Healthcare Disparities among Socioeconomic Groups

Authors

  • Abdi Sharmake Garissa University

DOI:

https://doi.org/10.47941/ijhss.1889

Keywords:

Socioeconomic Factors, Disparities, Healthcare Access, Social Determinants Of Health, Patient-Centered Care, Collaborative Care, Structural Interventions, Capacity Building, Data Collection, Monitoring, Research Agenda, Health Equity, Social Determinants, Healthcare Disparities, Intervention, Evaluation

Abstract

Purpose: This study sought to explore the socioeconomic factors contributing to disparities in healthcare access and outcomes.

Methodology: The study adopted a desktop research methodology. Desk research refers to secondary data or that which can be collected without fieldwork. Desk research is basically involved in collecting data from existing resources hence it is often considered a low cost technique as compared to field research, as the main cost is involved in executive's time, telephone charges and directories. Thus, the study relied on already published studies, reports and statistics. This secondary data was easily accessed through the online journals and library.

Findings: The findings reveal that there exists a contextual and methodological gap relating to healthcare disparities among socioeconomic groups. Preliminary empirical review revealed that individuals from lower socioeconomic backgrounds faced multiple barriers to healthcare access, leading to inequalities in health outcomes. The study highlighted the complex interplay between social factors such as income, education, and wealth, emphasizing the need for comprehensive, multisectoral approaches to address healthcare disparities. Despite progress, gaps in research, policy, and practice remained, underscoring the importance of continued efforts to achieve health equity through collaborative initiatives and evidence-based interventions.

Unique Contribution to Theory, Practice and Policy: The Social Determinants of Health theory, Health Benefit model and Critical Medical Anthropology theory may be used to anchor future studies on healthcare disparities among socioeconomic groups. The study provided comprehensive recommendations to advance theory, practice, and policy. It contributed to theoretical frameworks by highlighting the complex interplay between socioeconomic factors and healthcare disparities. In practice, it emphasized the importance of patient-centered care and collaborative models to address social determinants of health. Policy recommendations focused on structural interventions to improve social and economic conditions and expand healthcare coverage. Capacity building efforts aimed to enhance skills and competencies, while improved data collection and monitoring systems were advocated for tracking progress. Finally, a research agenda prioritized understanding the mechanisms underlying disparities and evaluating intervention effectiveness. These recommendations aimed to promote health equity and ensure equitable access to healthcare services.

Downloads

Download data is not yet available.

References

Adler, N. E., & Newman, K. (2012). Socioeconomic disparities in health: Pathways and policies. Health Affairs, 21(2), 60-76. https://doi.org/10.1377/hlthaff.21.2.60

Adler, N. E., & Stewart, J. (2010). Health disparities across the lifespan: Meaning, methods, and mechanisms. Annals of the New York Academy of Sciences, 1186(1), 5-23. https://doi.org/10.1111/j.1749-6632.2009.05337.x

Artiga, S., Rae, M., & Pham, O. (2020). Racial Disparities in Health and Health Care: Four Key Findings. KFF. https://www.kff.org/disparities-policy/issue-brief/racial-disparities-in-health-and-health-care-four-key-findings/

Baer, H. A., Singer, M., & Susser, I. (2018). Medical anthropology and the world system: A critical perspective (3rd ed.). ABC-CLIO.

Barr, B., Kinderman, P., Whitehead, M., (2017). Trends in mental health inequalities in England during a period of recession, austerity and welfare reform 2004 to 2013. Social Science & Medicine, 90, 228-235. https://doi.org/10.1016/j.socscimed.2017.03.025

Berkman, L. F., & Glass, T. (2014). Social Integration, Social Networks, Social Support, and Health. Annual Review of Public Health, 32, 381-398. https://doi.org/10.1146/annurev-publhealth-031210-101218

Betancourt, J. R., Green, A. R., Carrillo, J. E., & Ananeh-Firempong, O. (2003). Defining cultural competence: A practical framework for addressing racial/ethnic disparities in health and health care. Public Health Reports, 118(4), 293-302. https://doi.org/10.1016/S0033-3549(04)50253-4

