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Socioeconomic status and health

from Psychology, health and illness

Published online by Cambridge University Press:  18 December 2014

By
Lion Shahab
Edited by
Susan Ayers ,
Andrew Baum ,
Chris McManus ,
Stanton Newman ,
Kenneth Wallston ,
John Weinman  and
Robert West
Lion Shahab
Affiliation:
University College London
Susan Ayers
Affiliation:
University of Sussex
Andrew Baum
Affiliation:
University of Pittsburgh
Chris McManus
Affiliation:
St Mary's Hospital Medical School
Stanton Newman
Affiliation:
University College and Middlesex School of Medicine
Kenneth Wallston
Affiliation:
Vanderbilt University School of Nursing
John Weinman
Affiliation:
United Medical and Dental Schools of Guy's and St Thomas's
Robert West
Affiliation:
St George's Hospital Medical School, University of London
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Summary

Background

Although the influence of wealth, status and power on health has been documented across different cultures for centuries (Liberatos, Link & Kelsey, 1988), it was not until the nineteenth century that more systematic scientific evidence emerged showing that those who were more affluent lived longer and healthier (e.g. by Villermé (1840) in France, Chadwick (1842) in Britain and Virchow (1848) in Germany). However, with the advance of bacteriology in the late nineteenth century and the ensuing dominance of the biomedical paradigm of health and illness, considerations of socioeconomic status (SES) in relation to health were largely put aside and confined to its role as a control variable (House, 2002).

With the realization of the limits of modern medicine, interest in social epidemiology and medical sociology grew again during the second half of the twentieth century (Bloom, 2002) and so did the output of research looking at SES, in particular poverty, and health. These early studies assumed a threshold effect of SES on health (Adler & Ostrove, 1999, see Figure 1); increases in income were thought to improve health only beneath, not above, a given ‘poverty line’. As discussed below, however, emerging evidence showed the picture to be far more complex than this.

Main observations

Socioeconomic status as used in research is a conglomeration of various concepts which centre around indicators of desirable social and material attributes.

Type
Chapter
Information
Cambridge Handbook of Psychology, Health and Medicine , pp. 207 - 213
Publisher: Cambridge University Press
Print publication year: 2007

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