Everything Session 2 (Socioeconomic Inequalities) Flashcards
The 3 Patterns relating to Socio-economic Inequalities
Most deprived have the poorest health
Most deprived have worst life expectancy and disability free life expectancy
Deprivation strongly linked with ill health
The 4 explanations for health inequalities stated by the BLACK REPORT are
-Artefacts
-Behavioural-Cultural
-Social Selection
-Materialistic
Artefact Explanation for Health Inequalities
Health inequalities evident due to way stats are collected
MOST DISCREDITED explanation
Social Selection health inequality explanation
Ill health influences a person social position in the Hierarchy
NOT SOCIAL POSITION AFFECTING HEALTH
Behavioural-cultural explanation of health inequality
Ill health due to peoples choices, knowledge and goals
Disadvantage people more likely to engage in health damaging behaviours
Explains Health education
Materialistic explanation for health inequalities
Inequalities due to differential access to material resources (low income, unemployment, work environment)
Lack of choice to exposure of hazards and adverse conditions (asbestos)
MOST PLAUSIBLE EXPLANATION
Other 2 Explanations for inequalities in Health not in Black Report are
Psychosocial explanation
Income distribution/Wilkinson’s theory
Psychosocial explanation for health inequalities
Stress can impact health directly or indirectly (Health related behaviours)
Income distribution/Wilkinsons theory for explaining health inequalities
Relative income affects health
Linked with psychosocial explanation since it suggest increase income inequalities increase stress and reduce health
Greater income inequalities have greater health inequalities
Most equal society’s have the best health
Problem with assessing inequities in access to health care
Measuring access to healthcare is difficult since it doesn’t capture the people who don’t know how to access health care services
How do more deprived groups utilise health care
High use of GP and A&E
Low use of preventative services and specialist services
Theories and evidence for deprivation and access to healthcare
Deprived patients manage health in a series of crises
Ill health normalised
Tend to use more “porous” services
Lack of alignment between healthcare and lower socioeconomic status
Difficulty in marshalling rss needed for negotiation and engagement with health rss
What is Health Inequality?
Differences between people/groups that have been socially constructed, not due to differences in genetics or physiology.
E.g. gender and age
