Socioeconomic status (SES) underlies three major determinants of health: health care, environmental exposure, and health behavior. Because of inequitable access to care and other health-promoting resources, these populations are often sicker when they do find a source of care and incur higher medical costs. Paul Farmer, a medical anthropologist and cofounder of Partners In Health, an international nonprofit founded in 1987 that strives to provide medical care to the world’s poorest communities, will speak Wednesday on Social Class: A Global Perspective, which will explore how social class has been constructed on a global scale. SOCIAL CLASS AND MEDICAL CARE TABLE 1. The health inequalities found in the differing social classes are astronomical. This was established when a report published by Sir Douglas Black called ‘The Black Report’, showed evidence that health inequalities exist in the health care system, he based the report on mortality rates between social classes, ‘A method of comparing death rates between different sections of the population’ (Townsend and Davidson 1990). In virtually every Western industrialized nation there is a gradient between social class … There is limited funding for proper nourishment and certainly a decrease in access to medical assistance. Society’s inequities along social class, race and ethnicity, and gender lines are reproduced in our health and health care. This theory speculates that people with ill health will generally decrease in social status while a fit and healthy person would be more likely to advance social class (Maguire, 2010). In modern industrialized societies, health certainly improves as you move up the socioeconomic ladder, but much of that trend is a result of health care … In fact, research reveals that members of lower socioeconomic classes are far more susceptible to a vast array of health maladies. The second explanation for these health inequalities is social selection. People from disadvantaged social backgrounds are more likely to become ill, and once they do become ill, inadequate health care … Health and health care disparities refer to differences in health and health care between groups that are closely linked with social, economic, and/or environmental disadvantage. This combined effect contributes to the evident health inequalities. Socioeconomic status (SES) encompasses not just income but also educational attainment, financial security, and subjective perceptions of social status and social class. Blacks, Hispanics and Asian-Americans can be tied to health inequities. Health care — More than 30% of direct medical costs faced by U.S. The evidence for the effect of social inequality on population health and mortality is compelling. .80 > P > .70. Socioeconomic status can encompass quality of life attributes as well as the opportunities and privileges afforded to … Urgency Rating by Social Class Social Per cent class Urgent Nonurgent Total nonurgent I-III 29 47 76 61.8 IV 62 82 144 57.0 V 70 105 175 60.0 TOTAL 161 234 395 X2df2 = .58.
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