SOC382 Lecture Notes - Lecture 11: Michael Marmot, Cortisol, High School Dropouts

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Lack of health care is not the cause of illness and disease. America spends nearly half of the world on health care. Individual behaviour, diet, economic status (avoid smoking and eating healthy depends on access to social determinants of health-major force shaping health) Experiment: identical twins that eventually diverged in profession also diverged in health. Excess death notion = should predict how much death occurs; excess = beyond predicted. Wealth of top 1% is greater than lower 90% combined. Fine gradation in ladder both in wealth and in health. In 1970s: whitehall ii study: sir michael marmot. Conventional: business executives = higher risk of heart disease. Found: decreasing health with lower status even after controlling for poor life choices. Excess death is not a problem in council district 16 with life expectancy >2 years. Exp: poor person smoking has greater chances of dying than wealthier. Wealth health gradients also found in america: gradient.

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