User:Smg02/Health equity

Editing Plan: To add to this article, I plan to find more sources that support points that the article is making without viable sources to back it up.

I also plan to add to the “Education” subsection of the article as it doesn’t talk much about the differences in and barriers to health education specifically.

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Health equity arises from access to the social determinants of health, specifically from wealth, power and prestige. Individuals who have consistently been deprived of these three determinants are significantly disadvantaged from health inequities, and face worse health outcomes than those who are able to access certain resources. It is not equity to simply provide every individual with the same resources; that would be equality. In order to achieve health equity, resources must be allocated based on an individual need-based principle.

According to the World Health Organization, "Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity". The quality of health and how health is distributed among economic and social status in a society can provide insight into the level of development within that society. Health is a basic human right and human need, and all human rights are interconnected. Thus, health must be discussed along with all other basic human rights.

Health equity is defined by the CDC as "the state in which everyone has a fair and just opportunity to attain their highest level of health". It is closely associated with the social justice movement, with good health considered a fundamental human right. These inequities may include differences in the "presence of disease, health outcomes, or access to health care" between populations with a different race, ethnicity, gender, sexual orientation, disability, or socioeconomic status.

Health equity is defined as differences in health that are unavoidable, unfair, and unjust, and cannot be explained by natural causes, such as biology, or differences in choice. It is closely associated with the social justice movement, with good health considered a fundamental human right. Thus, if one population dies younger than another because of genetic differences, a non-remediable/controllable factor, we tend to say that there is a health inequality. On the other hand, if a population has a lower life expectancy due to lack of access to medications, the situation would be classified as a health inequity. These inequities may include differences in the "presence of disease, health outcomes, or access to health care" between populations with a different race, ethnicity, gender, sexual orientation, disability, or socioeconomic status. Although it is important to recognize the difference in health equity and equality, having equality in health is essential to begin achieving health equity. The importance of equitable access to healthcare has been cited as crucial to achieving many of the Millennium Development Goals.

It is important to distinguish between health inequity and health inequality. Health inequality is the term used in a number of countries to refer to those instances whereby the health of two demographic groups (not necessarily ethnic or racial groups) differs despite similar access to health care services. It can be further described as differences in health that are avoidable, unfair, and unjust, and cannot be explained by natural causes, such as biology, or differences in choice. '''Thus, if one population dies younger than another because of genetic differences, a non-remediable/controllable factor, we tend to say that there is a health inequality. On the other hand, if a population has a lower life expectancy due to lack of access to medications, the situation would be classified as a health inequity. These inequities may include differences in the "presence of disease, health outcomes, or access to health care".''' Such examples include higher rates of morbidity and mortality for those in lower occupational classes than those in higher occupational classes, and the increased likelihood of those from ethnic minorities being diagnosed with a mental health disorder. In Canada, the issue was brought to public attention by the LaLonde report. '''Although it is important to recognize the difference in health equity and health equality, having equality in health is essential to begin achieving health equity. The importance of equitable access to healthcare has been cited as crucial to achieving many of the Millennium Development Goals.'''

Education
Education is an important factor in healthcare utilization, though it is closely intertwined with economic status. An individual may not go to a medical professional or seek care if they do not know the ills of their failure to do so, or the value of proper treatment. In Tajikistan, since the nation gained its independence, the likelihood of giving birth at home has increased rapidly among women with lower educational status. Education also has a significant impact on the quality of prenatal and maternal healthcare. Mothers with primary education consulted a doctor during pregnancy at significantly lower rates (72%) when compared to those with a secondary education (77%), technical training (88%) or a higher education (100%). There is also evidence for a correlation between socioeconomic status and health literacy; one study showed that wealthier Tanzanian families were more likely to recognize disease in their children than those that were coming from lower income backgrounds.

'''Social inequities are a key barrier to accessing health-related educational resources. Patients in lower socioeconomic areas will have less access to information about health in general, leading to less awareness of different diseases and health issues. Health education has proven to be a strong preventative measure that can be taken to decrease levels of illness and increase levels of visiting healthcare providers. The lack of health education can contribute to worsened health outcomes in these areas.'''

The more specific issue of educational equity is also associated with health inequities. Individuals with lower levels of education are more likely to incur greater health risks such as substance abuse, obesity, and injuries both intentional and unintentional. Education is also associated with greater comprehension of health information and services necessary to make the right health decisions, as well as being associated with a longer lifespan. Individuals with high grades have been observed to display better levels of protective health behavior and lower levels of risky health behaviors than their less academically gifted counterparts. Factors such as poor diets, inadequate physical activity, physical and emotional abuse, and teenage pregnancy all have significant impacts on students' academic performance and these factors tend to manifest themselves more frequently in lower-income individuals.