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The picture below shows a school graduation ceremony. Education is one of the factors influencing our good health. Read the text to find out what other factors determine our quality of life.

Poniższe zdjęcie przedstawia uroczystość zakończenia szkoły. Edukacja to jeden z czynników wpływających na stan naszego zdrowia. Przeczytaj tekst, aby dowiedzieć się, jakie inne czynniki społeczne mają wpływ na nasze życie.

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Education is one of the factors determining our health!
Edukacja jest jednym z czynników wpływających na nasz stan zdrowia!
Źródło: dostępny w internecie: pixabay.com [dostęp 19.04.2022], domena publiczna.
Exercise 1

Drag the idioms to the correct gaps in the sentences.

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1. The new house is much bigger and more comfortable. It has given the family 1. a bitter pill to swallow, 2. off the danger list, 3. in the pink of health, 4. a new lease on life, 5. a picture of health. They feel safer and everyone has their own space to play and study.
2. Having changed their living conditions, the boy is 1. a bitter pill to swallow, 2. off the danger list, 3. in the pink of health, 4. a new lease on life, 5. a picture of health. He has gained weight and doesn’t suffer from any illnesses.
3. After the vaccination, the child was finally 1. a bitter pill to swallow, 2. off the danger list, 3. in the pink of health, 4. a new lease on life, 5. a picture of health. The risk of contracting diseases was minimised.
4. Some teenagers see school as a 1. a bitter pill to swallow, 2. off the danger list, 3. in the pink of health, 4. a new lease on life, 5. a picture of health. They have to accept and endure it. They appreciate it only after some time, though.
5. He wasn’t exactly 1. a bitter pill to swallow, 2. off the danger list, 3. in the pink of health, 4. a new lease on life, 5. a picture of health after years of malnutrition and no contact with peers.
Źródło: GroMar Sp. z o.o., licencja: CC BY-SA 3.0.

Read the texts to learn more about what factors determine your health. Did you know about them?

Social Determinants Of Health
Dorota Giżyńska Social Determinants Of Health

A.

The WHO defines social determinantsdeterminants [determinant]determinants of health (SDOH) in the following way: the conditions in which we are born, grow up, play, work, and get older. They include a wide arraywide arraywide array of factors which exist in different societies. SDOH are further influenced by different factors such as money, power, and varied resources on different levels: global, national, and local. It’s said that the SDOH act as a determining factor, even up to 80‑90%, on people’s health while only 10‑20% is attributed tois attributed to [be attributed to]is attributed to medical care itself.  There are five key areas of SDOH.

B.

Children from low‑income families, youngsters with disabilities, and kids who regularly experience types of social discrimination, e.g. bullying, are bound toare bound to [be bound to]are bound to struggle with school subjects like maths and reading. As a result, they're less likely to graduate from secondary school and continue tertiary educationtertiary educationtertiary education. This, in turn, means they're less inclined toinclined toinclined to get lucrativelucrativelucrative positions and more likely to have medical issues like coronary diseases , diabetes, or depression. Moreover, there are many young people all around the world where the level of schooling is inadequateinadequate inadequate or their families can't afford to pay for their education. Poor living conditions can also play a detrimental roleplay a detrimental rolea detrimental role in children’s brain development, making it harder for them to perform well in school.

C.

People with regular incomes and steady jobs don’t run the risk ofrun the risk of run the risk of living in poor conditions and thereforeand thereforeand therefore, are more likely to be healthy. If people suffer from any disabilities which prevent them from earning money, they may be at risk ofbe at riskbe at risk of losing financial security. This may lead to a vicious circlevicious circlevicious circle of not being able to support the basic needs of a family. What is more, a lot of people, despite having a regular income, are not able to provide for their familiesprovide for their families [provide for one’s family]provide for their families, which is vitalvitalvital for people’s lives like paying for education or medical insurance. 

D.

