Embedded gender and social changes underpinning inequalities in health: An ethnographic insight into a local Spanish context
Despite 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.
Volume (Year): 75 (2012)
Issue (Month): 12 ()
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- Moss, Nancy E., 2002. "Gender equity and socioeconomic inequality: a framework for the patterning of women's health," Social Science & Medicine, Elsevier, vol. 54(5), pages 649-661, March.
- 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, vol. 58(12), pages 2585-2600, June.
- 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, vol. 54(5), pages 811-825, March.
- Arber, Sara & Bote, Marcos & Meadows, Robert, 2009. "Gender and socio-economic patterning of self-reported sleep problems in Britain," Social Science & Medicine, Elsevier, vol. 68(2), pages 281-289, January.
- 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, vol. 60(8), pages 1681-1692, April.
- 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, vol. 72(4), pages 600-607, February.
- Sandra Dema-Moreno, 2009. "Behind the negotiations: Financial decision-making processes in Spanish dual-income couples," Feminist Economics, 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, vol. 62(9), pages 2171-2182, May.
- Emslie, Carol & Hunt, Kate, 2008. "The weaker sex? Exploring lay understandings of gender differences in life expectancy: A qualitative study," Social Science & Medicine, Elsevier, vol. 67(5), pages 808-816, September.
- Arber, Sara, 1997. "Comparing inequalities in women's and men's health: Britain in the 1990s," Social Science & Medicine, Elsevier, vol. 44(6), pages 773-787, March.
- 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, vol. 50(10), pages 1385-1401, May.
- Hankivsky, Olena, 2012. "Women’s health, men’s health, and gender and health: Implications of intersectionality," Social Science & Medicine, Elsevier, vol. 74(11), pages 1712-1720.
- 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, vol. 64(9), pages 1892-1903, May.
- Connell, Raewyn, 2012. "Gender, health and theory: Conceptualizing the issue, in local and world perspective," Social Science & Medicine, Elsevier, vol. 74(11), pages 1675-1683.
- Dudgeon, Matthew R. & Inhorn, Marcia C., 2004. "Men's influences on women's reproductive health: medical anthropological perspectives," Social Science & Medicine, Elsevier, vol. 59(7), pages 1379-1395, October.
- Hirst, Michael, 2005. "Carer distress: A prospective, population-based study," Social Science & Medicine, Elsevier, vol. 61(3), pages 697-708, August.
- Ferlander, Sara & Mäkinen, Ilkka Henrik, 2009. "Social capital, gender and self-rated health. Evidence from the Moscow Health Survey 2004," Social Science & Medicine, Elsevier, vol. 69(9), pages 1323-1332, November.
- 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, vol. 60(1), pages 49-60, January.
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