The world we live in is hugely unequal.
People in a better socioeconomic position do not only lead more comfortable lives, but also longer and healthier lives. This is true not only in the poorer parts of the world but also in the richest countries, including the advanced welfare states of Western Europe which have successfully pushed back poverty and other forms of material disadvantage. Why are health inequalities - systematically higher rates of disease, disability, and premature death among people with a lower level of education, occupation or income - so persistent? How can we expect to reduce this when it persists even in the most advanced states?
Written by a leading figure in public health, this book looks to answer these questions by taking a broad, critical look at the scientific evidence surrounding the explanation of health inequalities, including recent findings from the fields of epidemiology, sociology, psychology, economics, and genetics. It concludes that a simplistic view, in which health inequalities are a direct consequence of social inequality, does not tell us the full story. Drawing upon a unique series of studies covering 30 European countries and more than three decades of observations, it shows that health inequalities are partly driven by autonomous forces that are difficult to counteract, such as educational expansion, increased social mobility, and rapid but differential health improvements. Finally, the book explores how we might use these new findings to continue our efforts to build a healthier and more equal future.
Offering a truly multidisciplinary perspective and an accessible writing style, Health Inequalities is an indispensable resource for health researchers, professionals, and policy-makers, as well as for social scientists interested in inequality.
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The world we live in is hugely unequal. People in a better socioeconomic position do not only lead more comfortable lives, but also longer and healthier lives. Drawing on research from a wide span of disciplines, this book explores the evolution of health inequalities over time in different countries, and the causes behind them.
Les mer
Chapter 1. Introduction
More illness within shorter lives
The great paradox of public health
The need for a broader picture
Preview: this book's main conclusions
Chapter 2. Patterns of health inequalities
Measurement issues
Generalized, but uneven
Persistent, but dynamic
Ubiquitous, but variable
Health inequalities outside Europe
Chapter 3. Explanatory perspectives
Methodological issues
Education, occupation, income and health
Six groups of contributing factors
Theories about the explanation of health inequalities
Chapter 4. Patterns of health inequalities explained
Set-up of the analyses
Changes in social stratification
Rapid but differential health improvements
Differential effects of factors driving population health change
Continued social patterning of health determinants
Understanding the European experience
Chapter 5. A broader picture
Why social inequality persists in modern welfare states
Health inequalities and welfare state reform
Health inequalities and social justice
Chapter 6. Policy implications
Proposals for tackling health inequalities
National attempts at tackling health inequalities
Realistic expectations
Final reflections
Les mer
Presents a new, in-depth analysis of the causes of health inequalities, placed in the context of wider social inequality
Challenges the notion that there is a direct causal effect of socioeconomic disadvantage on health, and explores other forces at play - such as changes in the structure of society and differences in the pace of health improvement
Explores the paradox of the continued persistence of health inequalities in the advanced welfare states of Western Europe
Draws from a unique series of studies covering 30 European countries and more than three decades of observations
Critically reviews recent research findings from a wide range of disciplines, including epidemiology, sociology, psychology, philosophy, economics, and genetics
Broad, comparative view helps policy-makers and public health practitioners in different countries to identify priorities for their own regions
Reviews recent attempts by European countries to reduce health inequalities, and considers possible future welfare reforms
Clear summaries and an accessible writing style suited to both academic and non-academic audiences
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Johan Mackenbach is Professor of Public Health at the Department of Public Health at the Erasmus MC, University Medical Center Rotterdam, the Netherlands. He is also a Honorary Professor at the London School of Hygiene and Tropical Medicine, and an elected member of the Royal Netherlands Academy of Science and the Academia Europaea. His research interests are in social epidemiology, medical demography and health policy. He has (co-)authored around 700 papers as
well as a number of books. He is a former editor-in-chief of the European Journal of Public Health. Throughout his career, he has been actively engaged in exchanges between research and policy, among
others, as a member of the Health Council and the Council for Public Health and Health Care, both of the Netherlands. He received a Doctorate Honoris Causa at the Université Catholique de Louvain (Belgium), and has been elected as a Honorary Fellow of the Faculty of Public Health by the Royal Colleges of Physicians of the United Kingdom.
Les mer
Presents a new, in-depth analysis of the causes of health inequalities, placed in the context of wider social inequality
Challenges the notion that there is a direct causal effect of socioeconomic disadvantage on health, and explores other forces at play - such as changes in the structure of society and differences in the pace of health improvement
Explores the paradox of the continued persistence of health inequalities in the advanced welfare states of Western Europe
Draws from a unique series of studies covering 30 European countries and more than three decades of observations
Critically reviews recent research findings from a wide range of disciplines, including epidemiology, sociology, psychology, philosophy, economics, and genetics
Broad, comparative view helps policy-makers and public health practitioners in different countries to identify priorities for their own regions
Reviews recent attempts by European countries to reduce health inequalities, and considers possible future welfare reforms
Clear summaries and an accessible writing style suited to both academic and non-academic audiences
Les mer
Produktdetaljer
ISBN
9780198831419
Publisert
2019
Utgiver
Vendor
Oxford University Press
Vekt
450 gr
Høyde
247 mm
Bredde
171 mm
Dybde
14 mm
Aldersnivå
P, 06
Språk
Product language
Engelsk
Format
Product format
Heftet
Antall sider
252
Forfatter