please check and rewrite the ,4 Analysis of determinants: According to Dahlgren and Whitehead Model (2021), the determinants influencing musculoskeletal issues, particularly osteoarthritis, prevalent in Lewisham, are multifaced and influenced by numerous contributing elements. While osteoarthritis is more common in adults aged above 45 years, however, younger individuals with unhealthy lifestyle are also vulnerable to musculoskeletal conditions. This places a significant burden on Lewisham’s healthcare services, with risk factors including age, socioeconomic status, mental health, physical activity, gender, smoking habits, and body mass index of the population. Additionally, the deprivation and predominant poverty and unemployment levels in Lewisham further exacerbate these issues (Wills & Naidoo,2022). “There is a large body of research supporting the link between Socio-economic status and health in all countries” (Wills & Naidoo, 2022., p.23). Socioeconomic and environmental factors play a paramount role in the occurrence of musculoskeletal conditions in Lewisham. For instance, the Health and Well-being strategy of Lewisham identifies significant ethnic health inequalities, with the black population being more susceptible to these diseases. Thus, it can be concluded that inequalities, such as poverty, lack of physical activity, ethnicity, smoking status, obesity, and work burden, are major risk factors contributing to the prevalence of musculoskeletal issues in Lewisham. In
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