Embedded gender and social changes underpinning inequalities in health: An ethnographic insight into a local Spanish context
AbstractDespite growing interest in the social determinants of health and contributions from studies focussing on the analysis of explanations to enhance our understanding of the interactions between gender identities, embodied experiences and structural inequalities between men and women, few research papers have devoted attention to this perspective in the Spanish context. This study is an empirical exploration of lay knowledge, for an enhanced understanding of health inequalities in this context, from an ethnographic standpoint based on a phenomenological approach. Specifically, our aim is to study the lay perceptions of men and women regarding their gender identity and living conditions as health determinants within different "contexts" of their everyday lives, namely: the personal context; the home context; and the neighbourhood context. Fifty eight in-depth interviews and three focus groups were held between January 2005 and January 2007, and analysed using a hermeneutic method. Our findings show how disease-coping strategies or the perceived loss of social cohesion are linked to the gender system. They also point to how the dynamics of social change have developed around a strong division between the productive and reproductive arenas. Approaching these issues from different "contexts" provides insights into the explanations for the gendered patterning of mortality and morbidity, as well as furthering our understanding of the basis for social embodiment of gender differences and health inequalities in the context studied. In the discussion of our findings, we place emphasis on the implications that informal caring has for these processes and also take into account contributions of the "lay approach" to study and understand social determinants and health inequalities.
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): 75 (2012)
Issue (Month): 12 ()
Contact details of provider:
Web page: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Denton, Margaret & Prus, Steven & Walters, Vivienne, 2004. "Gender differences in health: a Canadian study of the psychosocial, structural and behavioural determinants of health," Social Science & Medicine, Elsevier, Elsevier, vol. 58(12), pages 2585-2600, June.
- Stafford, M. & Cummins, S. & Macintyre, S. & Ellaway, A. & Marmot, M., 2005. "Gender differences in the associations between health and neighbourhood environment," Social Science & Medicine, Elsevier, Elsevier, vol. 60(8), pages 1681-1692, April.
- Fuhrer, R. & Stansfeld, S. A., 2002. "How gender affects patterns of social relations and their impact on health: a comparison of one or multiple sources of support from "close persons"," Social Science & Medicine, Elsevier, Elsevier, vol. 54(5), pages 811-825, March.
- Moss, Nancy E., 2002. "Gender equity and socioeconomic inequality: a framework for the patterning of women's health," Social Science & Medicine, Elsevier, Elsevier, vol. 54(5), pages 649-661, March.
- Hankivsky, Olena, 2012. "Women’s health, men’s health, and gender and health: Implications of intersectionality," Social Science & Medicine, Elsevier, Elsevier, vol. 74(11), pages 1712-1720.
- Dudgeon, Matthew R. & Inhorn, Marcia C., 2004. "Men's influences on women's reproductive health: medical anthropological perspectives," Social Science & Medicine, Elsevier, Elsevier, vol. 59(7), pages 1379-1395, October.
- Emslie, Carol & Hunt, Kate, 2008. "The weaker sex? Exploring lay understandings of gender differences in life expectancy: A qualitative study," Social Science & Medicine, Elsevier, Elsevier, vol. 67(5), pages 808-816, September.
- Sandra Dema-Moreno, 2009. "Behind the negotiations: Financial decision-making processes in Spanish dual-income couples," Feminist Economics, Taylor & Francis Journals, Taylor & Francis Journals, vol. 15(1), pages 27-56.
- Davidson, Rosemary & Kitzinger, Jenny & Hunt, Kate, 2006. "The wealthy get healthy, the poor get poorly? Lay perceptions of health inequalities," Social Science & Medicine, Elsevier, Elsevier, vol. 62(9), pages 2171-2182, May.
- Backhans, Mona C. & Lundberg, Michael & Månsdotter, Anna, 2007. "Does increased gender equality lead to a convergence of health outcomes for men and women? A study of Swedish municipalities," Social Science & Medicine, Elsevier, Elsevier, vol. 64(9), pages 1892-1903, May.
- Chen, Ying-Yeh & Subramanian, S. V. & Acevedo-Garcia, Doloros & Kawachi, Ichiro, 2005. "Women's status and depressive symptoms: A multilevel analysis," Social Science & Medicine, Elsevier, Elsevier, vol. 60(1), pages 49-60, January.
- Arber, Sara & Bote, Marcos & Meadows, Robert, 2009. "Gender and socio-economic patterning of self-reported sleep problems in Britain," Social Science & Medicine, Elsevier, Elsevier, vol. 68(2), pages 281-289, January.
- Arber, Sara, 1997. "Comparing inequalities in women's and men's health: Britain in the 1990s," Social Science & Medicine, Elsevier, Elsevier, vol. 44(6), pages 773-787, March.
- Hirst, Michael, 2005. "Carer distress: A prospective, population-based study," Social Science & Medicine, Elsevier, Elsevier, vol. 61(3), pages 697-708, August.
- Connell, Raewyn, 2012. "Gender, health and theory: Conceptualizing the issue, in local and world perspective," Social Science & Medicine, Elsevier, Elsevier, vol. 74(11), pages 1675-1683.
- Artazcoz, Lucia & Cortès, Imma & Borrell, Carme & Escribà-Agüir, Vicenta & Cascant, Lorena, 2011. "Social inequalities in the association between partner/marital status and health among workers in Spain," Social Science & Medicine, Elsevier, Elsevier, vol. 72(4), pages 600-607, February.
- Ferlander, Sara & Mäkinen, Ilkka Henrik, 2009. "Social capital, gender and self-rated health. Evidence from the Moscow Health Survey 2004," Social Science & Medicine, Elsevier, Elsevier, vol. 69(9), pages 1323-1332, November.
- Courtenay, Will H., 2000. "Constructions of masculinity and their influence on men's well-being: a theory of gender and health," Social Science & Medicine, Elsevier, Elsevier, vol. 50(10), pages 1385-1401, May.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Zhang, Lei).
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.