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eath Determinants

Heath Determinants Introduction

Health can be described as a state of mental, physical and social wellbeing where one is free from illness and any injury. There are different determinants of health which include; social, cultural and medical. Social determinants of health come across as the circumstances in which an individual is born in as well as live in that has an impact on their lives. These include economic factors such as the level of income, occupation, work safety and working hours. The ways in which a person acquires their daily bread can pose a risk to their health or if occupational health and safety is observed, the work would be the reason to a good and well lavished lifestyle in the future.

There are different determinants of health among them being social determinants, cultural determinants and biological determinants of health. People are less concerned with social determinants of health since when one hears about sickness, one thing that only biological factors such as germs and pathogens are involved. Social determinants of health refer to the conditions which one is born and grows in. Social factors are shaped by money, food, power and resources. Among the sociological factors that influence health include; education, level of income and environment.

Social Determinants of health

Education

Education is also one of the social determinants of health. Education is the process of acquiring knowledge. Knowledge acquired can be applicable in different aspects of health including food nutrition, medical examination and diagnosis. Education is acquired by both patients and the health personnel.

Access to good educational facilities, early childhood experiences and development opportunities may also determine the kind of life one can live. Most people that didn’t get a good education or don’t have a good academic background may end up doing very labour intensive jobs which result in very common ailments and subsequently ill health. When one is well educated with basic biological knowledge, one can tell when there is a problem in the body and take necessary action. Education helps prevent from getting chronic to those who are aware of certain diseases. For example, a patient can notice a cancerous growth and is able to go for diagnosis. Also, a learned person knows signs and symptoms for various diseases thus it is easy to take an early action. Ann Friedman in her story describes men who did not understand what was happening to them perhaps because they lacked the required education. She Says, “It seems to me that the disease is no more divine than any other. It has a natural cause just as other diseases have. Men think it is divine merely because they don’t understand it. But if they called everything divine which they do not understand, why, there would be no end to divine things.” If the men understood the disease well, they would have gone to the hospital and get diagnosed rather than calling it divine. Indeed, knowledge determines how people respond to different changes in the normal lives.

Those that have had the chance to go to great schools and earn themselves good grades and white collar jobs have less off this to worry about. They do less and earn more and have enough time for their families as well as recreational activities which is one of the social determinants of health too. Education helps one to acquire a job with eventually one will pay medical cover. With a medical cover, one gets attended to in hospital any time and at any cost depending on the type of illness. Also, education determines how one attends psychiatric sessions and internalize psychological advices from the counsellor. Basically education determines one’s health in the sense that having knowledge on something improves how one takes illness.

Environment

Another social determinant of health is the environment people live in and the food they eat. Environment is composed people who surround someone, security, cleanliness, access to social amenities and a good neighbourhood. Social amenities imply to health facilities, schools, food and shelter. Food and shelter are basic needs which determines one’s wellbeing.

Access to modest and social amenities, the state of the neighbourhood and the living conditions, the rates of crime and exposure to violence, availability of clean drinking water and clean water, food security and ability to access nutritious foods. A well balanced diet is the greatest determinant of a well functional body. With good food choices, one has the ability to avoid some of the lifestyle diseases or malnourishment caused diseases.

At the same time a peaceful, loving and calm environment gives one peace of mind and releases tension on matters that may lead to diseases such as high blood pressure, ulcers caused by stress or even anxiety. A crime free environment increases the standards of living. A peaceful environment prevents one from psychiatric problems such as depression, anxiety and OSA. There have been cases of people being depressed in streets where crime is rampant. A good example is wall street which was a major crime avenue and in in 2016 it recorded 25% of the total cases of depression in the state.

