Health Sciences 1002A/B Lecture Notes - Lecture 4: Rudolf Virchow, Social Inequality, Industrial Revolution

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Medicare paradox: while medicare created equal access to health care, it did not create equal health status among socio-economic groups. Social gradient of health: there"s a slope of high (cid:373)or(cid:271)idit(cid:455) a(cid:374)d mortality with the poor, and there is the least about of mortality and morbidity with the wealthier people. Study conducted on civil servants (government workers of all classes, and levels of work) Social gradient was observed from every aspect, suicide, risk factors, cardiovascular disease, ect. Those proximal risk factors accounted for less than half of the mortality pattern. Control-demand ratio: an imbalance of these two can cause stress. Lots of demand but no control over what you do causes stress. (control involves the ability to make authoritative decisions and area to develop skills). In both studies we learn that health varies systematically with social position and occupational status. Friedrich engles: studies of health conditions of working people in england during industrial revolution (1800s)

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