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Poor health outcomes appear to be an effect of economic inequality across a population. Nations and regions with greater economic inequality show poorer outcomes in life expectancy, [31]: Figure 1.1 mental health, [31]: Figure 5.1 drug abuse, [31]: Figure 5.3 obesity, [31]: Figure 7.1 educational performance, teenage birthrates, and ill health due to violence.
Biological inequity posits that health inequity in urban populations is a result of structurally racist processes executed through the built environment. Specifically, particular social groups are disproportionately exposed to physical and psychosocial stressors in the urban environment.
"The poor health of the poor, the social gradient in health within countries, and the marked health inequities between countries are caused by the unequal distribution of power, income, goods, and services, globally and nationally." [1] First, structural violence is often a major determinant of the distribution and outcome of disease. [4]
Social epidemiology focuses on the patterns in morbidity and mortality rates that emerge as a result of social characteristics. While an individual's lifestyle choices or family history may place him or her at an increased risk for developing certain illnesses, there are social inequalities in health that cannot be explained by individual factors. [1]
Disparities in healthcare access contribute to inequities in health outcomes among different populations. The quality of healthare system of a state is also dependent on how developed a country is. The government should ensure a suitable working conditions for workers working in the health industry.
In rural areas, health centers are often understaffed, have low levels of supplies, and cannot perform the same procedures as other health centers located in urban areas. [8] In South Africa, 44% of the population, which live in rural areas, are only served by 12% of the country's physicians. [ 8 ]
The World Health Organization (WHO) has defined health as "a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity." [1] Identified by the 2012 World Development Report as one of two key human capital endowments, health can influence an individual's ability to reach his or her full potential in society. [2]
This plan is called the Comprehensive Mental Health Action Plan 2013-2020. This plan is an indicator of the global importance of mental health and includes goals for global mental health improvement. This plan also addresses mental health inequalities by acknowledging the need for greater access in low and middle-income countries. [35]