Øversveen Emil, Rydland Håvard T, Bambra Clare, Eikemo Terje A
1 Department of Sociology and Political Science, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
2 Institute of Health and Society, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.
Scand J Public Health. 2017 Mar;45(2):103-112. doi: 10.1177/1403494816686711. Epub 2017 Jan 12.
The aim of this study is to analyse previous explanations of social inequality in health and argue for a closer integration of sociological theory into future empirical research.
We examine cultural-behavioural, materialist, psychosocial and life-course approaches, in addition to fundamental cause theory. Giddens' structuration theory and a neo-materialist approach, inspired by Bruno Latour, Gilles Deleuze and Felix Guattari, are proposed as ways of rethinking the causal relationship between socio-economic status and health.
Much of the empirical research on health inequalities has tended to rely on explanations with a static and unidirectional view of the association between socio-economic status and health, assuming a unidirectional causal relationship between largely static categories. We argue for the use of sociological theory to develop more dynamic models that enhance the understanding of the complex pathways and mechanisms linking social structures to health.
本研究旨在分析以往对健康方面社会不平等的解释，并主张将社会学理论更紧密地融入未来的实证研究。
除了基本病因理论外，我们还考察了文化行为、唯物主义、心理社会和生命历程方法。吉登斯的结构化理论以及受布鲁诺·拉图尔、吉尔·德勒兹和费利克斯·加塔利启发的新唯物主义方法，被提议作为重新思考社会经济地位与健康之间因果关系的方式。
关于健康不平等的许多实证研究往往倾向于依赖对社会经济地位与健康之间关联的静态和单向观点的解释，假定在很大程度上静态的类别之间存在单向因果关系。我们主张运用社会学理论来开发更具动态性的模型，以增进对将社会结构与健康联系起来的复杂路径和机制的理解。
