Wilkinson & Pickett's 'Spirit Level Book' Essays

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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.

Poverty is the single largest determinant of health. It has a widespread range of negative effects, both on the physical and the mental level, making it a significant public health concern in many countries. Poorer people tend to live shorter lives because there’s a clear correlation between income and access to healthcare. This disparity draws special attention to the significant sensitivity of health and the social environment.

Although different societies have varying perceptions of what is an acceptable level of equity, it is generally accepted that inequality has an impact on key social determinants such as health, wellbeing, political trust and violence. Wilkinson and Pickett (2009) highlight the social costs of inequality on a whole range of aspects of our lives. Wilkinson and Pickett (2009) argue that if inequality were reduced, there would be significant reductions in mental illness, murder rates, imprisonment and an improvement in social mobility (Wilkinson and Pickett, 2009).

These are a few potential links between social inequalities and the health of the population: income and wealth distribution, unemployment, the ageing society, gender and health, mental illness and suicide and disability and dysfunction. I am going to discuss each of these and see the health impact on people in each group.

There has always been a link between social class and health, even with the welfare state and the improvements made to health in all sections of societies over the years, a difference still remains in this area. This difference is applied to all aspects of health, which include life expectancy, general levels of health and infant mortality. Many people argue that as long as the quality of life is

Different researches do believe that there is a link between social class and health. It is a statistical impression and also it has been argued that there isn’t really a pattern in social class, age and peoples employment that has had an impact on people’s health inequalities.

There are many different reasons why health inequalities exist due to many factors one extremely important one is social class. Socio-economic inequalities have been researched in the UK for many years. In the early 20th century the government started an occupational census which gave the researchers the opportunity to examine health outcomes of social class. The five class scheme was introduced in 1911 and a variation has been used since. In 2001 the National Statistics Socio Economic Classification replaced the older version. Social class is a name used to identify people who are similar in their income

The Health and wealth connection distilled is our health will most commonly reflect from our amount of wealth. The wealthy can afford the cost of quality care and the time to take care of them selves. Within the textbook, Dimensions of Human Behavior Hutchison writes. Public health experts have long noted the association of poor health outcomes, in all body systems, with low income, low education, unsanitary housing, in adequate healthcare, on stable employment, and unsafe physical environment (Hutchison, 2015). Easily demonstrated throughout American society the rather dubious and is somewhat perplexing phenomenon of the Health-and-Wealth connection theory. The gap between the haves and have-nots are ever expanding. Those who have the funding to pay for resources will pay to get those resources. And those who do not have adequate funding to pay for said resources will unfortunately have to stand in the long lines to receive seemingly, deceptively, scarce resources.

Sociologists propose that the similar correlation between major health disparities and indicators of socio-economic status can be explained by the concept of class. Class is a social concept created by describing the unequal distribution of wealth, power and resources. The concept proposes that it is a hierarchal system that classifies people into lower, middle and upper class, however these terms can be used interchangeably with others such as working and elite classes. The disparities in health, mentioned above, and indicators of class include measures such as mortality, morbidity and disability rates.

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).

In The Status Syndrome, Marmot argues that socioeconomic conditions lead to a hierarchical health gradient, where mortality progressively decreases as one’s socioeconomic status improves. He illustrates this using mortality rate data about workers in the British civil service from the Whitehall studies. The studies show that mortality in all age groups is higher for clerical workers, who earn less and have a lower social standing, as compared to other professionals. Moreover, administrators, who earn more than both these groups, have the lowest mortality rates, which shows a gradient in health. Additionally, none of these workers are in poverty, and have access to medical care, which further highlights that the health gradient is a phenomenon

This paper discusses the ideas presented by Richard Wilkinson, in the video How economic inequality harms societies (2011). Three compelling concepts arise from the video which are that there was no longer a correlation between gross national income and health and social problems; it is also possible to attain greater equality as evidenced by what some countries are doing to reduce the income gap; and inequalities vary based on their health impact across the social gradient but nonetheless is present from top to bottom. In order to tackle the health problems and improve the health of individuals within societies, social justice actions geared at the inequalities seen in the healthcare system and other institutions are crucial. This paper also

For example a person living in a deprived council estate, with a very low income has been proven to be more at risk of developing health issues compared to someone from a higher social class as there is a strong correlation between poverty and ill health. This has been backed up by (WHO, 1946) that state that ‘poverty creates ill-health because it forces people to live in environments that make them sick.’