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Option: Health and Disability

Health and social class

  • 3 things to know
  • Component 3 Section B

Overview

Black Report, psychosocial explanation of class differences in health and townsend deprivation index.

What you need to know

Answer each one before you reveal it.

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Numbers

What did the reports following the Black Report conclude about class and health?

Numbers

What does the evidence show about social class and mortality in Britain?

Numbers

What was the Black Report?

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    What does the evidence show about social class and mortality in Britain?

    Model answer

    Studies from 1980 onwards have found higher mortality among manual and lower-income groups. The pattern has persisted in every decade measured since.

  2. 2

    What was the Black Report?

    Model answer

    The Black Report (1980, UK), chaired by Sir Douglas Black, examined inequalities in health in Britain. A clear class gradient in mortality and morbidity was found.

  3. 3

    Name the four explanations set out in the Black Report.

    Model answer

    The Black Report (1980, UK) set out artefact, natural or social selection, cultural or behavioural and material or structural explanations. Material factors were judged the most important.

  4. 4

    How was the Black Report received on publication?

    Model answer

    The Black Report appeared in 1980 with a small print run and a cool official reception. The spending recommendations were not adopted at the time.

  5. 5

    What did The Health Divide add to the Black Report?

    Model answer

    Whitehead's The Health Divide (1987, UK) reviewed the evidence again seven years later. The class gap in health had widened rather than narrowed.

  6. 6

    What did the Acheson Inquiry conclude?

    Model answer

    The Acheson Inquiry (1998, UK) confirmed that inequalities in health by class had persisted. Acheson recommended that all government policy be assessed for its health effects.

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