The Social Causes of Health and Disease

The Social Causes of Health and Disease
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This stimulating book has become a go-to text for understanding the role that social factors play in the experience of health and many diseases. This extensively revised and updated third edition offers the most compelling case yet that stress, poverty, unhealthy lifestyles, and unpleasant living and working conditions can all be directly associated with illness. The book continues to build on the paradigm shift that has been emerging in twenty-first-century medical sociology, which looks beyond individual explanations for health and disease. As the field has headed toward a fundamentally different orientation, William Cockerham’s work has been at the forefront of these changes, and he here marshals evidence and theory for those seeking a clear and authoritative guide to the realities of the social determinants of health. Of particular note in the latest edition is new material on the relationship between gender and health, implications of the life course for health behavior, the health effects of social capital, and the emergence of COVID-19. This engaging introduction to social epidemiology will be indispensable reading for all students and scholars of medical sociology, especially those with the courage to confront the possibility that society really does make people sick.

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William C. Cockerham. The Social Causes of Health and Disease

CONTENTS

List of Figures

List of Tables

Guide

Pages

Dedication

The Social Causes of Health and Disease

Preface

1 The Social Causation of Health and Disease

Coronavirus

Smoking

The Biomedical Model

Elements of Proof

Diabetes

HIV/AIDS

Social Determinants of Disease: Fundamental Cause Theory

Measuring Structural Effects

Conclusion

Critical Thinking Questions

Suggested Further Reading

2 Theorizing about Health and Disease

The Rise and Fall of Structural-Functionalism

The Fall of Conflict Theory and Repackaging of Marxism

The Rise of the Agency-Oriented Paradigm

American Medical Sociology

British Medical Sociology

Conclusion

Critical Thinking Questions

Suggested Further Reading

3 Health Lifestyles

Lifestyle: Health as an Achievement

Methodological Individualism in Health Lifestyle Research

The Agency–Structure Debate

Health Lifestyle Theory

Class circumstances

Age, gender, and race/ethnicity

Collectivities

Living conditions

Socialization and experience

Life choices (agency)

Life chances (structure)

Choice and chance interplay

Dispositions to act (habitus)

Completing the model

Conclusion

Critical Thinking Questions

Suggested Further Reading

4 The Power of Class

Class and Heart Attack Survival

Class Structure and its Components

Class schemes

Weber: status groups

The End of Class?

The Social Gradient in Mortality

Confirming the Relationship

Medical Care as an Intervening Variable?

Conclusion

Critical Thinking Questions

Suggested Further Reading

5 Class and Health: Explaining the Relationship

Class, Health, and Medical Care in the United States

Class, Health, and Medical Care in the United Kingdom

Stress

Income Inequality

Culture

Smoking

Obesity

Conclusion: Social Causation or Social Selection?

Critical Thinking Questions

Suggested Further Reading

6 Age

Age Stratification Theory

Life Course Theory

Cohort Effects of Age

Conclusion

Critical Thinking Questions

Suggested Further Reading

7 Gender

The Gender Health and Mortality Paradox

Gender Differences in Physical and Mental Health

Gender Differences in Health Practices

LGBT Health

Another Look at Smoking

Conclusion

Critical Thinking Questions

Suggested Further Reading

8 Race and Ethnicity

Ethnicity

Race and Physical Health

Hispanics and Immigration

Racism as a Fundamental Cause

Race and Health in Britain

Race and Mental Health

Summary

Critical Thinking Questions

Suggested Further Reading

9 Living Conditions and Neighborhood Disadvantage

Unhealthy Places

Health and Neighborhood Disadvantage in Britain

Physical Health and Neighborhood Disadvantage in the US

Mental Health and Neighborhood Disadvantage in the US

Conclusion

Critical Thinking Questions

Suggested Further Reading

10 Health and Social Capital

Robert Putnam: Bowling Alone

Nan Lin: Social Capital as Structure

Pierre Bourdieu: A Social Form of Capital

Robert Sampson: Collective Efficacy

Research Applications of Social Capital

Conclusion

Critical Thinking Questions

Suggested Further Reading

Concluding Remarks

The Return of Structure

Structure–Agency Interface

Policy Implications

Conclusion

References

Name Index. A

B

C

D

E

F

G

H

I

J

K

L

M

N

O

P

Q

R

S

T

U

V

W

Y

Z

Subject Index. A

B

C

D

E

F

G

H

I

K

L

M

N

O

P

Q

R

S

T

U

V

W

Z

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Отрывок из книги

To Cynthia

William C. Cockerham

.....

Subsequent research by medical sociologists has demonstrated the effects of social variables on body physiology in a number of studies. Chioun Lee and her colleagues (Lee, Coe, and Ryff 2017), for example, found that severe and multiple types of childhood abuse produced significant physiological dysregulation in adulthood among those who had experienced it. This conclusion was based on a sample of English-speaking US residents providing data on their social characteristics, measures of childhood maltreatment, and biomarkers obtained in a clinical research center involving urine and blood testing, along with blood pressure, hormonal activity, and other biological indicators. Lee et al. (2017: 374) determined that “individuals who experience extreme or chronic abuse as children are likely to secrete abnormal levels of hormones from the primary stress systems (HPA axis and SNS), which appears to be related to poor biological profiles in other body systems associated with stress physiology (glucose regulation, lipid metabolism, cardiovascular function, immune competence).” The findings indicated that socioeconomically disadvantaged individuals were the most intensely stressed in this sample.

Other studies show early social adversity accelerating the speed of biological aging (Simons et al. 2019), social inequality promoting greater weight gain among black women (Hargrove 2018), and exposure to chronic stress in childhood causing increased risk of greater low-grade inflammation in blacks and Hispanics over the life course (Schmeer and Tarrence 2018). Also, being married and integrated into social groups have been found to predict reduced risk of nicotine dependence in men with a genetic susceptibility to intense nicotine cravings when stressed (Perry 2016), while strong family social support prevented genetic predispositions toward alcoholism (Pescosolido et al. 2008). In these studies, social adversity, inequality, childhood stress, marital status, group membership, and family support are all collective social variables acting on individuals as causal entities.

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