A lot of people around the world don’t have any medical insurance, so they’re not entitled toentitled toentitled to medical care services, from basic ones like a family doctor, to specialist medication or surgeries. It means that they don’t have access to any preventive healthcare like vaccinations, screenings, or chronic illness treatment. OftentimesoftentimesOftentimes, their primary care providerprimary care providerprimary care provider lives too far away. Health literacyhealth literacyHealth literacy also plays an important role here. It’s people's capacitycapacitycapacity to get access to, process, and understand health information and make conscious choices based on it.

E.

You may not have thought about it, but the conditions in which we live have a major impact on our health. Many people around the globe live in districts with high levels of crime and violence. As a consequenceas a consequenceAs a consequence, the inhabitants are more prone toprone toprone to accidents and domestic abusedomestic abusedomestic abuse. OvercrowdingovercrowdingOvercrowding and dampdampdamp living conditions are also part of the problem, as well as access to running water, a thing we tend to take for grantedtake for grantedtake for granted. Access to public transportation, more bike paths, and safe walking areas or pavements is not always available either.

F.

The way we interact withinteract withinteract with people can dramatically influencedramatically influences [dramatically influence]dramatically influence our health and well‑being. This concernsconcerns [concern] (verb)concerns our family, co‑workers, and friends. Children’s development is highly affected when their parents are incarceratedincarceratedincarcerated, or absent for other reasons. This negative experience may continue into adulthood. Some children and teenagers don’t know where to get support if they are in crisis. It may lead to anxiety and depression, resulting in problems at school and later at work. Bullying and peer pressure are also among the factors which negatively influence our future relationships with people.

1 Źródło: Dorota Giżyńska, licencja: CC BY-SA 3.0.
Exercise 2

Scan the text and match the paragraphs (A–G) with the correct title. There is one extra title which you don’t need.

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C Możliwe odpowiedzi: 1. Economic Stability, 2. Quality of Education Access, 3. Neighbourhood and Built Environment, 4. Factors Determining Our Social Life, 5. Social and Community Context, 6. Factors determining our health, 7. Healthcare Access and Quality A  Możliwe odpowiedzi: 1. Economic Stability, 2. Quality of Education Access, 3. Neighbourhood and Built Environment, 4. Factors Determining Our Social Life, 5. Social and Community Context, 6. Factors determining our health, 7. Healthcare Access and Quality B  Możliwe odpowiedzi: 1. Economic Stability, 2. Quality of Education Access, 3. Neighbourhood and Built Environment, 4. Factors Determining Our Social Life, 5. Social and Community Context, 6. Factors determining our health, 7. Healthcare Access and Quality F  Możliwe odpowiedzi: 1. Economic Stability, 2. Quality of Education Access, 3. Neighbourhood and Built Environment, 4. Factors Determining Our Social Life, 5. Social and Community Context, 6. Factors determining our health, 7. Healthcare Access and Quality D  Możliwe odpowiedzi: 1. Economic Stability, 2. Quality of Education Access, 3. Neighbourhood and Built Environment, 4. Factors Determining Our Social Life, 5. Social and Community Context, 6. Factors determining our health, 7. Healthcare Access and Quality E  Możliwe odpowiedzi: 1. Economic Stability, 2. Quality of Education Access, 3. Neighbourhood and Built Environment, 4. Factors Determining Our Social Life, 5. Social and Community Context, 6. Factors determining our health, 7. Healthcare Access and Quality Not needed Możliwe odpowiedzi: 1. Economic Stability, 2. Quality of Education Access, 3. Neighbourhood and Built Environment, 4. Factors Determining Our Social Life, 5. Social and Community Context, 6. Factors determining our health, 7. Healthcare Access and Quality
Źródło: GroMar Sp. z o.o., licencja: CC BY-SA 3.0.
Exercise 3

Read the text and decide in which paragraph (A–F) you can find answers to the following questions.