Talking about social amenities as part of environment, they play a major role in determining health. The key social amenity in the health sector is hospital where people get diagnosed and treated various sicknesses. When the social environment is well equipped with enough hospitals, chances are high that people will receive rapid medical attention (Artiga, & Hinton, 2019). Rapid medical attention leads to a society with less sick people. The opposite is true where when a society is less equipped with medical facilities, people will not receive the needed health attention ending up having a society with many sick people. A good example is from Ann Friedman’s story where she describes the hospital her family was treated. “By chance, during the years I worked on this book, my husband, my father, my daughter, and I all experienced serious illnesses, and, like the Lees, I found myself spending a lot of time in hospitals. I passed many hours in waiting rooms gnawing on the question, what is a good doctor? During the same period, my two children were born, and I found myself often asking a second question that is also germane to the Lees’ story: What is a good parent?” From the above it is no doubt the hospital was not well equipped with doctors that the family received less medical attention.

Level of income

Level of income includes what a person earns for their work, business or services. The amount of income received by an individual determines the kind of life one can live. When one has a good pay cheque at the end of the day they are able to afford good medical facilities and products. They are also able to afford regular doctor examinations as well as the services of professional gym instructors who may be very costly. At the same time, they are able to afford a balanced diet and medical attention when need be. It also goes without say that those that have a high income are those at top positions. They work on less labour intensive but more mental intensive jobs. This may result in more psychological and mental illnesses such as depression or stress unlike the labour intensive guys who suffer more on chronic back aches, injury such as losing their body parts in industries.

Further, a stable source of income implies one’s health is at less risk. When one has a stable source of income, one can buy high end drugs, comprehensive medical cover and so on. A good case to describe source of income and its relation to health is the case of fast food in the country. People tend to buy fast foods because they are cheap and readily available. Fast foods are key sources of lifestyle diseases such obesity, hypertension and cardiovascular disease (Artiga, & Hinton, 2019). Those who earn a lot can buy healthy meals which contain less fat thus chances of getting lifestyle diseases are minimal. In Klinenberg’s article, he links the access to social amenities with level of income. He links his discussion of the crisis to social factors such as affordability whew factors like water and energy rates make air conditioners unaffordable to poorer communities and the elderly who have fixed incomes. Being unable afford the air conditioners is what made it hard to combat the crisis on time. What if the afforded those amenities? The crisis would have not affected them to the extreme level. Level of income thus plays a crucial role in determining health of people in the society.

Differences among medical, social and cultural understandings of health illness.

As stated above there are biological, social and cultural determinants of health. These three differ in the sense each has varying factors as discussed below. First when one talks biological determinants of health this includes gender, genetics age and medical status. There are diseases that are prone to men and some prone to women with an example of cervical cancer in women and prostate cancer in men. When one goes to the hospital for diagnosis there are questions restricted to females only such as when was your last menses? It implies that if one is female there some diseases one can get and same applies to male. Further, age determines one’s health. Young children are highly posed to diseases such as polio and malaria, middle aged adults are highly exposed to STIs while the old age can get Alzheimer’s cataracts and other old age diseases. Biological factors differ from social factors in the sense they relate on biological processes and social is external to the body. Social factors are the things that surround a human being while biological factors are process that occur in a human being.

Further, biological factors determine health since different people have varying immunity. There are some people prone to diseases such as allergic reaction which determines their general health. A good case is that one person with allergies to cold climate is likely to get flu unlike those who have no allergies. People with strong allergies have in the past years reported to have mental illnesses such as depression and anxiety. When exposed to an environment that might trigger certain reactions this category of people tends to be anxious and afraid that they might react. Social factors such as level of income helps prevent triggers such as dusty environment where one can stay in clean suburbs.

Cultural factors on the other hand can be described in terms of community’s beliefs and practices. The beliefs and practices affect perceptions in illness, death, causes of diseases, types of treatment and approaches to solve public health issues. Also, cultural beliefs determine the type of medication that patients seek. A good example of how culture can affect how people perceive illness is that, some communities see HIV as a curse thus are always reluctant to go seek treatment or prevention.

