Aim: The aim of this study is to analyse previous explanations of social inequality in health and argue for a closer integration of sociological theory into future empirical research. Methods: We examine cultural-behavioural, materialist, psychosocial and life-course approaches, in addition to fundamental cause theory. Giddens’ structuration theory and a neo-materialist approach, inspired by Bruno Latour, Gilles Deleuze and Felix Guattari, are proposed as ways of rethinking the causal relationship between socio-economic status and health. Conclusions:Much of the empirical research on health inequalities has tended to rely on explanations with a static and unidirectional view of the association between socio-economic status and health, assuming a unidirectional causal relationship between largely static categories. We argue for the use of sociological theory to develop more dynamic models that enhance the understanding of the complex pathways and mechanisms linking social structures to health.
MarmotM.Social determinants of health inequalities. Lancet2005;365:1099–114.
2.
BravemanPGottliebL.The social determinants of health: it’s time to consider the causes of the causes. Public Health Rep2014;129:19–31.
3.
BlackDMorrisJSmithC. Inequalities in health: report of a Research Working Group. London: Department of Health and Social Security, 1980.
4.
GrayAM.Inequalities in health. The Black Report: a summary and comment. Int J Health Serv1982;12(3):349–80.
5.
MacintyreS.The Black Report and beyond what are the issues?Soc Sci Med1997;44(6):723–45.
6.
BravemanPAEgerterSAWoolfSH. When do we know enough to recommend action on the social determinants of health?Am J Prev Med2011;40(1):S58–66.
7.
WilliamsDRCostaMVOdunlamiAO. Moving upstream: how interventions that address the social determinants of health can improve health and reduce disparities. J Public Health Man2008;14:8–17.
8.
MarmotM.Introduction. In: MarmotMWilkinsonRG (eds) Social determinants of health. 2nd ed.Oxford: Oxford University Press, 2006, pp.1–5.
9.
MarmotMAllenJJ.Social determinants of health equity. Am J Public Health2014;104(S4):517–19.
10.
WoolfSHBravemanP.Where health disparities begin: the role of social and economic determinants. And why current policies may make matters worse. Health Affair2011;30(10):1852–9.
11.
BrunnerEMarmotM.Social organization, stress and health. In: MarmotMWilkinsonRG (eds) Social determinants of health. 2nd ed.Oxford: Oxford University Press, 2006, pp.6–30.
12.
BravemanPEgerterSWilliamsDR.The social determinants of health: coming of age. Annu Rev Publ Health2011;32:381–98.
13.
DahlgrenGWhiteheadM.Policies and strategies to promote social equity in health. Background document to WHO. Strategy paper for Europe. Stockholm: Institutet för Framtidsstudier, 2007.
14.
BambraC.Changing the world? Reflections on the interface between social science, epidemiology and public health. J Epidemiol Commun Health2009;63(11):867–8.
15.
BerkmanLF.Social epidemiology: social determinants of health in the United States: are we losing ground?Annu Rev Publ Health2009;30:27–41.
16.
BambraCSmithKEGarthwaiteK. A labour of Sisyphus? Public policy and health inequalities research from the Black and Acheson Reports to the Marmot Review. J Epidemiol Commun Health2010;65:399–406.
17.
BambraCGibsonMSowdenA. Tackling the wider social determinants of health and health inequalities: evidence from systematic reviews. J Epidemiol Commun Health2010;64:284–91.
18.
KaplanGA.What’s wrong with social epidemiology, and how can we make it better?Epidemiol Rev2004;26:124–35.
19.
RegidorE.Social determinants of health: a veil that hides socioeconomic position and its relation with health. J Epidemiol Commun Health2006;60(10):896–901.
20.
KaplanGA.Social determinants of health. In: MarmotMWilkinsonRG (eds) J Epidemiol. 2nd ed.Oxford: Oxford University Press, 2006, pp.1111–12.
21.
NewtonJTBowerEJ.The social determinants of oral health: new approaches to conceptualizing and researching complex causal networks. Community Dent Oral2005;33:25–34.
22.
CockerhamWC.Sociological theory in medical sociology in the early twenty-first century. Soc Theory Health2013;11(3):241–55.
23.
ForbesAWainwrightSP.On the methodological, theoretical and philosophical context of health inequalities research: a critique. Soc Sci Med2001;53:801–16.
24.
PopayJWilliamsGThomasC. Theorising inequalities in health: the place of lay knowledge. Sociol Health Ill1998;20(5):619–44.
25.
MechanicD.Social research in health and the American sociopolitical context: the changing fortunes of medical sociology. Soc Sci Med1993;36(2):95–102.
