Nursing Sociology : How Class Affects Health Essay

Why are higher income and social status associated with better health? If it were just a matter of the poorest and lowest status groups having poor health, the explanation could be things like poor living conditions. But the effect occurs all across the socio-economic spectrum. Considerable research indicates that the degree of control people have over life circumstances,

In the movie Unnatural Causes: In Sickness and in Wealth, it compared the lives of four individuals, Taylor, Young, Anderson, and Turner, in different locations, race, and socioeconomic background. The scale of difference between this group of people is that it goes from financially stable and healthy individuals to individuals with lower income and poorer health. This wealth-health gradient reflects that those who have easier access to healthier lifestyles (i.e. running outside without the concern of safety) are more likely to have a higher life expectancy than those who are in living environments that are not as developed and lack healthier options of nutrition. The difference of the average life expectancy scaled down from Jim Taylor whose neighborhood had an average life expectancy of 80 years, Young’s 75.3 years,

In addition, they endure more stressful family and work conditions which can lead to unhealthy lifestyle characteristics, such as excessive use of alcohol and may…(reword) poor nutrition” (19). In other words, the more prestige/power one has within society, the better their chances are of living longer. Scott’s article Life at the Top in America Isn’t Just Better, It’s Longer; provided many examples that showed the inequality between the classes. For example, Jean Miele’s case; he had a heart attack and because of his social class—and connections established through his status—he was surrounded by two knowledgeable colleagues that knew something was seriously wrong with Miele, therefore; immediately calling an ambulance. In addition, because of the neighborhood Miele was in during the heart attack he was given a choice of where we was to go to receive medical care; within minutes of arriving at the chosen hospital, he was in line for an angioplasty to unclog the affected artery. After the heart attach Miele entered a cardiac rehab which was covered through his insurance. As Scott showed in her article, Miele never once considered the amount this operation cost or the price for his cardiac rehab treatment.

Socio-economic class or socio-economic status (SES) may refer to mixture of various factors such as poverty, occupation and environment. It is a way of measuring the standard and quality of life of individuals and families in society using social and economic factors that affect health and wellbeing ( Giddens and Sutton, 2013). Cockerham (2007 p75) argues: ‘Social class or socioeconomic status (SES) is the strongest predictor of health, disease causation and longevity in medical sociology.’ Research in the 1990s, (Drever and Whitehead, 1997) found out that people in higher SES are generally healthier, and live longer than those in lower SES.

In the “Marmot Review: Fair Society Healthy Lives” written by “Professor Michael Marmot” himself, he proposes the most effective evidence-based strategies for reducing health inequalities in England. Inequality is unjust and unfair and therefore it is a matter of social justice in cases where everyone has an equal,social, political and economical rights and opportunities.He simply stated that to reduce the steepness of the gradient sufficiently “actions must be universal, but with a scale and intensity that is proportionate to the level of disadvantage” Even though resources may be scarce and it is tempting to focus these limited resources on the most needy, we are eliminating some parts of the society and therefore only tackling a small part of the overall problem. Part of his solution was to “implement an evidence-based programme of ill health preventive interventions that are effective across the social gradient such as Increasing and improving the scale and quality of treatment programmes and focusing on public health interventions such as smoking cessation programmes on reducing the social gradient” Michael Marmot also raises the benefits to which reducing health inequalities will help the economy as well as socially. “It is estimated that inequality in illness accounts for productivity losses of £31-33 billion per year, lost taxes and higher welfare payments in the range of £20-32 billion per

People were less likely to face poor retirement if they worked in managerial or professional jobs than someone who worked in unskilled or manual occupations. This is because the people who worked in manual would have earned lower wages and would not be as likely to get a private pension. Men that are in the professional classes have a life expectancy of 80 years from birth. However men from unskilled or manual classes have a life expectancy of 78.1 years. This also effects woman’s life expectancy as woman from professional classes have a life expectancy of 85.1 compared to those who are in the unskilled or manual classes and their life expectancy if 78.1 years. Causes of death also vary from different social classes. In the higher social classes it is less likely to suffer from, lung cancer, coronary heart disease, stokes and respiratory diseases. All of these increase within social disadvantages.

First, there is Jim Taylor, Hospital CEO, District 16; second, Tondra Young, Clinical Lab Supervisor, District 24; lastly, Corey Anderson, Floor Technician, District 21. The population of each district decreases in average income, education level and life expectancy than its preceding district, beginning with district 16, Jim Taylor’s district. District 16 has an average combined household income of approximately $120,000/ annually. In this district, 65% of the population has a college degree and the life expectancy in this district is 82 years. Whereas, Tondra Young’s district, district 24, has an average combined household income of $70,000/annually and 15% of the population has a college degree. The life expectancy of district 24 is 75 years, that’s 7 years less than district 16. In district 21, Corey Anderson’s district, the average combined household income is less than $50,000/ annually and only 5% of the districts population have college degrees. Consequently, the life expectancy of district 21 is 70 years, 5 years less than district 24 and 12 years less than district 16 (Adelman 2008). The results of this study are indisputable: there is an obvious correlation between social/economic status and health status. As each districts average income and education level decrease, average life expectancy coincides. This leads to the next question: why does social and economic status so greatly influence health status?

Evidence show that people from lower class backgrounds and ethnic minority’s backgrounds are more likely to suffer more health problems to the majority ethnic group this shows a pattern of inequality.

Morbidity rates: People in class 1 suffer more from things which can be a result of their lifestyle like diet, alcohol and drugs; this is because they have money to spend on these

classes are perhaps not as clear as they used to be. But it is just as

Inequalities in health still exist and are mainly blamed on the stratification system in the UK. The Black Report suggested there were 4 main reasons for this:

This essay will discuss ways in which a person’s socioeconomic class and his/her social situation can have an impact on his/her health, using examples. We believe that there is a direct link between socioeconomic/social class and health (Adler et al. 1994). I will be defining the key terms: socioeconomic and health, social class then proceed to discuss about how poverty, income, employability, environment and housing can impact on a person’s social situation and their health.

This essay will be discussing the extent to which social class and poverty affects health and illness. Firstly, what is social class? Each person’s perception of social class can be different; is social class defined by a person’s accent, the area they live in, or something as simple as their income? Project Britain describes social class as “The grouping of people by occupations and lifestyle”. (Cress, 2014). To find social class Sociologists group people according to common factors, they compare people and various criteria can be conveniently used to place people in social groups or classes. Next we ask the question what determines a person’s health, the NHS defines health as “Physical and mental, it is the absence of disease”. (NHS 2017).

The aim of this essay is to examine the influence that socio-economic status has on an individual’s health.

A lower social position has been associated with poor health and a higher rate of mortality; social position being measured by education, income, and occupation (Moore and Cunningham 2012). Said lower social position is related to having limited access