Health and Inequality Flashcards
Structural empowerement
Marginalized minorities suffer high blood pressure with above average lifestyle. Infant mortality rates decline in areas or high political participation and representation.
Health affects by structure of work environment, and perceived access to power and opportunity structures of employees
Structural violence
Differences between potential and actual self-realization due to indirect violence built in repressive social orders
Subordinated status creates symbolic violence of scarcity. Structural of inequality limit agency and hurt health. Causes of disease needs to take in account biographies and social environment
Structural vulnerability
Neutral and inclusive term. Produced by location in a hierarchical social order.
Citizenship and Bare Life
Citizenship grants access to social and health care services. Xenophobia is disguised as national security.
Bare life: devoid of rights and subject to repressive power of state
Structural competence
med school curriculum to alleviate cultural obstacles to care. Risks reifying cultural stereotypes and blaming essentialized culture for structural inequality
Structural vulnerability checklists
Quick and practical diagnostic aid
Medical awareness of social positioning
Allocate increased resources to the disenfranchised
Improve quality care for the poor
Identify barriers that are not clinically invisible and stop from blaming patients’ poor lifestyles
Excess death-racial disparities in health
Excess death: numbers of deaths is much bigger than predicted deaths
Racial disparities in health: Above 80k adds more years to a person life
Social structural model
Higher in status hierarchy improves/preserves one chances for social rewards in life.
Pros:individual decisions exclude entire group of people, racism lies in social structure, socially determined and flexible judgments.
Cons: lower status and frustration increases blood’s pressure and decreases health
