title: Social determinants, suboptimal health behavior, and morbidity in urban slum population: an Indian perspective.
abstract: Improving the health of urban residents, particularly those living in slum areas, requires an integrated approach. Appropriate interventions must be based on a well-grounded understanding of health determinants. Social factors are as important as physical factors in determining health status and suggest alternative interventions. Employment, stress, social exclusion, social support, substance use, nutrition, transport, and conditions during childhood are among the most important social determinants of health status identified by the International Center for Health and Society. This paper uses social determinants of health approach to understand morbidity outcomes for people residing in the slums of Surat City, India. To quantify suboptimal health behavior and identify the determinants of health status for this population survey data on household characteristics, health-seeking behavior, socioeconomic status, food and personal habits, social life, and physical activity has been used. After controlling for socioeconomic and demographic factors, logistic regression analysis reveals that social exclusion, stress, and lack of social support are significantly associated with morbidity. Thus, understanding of social determinants of health by policy makers is important as the health sector has a crucial role in addressing disparities in social determinants.
authors.affiliation: Department of Community Medicine, SMIMER, Surat, India. drabpawar@yahoo.com
authors.forename: Ajay B
authors.initials: AB
authors.lastname: Pawar
authors.forename: Palipudi Venkata Trinada Krishna
authors.initials: PV
authors.lastname: Mohan
authors.forename: Rajkumar K
authors.initials: RK
authors.lastname: Bansal
mesh_terms: D015438:Health Behavior; D006305:Health Status Indicators; D006306:Health Surveys; D054625:Healthcare Disparities; D006801:Humans; D007194:India / Q000453:epidemiology; D016013:Likelihood Functions; D016015:Logistic Models; D009017:Morbidity; D011204:Poverty Areas; D015995:Prevalence; D012934:Social Isolation; D012944:Social Support; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000453:epidemiology; D014504:Urban Health