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Which paragraph shows a connection between success at school and the environment in which you live? Możliwe odpowiedzi: 1. D, 2. F, 3. E, 4. B, 5. A, 6. C suggests that there is a weak link between people’s health and medical care? Możliwe odpowiedzi: 1. D, 2. F, 3. E, 4. B, 5. A, 6. C mentions the influence of a parent with a criminal past on a child's upbringing? Możliwe odpowiedzi: 1. D, 2. F, 3. E, 4. B, 5. A, 6. C states that there is a circularity of events? Możliwe odpowiedzi: 1. D, 2. F, 3. E, 4. B, 5. A, 6. C refers to a factor which we often assume is true? Możliwe odpowiedzi: 1. D, 2. F, 3. E, 4. B, 5. A, 6. C describes a situation where people can’t make informed decisions? Możliwe odpowiedzi: 1. D, 2. F, 3. E, 4. B, 5. A, 6. C
Źródło: GroMar Sp. z o.o., licencja: CC BY-SA 3.0.
Exercise 4

Read the sentences and choose the correct answer.

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  1. The place where we live plays a detrimentallucrativewide role in our lives.
  2. We often take access to food and water for entitled inclinedgranted.
  3. My childhood has had a major vicious domestic impact on my adult life.
  4. The lecturer showed us a wide capacity array literacy of factors contributing to different lifestyle choices around the globe.
  5. It’s important that parents can provide bound inclined for their children.
  6. Children from poor families run the concern risk circle of having worse access to education than children from affluent backgrounds.
  7. The patient didn’t have medical insurance. As a risk consequence therefore, he couldn’t be treated in the hospital.
  8. The girl was a victim of domestic abuse and therefore consequence prone to, she was unable to interact with other children properly.
Źródło: GroMar Sp. z o.o., licencja: CC BY-SA 3.0.
Exercise 5

Read the sentences and choose the correct answer.

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1. Tertiary education is
a) higher education.
b) secondary education.
c) primary education.
2. When something is inadequate, it’s
a) lucrative.
b) not good enough.
c) good quality.
3. When you are caught in a vicious circle
a) you are caught by criminals.
b) you find a solution to a problem.
c) one problem causes another one.
4. If something is vital, it’s
a) crucial.
b) unimportant.
c) healthy.
5. The problem of overcrowding is connected with
a) too much violence.
b) too many people.
c) not enough people.
6. If you are prone to something, you are likely to:
a) be entitled to get insurance.
b) be affected by something good.
c) be affected by something bad.
Źródło: GroMar Sp. z o.o., licencja: CC BY-SA 3.0.
Exercise 6

Answer the questions with 2–3 sentences.

  1. Which social determinants of health have had the biggest positive influence on your life? Why?

  2. Were you surprised to read that medical care itself only accounts for 10‑20% of your health? Why? Why not?

  3. Which social determinants of health should be improved in Poland in the first place? Why?

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(Uzupełnij).
Źródło: GroMar Sp. z o.o., licencja: CC BY-SA 3.0.

Słownik

a bitter pill to swallow
a bitter pill to swallow

/ ə ˌbɪtə pɪl tu ˈswɒləʊ /

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Nagranie dźwiękowe

gorzka pigułka do przełknięcia (something unpleasant or difficult to accept)

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Nagranie dźwiękowe
a new lease on life
a new lease on life

/ ə ˈnju: ˈli:s ˈɒn lʌɪf /

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Nagranie dźwiękowe

nowe życie (a fresh start or a renewed opportunity)

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Nagranie dźwiękowe
a picture of health
a picture of health

/ ə ˈpɪktʃə əv heltheta /

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Nagranie dźwiękowe

okaz zdrowia (someone in excellent physical condition)

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Nagranie dźwiękowe
and therefore
and therefore

/ ənd ˈðeəfɔː /

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Nagranie dźwiękowe

i dlatego, a zatem (consequently; as a result)

