Health inequalities in the early years: Is there equalisation in youth?
AbstractIn the light of a still prevalent view that health inequalities are an invariant feature of the life-course, this paper re-examines the thesis that youth, in contrast to childhood, is characterised by relative equality in health, and proposes a process of equalisation to account for changes in the social class patterning of certain dimensions of health between these life stages. The evidence relating to the relationship between class of background and health over the early years is first reviewed, focusing on seven dimensions of health: mortality, chronic illness, specific conditions, self-rated health, symptoms of acute illness, accidents and injuries, and mental health. The overall picture is consistent with a conclusion of relative equality of health in youth with one major exception, severe chronic illness, which particularly on the evidence of the 1991 British Census is class differentiated from infancy. In respect of other dimensions of health, notably symptoms, non-fatal accidents and (probably) mental health, there is evidence of a change in class patterning between childhood and youth consistent with a hypothesis of equalisation. Within a theoretical perspective that juxtaposes class and age (youth) based influences, it is suggested that this could occur when effects associated with the secondary (high) school, the peer group and youth culture cut across those of the family, home background and neighbourhood in such a way as to reduce or remove class differences in health. In later youth, in the post-school period, the relative balance of class and age based influences shifts once more to produce a "re-emergence" of class gradients in adulthood. Youth may be a barometer of the relative power of post-modern consumer culture and traditional class based structures to shape the pattern of health inequalities over the early years into adulthood.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Bibliographic InfoArticle provided by Elsevier in its journal Social Science & Medicine.
Volume (Year): 44 (1997)
Issue (Month): 6 (March)
Contact details of provider:
Web page: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description
You can help add them by filling out this form.
CitEc Project, subscribe to its RSS feed for this item.
- Khanam, Rasheda & Nghiem, Hong Son & Connelly, Luke B., 2008.
"Child Health and the Income Gradient: Evidence from Australia,"
13959, University Library of Munich, Germany.
- Khanam, Rasheda & Nghiem, Hong Son & Connelly, Luke B., 2009. "Child health and the income gradient: Evidence from Australia," Journal of Health Economics, Elsevier, vol. 28(4), pages 805-817, July.
- Apouey, Bénédicte & Geoffard, Pierre-Yves, 2013.
"Family income and child health in the UK,"
Journal of Health Economics,
Elsevier, vol. 32(4), pages 715-727.
- Anne Case & Darren Lubotsky & Christina Paxson, 2002.
"Economic status and health in childhood: the origins of the gradient,"
262, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
- Anne Case & Darren Lubotsky & Christina Paxson, 2002. "Economic Status and Health in Childhood: The Origins of the Gradient," American Economic Review, American Economic Association, vol. 92(5), pages 1308-1334, December.
- Anne Case & Darren Lubotsky & Christina Paxson, 2001. "Economic Status and Health in Childhood: The Origins of the Gradient," NBER Working Papers 8344, National Bureau of Economic Research, Inc.
- Green, Mark A., 2013. "The equalisation hypothesis and changes in geographical inequalities of age based mortality in England, 2002–2004 to 2008–2010," Social Science & Medicine, Elsevier, vol. 87(C), pages 93-98.
- Cheolsung Park, 2005. "What Determines the Gradient among Children in Developing Countries? Evidence from Indonesia," SCAPE Policy Research Working Paper Series 0602, National University of Singapore, Department of Economics, SCAPE.
- Simon Burgess & Carol Propper & John Rigg, 2004.
"The Impact of Low-Income on Child Health: Evidence from a Birth Cohort Study,"
The Centre for Market and Public Organisation
04/098, Department of Economics, University of Bristol, UK.
- Simon Burgess & Carol Propper & John A. Rigg, 2004. "The Impact of Low Income on Child Health: Evidence from a Birth Cohort Study," CASE Papers 085, Centre for Analysis of Social Exclusion, LSE.
- Carol Propper & John Rigg & Simon Burgess, 2007. "Child health: evidence on the roles of family income and maternal mental health from a UK birth cohort," Health Economics, John Wiley & Sons, Ltd., vol. 16(11), pages 1245-1269.
- Cheolsung Park, 2006. "What Determines the Gradient among Children in Developing Countries? Evidence from Indonesia," Labor Economics Working Papers 22572, East Asian Bureau of Economic Research.
- Case, Anne & Lee, Diana & Paxson, Christina, 2008.
"The income gradient in children's health: A comment on Currie, Shields and Wheatley Price,"
Journal of Health Economics,
Elsevier, vol. 27(3), pages 801-807, May.
- Anne Case & Diana Lee & Christina Paxson, 2007. "The Income Gradient in Children's Health: A Comment on Currie, Shields and Wheatley Price," NBER Working Papers 13495, National Bureau of Economic Research, Inc.
- Anne Case & Diana Lee & Christina Paxson, 2007. "The Income Gradient In Children'S Health: A Comment On Currie, Shields And Wheatley Price," Working Papers 1005, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
- Anne Case & Diana Lee & Christina Paxson, 2007. "The Income Gradient In Children'S Health: A Comment On Currie, Shields And Wheatley Price," Working Papers 1019, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
- Yu-Chen Lin, 2011. "Assessing the Use of the Family Affluence Scale as Socioeconomic Indicators for Researching Health Inequalities in Taiwan Adolescents," Social Indicators Research, Springer, vol. 102(3), pages 463-475, July.
- Kate Levin & Torbjorn Torsheim & Wilma Vollebergh & Matthias Richter & Carolyn Davies & Christina Schnohr & Pernille Due & Candace Currie, 2011. "National Income and Income Inequality, Family Affluence and Life Satisfaction Among 13 year Old Boys and Girls: A Multilevel Study in 35 Countries," Social Indicators Research, Springer, vol. 104(2), pages 179-194, November.
- Murasko, Jason E., 2008. "An evaluation of the age-profile in the relationship between household income and the health of children in the United States," Journal of Health Economics, Elsevier, vol. 27(6), pages 1489-1502, December.
- Bénédicte H. Apouey & Pierre-Yves Geoffard, 2013. "Family income and child health in the UK," Working Papers halshs-00794729, HAL.
- Currie, Alison & Shields, Michael A. & Price, Stephen Wheatley, 2007. "The child health/family income gradient: Evidence from England," Journal of Health Economics, Elsevier, vol. 26(2), pages 213-232, March.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Zhang, Lei).
If references are entirely missing, you can add them using this form.