3. According to WHO:
Health isa state of complete physical, mental and
social well-being and not merely the absence of
disease or infirmity.
4. Introduction
Health is a Multi-dimensional concept that transcends the
mere absence of illness
Determinants of health are the conditions in the social,
physical and economic environment in which people are
born, live, work and age, including the access to the
health care
6. Education as a
Determinant
• Health literacy: Education improves health literacy
enabling individuals to understand health information,
make informed decisions and navigate health systems
effectively
• Health behaviors: Educated individuals are more likely
to adopt healthier behaviors, such as exercising, avoiding
tobacco and alcohol and eating nutritious foods
• Psychosocial factors: Higher levels of education are
associated with lower stress levels and better coping
mechanisms, which can reduce the risk of mental health
disorders and chronic diseases
7. Income and Employment
Access to Healthcare Services: Higher
income often provides better healthcare
options, including private insurance,
higher quality hospitals, specialists and
timely medical care. Lower-income urban
communities often have higher rates of
diabetes, heart disease, and respiratory
illnesses due to limited access to
healthcare and preventive services
8. Affordability of Treatment: Those with stable employment and higher
income can more easily pay for the costs of medications, diagnostics
and treatments.
Work Environment and Health: Secure jobs with fair wages and safe
working environments, and health benefits promote better physical and
mental health. Jobs with poor working conditions lead to higher stress
levels, increased risk of injury, illness and psychological stress.
Higher income leads to better living conditions
9. Housing and Environment
Living conditions: Safe, stable and affordable
housing is essential for maintaining good health.
Poor housing conditions such as overcrowding,
dampness, mold and inadequate heating are linked
to respiratory problems, infectious diseases and
other health issues
Access to Basic Amenities: Housing with access
to clean water, sanitation and proper ventilation
reduces the risk of communicable diseases and
other health problems especially in children and
vulnerable populations
10. Exposure to Environmental Hazards: The physical environment plays a
critical role in health. Individuals living in polluted areas, such as near
industrial sites or areas with poor air quality, face higher risks of
respiratory diseases, cardiovascular issues, and cancer.
Climate and Natural Disasters: Vulnerable housing environments prone
to natural disasters (floods, heat waves, etc.) or extreme weather
conditions can lead to injury, displacement, and long-term mental health
effects. Climate change also exacerbates these risks, increasing the
burden on healthcare systems.
11. Healthcare Access
Access to Healthcare: Proximity to hospitals,
clinics, and availability of healthcare services
vary greatly between wealthy and poorer
neighborhoods. Urban residents may face
barriers such as transportation issues, limited
clinic hours, or lack of insurance. Clinicians
can advocate for policies that improve access,
such as telemedicine options or extended
hours. Building partnerships with community
organizations can help connect patients with
resources for housing, nutrition, and mental
health services (social workers).
12. Social and Community
Networks
Emotional Support: Strong social networks provide emotional support,
which is essential for mental health. Having friends, family, or support
groups helps individuals cope with stress, anxiety, and life challenges,
reducing the risk of mental health disorders like depression and anxiety.
Health Behaviors: Social networks influence health behaviors through
shared values, norms, and habits. Individuals who have supportive social
connections are more likely to engage in healthy behaviors, such as regular
exercise, smoking cessation, and healthy eating, and less likely to engage in
harmful behaviors like substance abuse.
13. Access to Information: Social networks act as channels for health information,
increasing awareness of preventive measures, treatment options, and healthcare
resources. Well-connected individuals are more likely to seek care early, make
informed healthcare decisions, and adhere to treatment plans.
Community Support Systems: Communities that are cohesive and offer strong
social support systems (e.g., religious groups, volunteer organizations, or local
health initiatives) provide a safety net for individuals, especially in times of illness,
unemployment, or financial hardship. These networks promote resilience and help
mitigate the effects of adverse life events.
Reduced Social Isolation: Communities that offer spaces for interaction, such as
recreational centers, parks, or communal events, help reduce social isolation, which
is a significant risk factor for poor mental health, substance abuse, and even
chronic conditions like heart disease.
14. Conclusion
Socioeconomic determinants such as income, education, and housing have a
profound influence on healthcare outcomes in urban settings, creating
inequalities in health status across different populations.
Call for Holistic Approaches: Addressing these issues requires comprehensive
strategies that go beyond healthcare—improving education, reducing income
disparities, and living conditions must be part of the solution.
Collaborative Efforts: Effective urban healthcare reform will rely on
collaboration between policymakers, healthcare providers, urban planners, and
community organizations to ensure equitable access to healthcare for all.