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Nagranie dźwiękowe
are bound to [be bound to]
are bound to [be bound to]

/ ə baʊnd tuː / / bi baʊnd tuː /

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Nagranie dźwiękowe

na pewno stać się, na pewno/z pewnością coś zrobić (likely to happen or destined to occur)

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Nagranie dźwiękowe
as a consequence
as a consequence

/ əz ə ˈkɒnsɪkwəns /

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Nagranie dźwiękowe

w rezultacie (the result or outcome of a specific action or event)

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Nagranie dźwiękowe
be at risk
be at risk

/ bi ət rɪsk /

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Nagranie dźwiękowe

być narażonym na ryzyko (in danger or facing potential harm)

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Nagranie dźwiękowe
capacity
capacity

/ kəˈpæsɪti /

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Nagranie dźwiękowe

zdolność (the ability or potential to do something)

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Nagranie dźwiękowe
concerns [concern] (verb)
concerns [concern] (verb)

/ kənˈsɜːnz / / kənˈsɜːn /

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Nagranie dźwiękowe

dotyczy [dotyczyć] (to regard or be connected with something)

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Nagranie dźwiękowe
damp
damp

/ dæmp /

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Nagranie dźwiękowe

wilgotny/wilgotna (slightly wet or moist)

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Nagranie dźwiękowe
determinants [determinant]
determinants [determinant]

/ dɪˈtɜːmɪnənts / / dɪˈtɜːmɪnənt /

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Nagranie dźwiękowe

uwarunkowania [uwarunkowanie] (a factor that influences or determines an outcome)

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Nagranie dźwiękowe
domestic abuse
domestic abuse

/ dəˈmestɪk əˈbjuːs /

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Nagranie dźwiękowe

przemoc domowa (physical, emotional, or psychological harm within a household)

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Nagranie dźwiękowe
dramatically influences [dramatically influence]
dramatically influences [dramatically influence]

/ drəˈmætɪkl̩i ˈɪnflʊənsɪz / / drəˈmætɪkl̩i ˈɪnflʊəns /

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Nagranie dźwiękowe

drastycznie wpływa na [drastycznie wpływać na] (to significantly affect or change)

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Nagranie dźwiękowe
entitled to
entitled to

/ ɪnˈtaɪtl̩d tuː /

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Nagranie dźwiękowe

mieć prawo do (having the right to or deserving of something)

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Nagranie dźwiękowe
have a major impact on
have a major impact on

/ həv ə ˈmeɪdʒər ɪmˈpækt ɒn /

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Nagranie dźwiękowe

mieć główny wpływ na (to significantly affect or influence)

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Nagranie dźwiękowe
health literacy
health literacy

/ heltheta ˈlɪtərəsi /

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Nagranie dźwiękowe

umiejętność korzystania z informacji zdrowotnych (the ability to understand and use health‑related information)

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Nagranie dźwiękowe
in the pink of health
in the pink of health

/ ɪn ðə pɪŋk əv heltheta /

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Nagranie dźwiękowe

cieszyć się dobrym zdrowiem (idiom) (in excellent health or optimal condition)

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Nagranie dźwiękowe
inadequate
inadequate

/ ɪnˈædɪkwət /

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Nagranie dźwiękowe

nieodpowiedni/nieodpowiednia (not sufficient or satisfactory)

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Nagranie dźwiękowe
incarcerated
incarcerated

/ ɪnˈkɑːsəreɪtɪd /

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Nagranie dźwiękowe

uwięziony/uwięziona (confined or imprisoned)

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Nagranie dźwiękowe
inclined to
inclined to

/ ɪnˈklaɪnd tuː /

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Nagranie dźwiękowe

skłonny/skłonna do (likely to do or prefer something)

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Nagranie dźwiękowe
interact with
interact with

/ ˌɪntəˈrækt wɪð /

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Nagranie dźwiękowe

nawiązywać kontakty z (to communicate or engage with)

