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Poverty, Discrimination, and Health

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Social Pathways to Health Vulnerability

Abstract

Poverty and discrimination, both their overt forms and subtle micro-aggressions, are two of the most significant factors that fundamentally have a direct effect on physical, mental, and psychosocial well-being. Social conditions and socially constructed ideologies play a role in shaping interpersonal and group identities that create the type of social environment and context one is exposed. Social forces such as poverty and discrimination shape population health and can create or intensify the effect on vulnerable groups. Lack of access to resources as a result of poverty and discrimination is part of the cyclical relationship that exacerbates poor health. Perceptions of self and others influence a range of health promotion and help-seeking behaviors, healthcare delivery practices, and policies within and outside the healthcare arena. Poverty and discrimination are presented as individual determinants of health that are also closely linked to each other. Strategies that may help broaden the understanding of factors that contribute to certain health outcomes are proposed, as well as examples of approaches that may effectively address health disparities. Implications for health professionals from a population health perspective are presented.

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  1. Department of Family and Community Health Sciences, Rutgers University, Cooperative Extension, New Brunswick, NJ, USA

    Sharese N. Porter

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  1. Schools of Nursing, University of Hawaii, Hilo, HI, Rutgers University, Newark, NJ, USA

    Dula F. Pacquiao

  2. School of Nursing, University of California San Francisco, San Francisco, CA, USA

    Marilyn "Marty" Douglas

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Porter, S.N. (2019). Poverty, Discrimination, and Health. In: Pacquiao, D., Douglas, M. (eds) Social Pathways to Health Vulnerability. Springer, Cham. https://doi.org/10.1007/978-3-319-93326-9_2

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