HLTB41H3 Lecture Notes - Lecture 4: Social Stratification
Week 4: Income
The socioeconomic and political context refers to structural, cultural and functional aspects
of a social system that generate, configure and maintain social hierarchies, thus influencing
health
Welfare State:
Definition of Welfare state: a social system based on the assumption by a political state of
responsibility for the individual and social welfare of its citizens
Selected types of welfare state regimes:
Structural determinants refer to the interactions between socioeconomic and political context,
structural mechanisms generation social stratification, and socioeconomic
Key idea: structural determinants are social determinants of health inequities
Structural mechanisms that shape social hierarchies are the root cause of
inequities in health
Structural determinants generate or reinforce social stratification in society and
define socioeconomic position
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Document Summary
The socioeconomic and political context refers to structural, cultural and functional aspects of a social system that generate, configure and maintain social hierarchies, thus influencing health. Definition of welfare state: a social system based on the assumption by a political state of responsibility for the individual and social welfare of its citizens. Structural determinants refer to the interactions between socioeconomic and political context, structural mechanisms generation social stratification, and socioeconomic. Key idea: structural determinants are social determinants of health inequities. Structural mechanisms that shape social hierarchies are the root cause of inequities in health. Structural determinants generate or reinforce social stratification in society and define socioeconomic position. Intermediary determinants of health include material circumstances, psychosocial factors, behavioural and biological factors and the health system and explain how socioeconomic position influences health and health inequities. Key idea: intermediary determinants of health include more traditional social determinants of health. These determine differences in exposure and vulnerability to risk factors for disease.