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Explanation and Social Policy: ‘The’ problem of social inequalities in health

Published online by Cambridge University Press:  20 January 2009

Abstract

Inequalities in rates of sickness and mortality between social groups has long been a matter of concern and of inquiry in Britain. Disciplinary differentiation has resulted in the problem now being treated within what have become three distinct intellectual traditions. These are social administration, epidemiology, and sociology, and the accounts they provide differ significantly from each other. This is partly because ‘the’ problem is somewhat differently defined in each; and partly because of their different orientations to theory and to practical amelioration. This article explores the strengths and weaknesses of each approach, and raises the possibility of a more adequate explanation than any one discipline provides. The implications for study of social administration are considered.

Type
Articles
Copyright
Copyright © Cambridge University Press 1982

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References

REFERENCES

Abrams, P. (1968), The Origins of British Sociology, Chicago University Press, Chicago.Google Scholar
Anderson, O. W. (1972), Health Care – Can There Be Equity?, Wiley, New York.Google Scholar
Baird, D. (1974), ‘Epidemiology of low birth weight: changes in incidence in Aberdeen 1948–1972’, Journal of Biosocial Science, 6, 323.CrossRefGoogle Scholar
Black Report (1980), Report of the Working Group on Inequalities in Health, DHSS, London.Google Scholar
Blaxter, M. (1976), The Meaning of Disability, Heinemann, London.Google Scholar
Blume, S. S. (1977), ‘Policy as theory’, Acta Sociologica, 20:3, 247.CrossRefGoogle Scholar
Brotherston, J. (1976), ‘Inequality: is it inevitable?’ in Carter, C. O. and Peel, J. D. (eds), Equalities and Inequalities in Health, Academic Press, London and New York, pp. 73104.Google Scholar
Brown, G. and Harris, T. (1978), Social Origins of Depression, Tavistock, London.Google ScholarPubMed
Brown, M. (1977), Introduction to Social Administration in Britain, 4th edition, Hutchinson, London.Google Scholar
Bulmer, M. (1981), ‘The British tradition of social administration: moral concerns at the expense of scientific rigor’, Hastings Center Report, 04 1981.CrossRefGoogle Scholar
Cartwright, A. (1964), Human Relations and Hospital Care, Routledge & Kegan Paul, London.Google Scholar
Cartwright, A. and O'Brien, M. (1976), ‘Social class variations in health care’, in Stacey, M. (ed.), The Sociology of the NHS, Sociological Review Monographs no. 22, Keele University, pp. 7799.Google Scholar
Cassel, J. (1974), ‘Psychological processes and “stress”: theoretical formulations’, International Journal of Health Services, 4, 471.CrossRefGoogle Scholar
Chadwick, E. (1965), Report on the Sanitary Condition of the Labouring Population of Great Britain, edited with an Introduction by Flinn, M. W., Edinburgh University Press, Edinburgh.Google Scholar
Chase, H. C. (1977), ‘Infant mortality and its concommitants 1960–72’, Medical Care, 15:8, 662.CrossRefGoogle Scholar
Colley, J. R. T. and Reid, D. D. (1970), ‘Urban and social class origins of childhood bronchitis in England and Wales’, British Medical Journal, 2, 213.CrossRefGoogle Scholar
Culyer, A. J. (1981), ‘Economics, social policy and social administration: the interplay between topics and disciplines’, Journal of Social Policy, 10:3, 311–29.CrossRefGoogle Scholar
Davie, R., Butler, N. and Goldstein, H. (1972), From Birth to Seven, Longman, London.Google Scholar
Department of Health and Social Security (DHSS) (1976), Prevention and Health: Everybody's Business, HMSO, London.Google Scholar
Ehrenreich, B. and Ehrenreich, J. (1978), ‘Medicine and social control’, in Ehrenreich, J. (ed.), The Cultural Crisis of Modern Medicine, Monthly Review Press, New York and London.Google Scholar
Engels, F. (1968), The Condition of the Working Class in Britain in 1844, 1968 edition, Allen & Unwin, London.Google Scholar
Eyer, J. (1977), ‘Prosperity as a cause of death’, International Journal of Health Services, 7:1, 125.CrossRefGoogle ScholarPubMed
Forster, D. P. (1976), ‘Social class differences in sickness and general practice consultations’, Health Trends, 8, 29.Google Scholar
