Health Inequalities Class

Social class, health and health care NUR 129 Lecture 5

Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What do we mean by class? ,[object Object],[object Object],[object Object]

Class identity – British Social Attitudes Survey ,[object Object],[object Object],[object Object],[object Object]

Ways of defining class: early writers ,[object Object],[object Object]

Measurements of social class: 1. The Registrar General’s scale ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Measurements of social class: 2. National Statistics Socio- economic Classification (NS-SEC) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Poverty – ‘absolute’ and ‘relative’ ,[object Object],[object Object]

Child poverty in Britain Bradshaw J. Child poverty in comparative perspective. In: Gordon D, Townsend P. Breadline Europe: the measurement of poverty. Bristol, The Policy Press, 2000.

Widening inequalities in income in the UK

Life expectancy at birth: England 1541 - 1994

Despite rising life expectancy, inequalities remain ,[object Object],[object Object],[object Object],[object Object]

Health and social class Donkin A, Goldblatt P, Lynch K. Inequalities in life expectancy by social class 1972–1999. Health Statistics Quarterly , 2002, 15:5–15.

The Black Report, 1980 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Recent focus ,[object Object],[object Object],[object Object],[object Object]

Individual lifestyle and behaviour ,[object Object],[object Object],[object Object],[object Object]

Smoking and socio-economic category

Behaviour and environment ,[object Object],[object Object]

The ‘Whitehall Studies’ ,[object Object],[object Object],[object Object],[object Object]

Example: job insecurity and health ,[object Object],[object Object]

Employment changes and health Ferrie JE et al. Employment status and health after privatisation in white collar civil servants: prospective cohort study. British Medical Journal , 2001, 322:647–651.

Health and insecurity ,[object Object],[object Object],[object Object]

Inequality and social cohesion ,[object Object],[object Object]

The ‘inverse care law’ ,[object Object],[object Object]

Inequalities in the use of cardiology services: evidence from Sheffield ,[object Object],[object Object],[object Object]

Evidence of the ‘inverse care law’? ,[object Object]

Social differences in seeking professional help ,[object Object],[object Object]

Consultation times ,[object Object],[object Object]

Department of Health targets ,[object Object],[object Object],[object Object],[object Object]

Life expectancy ,[object Object],[object Object],[object Object]

Infant mortality ,[object Object],[object Object],[object Object]

Health Inequalities Class

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Health Inequalities Class