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Nagranie dźwiękowe
is attributed to [be attributed to]
is attributed to [be attributed to]

/ ɪz əˈtrɪbjʊtɪd tuː / / bi əˈtrɪbjʊtɪd tuː /

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Nagranie dźwiękowe

przypisuje się [przypisywać coś czemuś] (to be assigned as the cause or source of something)

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Nagranie dźwiękowe
lucrative
lucrative

/ ˈluːkrətɪv /

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Nagranie dźwiękowe

lukratywny/lukratywna, dochodowy/dochodowa (profitable or financially rewarding)

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Nagranie dźwiękowe
off the danger list
off the danger list

/ ɒf ðə ˈdeɪndʒə lɪst /

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Nagranie dźwiękowe

poza listą zagrożeń (idiom) (no longer considered at risk or in danger)

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Nagranie dźwiękowe
oftentimes
oftentimes

/ ˈɒfənˌtaɪmz /

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Nagranie dźwiękowe

często (frequently or often, AmE, colloquial speech)

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Nagranie dźwiękowe
overcrowding
overcrowding

/ ˌəʊvəˈkraʊdɪŋ /

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Nagranie dźwiękowe

przeludnienie (having too many people or things in a limited space)

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Nagranie dźwiękowe
play a detrimental role
play a detrimental role

/ pleɪ ə ˌdetrɪˈmentl̩ rəʊl /

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Nagranie dźwiękowe

przynosić szkodę, szkodzić (to have a harmful or damaging impact)

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Nagranie dźwiękowe
primary care provider
primary care provider

/ ˈpraɪməri keə prəˈvaɪdə /

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Nagranie dźwiękowe

lekarz/lekarka pierwszego kontaktu (the main healthcare professional responsible for a patient's general health)

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Nagranie dźwiękowe
prone to
prone to

/ prəʊn tuː /

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Nagranie dźwiękowe

podatny/podatna na (likely to experience or suffer from something)

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Nagranie dźwiękowe
provide for their families [provide for one’s family]
provide for their families [provide for one’s family]

/ prəˈvaɪd fə ðeə ˈfæmliz / / prəˈvaɪd fə wʌnz ˈfæmli /

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Nagranie dźwiękowe

utrzymywać ich rodziny [utrzymywać czyjąś rodzinę] (to support or take care of one's family financially)

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Nagranie dźwiękowe
run the risk of
run the risk of

/ ˈrʌn ðə rɪsk ɒv /

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Nagranie dźwiękowe

narażać na ryzyko (to face the possibility of experiencing something negative)

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Nagranie dźwiękowe
take for granted
take for granted

/ ˈteɪk fə ˈɡrɑːntɪd /

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Nagranie dźwiękowe

brać coś za pewnik (powiedzenie) (to not appreciate or value something properly)

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Nagranie dźwiękowe
tertiary education
tertiary education

/ ˈtɜːʃəri ˌedʒʊˈkeɪʃn̩ /

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Nagranie dźwiękowe

szkolnictwo wyższe (higher education beyond secondary school)

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Nagranie dźwiękowe
vicious circle
vicious circle

/ ˈvɪʃəs ˈsɜːkl̩ /

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Nagranie dźwiękowe

błędne koło (a situation in which a cause and its effect reinforce each other negatively)

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Nagranie dźwiękowe
vital
vital

/ ˈvaɪtl̩ /

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Nagranie dźwiękowe

istotny/istotna, niezbędny/niezbędna (extremely important or essential)

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Nagranie dźwiękowe
wide array
wide array

/ ˌwaɪd əˈreɪ /

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Nagranie dźwiękowe

szeroki wachlarz (a big range)

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Nagranie dźwiękowe

Źródło: GroMar Sp. z o.o., licencja: CC BY‑SA 3.0

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(Uzupełnij).
Źródło: GroMar Sp. z o.o., licencja: CC BY-SA 3.0.