Freidson, E. (1970), Professional Dominance, Atherton, New York.Google Scholar
Gardner, M. J., Crawford, M. D. and Morris, J. N. (1969), ‘Patterns of mortality in middle and early old age in the county boroughs of England and Wales’, British Journal of Preventive and Social Medicine, 23, 133.Google ScholarPubMed
Hodgkinson, R. (1967), The Origins of the National Health Service: The Medical Services of the New Poor Law, Wellcome Historical Medical Library, London.Google Scholar
Janerich, D. T. (1972), ‘Maternal age and spina bifida: Longitudinal versus cross-sectional analysis’, American Journal of Epidemiology, 95, 389.CrossRefGoogle Scholar
Jenkins, Rt Hon P. (1980), Foreword to Black Report (1980).Google Scholar
Lawrence, K. M., Carter, C. O. and David, P. A. (1968), ‘Major CNS malformations in South Wales, II’, British Journal of Preventive and Social Medicine, 22, 212.Google Scholar
Lerner, M. and Stutz, R. N. (1977), ‘Have we narrowed the gap between the poor and the non-poor?’, Medical Care, 15, 8.CrossRefGoogle Scholar
McKeown, T. (1976), The Role of Medicine: Dream Mirage, or Nemesis?, Nuffield Provincial Hospitals Trust, London.Google Scholar
Martin, J. and Morgan, M. (1975), Prolonged Sickness and the Return to Work, HMSO, London.Google Scholar
Martini, C. J. M.et al. (1977), ‘Health indexes sensitive to medical care variation’, International Journal of Health Services, 7, 293.CrossRefGoogle ScholarPubMed
Morris, J. N. (1975), The Uses of Epidemiology, 3rd edition, Longman, London.Google Scholar
Morris, J. N. and Heady, J. A. (1955), ‘Social and biological factors in infant mortality: mortality in relation to father's occupation in 1911–1950’, The Lancet, 1, 554.CrossRefGoogle Scholar
Navarro, V. (1978), Class Struggle, The State and Medicine, Martin Robertson, London.Google Scholar
Noyce, J., Smith, A. M. and Trickey, J. (1974), ‘Regional variations in the allocation of financial resources to the community health services’, The Lancet, 1, 554.Google Scholar
Office of Population Censuses and Surveys (1978). Decennial Supplement on Occupational Mortality 1970–72, HMSO, London.Google Scholar
Royal Commission on the National Health Service (1979), Report of the Royal Commission on the National Health Service, Cmmd 7615, HMSO, London.Google Scholar
Sansom, C. D., Wakefield, J. and Yule, E. (1972), ‘Cervical cytology in the Manchester area: changing patterns of response’, in Wakefield, J. (ed.), Seek Wisely to Prevent, HMSO, London.Google Scholar
Simon, J. (1887), Public Health Reports, Edited for the Sanitary Institute of Great Britain by Seaton, E..Google Scholar
Speizer, F. E., Rosner, B. and Tager, I. (1976), ‘Familial aggregation of chronic respiratory disease’, International Journal of Epidemiology, 5, 167.CrossRefGoogle ScholarPubMed
Suchman, E. (1967), ‘Appraisal and implications for theoretical development’, in Syme, S. L. and Reeder, L. G. (eds), Social Stress and Cardiovascular Disease, Milbank Memorial Fund Quarterly, 45, 109.CrossRefGoogle ScholarPubMed
Susser, M. (1973), Causal Thinking in the Health Sciences, Oxford University Press, New York.Google Scholar
Syme, S. L., Hyman, M. M. and Enterline, P. E. (1964), ‘Some social and cultural factors associated with the occurence of coronary heart disease’, Journal of Chronic Diseases, 17, 227.CrossRefGoogle Scholar
Syme, S. L., Borhani, N. O. and Buechley, R. W. (1965), ‘Cultural mobility and coronary heart disease in an urban area’, American Journal of Epidemiology, 823, 334.CrossRefGoogle Scholar
Titmuss, R. M. (1974), Social Policy, George Allen & Unwin, London.Google Scholar
Titmuss, R. M. (1976), Commitment to Welfare, 2nd edition, George Allen & Unwin, London.Google Scholar
Townsend, P. B. (1974), ‘Inequality in the NHS’, The Lancet, 1, 1179.CrossRefGoogle Scholar
Townsend, P. B. (1979), Poverty in Britain, Penguin Books, Harmondsworth.Google Scholar
Tudor, J. Hart (1971), ‘The inverse care law’, The Lancet, 1, 405.CrossRefGoogle Scholar
Wilson, R. W. and White, E. W. (1977), ‘Changes in morbidity, disability and consultation differentials between the poor and the non-poor. Data from the Health Interview Survey 1964 and 1973’, Medical Care, 15:8, 636.CrossRefGoogle Scholar