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Class, Social Suffering, and Health Consumerism
Camilla Hoffmann Merrild1, Mette Bech Risør2, Peter Vedsted1
1a Research Centre for Cancer Diagnosis in Primary Care , Research Unit for General Practice, Aarhus University , Aarhus , Denmark.
Social class significantly impacts health care seeking behaviors and illness concerns. Higher social classes engage in health consumerism, while lower classes face barriers due to intertwined physical, political, and social discomforts.
Area of Science:
- Sociology of Health and Illness
- Medical Sociology
- Health Disparities Research
Background:
- An extensive social gradient in cancer outcomes highlights the need to understand healthcare seeking behaviors.
- Previous research focused on diagnosed cancer patients; this study examines individuals without a cancer diagnosis.
- Social class differences in healthcare seeking may contribute to disparities in cancer diagnosis and outcomes.
Purpose of the Study:
- To explore the relevance of social class to healthcare seeking practices and illness concerns.
- To investigate how different social classes navigate healthcare systems and express health-related concerns.
- To understand the influence of social and political contexts on health-seeking behaviors.
Main Methods:
- Long-term ethnographic fieldwork was conducted in Denmark.
- Data was collected from participants in two distinct social classes: higher middle class and lower working class.
- Qualitative analysis focused on healthcare seeking practices and expressed illness concerns.
Main Results:
- Higher middle-class individuals exhibited healthcare seeking aligned with 'health consumerism' principles, readily accepted by the healthcare system.
- Lower working-class individuals' healthcare seeking was influenced by the interconnectedness of physical, political, and social dimensions of discomfort.
- These integrated discomforts presented challenges for the healthcare system's accommodation of lower working-class patients' needs.
Conclusions:
- Social class profoundly shapes individuals' approaches to healthcare seeking and their perception of illness.
- The healthcare system's structure and norms may inadvertently create barriers for certain social classes, particularly the lower working class.
- Addressing social gradients in health outcomes requires understanding and accommodating diverse healthcare seeking practices rooted in different social realities.
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