Different cultures have their own ways of treatment on certain diseases. For example, there are African cultures which firmly believe in natural treatment such as the use of unprocessed herbs which sometimes fail to treat the intended disease. It is hard to convince such people to take certified medicine and seek doctor’s advice since this is what they grew up believing to be a cure of a certain diseases. Also, some cultural practices such as FGM expose ladies to various diseases which the society tend to be ignorant about it. Also, some cultures believe that diseases are not as a result of biological factors nor social factors thus it becomes hard to treat and advise a patient on preventive measures. The worst of all is when male patients would want to be treated by strictly males and the same applies to females. This hinders opposite gender expertise from handling the situation in the right way resulting to partial treatment or no treatment at all.

Cultural factors differ from biological factors in that these are purely assumptions from communities and not evidence based claims. With culture, certain diseases such as HIV and tuberculosis are stigmatized basing on the cultural understanding of this diseases. Unlike social factors, cultural factors are due to negligence, ignorance and beliefs which determine how people get treated. In some culture, pain is hardly expressed and stoicism is the norm. Certain people are expected to stay strong despite the pain.

Conclusion

From the above discussion, there are various factors that determine health and are related. All the above determinants of heath can be prevented and some cultural beliefs erased since they have no evidence. Social factors such as education can be used to improve health in the sense that everyone should be educated on various diseases, their causes and preventive measures. Public health awareness is an important move to ensure good health and safety. Biological factors on the other hand can be prevented by vaccination. Diseases such as polio, whooping cough and so forth can be prevent through giving the child respective vaccines. Ensuring a clean environment can also help ensure both physical and mental health. Cases of depression, anxiety and other psychiatric problems can be solved. The public need to be aware of the various health determinants and work towards ensuring that these factors are controlled to ensure good health. Cultural practices should not aim at interrupting the process of achieving good health.

References

Artiga, S., & Hinton, E. (2019). Beyond health care: the role of social determinants in promoting health and health equity. Health, 20, 10.

Marmot, M. (2005). Social determinants of health inequalities. The lancet, 365(9464), 1099-1104.

Marmot, M., Friel, S., Bell, R., Houweling, T. A., Taylor, S., & Commission on Social Determinants of Health. (2008). Closing the gap in a generation: health equity through action on the social determinants of health. The lancet, 372(9650), 1661-1669.

World Health Organization. (2008). Social determinants of health (No. SEA-HE-190). WHO Regional Office for South-East Asia.

Felons in Florida Should Be Allowed to Vote

Students Name: Solanch Bandera

Professor Name: Professor Alicia Garcia

Course Code:1101

Date: 10/03/2020

Felons in Florida Should Be Allowed to Vote

In the United States, democracy rules as the default way in which the country is run; hence, this means that the power lies in the people’s hands, and it is for the people and by the people.

Democracy grants every person distinct right, one of which is choosing who they can trust to lead the country in the ballot. Therefore, the ability to vote is a fundamental aspect of being in a democracy. However, felons are finding it hard to get the chance to exercise the right in their state. In the state, persons convicted of a felony are stripped of their right to vote during incarceration. But considering that we are still in a democracy, is it right to have someone deprived of their right of choice? I believe that it is a violation of their rights and freedoms, especially in a country that stands for liberty and freedom. Felons and ex-felons should be given the right to vote in Florida based on several arguments.

Denying such a huge population, the right to vote is breaching on their rights. The constitution of America allows for many freedoms available to every citizen to enjoy. However, when incarcerated for a felony, rights and freedoms are stripped as you head to federal prison. The act of locking a person in jail, excluded from their families and friends for an extended period, seems like enough punishment to any person. Felons undergo tough times in the prison systems, which are reputed as some of the harshest environments to a person. A person like that is already at a disadvantage. The act of stripping such a person the simple right to vote seems too harsh because they are already suffering in the prison system.

Also, Felons contribute to a large population of people in the state of Florida. Hence, this means that only a specific population of people decides on the ballot on matters affecting the state. A question is raised based on this, what if they all vote? There exists a certain unfairness in allowing the power to vote to be in the hands of a population of people while others look on. The unbalance of power seems unfair, considering the decision eventually affects everyone in the state, whether the consequences are good or bad.

