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Index
Title Page
Copyright
Acknowledgements
Introduction to the Second Edition
Further reading
1 What is Social Inequality?
Measures of social position
Why measurement matters
Further reading
2 What is Health Inequality?
How unequal is health?
Why health inequality?
Further reading
3 Figuring Out Health Inequality
Statistical explanation
Vital statistics: numerators and denominators
Absolute and relative
Standardization: what is it and why is it needed?
Observational studies and ‘causality’
Models of health inequality
Further reading
Appendix: How to Calculate a Standardized Mortality Ratio (SMR)
4 Explanatory Models I: Behavioural and ‘Cultural’ Explanations
‘Individualized’ behavioural explanations
Behaviour as a result of ‘culture’
‘Cultural shift’
How important is behaviour for health inequality?
Why are risky behaviours unequal?
Further reading
5 Explanatory Models II: Psycho-Social Factors
The biology of stress: fight, flight and defeat
Types of psycho-social factor
How important are psycho-social factors?
Further reading
6 Explanatory Models III: Materialist Explanations
What is the materialist model?
Measuring material risk
Work and environmental hazards
Can there ever be a ‘pure material’ model?
The puzzle of the gradient
The cost of a healthy life
Commodification
Further reading
7 Macro-Social Models
Income inequality and population health
Welfare regimes and health
Macro-social factors in the life course
Further reading
8 Gender and Inequality in Health
Gender ‘inequalities’ in health
Explaining gender differences in health
Is health inequality different in men and women?
Reasons for gender differences in health inequality
Further reading
9 Ethnic Inequalities in Health
What is meant by ‘race’ or ‘ethnicity’?
Ethnicity, biology and health
How great are ethnic or racial differences in health?
Ethnicity and socio-economic conditions
Social ecology of ethnicity and health
Further reading
10 Health Inequality in the Life Course
Critical and sensitive period models of health in the life course
Accumulation of advantage and risk across the life course
Selection explanations: ‘personal characteristics’ in the life course
Pathways of life-course aetiology
How social conditions get under the skin over the life course
Life-course and health behaviours: individual choice or circumstances?
Further reading
11 The Way Forward for Research and Policy Debate
Do we need trials of policy options?
International comparative studies
Implications of recent evidence for policy debate
Evidence-based policy
What would an adequate explanation look like?
Further reading
References
Index
End User License Agreement
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