Health Inequalities

Persistence and change in European welfare states

AvJohan P. Mackenbach

Häftad, Engelska, 2019

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Beskrivning

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.

Produktinformation

Utgivningsdatum:2019-09-10
Mått:168 x 244 x 15 mm
Vikt:431 g
Format:Häftad
Språk:Engelska
Antal sidor:252
Förlag:OUP OXFORD
ISBN:9780198831419

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Mer om författaren

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 UniversitÃ© 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.

Innehållsförteckning

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