The Impact of Social and Cultural Factors on Population Health
Abstract:
Background – Chronic
disease has now become a major contributor to mortality, the increase in risk
factors has had serious impact on health. Much attention has been paid to
healthy lifestyle and the need for behavior change. Behavior is transitioning
in many developing countries due to urbanization, improved income and access to
technological advances. This has resulted in increase in risk factors such
excessive alcohol consumption, smoking and inactivity. More persons are seeking
processed and prepackaged meals and consuming more food leading to obesity.
Objective – The
objective of the project is to provide a critical look at the social and
cultural factors and how they impact health. To explore how health promotion
and there interventions impact on the prevalence of these risk factors.
Method – This
study will explore at least 10 published articles on this topic the impact of
risk factors on health and strategies used to reduce the occurrence of these
factors. This review will provide information required to provide recommendations
to address prevention of risk factor development.
Results – Results
across different studies show that lifestyle behavior influences the
development of risk factors. Unhealthy behavior like smoking, excessive alcohol
consumption and inactivity is associated with obesity, elevated blood pressures
and ultimately the development of chronic illnesses like cardiovascular disease
and cancer.
Conclusion – Risk
factors such as smoking, alcohol consumption and inactivity influence the
occurrence of chronic illnesses. Surveillance for risk factors must be done and
health education must be used as an intervention strategy to prevent the
development of risk factors to reduce mortality.
References:
[1]. Murray CJ, Lopez
AD. The Global Burden of Disease: A Comprehensive Assessment of Mortality and
Disability from Disease, Injuries and Risk Factors in 1990 and Projected to
2020. Harvard School of Public Health; 1996. World Health Organization, and the
World Bank. Geneva: World Health Organization.
[2]. Murray CJL, Lopez
AD, Harvard School of Public Health, World Health Organization, World Bank. The
global burden of disease: a comprehensive assessment of mortality and
disability from diseases, injuries, and risk factors in 1990 and projected to
2020. Cambridge, MA: Published by the Harvard School of Public Health on behalf
of the World Health Organization and the World Bank; Distributed by Harvard
University Press; 1996
[3]. World Health
Organization. The world health report 2003: shaping the future. Geneva: World
Health Organization; 2003
[4]. National Health Expenditure
Data, Historical. http://www.cms.hhs.gov/NationalHealthExpendData/02_NationalHealthAccountsHistorical.asp#TopOfPage
[5]. Chronic Disease
Overview. http://www.cdc.gov/NCCdphp/overview.htm
[6]. Omran A. The
Epidemiologic Transition: A Theory of the Epidemiology of Population Change.
The Milbank Quarterly. 1971; 49(4):509–38. [PubMed]
[7]. Paez KA, Zhao L,
Hwang W. Rising out-of-pocket spending for chronic conditions: a ten-year
trend. Health Aff (Millwood) 2009; 28:15–25. doi: 10.1377/hlthaff.28.1.15.
[PubMed] [Cross Ref]
[8]. Chronic Disease
Overview. http://www.cdc.gov/NCCdphp/overview.htm
[9]. D. Stuckler, Population
Causes and Consequences of Leading Chronic Diseases: A Comparative Analysis of
Prevailing Explanations Milbank Q. Jun 2008; 86(2): 273–326 doi:
10.1111/j.1468-0009.2008.00522.x PMCID: PMC2690359
[10]. Reddy K, Shah B,
Varghese C, Ramadoss A. Responding to the Threat of Chronic Diseases in India.
The Lancet. 2005; 366(9498):1744–49. [PubMed]
[11]. Cutler D,
Glaeser EL, Shapiro JM. Why Have Americans Become More Obese? Journal of
Economic Perspectives. 2003; 17:93–118.
[12]. Bull World
Health Organ. Risk factors for noncommunicable chronic diseases in women in
China: surveillance efforts Sep 1, 2013; 91(9): 650–660. doi:
10.2471/BLT.13.117549. PMCID: PMC3790222
[13]. Yu W. National
Disease Surveillance Points System – death cause surveillance 2010Beijing:
Military Medical Science Press; 2012
[14]. Asia Pacific
Cohort Studies Collaboration The burden of overweight and obesity in the
Asia-Pacific region. Obes Rev. 2007; 8:191–6. doi:
10.1111/j.1467-789X.2006.00292.x. [PubMed] [Cross Ref]
[15]. Jeemon P,
Prabhakaran D et al Impact of comprehensive cardiovascular risk reduction
programme on risk factor clustering associated with elevated blood pressure in
an Indian industrial population Indian J Med Res. Apr 2012; 135(4):
485–493. PMCID: PMC3385231
[16]. Sturm R, An R
, Patel D. et al The Effects of Obesity, Smoking, and Excessive Alcohol Intake
on Health Care Expenditure in a Comprehensive Medical Scheme S Afr Med J.
