Question

11. give an example of how knowledge has shown that the right care for the population may adversely affect an individual.

Answer 1

An overarching theoretical framework for the impact of social determinants on health is provided by an ecological model in which individuals and their behavior are embedded, across the lifespan, within a framework of nested institutional contexts (Figure 1).15 The individual and his or her characteristics are situated within and affected by the family and household, the community and its institutions (e.g., school, workplace, civil institutions), and policies of the larger society. Each level brings access to opportunities, as well as constraints on actions and opportunities. Furthermore, these levels interact with one another, such that family resources, for example, may mediate or moderate the resources available within the community. Social scientists widely agree that unequal social status creates unequal access to resources and rewards. Social structure, as embodied in social position, structures individual behaviors and values and therefore affects many of the mediators in the relationship between education and health.