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SOCI 3645 (10)
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Lecture 6

Sociology of health and illness lecture 6.docx

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SOCI 3645

Sociology of Health and Illness Lecture 6 Tahreem Mahmthd October 15 , 2013 Social Determinants of Disease and Death (Cont.)  Class, race, ethnicity, theories explaining these determinants, age and gender Social Class  Evidence th o Higher mortality of the lower classes (recorded since the 12 century); o Associational of low socioeconomic class with high incidence of infectious and parasitic diseases o In Canada  after 30+ years of universal health care a significant and consistent class factor remains associated with health outcomes  At population level (average neighbourhood incomes)  directly related to life expectancy and morbidity/health;  At household level (hhld income)  the % of children with ill health decreases by half from the lowest to the highest household income group;  At individual level (individual income)  related through education to quality of life and health adjusted life expectancy Patterns, Trends, and Disparities to Remember  In every neighbourhood type women live longer than men and the class factor is still valid; BUT; slightly reversed pattern in men (further research needed to confirm validity)  In all cases people with more education are likely to have better health outcomes  Income adequacy (sufficient to proper health maintenance)  Income stability/loss  mortality: important factor: people who had 50%+ later (McDonough, 1997)  The Power Factor (British Whitehall Study): White collar workers (not materially deprived!) are subject to direct increase in mortality associated with lower status and less decision-making power; This pattern has been validated in a Swedish study too  Income, power, education Class-Related Theories/explanations  Natural vs. social selection theories: o Social selection theory  illness and death can be outcomes of lower class (income, access, etc.); o Natural selection theory  illness can lead to downward mobility (class degradation)  Class culture theory: Class divisions are relatively lasting and class cultures tend to emerge around them  class is associated with model lifestyles (e.g., the culture of the working class includes fatalism, living for the moment, roughness toward self and others, anomie.) But: alcohol consumption is higher in higher classes! Sociology of Health and Illness Lecture 6 Tahreem Mahmthd October 15 , 2013  Material conditions theory: Class lifestyles are constrained by different material factors such as conditions of work, discretionary income, leisure time, access to facilities Education!!  Related directly to better outcomes in terms of:
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