Week 6 Activity – Sarah Skoropa

It is fairly well understood and accepted overall, that lower socioeconomic status generally means less access and lower quality medical care, and in turn leads to poorer health.  The issue of the relation between health and poverty is so much deeper than that.  The actual daily and never ended stresses that come with being in poverty, unsteady or non-existent housing, physical labor, psychological stress, poor water quality and inconsistent food are just a few of the many many potential life situations that compile to create an extremely difficult situation for a person to handle, physically and mentally.  The answer seems simple, provide stable housing, clean water, reliable food and health care.  If only it were that simple.  When resources are provided, they are not divvied out on a first come first serve basis, it is socially determined who is given access to those resources.  That is when the poor still find themselves at a huge disadvantage.


Looking at diabetes in India, there is a well-documented, difference in occurrence of diabetes and quality of life related to socioeconomic status.  The paper “Social Class Differentiation and Its Impact on Quality of Life Among Diabetic Patients” looked at 103 patients, with 58 of them men and 45 women.  The article examined the role of social class in quality of life, not gender, but reading the article, and using all that we have learned in this course, patterns emerge in the potential gender plays in care and quality of life for diabetics in India.  The article states that socioeconomic status played a huge role in the number of missed doses in patients.  That could all be due to very likely because of access, cost, and education regarding their medical condition.  It is established that the medicine is not a free flowing resource for the poor diabetics in India, likely choices must be made, and things are prioritized.  We see so many times, all over the world, men will be prioritized over women, and that is also seen in health care in India.  An analysis done in 2011 looking at health care equity in India showed that gender has a consistent role in the quality and instance of medical care, and it is not in the favor of women.


Health care and equity in India.  Yarlini Balarajan.  2011.

Social determinants of health inequalities. Michael Marmot. 2005.

Social Class Differentiation and Its Impact on Quality of Life Among Diabetic Patients.  Rohin Rameswarapu et. Al.  2011.

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