Uncovering The Sociological Interpretation of Visual Impairment-Related Inequities and Their Social Determinants in India

Chandrashekher M; Suchismita  Satpathy

doi:10.55489/njcm.140320232584

Authors

Chandrashekher M Birla Institute of Technology and Sciences-Pilani, Hyderabad Campus, Hyderabad, India https://orcid.org/0000-0002-7783-8237
Suchismita Satpathy Birla Institute of Technology and Sciences-Pilani, Hyderabad Campus, Hyderabad, India https://orcid.org/0000-0001-9553-7203

DOI:

https://doi.org/10.55489/njcm.140320232584

Keywords:

Health inequalities, Social Determinant, Sociology of health, World Health Organisation, Visual Impairment

Abstract

Introduction: Determinants of health are divided into four types, such as “Biological-Psychological-Environmental-Social Determinants”. The social determinants of health include gender disparities, economic status, ethnicity, race, geographic isolation, or having a specific health condition. Moreover, the social determinants are interdependent and interrelated with one another. There can also be a primary determinant that affects the other determinants. For example, educational level of the patients is associated with knowledge and awareness of eye care and its conditions. However, education might have a different effect than income in should be access of eye care when needed.

Methodology: The study is mainly dependent on secondary data analysis.

Results: The primary objective of the study is to illustrate the sociological aspects of visual impairment-related inequities and to identify the social determinants of visual impairments and disparities in India. Another aim of the paper is to present a deeper understanding of how inequities impact the incidence of visual impairment and blindness based on the social determinants of health. The present study adopts the ecological and Commission on Social Determinants of Health (CSDH) framework 2008. We reaffirm the fact that inequities negatively affect the visual impairment and blindness conditions. The national health policies should take into account the social determinants of visual impairment in their policies relating to comprehensive eye care. Social and economic factors are connected with health and welfare; those socio-economic inequalities contribute to health inequalities. For reducing the health inequalities around the world, we need effective policy implementation and proper fund pools. Furthermore, committed action on societal determinants of health, sufficient human resources are also necessary to control the health disabilities, include visual impairment.

References

WHO Commission on Social Determinants of Health, World Health Organization. Closing the gap in a generation: health equity through action on the social determinants of health: Commission on Social Determinants of Health final report. World Health Organization; 2008

Marmot M. Health equity in England: The Marmot review 10 years on. Bmj. 2020 Feb 25;368. Doi: https://doi.org/10.1136/bmj.m693 PMid:32094110

World Health Organization. Health inequities and their causes [Internet]. World Health Organisation. 2018. Available from: https://www.who.int/news-room/facts-in-pictures/detail/health-inequities-and-their-causes.

Mackenbach JP, Van de Mheen H, Stronks K. A prospective co-hort study investigating the explanation of socio-economic inequalities in health in The Netherlands. Social science & medicine. 1994 Jan 1;38(2):299-308. Doi: https://doi.org/10.1016/0277-9536(94)90399-9 PMid:8140456

Solar O, Irwin A. A conceptual framework for action on the social determinants of health. WHO Document Production Services; 2010.

Marshall NA. Expanding the Understanding of the Social De-terminants of Health to Support Community Readiness for Change.

Badry D, Felske AW. An examination of the social determi-nants of health as factors related to health, healing and pre-vention of foetal alcohol spectrum disorder in a northern context-the brightening our home fires project, Northwest Territories, Canada. International Journal of Circumpolar Health. 2013 Jan 31;72(1):21140. Doi: https://doi.org/10.3402/ijch.v72i0.21140 PMid:23984290 PMCid:PMC3753138

International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005-06: India: Volume I. Mumbai: IIPS.

IIPS O. National Family Health Survey (NFHS-3), 2005-06: India. Vol. I. Mumbai: International Institute for Population Sciences. 2007.

