Research Department of Infection and Population Health, UCL Medical School, London, UK.
Sociol Health Illn. 2012 Jan;34(1):130-46. doi: 10.1111/j.1467-9566.2011.01387.x. Epub 2011 Sep 19.
The evidence bearing on the nature and extent of health inequalities documented globally and in the UK is addressed, twin foci within the UK being (a) associations between socioeconomic classification and health and longevity, and (b) the notion of a 'social gradient'. A consideration of the various 'models' that have been developed by sociologists and their allies - most conspicuously social epidemiologists - to account for (a) and (b) is offered, drawing on government-sponsored commissions and reviews as well as the peer-reviewed literature. This is followed by a portrayal of specifically sociological theories of health inequalities, featuring those that hold social structures as well as cultural shifts in convention and behaviour to be causally efficacious for health inequalities. The summary and conclusions of the review incorporate an outline of pertinent questions the sociological community has so far been reluctant to address and an agenda for future research.
本文探讨了全球和英国记录的健康不平等的性质和程度的证据,英国的两个重点是:(a) 社会经济分类与健康和长寿之间的关系,以及 (b) “社会梯度”的概念。本文考虑了社会学家及其盟友——尤其是社会流行病学家——为解释 (a) 和 (b) 而提出的各种“模型”,这些模型借鉴了政府资助的委员会和审查以及同行评议的文献。接下来,本文描述了健康不平等的具体社会学理论,其中包括那些认为社会结构以及规范和行为的文化转变对健康不平等具有因果效力的理论。综述和结论部分概述了社会学界迄今为止一直不愿回答的相关问题,并为未来的研究制定了议程。