These four explanations are artefact, social selection, cultural explanations and structural materialist.
The artefact explanations of health inequalities believe the idea that the relationship between class and health is artificial rather than real. It comes either through the measurement of social class and/or health, or in the measurement of the relationship between the two. While many problems relating to the measurement of health inequalities remain to be resolved, there is overwhelming evidence to refute the claim that health inequalities are artefactual. The Artefact approach believes that the statistic about class and health exaggerate the real situation (Moore, 2008, p. 258).
The structural materialist’s explanation suggests the working classes have poorer health. This is because of poverty, poor housing conditions, and lack of resources in health and educational provision. Also higher risk occupations contribute to poor health of the lower social classes. Often their homes are overcrowded, unhygienic and unsafe with cold and damp conditions. The working classes are more likely to drink and smoke more, due to stress and depressing life circumstances. All these factors lead to poor health. This explanation is conflicting with the behaviorists, who feel the lifestyle …show more content…
This sort of approach suggests that people from lower social classes may be more likely to engage in risky or unhealthy lifestyle, which have an effect upon long-term health, and can lead to early death (Haralambos, 2004 p.313). The obvious examples are smoking cigerettes and eating fatty foods. The key point to this approach is that ‘blame’ for the high risk lifestyle can be located either with the individual or with the social culture in which they live. Those who support this approach argue the only way to take away these differences in health between social classes is to provide educational campaigns which persuade people to engage in ‘healthier’ lifestyles for example adverts which promote healthy diet and support with stopping