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The (re)production of health inequalities through the process of disseminating preventive innovations

The Dynamic Influence of Socioeconomic Status

Bibliographic Data

ID3640909
AuthorsAngel R Zapata-Moya (0000-0002-6199-9271, Universidad Pablo de Olavide, corresponding author), Barbara Willems (0000-0002-6797-9191, Ghent University), Piet Bracke (0000-0002-9477-3236, Ghent University)
Year2019
Volume28
Issue2
Pages177-193
Publication date2019-05-04
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueHealth Sociology Review (JOURNAL)
Journal identifiersISSN: 1446-1242 • E-ISSN: 1839-3551
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/14461242.2019.1601027
OpenAlexW2935778964
LanguageEN
Citations received16
References cited48

Fundamental Cause Theory suggests the replacement of mechanisms that produce the persistent relationship between socioeconomic status and health over time. Understanding how this process operates is central to explaining the reproduction of health inequality. We use data from the Onco-barometer survey (2010) to test a set of hypotheses derived from FCT, Diffusion Of Innovations theory and the intersection between these theories to examine how socioeconomic inequality emerges and evolves across the cycle of diffusion of six relevant preventive practices in Spain: faecal occult blood tests, prostate-specific antigen tests, Papanicolaou tests, mammograms, cholesterol readings and blood-pressure checks. Because these preventive measures are characterised by differing rates of spontaneous knowledge and use amongst the Spanish population, we assume that they are at different stages in the diffusion cycle. Results suggest that SES has a dynamic influence according to the diffusion stage of each preventive measure. We argue that the conjunction of these theories offers a dynamic 'imagery' that can help to explain the generation and diminishment of inequalities. Moreover, this integration has the potential to bring 'social change' back into the study of health inequalities, which is essential to understanding equitable (and inequitable) returns produced by preventive innovations

Health equity · Inequality · Population · Public health · Socioeconomic status · Sociology · Demography · Employment and Welfare Studies · Global Health Care Issues · Health disparities and outcomes · Mathematics · Medicine · Nursing · Psychology · Social Psychology

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Unique citing works16
Citations per year2,67
Citation span2020 - 2026 (7)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 16

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