Author manuscript; available in PMC Nov 1, 2013.Published in final edited form
as:S Afr Med J. Sep 30, 2013; 103(11): 840–844.PMCID: PMC3807241NIHMSID:
NIHMS515015
[17]. Reif S,
Larson M et al, Chronic disease and recent addiction treatment utilization
among alcohol and drug dependent adults Subst Abuse Treat Prev Policy.
2011; 6: 28. Published online Oct 18, 2011. doi: 10.1186/1747-597X-6-28PMCID:
PMC3220629
[18]. Sabia S,
Singh Manoux A et al, Influence of individual and combined healthy behaviours
on successful aging CMAJ: Canadian Medical Association Journal Canadian
Medical Association CMAJ. 2012 Dec 11; 184(18):1985-92. doi:
10.1503/cmaj.121080. Epub 2012 Oct 22
[19]. Fleischer. N,
Diez Roux. Et al A, Social Patterning of Chronic Disease Risk Factors in a
Latin American City J Urban Health. Nov 2008; 85(6): 923–937. Published
online Oct 2, 2008. doi: 10.1007/s11524-008-9319-2 PMCID: PMC2587655
[20]. Gilmore AB,
McKee M. Moving East: How the Transnational Tobacco Companies Gained Entry to
the Emerging Markets of the Former Soviet Union. Part II: An Overview of
Priorities and Tactics Used to Establish a Manufacturing Presence. Tobacco
Control. 2004; 13:151–60. [PMC free article] [PubMed]
[21]. Kannel WB. Risk
stratification in hypertension: new insights from the Framingham Study. Am J
Hypertens. 2000;13:3S–10S. [PubMed]
[22]. Kim BJ, Kim BS,
Sung KC, Kang JH, Lee MH, Park JR. Association of smoking status, weight
change, and incident metabolic syndrome in men: a 3-year follow-up study.
Diabetes Care. 2009; 32:1314–6. [PMC free article] [PubMed
[23]. Jeemon P,
Prabhakaran D et al Impact of comprehensive cardiovascular risk reduction
programme on risk factor clustering associated with elevated blood pressure in
an Indian industrial population Indian J Med Res. Apr 2012; 135(4):
485–493. PMCID: PMC3385231
[24]. Mayosi BM,
Flisher AJ, Lalloo UG, et al. The burden of non-communicable diseases in South
Africa. Lancet. 2009; 374(9693):934–947. [
http://dx.doi.org/10.1016%2FS0140-6736%2809%2961087-4] [PMID:19709736] [PubMed]
[25]. Kaplan GA, Keil
JE. Socioeconomic factors and cardiovascular disease: a review of the
literature. Circulation. 1993; 88(4):1973–1998. [PubMed]
[26]. Leeder S,
Raymond S, Greenberg H, Liu H, Esson K. A race against time: the challenge
of cardiovascular disease in developing economies. New York City, NY:
Columbia University; 2004
[27]. Singh RB, Pella
D, Mechirova V, et al. Prevalence of obesity, physical inactivity and under
nutrition, a triple burden of diseases during transition in a developing
economy. The Five City Study Group. Acta Cardiol. 2007;62(2):119–127
doi:10.2143/AC.62.2.2020231. [PubMed]
[28]. Report of the
Formal Meeting of Member States to conclude the work on the comprehensive
global monitoring framework, including indicators, and a set of voluntary
global targets for the prevention and control of noncommunicable diseases. Geneva:
World Health Organization; 2012. Available from:
http://apps.who.int/gb/ncds/pdf/A_NCD_2-en.pdf[accessed 15 June 2013].
[29]. Mark TL, Levit
KR, Coffey RM, McKusick DR, Harwood HJ, King EC, Bouchery E, Genuardi JS,
Vandivort-Warren R, Buck JA, Ryan K. National Expenditures for Mental Health
Services and Substance Abuse Treatment, 1993-2003. Rockville, MD: Substance
Abuse and Mental Health Services Administration; 2007.