Lecture 7 - Culture

Lecture 7 - Culture - Some explanations for social...

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Unformatted text preview: Some explanations for social inequalities in health Selection Survival of the fittest Health selection: poor health in childhood limits educational opportunities and adult status Genetics Topic avoided in Black report, and current research still in infancy Genetic mutations or selection unlikely to explain social inequalities Changes in the environment a more likely explanation (gene-environment interactions) Example BRCA gene mutation: Among women born before 1940 38% of those with the genes got the disease, but as many as 70% of those born after 1940 did so. Cultural/behavioral Material Life course Policies Part II of the course: what are the causes of social inequalities in health PART II. What are the causes of social inequalities in health? Behavioral and cultural explanations, or how victims came to be blamed. Additional suggested readings: 1. Lynch, J. W., G. A. Kaplan, and J. T. Salonen. 1997. "Why Do Poor People Behave Poorly? Variation in Adult Health Behaviours and Psychosocial Characteristics by Stages of the Socioeconomic Lifecourse." Social Science & Medicine 44(6):809-19. The relationships between SEP, behaviours, culture and health SEP Behaviours Health Individual factors Direct behavioural explanation cultural explanation The direct effect of health behaviours Major targets: smoking, exercise, diet (fats, sugars, salt, refined/processed foods) Implicit assumption: social gradient = selection or spurious effect Lower cognitive capacity, coping skills, self- discipline, external locus of control Locus of Control A primer...
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Lecture 7 - Culture - Some explanations for social...

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