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Mechanism substitution in preventive innovations: Dissecting the reproduction of health inequalities in the United States

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  • Zapata-Moya, Angel R.
  • Freese, Jeremy
  • Bracke, Piet

Abstract

In the last three decades, numerous studies in different countries have corroborated the main postulates of the Fundamental Cause Theory (FCT), providing evidence showing how health inequalities are reproduced as society increases its capacity to control disease and/or avoid its consequences through preventive innovations. However, documenting the reproductive logic proposed by the theory requires the development of a dynamic analytical approach to consider socioeconomic disparities in the incorporation of multiple preventive innovations over time, which could act as mediating mechanisms of the durable relationship between socioeconomic status and health/mortality. This study draws on data from different waves of the National Health Interview Survey and the National Health and Nutrition Examination Survey to analyze the diffusion processes of various innovations in the U.S. The results of the study show that educational inequalities emerge, are amplified, and are reduced by the continuous diffusion of preventive innovations, supporting the meta-hypothesis of substitution of mediating mechanisms according to the interconnections of FCT and Diffusion of Innovation Theory.

Suggested Citation

  • Zapata-Moya, Angel R. & Freese, Jeremy & Bracke, Piet, 2023. "Mechanism substitution in preventive innovations: Dissecting the reproduction of health inequalities in the United States," Social Science & Medicine, Elsevier, vol. 337(C).
    • Handle: RePEc:eee:socmed:v:337:y:2023:i:c:s0277953623006196
    DOI: 10.1016/j.socscimed.2023.116262
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    1. Rumberger, Russell W., 2010. "Education and the reproduction of economic inequality in the United States: An empirical investigation," Economics of Education Review, Elsevier, vol. 29(2), pages 246-254, April.
    2. Saldana-Ruiz, N. & Clouston, S.A.P. & Rubin, M.S. & Colen, C.G. & Link, B.G., 2013. "Fundamental causes of colorectal cancer mortality in the United States: Understanding the importance of socioeconomic status in creating inequality in mortality," American Journal of Public Health, American Public Health Association, vol. 103(1), pages 99-104.
    3. Mackenbach, Johan P. & Kulhánová, Ivana & Bopp, Matthias & Deboosere, Patrick & Eikemo, Terje A. & Hoffmann, Rasmus & Kulik, Margarete C. & Leinsalu, Mall & Martikainen, Pekka & Menvielle, Gwenn & Reg, 2015. "Variations in the relation between education and cause-specific mortality in 19 European populations: A test of the “fundamental causes” theory of social inequalities in health," Social Science & Medicine, Elsevier, vol. 127(C), pages 51-62.
    4. Polonijo, Andrea N. & Carpiano, Richard M., 2013. "Social inequalities in adolescent human papillomavirus (HPV) vaccination: A test of fundamental cause theory," Social Science & Medicine, Elsevier, vol. 82(C), pages 115-125.
    5. Willems, Barbara & Bracke, Piet, 2018. "Participants, Physicians or Programmes: Participants’ educational level and initiative in cancer screening," Health Policy, Elsevier, vol. 122(4), pages 422-430.
    6. Sherry Glied & Adriana Lleras-Muney, 2008. "Technological innovation and inequality in health," Demography, Springer;Population Association of America (PAA), vol. 45(3), pages 741-761, August.
    7. Delaruelle, Katrijn & Buffel, Veerle & Bracke, Piet, 2015. "Educational expansion and the education gradient in health: A hierarchical age-period-cohort analysis," Social Science & Medicine, Elsevier, vol. 145(C), pages 79-88.
    8. Håvard Thorsen Rydland & Joseph Friedman & Silvia Stringhini & Bruce G. Link & Terje Andreas Eikemo, 2022. "The radically unequal distribution of Covid-19 vaccinations: a predictable yet avoidable symptom of the fundamental causes of inequality," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-6, December.
    9. Rubin, M.S. & Colen, C.G. & Link, B.G., 2010. "Examination of inequalities in HIV/AIDS mortality in the United States from a fundamental cause perspective," American Journal of Public Health, American Public Health Association, vol. 100(6), pages 1053-1059.
    10. Morteza Maleki & Mohsen Bahrami & Monica Menendez & Jose Balsa-Barreiro, 2022. "Social Behavior and COVID-19: Analysis of the Social Factors behind Compliance with Interventions across the United States," IJERPH, MDPI, vol. 19(23), pages 1-26, November.
    11. Link, B.G. & Phelan, J.C., 2002. "Mckeown and the idea that social conditions are fundamental causes of disease," American Journal of Public Health, American Public Health Association, vol. 92(5), pages 730-732.
    12. Rydland, Håvard T. & Solheim, Erling F. & Eikemo, Terje A., 2020. "Educational inequalities in high- vs. low-preventable health conditions: Exploring the fundamental cause theory," Social Science & Medicine, Elsevier, vol. 267(C).
    13. Ozgur Dedehayir & Roland J. Ortt & Carla Riverola & Francesc Miralles, 2017. "Innovators And Early Adopters In The Diffusion Of Innovations: A Literature Review," International Journal of Innovation Management (ijim), World Scientific Publishing Co. Pte. Ltd., vol. 21(08), pages 1-27, December.
    14. Sean A. P. Clouston & Marcie S. Rubin & Jo C. Phelan & Bruce G. Link, 2016. "A Social History of Disease: Contextualizing the Rise and Fall of Social Inequalities in Cause-Specific Mortality," Demography, Springer;Population Association of America (PAA), vol. 53(5), pages 1631-1656, October.
    15. Barbara Willems & Piet Bracke, 2018. "The education gradient in cancer screening participation: a consistent phenomenon across Europe?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(1), pages 93-103, January.
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