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Unformatted text preview: Social Class, I nequality and Health Risk I. Social Class and Health Status A. Metaphor of the Titanic 1. 3% mortality rate of 1st class women 2. 16% mortality rate of 2nd class women 3. 45% mortality rate of 3rd class women 1. Social class effects when you will die (not just on the titanic, but in life in general) A. Measurement of Social Class: Income, Education, Occupational Prestige 1. What kind of resources you have 2. Income: cut off between different incomes 3. Education 4. Occupational prestige (how others view different occupations) C. Inverse Association between Class and Sickness 1. Mortality and Morbidity Rates 1. Widening Gap i.Dramatic decline in death rates among high education people over the years ii. Small decline in death rates among low education people over the years 1. Case mortality i.The probability of dying once you have a morbidity disease (a disease associated with death) is higher from lower class people Examine 5 year death rates 1. Self-reported health status "poor, fair, good, excellent" follows same trend D. Social Class and Racial Differences in Health Status in the US (Bodenheimer and Grumbach) 1. Class Differences within Categories of Race/Ethnicity The primary difference between mortality rates in African Americans and Whites is class differences!! May be some impact associated with race, e.g. experience of racism in US (difference in mortality rates is not completely determined by class differences) 1. Mortality Among African-Americans and Other Ethnic Populations Survival curve: shows that after age 40, men living in Bangladesh are more likely to survive than men living in Harlem Latino mortality lower than in white populations Immigrants are healthy (they have to be in order to succeed in getting here) - at least the first generation ones are: "healthy immigrant" effect Asian mortality lowest Lowest mortality in US = Asian women in Burgen County, NJ CAUTION: diverse ethnic categories Hispanic encompasses mexican immigrants, puerto ricans, 2nd generations.too many things!!...
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