Przeczytaj
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.

Drag the idioms to the correct gaps in the sentences.
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.
Read the texts to learn more about what factors determine your health. Did you know about them?
Social Determinants Of HealthA.
The WHO defines social determinantsdeterminants 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 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 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 struggle with school subjects like maths and reading. As a result, they're less likely to graduate from secondary school and continue tertiary educationtertiary education. This, in turn, means they're less inclined toinclined to get lucrativelucrative 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 or their families can't afford to pay for their education. Poor living conditions can also play 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 living in poor conditions and 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 risk of losing financial security. This may lead to a vicious 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, which is vitalvital 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 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. OftentimesOftentimes, their primary care providerprimary care provider lives too far away. Health literacyHealth literacy also plays an important role here. It’s people's capacitycapacity 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 consequence, the inhabitants are more prone toprone to accidents and domestic abusedomestic abuse. OvercrowdingOvercrowding and dampdamp living conditions are also part of the problem, as well as access to running water, a thing we tend to take 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 with people can dramatically influencedramatically influence our health and well‑being. This concernsconcerns our family, co‑workers, and friends. Children’s development is highly affected when their parents are incarceratedincarcerated, 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.
Źródło: Dorota Giżyńska, licencja: CC BY-SA 3.0.
Scan the text and match the paragraphs (A–G) with the correct title. There is one extra title which you don’t need.
Read the text and decide in which paragraph (A–F) you can find answers to the following questions.
Read the sentences and choose the correct answer.
- The place where we live plays a detrimentallucrativewide role in our lives.
- We often take access to food and water for entitled inclinedgranted.
- My childhood has had a major vicious domestic impact on my adult life.
- The lecturer showed us a wide capacity array literacy of factors contributing to different lifestyle choices around the globe.
- It’s important that parents can provide bound inclined for their children.
- Children from poor families run the concern risk circle of having worse access to education than children from affluent backgrounds.
- The patient didn’t have medical insurance. As a risk consequence therefore, he couldn’t be treated in the hospital.
- The girl was a victim of domestic abuse and therefore consequence prone to, she was unable to interact with other children properly.
Read the sentences and choose the correct answer.
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.
Answer the questions with 2–3 sentences.
Which social determinants of health have had the biggest positive influence on your life? Why?
Were you surprised to read that medical care itself only accounts for 10‑20% of your health? Why? Why not?
Which social determinants of health should be improved in Poland in the first place? Why?
Słownik
/ ə ˌbɪtə pɪl tu ˈswɒləʊ /
gorzka pigułka do przełknięcia (something unpleasant or difficult to accept)
/ ə ˈnju: ˈli:s ˈɒn lʌɪf /
nowe życie (a fresh start or a renewed opportunity)
/ ə ˈpɪktʃə əv heltheta /
okaz zdrowia (someone in excellent physical condition)
/ ənd ˈðeəfɔː /
i dlatego, a zatem (consequently; as a result)
/ ə baʊnd tuː / / bi baʊnd tuː /
na pewno stać się, na pewno/z pewnością coś zrobić (likely to happen or destined to occur)
/ əz ə ˈkɒnsɪkwəns /
w rezultacie (the result or outcome of a specific action or event)
/ bi ət rɪsk /
być narażonym na ryzyko (in danger or facing potential harm)
/ kəˈpæsɪti /
zdolność (the ability or potential to do something)
/ kənˈsɜːnz / / kənˈsɜːn /
dotyczy [dotyczyć] (to regard or be connected with something)
/ dæmp /
wilgotny/wilgotna (slightly wet or moist)
/ dɪˈtɜːmɪnənts / / dɪˈtɜːmɪnənt /
uwarunkowania [uwarunkowanie] (a factor that influences or determines an outcome)
/ dəˈmestɪk əˈbjuːs /
przemoc domowa (physical, emotional, or psychological harm within a household)
/ drəˈmætɪkl̩i ˈɪnflʊənsɪz / / drəˈmætɪkl̩i ˈɪnflʊəns /
drastycznie wpływa na [drastycznie wpływać na] (to significantly affect or change)
/ ɪnˈtaɪtl̩d tuː /
mieć prawo do (having the right to or deserving of something)
/ həv ə ˈmeɪdʒər ɪmˈpækt ɒn /
mieć główny wpływ na (to significantly affect or influence)
/ heltheta ˈlɪtərəsi /
umiejętność korzystania z informacji zdrowotnych (the ability to understand and use health‑related information)
/ ɪn ðə pɪŋk əv heltheta /
cieszyć się dobrym zdrowiem (idiom) (in excellent health or optimal condition)
/ ɪnˈædɪkwət /
nieodpowiedni/nieodpowiednia (not sufficient or satisfactory)
/ ɪnˈkɑːsəreɪtɪd /
uwięziony/uwięziona (confined or imprisoned)
/ ɪnˈklaɪnd tuː /
skłonny/skłonna do (likely to do or prefer something)
/ ˌɪntəˈrækt wɪð /
nawiązywać kontakty z (to communicate or engage with)
/ ɪz əˈtrɪbjʊtɪd tuː / / bi əˈtrɪbjʊtɪd tuː /
przypisuje się [przypisywać coś czemuś] (to be assigned as the cause or source of something)
/ ˈluːkrətɪv /
lukratywny/lukratywna, dochodowy/dochodowa (profitable or financially rewarding)
/ ɒf ðə ˈdeɪndʒə lɪst /
poza listą zagrożeń (idiom) (no longer considered at risk or in danger)
/ ˈɒfənˌtaɪmz /
często (frequently or often, AmE, colloquial speech)
/ ˌəʊvəˈkraʊdɪŋ /
przeludnienie (having too many people or things in a limited space)
/ pleɪ ə ˌdetrɪˈmentl̩ rəʊl /
przynosić szkodę, szkodzić (to have a harmful or damaging impact)
/ ˈpraɪməri keə prəˈvaɪdə /
lekarz/lekarka pierwszego kontaktu (the main healthcare professional responsible for a patient's general health)
/ prəʊn tuː /
podatny/podatna na (likely to experience or suffer from something)
/ prəˈvaɪd fə ðeə ˈfæmliz / / prəˈvaɪd fə wʌnz ˈfæmli /
utrzymywać ich rodziny [utrzymywać czyjąś rodzinę] (to support or take care of one's family financially)
/ ˈrʌn ðə rɪsk ɒv /
narażać na ryzyko (to face the possibility of experiencing something negative)
/ ˈteɪk fə ˈɡrɑːntɪd /
brać coś za pewnik (powiedzenie) (to not appreciate or value something properly)
/ ˈtɜːʃəri ˌedʒʊˈkeɪʃn̩ /
szkolnictwo wyższe (higher education beyond secondary school)
/ ˈvɪʃəs ˈsɜːkl̩ /
błędne koło (a situation in which a cause and its effect reinforce each other negatively)
/ ˈvaɪtl̩ /
istotny/istotna, niezbędny/niezbędna (extremely important or essential)
/ ˌwaɪd əˈreɪ /
szeroki wachlarz (a big range)
Źródło: GroMar Sp. z o.o., licencja: CC BY‑SA 3.0