Florida’s laws are especially harsh and are a vast contributor to the number of people incarcerated every year. The drug laws in Florida account for many of the incarcerations that would otherwise be dealt with differently in other states. For instance, Florida severely punishes possession of a drug like marijuana. Marijuana possession of more than 20 grams of marijuana in Florida is a felony that attracts a five thousand dollar fine or a maximum of five years (Riggs 118). The punishment seems very harsh and is a contributor to many people in Florida being incarcerated. The number of people who use marijuana, despite any criminal history, will find themselves being charged as felons. The idea is that if the laws are so harsh, then other rules should be lenient enough to balance things out as it would only be fair.

Finally, ex-felons in Florida have served their time and undergone the harsh punishments of the system (Stockman1). They usually return to a world that looks at them differently, stigmatizing them in every corner, whether it is job seeking to start a family. Hence, they are already at a disadvantage in that the world does not fully accept them. However, they have already served and should at least be given a second chance they so do deserve to pick another page and start anew without the shackles of their past holding them back. The first step to doing so is allowing felons and ex-felons to vote. Voting will give them a chance to have the freedom that they were so used to being denied in prison.

Works Cited

Farah Stockman, ‘They Served Their Time. Now they’re fighting for Other Ex-Felons to Vote.’ 2018. Retrieved From: https://www.nytimes.com/2018/05/11/us/voting-rights-felons.htmlRiggs, Allison J. “Felony Disenfranchisement in Florida: Past, Present and Future.” JCR & Econ. Dev. 28 (2015): 107.

Immigrants in the Gilded Age 1880-1920 (2)

Immigrants in the Gilded Age 1880-1920

Introduction

In the history of the United States, the gilded age is a period in the 19th century which ranged from around 1870s to about 1910. The name ‘Gilded Age’ which referred to this period, originated from novel writers Charles Dudley and Mark Twain which was entitled “The Gilded Age: A Tale of Today”. The novel satirically explored this era which was characterized by severe social issues that were covered with gold gildings. By briefly examining the gilded age, the historian would tell us that this age was associated with rapid growth in Economy of the U.S, especially in the West and North. During then, the wages from America were much higher as compared to those from European’s countries. These included the salaries for the skilled and unskilled labourers, which resulted in a millions influx of immigrants from European. Also, the growth of industrialization during that time facilitated to the increase in wages to about 60 percent that attracted a high labour force. This paper will provide a detailed course on the immigrants during the gilded age (1880-1920).

US immigrants in Colonial Era

As indicated above in the introduction part, a significant wave of immigration was experienced in the United States during the era of colonialism. In this case, the first phase occurred in the 19th century, and during the period from 1880 to 1920, many foreign people came to America in search of economic opportunities while others went to America as the pilgrims looking for the freedom in religion. Additionally, looking the immigration in the US from a general perspective, the immigrants did not only included the Europeans who searched for economic welfare but also there were Africans who came to the US as slaves in a will that was not theirs.

Taking a flashback on American immigrants, we find that, since time immemorial, America has always been a place inhabited by immigrants who were initiated by the original group that crossed a land bridge to connect the North Americans and the Asians in about one hundred thousand years ago. This continued over and over, and by 1550s, the French and Spanish who were the first Europeans immigrants had already started to establish settlements that in later days become the United States. In the year 1607, the first permanent settlement was established in Virginia at a place called Jamestown.

As indicated above some immigrants came to America searching for spiritual a freedom and practice their religious faith. In 1620, about 100 people who were later named Pilgrims arrived in Massachusetts in Plymouth after they fled from European religious persecution. When they came they formed a colony at that place and got huge followers especially from Puritans who were also looking for freedom of worship. They established a Massachusetts Bay colony which gained about 20,000 Puritans immigrants in about 20 years later.

