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Health and Disability

Artefact, selection, cultural and material explanations

  • 3 things to know
  • A2 Unit 3

Overview

Artefact explanation of health inequality, social selection explanation of health inequality and cultural or behavioural explanation of health inequality.

What you need to know

Answer each one before you reveal it.

Your recallNot started
Key term

Give one reason offered in support of the artefact explanation.

Key term

Why is the artefact explanation now largely rejected?

Evaluation

Give one criticism of the social selection explanation.

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    What is the artefact explanation of health inequality?

    Model answer

    It argues that the class gradient in health is exaggerated or created by the way statistics are collected and classes are defined, rather than being a real difference.

  2. 2

    Give one reason offered in support of the artefact explanation.

    Model answer

    The lowest occupational class has shrunk to a small and unusual remnant, so comparing it with the top exaggerates the gap.

  3. 3

    Why is the artefact explanation now largely rejected?

    Model answer

    Long-running studies that follow the same individuals over time, avoiding the mismatch between records, still find the gradient clearly.

  4. 4

    What is the social selection explanation of health inequality?

    Model answer

    It reverses the causal arrow, arguing that healthy people rise up the social scale and unhealthy people drift down, so class differences follow health rather than cause it.

  5. 5

    Give one criticism of the social selection explanation.

    Model answer

    Selection effects are far too small to account for the size of the gradient, and the gradient appears in childhood before any occupational sorting has happened.

  6. 6

    What is the cultural or behavioural explanation of health inequality?

    Model answer

    It attributes the gradient to differences in lifestyle, arguing that smoking, poor diet, heavy drinking and inactivity are more common lower down the social scale.

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