Class Notes (836,587)
Canada (509,861)
HLTHAGE 1AA3 (276)
Anju Joshi (12)
Lecture 8

HLTHAGE 1AA3 Lecture 8: Identity, Marginality, and Health

4 Pages
Unlock Document

Health, Aging and Society
Anju Joshi

March 8 Identity, Marginality, and Health Identity - Individual identity wrapped up with overarching structural forces - contributes both to how we behave and how others treat us - Both something that you have but also something is done to you - A performance you carry out but also depends on how others act towards you - Although we experience it as individuals, our identities also carry social meaning - Factors that shape identity? → race/ethnicity, class, gender, sexuality, and primary categories although others disabilities Identity and Health Identity shapes health in 2 ways - Social structures pose unequal health risk for some more so than others → Women more likely than men to experience domestic violence (and subsequent harm) → stress, leaving a city, out of job, social support, behaviours to deal with it - How we experience and respond to health problems → ex. Straight vs gay responses to HIV → choice/availability of health interventions - Individuals with marginalized identities prone to greater health risks Social Class - Also known as SES - refers to person’s position within economy - income, property, education, occupation - Class background also relevant - Identity does not necessarily change within a generation - In some countries class is extremely pronounced, less so in other places. Regardless, SES still structures health SES and Health - Class limits (or enables) access to resources like income, education, health care - all of which affect health - Recall the Whitehall Study → Put simply, more privileged members of society fare far better across a variety of health measures - SES gradient felt more severely over lifespan - Compared to most other developed countries, Canada’s health inequalities are greater (due to deeper inequalities in income) Case Study: Schizophrenia - Despite some evidence of genetic component, rates of schizophrenia far higher in lower SES. Why? - People with this mental illness tend to come from poorer backgrounds due to access to care → Less access to healthcare, complications during pregnancy or birth → Poorer housing, greater rates of prenatal infection → Insecurity creates more stress, life events → Socialization (less flexibility, greater conformity, feeling at the mercy of other forces) → Institutional bias against lower class (health care individuals have a bias towards lower class people and that is why these are the theories) → *these are just speculations* Race, Ethnicity, and Health March 8 Identity, Marginality, and Health Race and ethnicity, both of which imply a particular cultural heritage, are social constructs - Yet, race and ethnicity are very “real” in terms of creating inequalities. Health status affected by historical mistreatment and barriers in access to healthcare - In terms of mortality, morbidity, life expectancy and self-reported health, First Nations peoples fare worse than non-Aboriginal Canadians. Similar results reported for African-American population in US - Research on 1) genetic variations, 2) lifestyle 3) stress and 4) social inequalities found that genetic variations was insignificant - social inequalities (unemployment, housing, income, education) were most significant - Despite frequent overlap between ethnicity and SES, class alone does not account for differences - other factors (racism and stress it produces) are at play → Ex. people who report higher rates of racial discrimination had higher blood pressure, more respiratory illness, high rates of depression and psychosis - Ideas about race can also structure SES (ex. Redlining in the US) which further impacts health - Finally culture (tied to ethnicity) may shape management of health and response to illness - both protective and harmful. Exa
More Less

Related notes for HLTHAGE 1AA3

Log In


Join OneClass

Access over 10 million pages of study
documents for 1.3 million courses.

Sign up

Join to view


By registering, I agree to the Terms and Privacy Policies
Already have an account?
Just a few more details

So we can recommend you notes for your school.

Reset Password

Please enter below the email address you registered with and we will send you a link to reset your password.

Add your courses

Get notes from the top students in your class.