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Lecture 4

PSYC 3110 Lecture 4: Topics in Health Psychology

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PSYC 3110
Kieran O' Doherty

HealthPsychology January 19, 2017 Social Determinants of Health (cont.) Influence of social movements in the 1960s Black Report o Relationship between occupation and health e.g. consistently poorer health for unskilled manual labour o Possible explanations: Artifact of measurement the way you observed it is only a result of the way you measured it, a big deal of something that doesnt exist Natural social selection (unhealthy people get unhealthier) social Darwinism, some people are inherently superior or inferior, if you are inherently inferior you will be unhealthier and therefore have lower level jobs Materialiststructuralist explanations if you are better off financially you will have better access to education, live in a better place, and afford better healthcare THEREFORE will be healthier Culturalbehavioural differences (focus on individual behaviours leading to ill health) some people innately choose better health behaviours than others Social Inequality Increase in social inequality in Western countries o A health gradient exists (best well off vs. least well off) and can either be extreme separation or not more inequality = worse health outcomes for everyone = good health, = bad health Indicators: o Number of individuals living in poverty o Note different metrics in different countries o Share of total income with richest people Overall, social gradient of morbidity mortality observed in most places Size of differential varies over time and place therefore health divide is not fixedinevitable Systems theory approach importance of ecosystems influence on human development (microsystems, mesosystems, exosystems, macrosystems) o Disadvantages accumulate across all levels for those with low SES Class, Race, Gender Health Inequities Groups linked by social and material exploitation o Institutionalized racism o Gender discrimination
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