26.
ScamblerG (ed). Contemporary theorists for medical sociology. Oxon: Routledge, 2012.
27.
DahlgrenGWhiteheadM.Policies and strategies to promote social equity in health. Stockholm: Institute for Futures Studies, 1991.
28.
MackenbachJP.The persistence of health inequalities in modern welfare states: the explanation of a paradox. Soc Sci Med2012;75(4):761–9.
29.
BartleyM.Health inequality: an introduction to theories, concepts and methods. Cambridge: Polity Press, 2004.
30.
SkalickáVLentheFvBambraC. Material, psychosocial, behavioural and biomedical factors in the explanation of socioeconomic inequalities in mortality: evidence from the HUNT study. Int J Epidemiol2009;38(5):1272–84.
31.
BlaneD.The life course, the social gradient, and health. In: MarmotMWilkinsonRG (eds) Social determinants of health. 2nd ed.Oxford: Oxford University Press, 2006, pp.54–77.
32.
BambraC.Work, worklessness, and the political economy of health. Oxford: Oxford University Press, 2011.
33.
LinkBGPhelanJ.Social conditions as fundamental causes of health inequalities. In: BirdCEConradPFremontAM. (eds) Handbook of medical sociology. 6th ed.Nashville, TN: Vanderbilt University Press, 2010, pp.3–17.
34.
LinkBGPhelanJ.Social conditions as fundamental causes of disease. J Health Soc Behav1995;35:80–94.
35.
LiebersonS.Making it count: the improvement of social research and theory. 1st ed. Berkeley, CA: University of California Press, 1985.
36.
LutfeyKFreeseJ.Toward some fundamentals of fundamental causality: socioeconomic status and health in the routine clinic visit for diabetes 1. Am J Sociol2005;110(5):1326–72.
37.
MastersRKLinkBGPhelanJC.Trends in education gradients of ‘preventable’ mortality: a test of fundamental cause theory. Soc Sci Med2015;127:19–28.
38.
LinkBGNorthridgeMEPhelanJC. Social epidemiology and the fundamental cause concept: on the structuring of effective cancer screens by socioeconomic status. Milbank Q1998;76(3):375–402.
39.
MackenbachJKulhánovaIBoppM. 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. Soc Sci Med2015;127:51–62.
40.
PhelanJCLinkBGDiez-RouxA. “Fundamental causes” of social inequalities in mortality: a test of the theory. J Health Soc Behav2004;45(3):265–85.
41.
GiddensA.The constitution of society. An outline of the theory of structuration. Cambridge: Polity Press, 1984.
42.
LatourB.Reassembling the social. An introduction to actor-network theory. Oxford: Oxford University Press, 2005.
43.
DeleuzeGGuattariF.Anti-Oedipus. Minneapolis, MN: University of Minnesota Press, 1983.
44.
FreeseJLutfeyK.Fundamental causality: challenges of an animating concept for medical sociology. In: PescosolidoBAMartinJKMcLeodJDRogersA (eds) Handbook of the sociology of health, illness, and healing. New York, NY: Springer, 2011, pp.67–81.
45.
LinkBGPhelanJC.McKeown and the idea that social conditions are fundamental causes of disease. Am J Public Health2002;92(5):730–2.
46.
PhelanJCLinkBG.Controlling disease and creating disparities: a fundamental cause perspective. The Journals of Gerontology Series B: J Gerontol B Psychol Sci Soc Sci2005;60(2):S27–33.
47.
MouzelisN.Sociological theory: what went wrong? Diagnosis and remedies. Oxford: Routledge, 2006.
48.
BachelardG.The formation of the scientific mind. Manchester: Clinamen, 2002 [1938].
49.
BourdieuPChamboredonJ-CPasseronJ-C.The craft of sociology. Epistemological preliminaries. Berlin: Walter de Gruyter & Co., 1991 [1968].
50.
FoxNJ.Refracting ‘health’: Deleuze, Guattari and body-self. Health2002;6(3):347–63.
51.
CockerhamWC.The state of medical sociology in the United States, Great Britain, West Germany and Austria: applied vs pure theory. Soc Sci Med1983;17(20):1513–27.
52.
JohnsonM.Medical sociology and sociological theory. Soc Sci Med1975;9:227–32.
53.
GerhardtU.Parsons, role theory and health interaction. In: ScamblerG (ed) Medical sociology and sociological theory. London: Tavistock Publications, 1987, pp.110–33.
54.
