Yu dɔn ɛva wɔnda wetin mek sɔm pipul dɛn na wi sosayti kin gɛt sik dɛn we kin de fɔ lɔng tɛm, we nɔ kin te lɛk dayabitis, ay blɔd prɛshɔn, at sik, asma, ɛn kansa pas ɔda pipul dɛn? Sɔm pipul dɛn kin tink se dis na bikɔs ɔf dɛn jin, sɔntin we dɛn kin gɛt frɔm dɛn gret gret granpa dɛn. Bɔt nɔto dat na di tru. Dis na bikɔs ɔf di nɔ ikwal we de na di sosayti we wi de liv insay.Wi de tɔk bɔt da dip, bɔt rili impɔtant tɔpik de tide.
Di tin we kin mek dis apin nɔto sik, bɔt na wi soshal sistɛm.
Fɔ tɔk am simpul wan, nɔto jɔs di we aw pɔsin de liv in layf, bɔt bɔku ɔda tin dɛn kin afɛkt in wɛlbɔdi, lɛk di say we i de liv, di we aw i gɛt mɔni, di edyukeshɔn we i de lan, ɛn di sɔpɔt we dɛn de gi am frɔm di sosayti. Insay mɛrɛsin, wi kin kɔl dis "Social Determinants of Health."
Masta sabi bukman dɛn tɔk se if wan patikyula grup pan pipul dɛn gɛt sik dɛn we nɔ de mɛn bɔku tɛm, no pruf nɔ de fɔ fɛn rizin we mek dɛn gɛt am. Dat min se, wi nɔ kin se pan jɛnɛtiks se "pipul dɛn we de na di aftanun rɛs kin gɛt dayabitis mɔ ɛn mɔ." Bɔt we wi luk di kayn we aw dɛn de liv, wi kin si klia wan dɛn kayn sik dɛn de.
"Nɔ tink se dis na jɔs wan ɔnaful tin. Na bikɔs ɔf sɔm istri, pɔlitikal, ɛn soshal ivin dɛm we sɔm kɔmyuniti dɛn dɔn lɔs di chans fɔ liv na po eria, fɔ gɛt gud ɛdyukeshɔn, wɛlbɔdi biznɛs, ɔ gud wok," na so masta sabi pipul dɛn tɔk.
Tink bɔt pɔsin we de na slum we de na di siti, ɔ pɔsin we de na vilej ɔ plantɛshɔn we de fa fawe. Di prɔblɛm dɛn we dɛn kin gɛt rili difrɛn frɔm di wan dɛn we pɔsin we de na Kɔlɔmbɔs kin gɛt 7. Dis difrɛns na in kin mek di difrɛns pan wɛlbɔdi biznɛs.
| Sɔshial tin dɛn we de afɛkt wɛlbɔdi biznɛs | Aw i kin afɛkt yu wɛlbɔdi |
|---|---|
| Ikɔnomi stetmɛnt (powa) . | Nɔ gɛt mɔni fɔ bay gud it we gɛt fayn fayn tin dɛn fɔ it, nɔ gɛt mɔni fɔ bay mɛrɛsin, ɔ fɔ go to dɔktɔ. |
| Akses to edyukeshɔn | Nɔr kin no bɔt wɛl bɔdi fayn fayn wan, nɔr kin no di sayn dɛm ɛn go to tritmɛnt kwik kwik wan, ɛn nɔr kin gɛt gud wok, dat kin mek dɛn nɔr kin gɛt mɔni. |
| Livin os ɛn envayrɔmɛnt | Di dɔti we di briz de pwɛl, dɔti wata, ɛn fɔ liv nia faktri dɛn de mek pɔsin gɛt sik dɛn we de mek pɔsin nɔ ebul fɔ blo fayn ɛn ɔda sik dɛn. |
| Akses to wɛlbɔdi savis | Di distans frɔm ɔspitul ɛn klinik, transpɔt prɔblɛm, ɛn di nɔ ebul fɔ tek wan de ɔf wok fɔ go na ɔspitul. |
| Soshal sɔpɔt ɛn strɛs | Bɔrku strɛs wae kin kam wae pɔrsin nɔr de wit ɔda pipul dɛm ɛn wae gɛt prɔblɛm wit mɔni biznɛs kin mek pɔrsin gɛt sik dɛm lɛk ay blɔd prɛshɔn ɛn dayabitis. |
Di link bitwin po ɛn sik we nɔ de mɛn
Po nɔto jɔs fɔ nɔ gɛt mɔni. Na wan men tin we de sho aw yu go liv lɔng ɛn aw yu go gɛt wɛlbɔdi. Bɔku rizin dɛn de we mek pipul dɛn we nɔ gɛt bɔku mɔni kin gɛt wɛlbɔdi prɔblɛm:
- Malnutrishɔn: Bikɔs pipul dɛn nɔ gɛt mɔni fɔ bay fresh vɛjitebul, frut, ɛn it dɛn we gɛt fayn fayn tin dɛn, dɛn kin tɔn to it dɛn we izi fɔ gɛt we gɛt stach ɛn ɔyl we nɔ gɛt bɛtɛ tin fɔ it fɔ satisfay dɛn angri.
- Fɔ gɛt pɔyzin: Pipul dɛn we gɛt prɔblɛm wit mɔni biznɛs kin gɛt mɔ pɔyzin tin dɛn lɛk pent we gɛt lid na ol os ɛn pɔyzin fum we kɔmɔt na faktri.