Sarkar S. Research on social determinants of health necessary for health equity in India. International Journal of Medicine and Public Health. 2016;6(1). Doi: https://doi.org/10.4103/2230-8598.179752

Marmot M. Review of social determinants and the health di-vide in the WHO European Region. World Health Organiza-tion. Regional Office for Europe; 2014.

Akano OF. Vision health disparities in blindness and visual impairment in Nigeria: A review of the Nigerian National Blindness and Visual Impairment Survey. African Vision and Eye Health. 2017 Feb 21;76(1):1-5. Doi: https://doi.org/10.4102/aveh.v76i1.345

Bourne R, Price H, Stevens G, GBD Vision Loss Expert Group. Global burden of visual impairment and blindness. Archives of ophthalmology. 2012 May 1;130(5):645-7. Doi: https://doi.org/10.1001/archophthalmol.2012.1032 PMid:22652851

Mathers CD, Salomon JA, Ezzati M, et al. Sensitivity and uncer-tainty analyses for burden of disease and risk factor esti-mates. Global burden of disease and risk factors. 2006.

Rius A, Guisasola L, Sabidó M, et al. Prevalence of visual im-pairment in El Salvador: inequalities in educational level and occupational status. Revista panamericana de salud publica. 2014 Nov;36(5):290-9.

World Health Organization. World report on disability 2011. World Health Organization; 2011.

Ibrahim MK. Social determinants of blindness in Sudan-2019. Al-Basar International Journal of Ophthalmology. 2020 Jan 1;7(1):1. Doi: https://doi.org/10.4103/bijo.bijo_5_20

Laskar NB. Assessment of Visual Impairment Related Knowledge and Health Care Seeking Behaviour of the Com-munity in the District of Dibrugarh, in India. Journal of Con-temporary Medical Research. 2016;3(4):1061-3.

Gharebaghi R, Heidary F, Heidary R, et al. Social determinants in ocular diseases. Clinical Optometry. 2010;2:119. Doi: https://doi.org/10.2147/OPTO.S15290

Bourne RR, Flaxman SR, Braithwaite T, et al. Magnitude, tem-poral trends, and projections of the global prevalence of blindness and distance and near vision impairment: a sys-tematic review and meta-analysis. The Lancet Global Health. 2017 Sep 1;5(9):e888-97.

Murthy GV, Gupta SK, Bachani D, et al. Current estimates of blindness in India. British Journal of Ophthalmology. 2005 Mar 1;89(3):257-60. Doi: https://doi.org/10.1136/bjo.2004.056937 PMid:15722298 PMCid:PMC1772536

Trimmel J. Inequality and inequity in eye health. Community Eye Health. 2016;29(93):1.

Diez Roux AV. Conceptual approaches to the study of health disparities. Annual review of public health. 2012 Apr 21;33:41-58. Doi: https://doi.org/10.1146/annurev-publhealth-031811-124534 PMid:22224879 PMCid:PMC3740124

Dandona LA, Dandona RA, John RK. Estimation of blindness in India from 2000 through 2020: implications for the blindness control policy. The National medical journal of India. 2001 Nov 1;14(6):327-34.

Ulldemolins AR, Lansingh VC, Valencia LG, et al. Social inequal-ities in blindness and visual impairment: a review of social determinants. Indian journal of ophthalmology. 2012 Sep;60(5):368. Doi: https://doi.org/10.4103/0301-4738.100529 PMid:22944744 PMCid:PMC3491260

Alma MA, Van der Mei SF, Groothoff JW, et al. Determinants of social participation of visually impaired older adults. Quality of Life Research. 2012 Feb;21:87-97. Doi: https://doi.org/10.1007/s11136-011-9931-6 PMid:21633880 PMCid:PMC3254864

Williams AM, Sahel JA. Addressing Social Determinants of Vi-sion Health. Ophthalmology and Therapy. 2022 Aug;11 (4):1371-82. Doi: https://doi.org/10.1007/s40123-022-00531-w PMid:35674883 PMCid:PMC9174922