LuptonD.Psychoanalytic sociology and the medical encounter: Parsons and beyond. Sociol Health Ill1997;19(5):561–79.
55.
LuptonD.Medicine as culture: illness, disease and the body. London, UK: SAGE, 2012.
56.
WhitePYoungKGillettJ.Bodywork as a moral imperative: some critical notes on health and fitness. Soc Leis1995;18(1):159–81.
57.
SindingC.Using institutional ethnography to understand the production of health care disparities. Qual Health Res2010;20:1656–63.
58.
OlafsdottirSBeckfieldJ.Health and the social rights of citizenship: integrating welfare-state theory and medical sociology. In: PescosolidoBAMartinJKMcLeodJDRogersA (eds) Handbook of the sociology of health, illness, and healing. New York, NY: Springer, 2011, pp.101–15.
59.
DubbinLAChangJSShimJK.Cultural health capital and the interactional dynamics of patient-centered care. Soc Sci Med2013;93:113–20.
60.
ShimJK.Cultural health capital: a theoretical approach to understanding health care interactions and the dynamics of unequal treatment. J Health Soc Behav2010;51(1):1–15.
61.
ArmstrongM.Political anatomy of the body. Medical knowledge in Britain in the twentieth century. Cambridge: Cambridge University Press, 1983.
62.
RoseN.The politics of life itself. Princeton, NJ: Princeton University Press, 2007.
63.
ScamblerG (ed). Sociological theory and medical sociology. London: Tavistock Publications, 1987.
64.
CockerhamWC (ed). The Blackwell companion to medical sociology. Malden, MA: Blackwell Publishers Incorporated, 2001.
65.
CockerhamWC.Health lifestyle theory and the convergence of agency and structure. J Health Soc Behav2005;46(1):51–67.
66.
BravemanPCubbinCEgerterS. Socioeconomic status in health research. One size does not fit all. JAMA2005;294(22):2879–88.
67.
JoasHKnöblW.Social theory. Twenty introductory lectures. Cambridge: Cambridge University Press, 2004.
68.
WilliamsGH.The determinants of health: structure, context and agency. Sociol Health Ill2003;25(3):131–54.
69.
BeckfieldJBambraCEikemoTA. An institutional theory of welfare state effects on the distribution of population health. Soc Theory Health2015;13(3/4):227–44.
70.
EikemoTABambraCJoyceK. Welfare state regimes and income-related health inequalities: a comparison of 23 European countries. Eur J Public Health2008;18(6):593–9.
71.
EikemoTAHuismanMBambraC. Health inequalities according to educational level in different welfare regimes: a comparison of 23 European countries. Sociol Health Ill2008;30(4):565–82.
72.
EikemoTAKunstAJudgeK. Class-related health inequalities are not larger in the East: a comparison of four European regions using the new European socioeconomic classification. J Epidemiol Commun Health2008;62(12):1072–8.
73.
RaphaelD.Challenges to promoting health in the modern welfare state: the case of the Nordic nations. Scand J Public Health2014;42(1):7–17.
74.
SmithDE.The everyday world as problematic. a feminist sociology. Milton Keynes: Open University Press, 1987.
75.
ZolaIK.Medicine as an institution of social control. Sociol Rev1972;20(4):487–504.
LinkBG.Epidemiological sociology and the social shaping of population health. J Health Soc Behav2008;49(4):367–84.
78.
ChangVWLauderdaleDS.Fundamental cause theory, technological innovation, and health disparities: the case of cholesterol in the era of statins. J Health Soc Behav2009;50(3):245–60.
79.
FoxNJ.Health sociology from post-structuralism to the new materialisms. Health2016;20(1):62–74.
80.
LawJ.Notes on the theory of the actor-network: ordering, strategy, and heterogenity. Syst Practice1992;5(4):379–93.
81.
CresswellKMWorthASheikhA.Actor-network theory and its role in understanding the implementation of information technology developments in healthcare. BMC Med Inform Decis Mak2010;10(67):1–11.
82.
BruniA.Shadowing software and clinical records: on the ethnography of non-humans and heterogeneous contexts. Organization2005;12(3):357–78.
83.
ProutA.Actor-network theory, technology and medical sociology: an illustrative analysis of the metered dose inhaler. Sociol Health Ill1996;18(2):198–219.
84.
MillJS.Collected works of John Stuart Mill. Vol. VII. Toronto, Canada: University of Toronto Press, 1974 [1843].
85.
DeLandaM.Emergence, causality and realism. Archit Theory Rev2012;17(1):3–16.
86.
DeLandaM.Deleuze: history and science. New York: Atropos Press, 2010.
