Explanations for Social Class Inequalities in Health (AQA A-Level Sociology): Flashcards

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Explanations for Social Class Inequalities in Health
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Define health inequalities

Systematic differences in health status & life expectancy between social groups

Shaw et al (2008) key argument

Inextricable connection between poverty, inequality, wealth & health

Graham & Kelly framework: 4 components

Social structure, position, intermediary factors, health outcomes

4 models explaining health inequality (Bartley & Blanc)

Behavioural, materialist, psychosocial, life-course

Behavioural model focus

Damaging behaviours: smoking, poor diet, lack of exercise

Behavioural model limitation

Explains only small proportion of social class mortality differences

Materialist model focus

Structural factors & poverty: housing, diet, heating, stress

Black Report (1980) main finding

Materialist factors most important for class health differences

Psychosocial model focus

Social inequality affects feelings, then body chemistry & health

Whitehall II Study key finding

Lifestyle factors explained <1/3 of health inequalities

Life-course model focus

Childhood disadvantages create repercussions into adulthood

Victoria Cattell (2001) finding on community

Social capital & community cohesion buffer health impacts

% of health inequality causes from NHS vs social factors

10% NHS, 90% social factors (income & education inequalities)

Life expectancy gap in London (2014)

Nearly 25 years between affluent & deprived wards

Income as health determinant

One of the greatest determinants of health within societies

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