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3 - Health Inequalities

The Emergence of an International Consensus Policy Frame

Published online by Cambridge University Press:  24 December 2019

Julia Lynch
Affiliation:
University of Pennsylvania
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Summary

Intellectual histories of health inequalities and of social epidemiology generally trace the modern “discovery” of health inequalities to the middle of the nineteenth century, when states began collecting sufficiently detailed data on mortality to allow for comparisons of death rates across small geographic areas or groups of individuals with particular occupations (see, e.g., Berkman and Kawachi 2000; Adler and Stewart 2010). In the 1820s and 1830s, Louis-René Villermé studied the link between poverty and mortality at various geographic scales from the street to the département1 in France, and in the 1840s he documented differences in life expectancy among workers in different industries, linking them to differences in lifestyles and working conditions (Julia and Valleron 2011). Rudolph Virchow, a pathologist and representative of the German Progress Party (Deutche Fortschrittspartei) in the Prussian parliament, was working around the same time on the spread of typhus; his 1848 research convinced him that “medicine is a social science and politics is nothing more than medicine on a large scale” (Mackenbach 2009). In 1845, Friedrich Engels, comparing working-class residents of Manchester, England, to their better-off neighbors, identified mechanisms linking socioeconomic status (SES) and health (Engels 1987). These authors and others laid the groundwork for the disciplines of social medicine and social epidemiology, whose central task is understanding how social conditions affect health in the population at large.

Type
Chapter
Information
Regimes of Inequality
The Political Economy of Health and Wealth
, pp. 48 - 82
Publisher: Cambridge University Press
Print publication year: 2020

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  • Health Inequalities
  • Julia Lynch, University of Pennsylvania
  • Book: Regimes of Inequality
  • Online publication: 24 December 2019
  • Chapter DOI: https://doi.org/10.1017/9781139051576.003
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  • Health Inequalities
  • Julia Lynch, University of Pennsylvania
  • Book: Regimes of Inequality
  • Online publication: 24 December 2019
  • Chapter DOI: https://doi.org/10.1017/9781139051576.003
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Health Inequalities
  • Julia Lynch, University of Pennsylvania
  • Book: Regimes of Inequality
  • Online publication: 24 December 2019
  • Chapter DOI: https://doi.org/10.1017/9781139051576.003
Available formats
×