Explaining the social class health link
Download
1 / 13

Explaining the Social Class-Health Link. - PowerPoint PPT Presentation


  • 332 Views
  • Uploaded on

Explaining the Social Class-Health Link. Dr Dominic Upton. The four explanations. Artefact Social selection Behavioural/Cultural Materialist. Artefact explanation. . The process by which mortality/morbidity and social class are measured results in an inaccurate representation.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Explaining the Social Class-Health Link.' - daniel_millan


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

The four explanations l.jpg
The four explanations.

  • Artefact

  • Social selection

  • Behavioural/Cultural

  • Materialist


Artefact explanation l.jpg
Artefact explanation.

  • The process by which mortality/morbidity and social class are measured results in an inaccurate representation.

  • No evidence for such a position given the consistency of the findings.


Social selection l.jpg
Social selection.

  • Health determines social class through a process of health-related mobility in which the healthy are more likely to move up the social hierarchy and the unhealthy move down.

  • Some evidence, but unlikely to be the complete picture.


Behavioural explanation l.jpg
Behavioural explanation.

  • Social class differences in behaviours that damage or fail to promote health and, which at least in principle are subject to individual choice.


Behavioural explanation6 l.jpg
Behavioural explanation.

  • Suggests that those in social class V smoke more (demonstrated), drink more (evidence variable), exercise less (only in leisure time), and have a poorer diet (probably accurate).


Evidence for the behavioural explanation l.jpg
Evidence for the behavioural explanation.

  • Smoking: Those in social class V smoke more than those in social class I.

  • Exercise: Those in social class I exercise more in their leisure time than those in social class V.

  • Diet: Social class V have worse diet than those in social class I.

  • Alcohol: Worse drinking habits in social class V.


Choice and lifestyle l.jpg
Choice and lifestyle.

  • People smoke, drink and eat poorly because it is easy and relatively cheap way of dealing with stress.

  • Not individual choice, but are forced to because of their lives and circumstances.


How much does lifestyle explain l.jpg
How much does lifestyle explain?

  • Studies suggest that 25% of the variance is explained by the lifestyle choice differences between the classes.

  • Major explanation must be some other factor.


Materialist explanation l.jpg
Materialist explanation.

  • Hazards which are inherent in society and to which some people have no choice but to be exposed given the present distribution of income and opportunity cause the health inequalities.

  • This is the explanation the Black report favoured.


Materialist explanation11 l.jpg
Materialist explanation.

  • Housing.

  • Income.

  • Stresses of living.


Other explanations l.jpg
Other explanations.

  • Cultural compatibility

  • Use of health service

  • Social skills of patient and health care professional

  • Bias and expectations of the health care professional

  • Outcomes of the medical consultation


Conclusion l.jpg
Conclusion.

  • Carroll et al (1996):"The SES-health gradients might be regarded as a key test of the frequently evoked but imperfectly articulated biopsychosocial model of health championed by the newly formalised discipline of health psychology" (p. 36)


ad