Inequaltities And Inequities In Health Flashcards
How is deprivation associated with health in the UK?
The more deprived a person is, the larger the proportion of their life will be spent in ill health and the more likely they are to die at a younger age
What is the artefact explanation for social inequalities in health?
Health inequalities are evident due to the way hat statistics are collected, as the social class people state they are might be different due to the one on official documentation. However, this has been largely discredited and if anything leads to underestimation of the data
What is the social selection explanations for inequalties in health?
Your health status is responsible for your social position, heathy individuals move up the hierarchy whereas sick individuals do not, and chronically ill and disabled people are more likely to be disadvantaged.However, this is thought to only minor ly contribute to the inequalities
What is the behavioural cultral explantation for inequalities in health?
Ill health is due to peoples choices decisions, and knowledge and doals, and people from disadvantaged backgrounds tend to engage in health damaging behaviours.
What are the limitations of the behavioural cultural explainations for inequalities in health?
It may because of outcomes of social processes and not just limitations in choice, choices may be difficult to excrecise in adverse conditions and choices may be rational for those who lives are constrained by lack of resources, and can lead to victim blaming
What is the materialsit explanation for inequalities in health?
Inequalities result in differenital access to material resources and lack of choice in the exposure to hazards and adverse conditions that can accumulate across a lifetime.
What is the pyschosocial explanatations of inequalities of health?
They act in addition to the materialist standards, some stressors are distributed on a social gradient, including negative life events, social support and job security, and these can have direct and indirect impacts on health.
How can income distrubution lead to health inequalities?
The most eglatiarian societys have the best health equality, as an increase in income inequality leads to an increased social evaluative thearpy, and this leads to an increase in stress and therefore a decrease in health
What are the different patterns of access between the most and the least deprived groups?
Most deprived groups seem to have higher rates of use of Gp and the emergency services whereas they have under use of the preventative and specialist services
What is the theory behind the differences in access with deprivation?
There is a tendancy to manage helath as a series of crises
Normalisation of ill health
Event based consulting to legitimise consulations
Difficulty marshalling the resources needed for engagement with healthcare
Tendency to use the more porous or easily accessible services
May reflect a lack of cultural alignement between the heaalth services and the lower socioecommmic grousp
Adjucntions of social and techial eligmbility by doctos
What might some of the explanations behind diversity having an effect on ill health be?
Different patterns of use and engagement with healthcare services, potential discrimination in service provision, cultural norms in the way people access services, and health related behaviour that may be associated with culture