During the Colonial period in America, there was another category of immigrants who came looking for an opportunity to improve their economic status. During the immigration at that time, it was not so easy to get a chance for this movement since there was the high price of passage. Some people opted to become indentured servant as a way of getting a voyage to America. Although some people got kidnapped from European towns to be treated as servants in America, some became indentured servants out of their own will. Their prime aim was to arrive in America and get work that pays at high wages. Additionally, some others Europeans were shipped as convicts, and this increased the population of immigrants in America.

The third major group of immigrants was the Africans who went there not out of their will but that of their enslavers. These black people came from the West Africa region, and they were to be slaves in America. Some Details from earliest slavery record in America shows that about 20 Africans acted under indentured servitude in Virginia, Jamestown at around 1620s. More time showed an increase in the number of Africans in America. By 1680, approximately seven thousand Africans were slaves in some colonies from America. According to some reports, this number increased to about 0.7 million Africans by the end of 1760. The increase in this number occurred despite the congress law which limited the slave importation in America.

As much as the labor force was necessary, for their economic growth, there was still some restriction that limited immigrants from some parts of the world. The federal legislation came out with an Exclusion Act that restricted immigrants from Chinese in the U.S. The Chinese Exclusion Act 1882, had the regulation from specific States before Ellis Island came to operation in 1882, which was the first federal station for immigrants. By 1965, there was an introduction of new laws some of which brought a balance on treatment to all immigrant and the quota system which favored immigrants from European only came to an end. The majority of immigrants in the U.S are those who hail from Latin America and Asia.

New Immigrants during Gilded Age

A large number of immigrants who came to America under their choice were looking somehow different from those who came in out other reasons apart personal willingness. However, there were any similarities they shared especially those who were from the same place of origin. A large portion of the immigrants had come from Western and Northern America, and their roots had a representative democracy. The exception to these groups were the immigrants from Irish who in many cases were, literate, Protestants and they had acquired a significant level of wealth.

The new immigrant’s group that arrived along the boat land during the age of gild had some common characteristics. Their nations of origin included Polish, Italian, Greek, Russian, Serb, and Croat among others. Chinese and Japs were relocated toward the West Coast of America until the federal decree was cut. None of these two groups had protestant dominion. However, the vast majority of the total immigrants were Eastern Orthodox and Roman Catholic. During then, the Jews in Eastern Europe were harshly persecuted, and most of them had to seek their relief from torment. Therefore, most of the immigrants during the gilded age were non-English speakers, illiterate and they only knew their mother tongue languages. There was little or no immigrant in these groups who came from countries that had a democratic regime. Consequently, the form of government formed in America was composed of amorphous of different cultures.

A total of about 20 million immigrant found their way to America and this population provided human labor and a there was a realization of a period of rapid growth in industrialization. In the 1890s, most of the new arrivals were from Southern, Eastern, and Central Europe. For just ten years about 600,000 Italians had come to America, and by the end of the gilded age, a total of 20 million immigrants had found their place in the United States. The year 1907 was the period when a large portion of immigrants got in America. About 1.3 million people from different origins had found a legal path into America. After a decade, the First World War which occurred from 1914 to 1918 resulted to a decline in the number of immigrants.

Before the War, new urban centers started to emerge some of which were the destinations of the most destitute. Some of these towns were beckoned families and friends of the new immigrants and were ethnically enclaved. Some of these towns included the Little Italy, the Greek town and the Chinatown. They resulted to patchwork that was based on ethnic urbans even under very little integration. The woes and dumbbell tenement were real to the new immigrants and they could last until there was enough savings that could be used for a positive move.

Although there were many challenges in the factory work and house tenement, most of the immigrants could be heard saying that the food they could eat, and the wages the earned were much better compared to what they would get in their former realities. However, 25 percent of the immigrants, could not fully agree to become the American citizens. What happened is that they became what was referred as the Birds of the passage, in that they could make earnings and send some to their families and after they get satisfied, they would return to their place of origin.

The Resistance to Immigrants.