- Sivεr mental strεs: De mental strεs wae de kam wae yu de tink ɔltɛm bɔt di it tumara bambay, wetin di pikin dɛn nid, ɛn di lod fɔ dɛt kin mek di bɔdi in ɔmon dɛn nɔ balans ɛn opin di domɔt fɔ bɔku sik dɛn.
Apat frɔm dat, i nɔ kin izi fɔ mek pɔsin we de tray tranga wan fɔ gɛt mɔni fɔ go na klinik we de fa, ɛn i kin gɛt fɔ lɔs in wok ɛn spɛn mɔni fɔ pe fɔ bɔs. Dis kin mek pipul dɛn nɔr de go to dɔktɔ ɛn gɛt mɛrɛsin we di sik stil yɔŋ. Fɔ dɔn, we di sik kam tranga, dɛn fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU). Dɔn i nɔ kin izi fɔ trit di sik, i kin dia, ɛn dɛn nɔ kin gɛt di pɔsin in yon atɛnshɔn we dɔktɔ we no yu mɛdikal istri kin gi.
Aw di say we wi de de afɛkt wi wɛlbɔdi
Pipul dɛn we de liv na say dɛn we gɛt dɔti briz we de kɔmɔt frɔm trafik smok ɛn faktri smok kin gɛt bɔku sik dɛn we dɛn kin yuz fɔ blo. Imajin pɔsin we de na rod we bɔku pipul dɛn kin pas. Da pɔsin de de blo dɔti briz ɔl di de.
If pɔsin de na dis kayn dɔti briz fɔ lɔng tɛm, i kin mek i gɛt sik dɛn lɛk asma, chronic obstructive pulmonary disease (COPD), ɛn kansa na in lɔng .
"Wi nid fɔ ɔndastand se di tin dɛn we de sho di risk ɛn di tin dɛn we kin apin to pɔsin we gɛt krɛse sik nɔ kin ebul fɔ kɔntrol am. Di kɔndishɔn fɔ os, di kayn wok we dɛn de du, di tin dɛn we gɛt fɔ du wit di envayrɔmɛnt - dɛn nɔ de sheb dɛn ikwal wan ɔlsay na di sosayti."
'It fayn, ɛksesaiz' - dis advays de wok fɔ ɔlman?
Bɔku tɛm wi kin yɛri advays frɔm program dɛm we de ɛp fɔ mek pipul dɛn gɛt wɛlbɔdi lɛk "it it tin dɛm we gɛt fayn fayn tin dɛm," "eksesaiz ɛvride," "ridyus strɛs," ɛn "gɛt inof slip." Dɛn advays ya impɔtant. Bɔt di kwɛstyɔn na, ɔlman go ebul fɔ du dɛn tin ya?
Aw i praktis fɔ tɛl man we kam na os taya afta i dɔn wok ɔl di de, "Exercise"? Aw rial tin fɔ tɛl famili we de tray tranga wan fɔ mek dɛn ebul fɔ liv, "It salmon ɛn frut"?
We dɛn gi pipul dɛn dis advays, dɛn kin fil gilti bikɔs dɛn nɔ ebul fɔ du dɛn tin dɛn de. Bɔt di rial prɔblɛm nɔto bikɔs di pɔsin les ɔ i nɔ de tek tɛm. Na dat big big soshal ɛn ikɔnomik tin dɛn de we de afɛkt dɛn layf te dɛn nɔ ebul fɔ du dɛn tin dɛn de.
Na di ɔda say, siriɔs saykilɔjik strɛs we kin kam bikɔs dɛn de trit pipul dɛn difrɛn frɔm ɔda pipul dɛn ɛn we dɛn de marginalize dɛn bikɔs ɔf po kin mek dɛn gɛt tin dɛn lɛk dayabitis, ay blɔd prɛshɔn, ɛn maynd sik.
So wi nid fɔ chenj dis tɔk. Insted fo aks, "Wetin mek dis pipul dem de sik so?", di kweshon we wi nid fo aks na, "Wetin de rong wit wi soshal sistem en heltkeya sistem we de alaw dis situeshɔn fɔ apin ɛn kɔntinyu?"
Mɛsej we dɛn kin kɛr go na os
- Di sik dɛm we nɔr de mɛn kin gɛt strɔng inflɔwɛns frɔm bayolojikal kɔz dɛm, ɛn bak di soshal ɛn ikɔnomik ɛnvayrɔmɛnt we yu de liv.
- Di mɔni we yu de gɛt, di lɛvul we yu lan buk, ɛn usay yu de liv, kin afɛkt yu wɛlbɔdi dairekt wan.
- If i nɔ izi fɔ pɔsin fɔ liv fayn layf, pas fɔ blem da pɔsin de, wi fɔ tɔk bɔt di prɔblɛm dɛn we de na di soshal sistɛm we mek i gɛt am.
- If yu gɛt sik we nɔ de mɛn lɛk dayabitis ɔ ay blɔd prɛshɔn, i impɔtant fɔ go to yu dɔktɔ di rayt tɛm ɛn go na klinik, ilɛksɛf yu nɔ fil fayn. Nɔ wet te di kɔndishɔn wɔs.
- I rili impɔtant fɔ mek wi ɔl tɔk togɛda as sosayti bɔt fɔ gi wɛlbɔdi ikwal to ɔlman.
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