Borges, G. M., Santos, R. V., & Martins, V. J. B. (2019). Social inequalities in health and Indigenous peoples in Brazil. Cadernos de Saúde Pública, 35(12), e00139319. https://doi.org/10.1590/0102-311X00139319

Braveman, P., Egerter, S., & Williams, D. R. (2011). The social determinants of health: Coming of age. Annual Review of Public Health, 32, 381-398. https://doi.org/10.1146/annurev-publhealth-031210-101218

Braveman, P., Egerter, S., & Williams, D. R. (2017). The Social Determinants of Health: Coming of Age. Annual Review of Public Health, 32, 381-398. https://doi.org/10.1146/annurev-publhealth-031210-101218

Burgard, S. A., Brand, J. E., & House, J. S. (2009). Perceived job insecurity and worker health in the United States. Social Science & Medicine, 69(5), 777-785. https://doi.org/10.1016/j.socscimed.2009.06.029

Case, A., & Deaton, A. (2015). Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century. Proceedings of the National Academy of Sciences, 112(49), 15078-15083. https://doi.org/10.1073/pnas.1518393112

Cohen, R. A., & Martinez, M. E. (2020). Health insurance coverage: Early release of estimates from the National Health Interview Survey, 2019. National Center for Health Statistics. Retrieved from https://www.cdc.gov/nchs/data/nhis/earlyrelease/insur202005.pdf

Cutler, D. M., & Lleras-Muney, A. (2015). Understanding Differences in Health Behaviors by Education. Journal of Health Economics, 29(1), 1-28. https://doi.org/10.1016/j.jhealeco.2009.10.003

Flores, G. (2006). Language barriers to health care in the United States. New England Journal of Medicine, 355(3), 229-231. https://doi.org/10.1056/NEJMp058316

Galobardes, B., Lynch, J. W., & Davey Smith, G. (2006). Childhood socioeconomic circumstances and cause-specific mortality in adulthood: Systematic review and interpretation. Epidemiologic Reviews, 29(1), 1-21. https://doi.org/10.1093/epirev/mxj007

Guagliardo, M. F. (2012). Spatial Accessibility of Primary Care: Concepts, Methods, and Challenges. International Journal of Health Geographics, 11(1), 1-13. https://doi.org/10.1186/1476-072X-11-1

Kondo, N., Saito, M., Hikichi, H., Aida, J., Ojima, T., Kondo, K., & Kawachi, I. (2017). Relative deprivation in income and mortality by leading causes among older Japanese men and women: AGES cohort study. Journal of Epidemiology and Community Health, 71(10), 986-992. https://doi.org/10.1136/jech-2016-208225

Marmot, M., & Wilkinson, R. G. (2006). Social determinants of health. Oxford University Press.

Pollack, C. E., Cubbin, C., Sania, A., Hayward, M., & Vallone, D. (2016). Do Wealth Disparities Contribute to Health Disparities within Racial/Ethnic Groups? Journal of Epidemiology and Community Health, 70(9), 880-881. https://doi.org/10.1136/jech-2015-206717

Purtle, J., Nelson, K. L., Counts, N. Z., Yudell, M., Leider, J. P., & Carney, J. (2020). Advancing Health Equity through Cross-Sector Collaboration: A Case Study of the Philadelphia Metropolitan Area. The Milbank Quarterly, 98(4), 940-968. https://doi.org/10.1111/1468-0009.12475

Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the Health Belief Model. Health Education Quarterly, 15(2), 175-183. https://doi.org/10.1177/109019818801500203

Van Rie, A., Sengupta, S., Punpuing, S., Meheus, F., & Sint, T. (2020). Poverty, wealth inequality and health among older adults in rural Cambodia: A mixed-methods study. PLOS ONE, 15(1), e0227650. https://doi.org/10.1371/journal.pone.0227650

Downloads

Published

2024-05-07

How to Cite

Sharmake, A. . (2024). Healthcare Disparities among Socioeconomic Groups. International Journal of Humanity and Social Sciences, 3(1), 1–13. https://doi.org/10.47941/ijhss.1889

Issue

Section

Articles

Similar Articles

1 2 3 4 5 > >> 

You may also start an advanced similarity search for this article.