen, 2018). The first advantage of the life course approaches can also be linked to the health and critical ways of the sensitive periods that could result in the risk (such as bad childhood experiences, or facing the traumatic experiences) that could lead to cumulative exposures. The second is the potential causal link that could be related to the cause and effect of social status that can be linked to the regulation of genes forming controlling physiologic functions (such as the immune functioning) (Harrigan, 2017). Through the health equity approaches can be associated with the health and social inequities that would be linked to the socio-demographic factors and would involve the vast class, can include the immigration status, and even works as per the gender, sexual orientation along with the disability status; having the social capital that could result in the key moderate or mediate the effects The SDoH, has also been associated with the multiple causal pathways that could result in the health, multiple intervening factors and even include the limited ability that can potentially be studying as the factors could be leading causes with the funding, forming a brief limited understanding and result in the community buffers which can mitigate the effects (Elwell-Sutton, 2019).

Racism within the SDoH, are the factors of discriminatory actions along with holding the key attitudes and deriving the key systemic constraints for any individuals who have been experiencing the individuals’ opportunities along with the resources that can result due to the race or ethnicity. Through the racial residential segregation can also be constituting the institutional racism which could lead to produces along with the perpetuates social disadvantage for the resource and involves the challenged neighborhoods, having low quality and even can be a result of the under-resourced schools, that could result in an inadequate and even result in the unsafe housing. Racism can be linked to the health impacted due to the stress (chronic stress that could be microaggressions) pathways (Carey, 2017).

As identified to the race and racism, the problem of the social inequities can emerge from the socio-demographic (low modifiable) factors and there can be class, as a result of the immigration status, resulting in the gender, having the sexual orientation, and even a result of the disability status that could cause the impact over the health along with the health inequities. Such as the cause and the effect of such low modifiable factors that could be a result of the health comes. Racism is the major leading causes that could result in the health Inequities as the unbiased, unfavoured, and unsystematic “health in all policies,” can cause the collaborative approaches that can affect the health of all people as a result of the health considerations that can be the result of decision making that would be based sectors along wit the policy areas (Elwell-Sutton, 2019). Causing the institutional policies, attaining regulations that would result in the corporations along with the businesses, government agencies, forming the schools, and social inequities that would result due to the population’s living conditions (such as the physical, social, that can be caused to the economic/work, along with the service environments); that can be a result of the zoning policies, that would result if the upstream approach that would be due to the health equity which can result of the influence that can result in living conditions (Hansen 2018).

Education can be resultant of the interrelated way and the first, education has been associated with the health that could result through individuals’ that can result in the increased that would be health knowledge along with the healthy behaviors. Education plays a vital role in literacy (Blas, et al, 2018). The second shaping up the social determinants of health can be resultant in the shapes of employment opportunities, which can be a major cause of the determinants as a result of the economic resources which can be involved with the influence of health. The third reason is how the education can be actively be involved with the health that can involve social and psychological factors, that could be a greater perceived personal control (and it is best to be associated with the better health along with the healthy behaviors), that could result in the higher social standing along with the increased social support (Gurrola, 2018). Through the role of educational quality and it can be presented the supports – causing the employment opportunities, forming the prestige, and it can be social networks that could result in the elite university – that could impact health (Harrigan, 2017).

Conclusion on Social Determinants of Health Narratives

To conclude, social determinants of health, can be represented with the important opportunities that could constantly improve as a result of the health and even reducing health disparities. The social determinants of health also involve the three types of approaches like to involve the social disadvantage approaches and also relate with the link between health along with the neighborhood conditions, having a better working condition, education, includes the income and wealth and even the race/ethnicity along with the racism; elements, that could help to handle how there can be a potential causal link that could cause the stress and advise the ways to cope with the factors.

References for Social Determinants of Health Narratives

Blas, E., Ataguba, J. E., Huda, T. M., Bao, G. K., Rasella, D., & Gerecke, M. R. (2016). The feasibility of measuring and monitoring social determinants of health and the relevance for policy and program–a qualitative assessment of four countries. Global Health Action9(1), 29002.

Carey, G., Malbon, E., Crammond, B., Pescud, M., & Baker, P. (2017). Can the sociology of social problems help us to understand and manage ‘lifestyle drift’?. Health Promotion International32(4), 755-761.

Elwell-Sutton, T., Marshall, L., Bibby, J., & Volmert, A. (2019). Briefing: Reframing the conversation on the social determinants of health. Health Foundation/Frameworks Institute. https://www. health. org. UK/sites/default/files/upload/publications/2019/Reframing% 20the% 20conversation% 20on% 20social% 20determinants. pdf.

Fogarty, W., Lovell, M., Langenberg, J., & Heron, M. J. (2018). Deficit discourse and strengths-based approaches: changing the narrative of Aboriginal and Torres Strait Islander health and wellbeing. Deficit Discourse and Strengths-based Approaches: Changing the Narrative of Aboriginal and Torres Strait Islander Health and Wellbeing, viii.

Gurrola, M. A., & Ayón, C. (2018). Immigration policies and social determinants of health: Is immigrants’ health at risk?. Race and Social Problems10(3), 209-220.

Hansen, H., Braslow, J., & Rohrbaugh, R. M. (2018). From cultural to structural competency—training psychiatry residents to act on social determinants of health and institutional racism. JAMA Psychiatry75(2), 117-118.

Harrigan, N. M., Koh, C. Y., & Amirrudin, A. (2017). The threat of deportation as a proximal social determinant of mental health amongst migrant workers. Journal of Immigrant and Minority Health19(3), 511-522.

López, N., & Gadsden, V. L. (2016). Health inequities, social determinants, and intersectionality.

Lucyk, K., & McLaren, L. (2017). Taking stock of the social determinants of health: A scoping review. PLoS One12(5), e0177306.

Maani, N., & Galea, S. (2020). The Role of Physicians in Addressing Social Determinants of Health. Jama323(16), 1551-1552.

Medvedyuk, S., Ali, A., & Raphael, D. (2018). Ideology, obesity, and the social determinants of health: a critical analysis of the obesity and health relationship. Critical Public Health28(5), 573-585.

McKee, M., & Stuckler, D. (2018). Revisiting the corporate and commercial determinants of health. American Journal of Public Health108(9), 1167-1170.

Niederdeppe, J., Roh, S., & Dreisbach, C. (2016). How narrative focus and a statistical map shape health policy support among state legislators. Health Communication31(2), 242-255.

Plamondon, K. M., Bottorff, J. L., Caxaj, C. S., & Graham, I. D. (2018). The integration of evidence from the commission on social determinants of health in the field of health equity: a scoping review. Critical Public Health, 1-14.

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