The new Immigrants were not completely welcomed with open arms by all Americans. Most of the Americans acted contrary to what could be thought pleasant. Although the owners of the factories embraced the new laborers with zeal and honor, the existing competitors treated them with hostility. At some points, political cartoons would play arts that portrayed the fears that new immigrants had at those time. Some would show an animation of immigrants that had the standard issue associated with new immigrants such as baggage of Sabbath desecration, poverty, anarchy, and diseases. At these, most of the religious leaders were struck in awe by realizing how non-protestant immigrants increased. The Racial Purists were in a great fear regarding the genetic outcome that would occur after the final pool of new immigrants.

The nativists in this era successfully lobbied to restrict the flowing of immigrants in a gradual process. Such things were indicated by the Chines Exclusion Act of 1882, which was passed to curtail the group with Chinese ethnicity from their region. Later, 25 years after this Act, Japanese immigration was also barned through an executive agreement. The Chines and Japanese were the only ethnic groups from Asia to be completely barned from America. The rejection did not stop there, and other exclusions were gradually made to mentally ill individuals, contract workers, criminals, alcoholics and anarchists. Other regulations were made on the new immigrants before they got into America. For instance, in 1917, one was required to pass a literacy test for them to gain entry in America. All these restrictions continued until 1924 when the immigrant’s door was shut to prevent millions of people from getting into America. These were done by establishing a cap that was based on ethnicity and the 1890 US population. The cap was designed in such a way that it would favor the initial groups of immigrants.

However, millions of immigrants were already in America. At the time when the Liberty statute had beckoned the nations, the diversity in America had already mushroomed. During then, “huddled masses yearning to breathe free” had started to linger in the mind of these immigrants. They wanted to feel free and enjoy the wages in peace. Each ethnic group would bring in a piece of old culture that contributed to the formation of new American Culture. Even though most of the immigrants from European had a strong stand on maintaining their old cultural ways, their children went loose and adopted a new approach of life. In this case, they quickly learned English, lived a higher standard lives compared to those of their parents and would practice the lifestyles of America.

Impacts of Immigrants in America

The mass immigrants who gradually came to America for various reasons had a significant effect on the U.S especially in the transformation and growth of the American industries through the provision of the human workforce during the gilded age. The selectivity and the size of ethnic groups of immigrants, together with their disproportionate homes in big towns indicated that they were the primary source of the industrial workforce in America. The immigrants and their children contributed to half of the total workers in the manufacturing sectors by 1920 and had the estimators included the grandchildren in the list, maybe this number would have added to two-thirds of employees.

Considering a huge population of immigrants and their impacts they had in America, we can indeed conclude that it had the American history is incomplete without an acknowledging the contribution of these immigrants. To start with, the immigrant played a significant role in transforming the urban and industrialization in America. They were over-represented in all parts of economic growth such as skilled trade, merchants and laborers. The children of these immigrants contributed a lot in shaping the political Arena in the USA. For instance, the formation of the Roosevelt coalition was significantly accounted for by the immigrants. Besides politics, the immigrants had significant contribution information of the new culture which brought a clear representation image in the mind of Americans. The new religion was composed of different pieces of old cultures which originated from different ethnic groups. All these immigrants’ impacts can hardly be ignored whenever one gives out American history.

Conclusion

In conclusion, gilded age represents the period between 1880 and 1820 when new immigrants started to flow in America. A significant wave on the immigration was experienced in the United States during the era of colonialism. During the gilded age, many foreign people came to America in search of economic opportunities while others went to America as the pilgrims looking for the freedom in religion. Also, there were Africans who came to the US as slaves in a will that was not theirs. A large portion of the immigrants had come from Western and Northern America, and they were greatly associated with representative democracy. The year 1907 was the period when a large portion of immigrants was admitted in America. About 1.3 million people from different origins had found a legal path into America. The last restriction on immigrant occurred in 1924 when the immigrant’s door was shut to prevent millions of people from getting into America. Such was done by establishing a cap that was based on ethnicity and the 1890 US population. The cap was designed in such a way that it would favor the initial groups of immigrants.

Bibliography

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