Social Determinants Of Personal Health

INTRODUCTION

The health of a nation's population is determined by multiple and complex situations, but it could be divided into three main groups from generals to individual personal health.

Salim Yusuf refers to this as exploring "why people get the risk factors, the causes of the causes. This means looking at the social determinants of health and environmental factors and their influence on health behaviours, risk factors, and disease.” (1) That is, a) the social determinants of health, which is also influenced by the b) determinants of the population health care policy adopted by each state within its historical socio-economic development conditions. And at the end of the link in the chain, it depends on the (c) determinants of personal

Rutstein et al. developed an initial list of conditions from which death was “unnecessary" during the late 1970s,and this concept was initially applied in England and Wales. Nowadays, the most widely used cause list of 33 conditions was developed by Nolte and McKee during the early-to-mid 2000s. Such analyses of health care access and quality, as approximated by amenable mortality, have been limited to the Organisation for Economic Co-operation and Development (OECD) countries, Europe, the USA, Australia, and New Zealand.

These studies acknowledge several methodological challenges that may impede the policy utility and applications of their results, as heterogeneity in cause of death certification and misclassification, even for countries with complete vital registration systems. Researchers commonly acknowledge that variations in measured amenable mortality rates may be more reflective of differences in underlying risk factor exposure rather than true differences in personal health care access and

Firstly, GBD provided comprehensive, comparable estimates of cause-specific death rates by geography, year, age, and sex through extensive cause of death data processing and standardization that allowed for the systematic identification and redress of cause of death certification errors or misclassification. These adjustments were conducted across all geographies and over time, accounting for known misclassification patterns and applying well established redistribution algorithms for causes designated to so-called "garbage" codes, or causes of death that could not or should not be classified as underlying causes of death.

Secondly, to remove variations in death rates due to risk exposure rather than differences in personal health care access and quality, the GBD used quantification of risk exposure and risk-attributable deaths due to 79 risk factors through GBD which allowed us account for variations in risk exposure across geographies and time, and thus helped to isolate variations in death rates due to personal health care access and