Social Inequalities in Health

Health inequalities according to people's social standing are persisting, or even growing, in modern societies. Recent decades have revealed evidence of strong variations in life expectancy, both between countries and within them. This widening of social inequalities has developed despite considerable progress in medical science and an increase in health care spending. The reasons behind this are complex, and the implications considerable. This book provides a summary of the major achievements of a five-year European Science Foundation (ESF) Programme on 'Social Variations in Health Expectancy in Europe'. The contributors are major figures in their subjects, and combine state of the art reviews with the latest results from interdisciplinary research in epidemiology, sociology, psychology and biomedicine. Three conceptual frameworks of life course influences, health effects of stressful environments, and macro social determinants of health, are unified, while each chapter addresses the policy implications and recommendations derived from currently available evidence.The major topics covered include the role of family in early life, social integration and health, work stress and job security, successful ways of facing adversity, and the impact of the larger environment on health. Epidemiologists, public health research and policy makers, and students of related public health and sociology courses wlll find the results of this research fascinating.

ISBN 0198568169   Pages 272 ISBN13 9780198568162 (What's this?)   Volumes 1 Publisher Oxford University Press   Weight (grammes) 427 Imprint Oxford University Press   Published in Oxford Format Paperback   Height (mm) 234 Publication date 15 Jun 2006   Width (mm) 156 Library of Congress 2006010284   Spine width (mm) 15 DEWEY 362.1042   Academic level Professional / Scholarly DEWEY edition DC22

1		Introduction by Johannes Siegrist and Michael Marmot		1
2		Life course development of unequal health by Chris Power and Diana Kuh		27
3		The shape of things to come : how social policy impacts social integration and family structure to produce population health by Lisa F. Berkman and Maria Melchior		55
4		Socio-economic position and health : the role of work and employment by Johannes Siegrist and Tores Theorell		73
5		Psychobiological processes linking socio-economic position with health by Andrew Steptoe		101
6		Socio-economic position and health : the role of coping by Margareta Kristenson		127
7		Socio-economic differences in health : are control beliefs fundamental mediators? by Hans Bosma		153
8		Aggregate deprivation and effects on health by Frank J. van Lenthe		167
9		Welfare state regimes and health inequalities by Espen Dahl and Johan Fritzell and Eero Lahelma and Pekka Martikainen and Anton Kunst and Johan P. Mackenbach		193
10		Socio-economic inequalities in health in western Europe : from description to explanation to intervention by Johan P. Mackenbach		223

If there is only one more one reads on social inequalities, this should be the one. It takes and all-encompassing focus moving from the biomedical to the psycho-social to the political and macro-economic model. The text is to a high standard and readable. ... Grounded in research, it takes a multi-faceted approach to inequalities and covers these numerous themes well in less than 250 pages. I really liked the way it drew on established theory and linked it well with the empirical research. ... The chapters are well-referenced and include very up-to-date references. BMA Medical Book Competition 2007

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