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health inequality
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differences in health that still exist among and within countries today
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Health Inequity/ Health Disparity
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a specific type of health inequality that denotes an unjust difference in health
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health inequity
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systematic differences in health that could be avoided by reasonable means
social group differences (like race or religion, not age)
social group differences (like race or religion, not age)
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main approaches to studying inequalities
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1. examine differences in health outcomes at the group level
- allows an understanding of current inequalities in a historical and cultural context
2. focus on health differences across individuals
- insights into just how unequally resources are currently distributed, and what factors drive these differences
- allows an understanding of current inequalities in a historical and cultural context
2. focus on health differences across individuals
- insights into just how unequally resources are currently distributed, and what factors drive these differences
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absolute position
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comparing a given income to a static benchmark
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relative position
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comparing a given income to the overall distribution of incomes in a population
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objective social position
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amount of money in one's bank account
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subjective social position
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whether someone feels wealthy or poor in relation to their neighbors
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absolute income hypothesis
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an individual's health depends on their own (and only their own) level of income
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denmark
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social inequality in health should be minimized
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england
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improve the health for everyone and the worst off in particular
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norway
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a broad, long-term strategy to reduce social inequalities in health
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sweden
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reduce disparities in health between different population groups
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Epsing-Andersen's welfare state typologies
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1. liberal welfare state
2. corporatist welfare state
3. social democratic welfare state
2. corporatist welfare state
3. social democratic welfare state
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social inequality dichotomy
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a disadvantaged minority with major health problems in contrast to the rest of the population
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social inequality gradient
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health problems increase with lower social class or educational level, and inequality therefore concerns the whole population
- targets everyone for poor health outcomes
- targets everyone for poor health outcomes
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health gap
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the difference between the disadvantaged and the rest
- only targets one population for poor health outcomes
- only targets one population for poor health outcomes
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ideal problematization paths
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1. understands social inequality in health as a problem belonging to an excluded minority
2. social inequality as a gradient affecting the whole population
2. social inequality as a gradient affecting the whole population
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social inequality in health
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A systematic relationship between people's social position in society and their health
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social gradient in health
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used by Denmark
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social gap in health
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used by US
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inequality of lifestyle
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___________ is not the only explanation or consequence of health inequality