Explain Different Sociological Approaches to Health and Ill Health

As stated by the World Health Organization (WHO), ‘health’ is defined as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (WHO, 1948). The health and wellbeing of individuals is generally determined by their circumstances and environment, a phenomenon referred to as the social determinants of health. WHO describes the social determinants of health as:

Partnership is when two or more organisations work together, showing cooperation and collaboration. This can provide better care and support for service users. For example, different funds working together, instead of working individually and stressing. Another example, a social worker and the health visitor will need to work together, share ideas and use different skills to develop a support plan that will benefit children and families. This also promotes multi-disciplinary working. Partnership thus can reduce conflicts and enhance team working skills as professionals can work together, sharing responsibilities and ensuring need led approaches are met and set. This can be done by reviewing care plans and offering support.

In this assignment I hope to effectively discuss and evaluate the patterns and trends associated with health and illness within the higher and lower social classes. I am going to do this by discussing and evaluating the following explanations and perspectives within sociology; Artefact explanation, Natural or Social Selection explanation, Cultural or Behavioural explanation and Materialist or Structuralist explanation.

Doctors can be portrayed as agents of capitalism. It can be seen that they tend to hide the real causes of illness (poverty and class inequality) and portray illness through the patient’s physical symptoms rather than their economic status. For example, doctors can prescribe their patient with medication (which they may need to be pay for) that isn't effective making them have to buy more.

There are a lot of different definitions of health and ill health all of which are socially constructed; meaning that social issues usually influence a new theory or alter an old definition of health. In this section I will be analysing different definitions of health and ill health.

The Marxist approach looks at the two reasons they believe the health service exists, firstly it persuades society that our capitalist society cares, it legitimises capitalism by limiting social unrest and class conflict. The second reason, is that is enables the workers to carry on working for the bosses, as when they are ill the health service makes them better and allows them to carry on being a productive member of the workforce. This theory would explain why certain members of society such as the elderly and those with mental health problems receive less funding and care, they are not productive members of society therefore receive less expenditure.

“Aboriginal & Torres Strait Islander people have a greater amount of disadvantage and significantly more health problems than the non-Aboriginal & Torres strait Islander population in Australia”

In modern society there is a general consensus that ‘good health’ is something that everyone wants to experience and that each individual knows what this involves. Because there are so many different definitions of health and ill health it can become a very complicated concept. Walsh (2011) states that “In sociological terms ‘health’ and ‘illness’ are contested concepts. This means that the general meaning of these words should not be taken for granted.

Those who live in poorer communities often suffer from greater ill health while those living in deprived areas are often without access to the best health care. This lack of prevention stems from poor education often received in those areas and the culture that often permeates within them.

Mortality rates: In gender men generally die earlier than women because of many aspects of their life, for instance in general women tend to take care of them self more physically. A lot of women go on diets and a lot of exercise DVDs and detunes are mainly aimed at women. Women in general do try to eat healthy and go on diets whereas men usually aren't very aware of their diet and don’t have much intention on improving it. Women also tend to go to the doctors and seek medical advice more often and have their illnesses diagnosed and treated more often than men. Because women' generally take more care of themselves and do more to keep themselves healthy.

According to the dictionary, the word health is “the state of being free from illness.” At a first glance, this defination seems to be very direct and simple, however the meaning of the word ‘health’ nowadays is much more complex. The above definition pretty much sums up our view of health in the first half of the 20th century.

Marxist believe that the health service helps the capitalist economy more directly, believing that the health service maintains a healthy, hardworking and productive workforce. Workers who are ill or injured are returned to work and therefore continue to make profits for the owners of capital. Marxist believes that inequalities in health are related to how productive people are. The low levels of expenditure on the working class is explained by the presence of social class division throughout society, whereby working class people consistently receive worse treatment across the range of services in housing, education and health (Moore, 2008, p.265).

Talcott Parsons’ article Health and Disease: A Sociological and Action Perspective analyzes the concept of the sick role. In Society, illness is considered a deviant behavior. In order to alleviate this behavior and make it legitimate, Parsons created the sick role. In order to be considered for the role, you must follow certain rights and responsibilities. The first is the exemption from normal social responsibilities due to illness.

This essay will be discussing the extent to which social class and poverty affects health and illness. Firstly, what is social class? Each person’s perception of social class can be different; is social class defined by a person’s accent, the area they live in, or something as simple as their income? Project Britain describes social class as “The grouping of people by occupations and lifestyle”. (Cress, 2014). To find social class Sociologists group people according to common factors, they compare people and various criteria can be conveniently used to place people in social groups or classes. Next we ask the question what determines a person’s health, the NHS defines health as “Physical and mental, it is the absence of disease”. (NHS 2017).

“Healthy individuals cannot survive when society is sick.” On the other hand, aspects of social structure influence health and illness. Social factors not only affect life expectancy, but the possibilities the one will experience diseases and in turn, the health care that they will receive.