Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

How the other half live

Lay perspectives on health inequalities in an age of austerity

Bibliographic Data

ID4594945
AuthorsKayleigh Garthwaite (0000-0002-6554-4143, Newcastle University, corresponding author), Clare Bambra (0000-0002-1294-6851, Newcastle University)
Year2017
Volume187
Pages268-275
Publication date2017-08-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSocial Science & Medicine (JOURNAL)
Journal identifiersISSN: 0277-9536 • E-ISSN: 1873-5347
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.socscimed.2017.05.021
PMID28511818
OpenAlexW2613504306
LanguageEN
Citations received27
References cited36

This paper examines how people living in two socially contrasting areas of Stockton on Tees, North East England experience, explain, and understand the stark health inequalities in their town. Participants displayed opinions that fluctuated between a variety of converging and contrasting explanations. Three years of ethnographic observation in both areas (2014-2017) generated explanations which initially focused closely on behavioural and individualised factors, whilst 118 qualitative interviews subsequently revealed more nuanced justifications, which prioritised more structural, material and psychosocial influences. Findings indicate that inequalities in healthcare, including access, the importance of judgemental attitudes, and perceived place stigma, would then be offered as explanations for the stark gap in spatial inequalities in the area. Notions of fatalism, linked to (a lack of) choice, control, and fear of the future, were common reasons given for inequalities across all participants. We conclude by arguing for a prioritisation of listening to, and working to understand, the experiences of communities experiencing the brunt of health inequalities; especially important at a time of austerity

Active listening · Austerity · Ethnography · Fatalism · Inequality · Political science · Politics · Psychosocial · Qualitative research · Social science · Sociology · Variety (cybernetics · Employment and Welfare Studies · Gender Studies · Health disparities and outcomes · Health, psychology, and well-being · Psychology · Social Psychology

  • Gentrification, Health, and Intermediate Pathways

    H S Versey•Housing Policy Debate•2023

  • Public perspectives on inequality and mental health

    Open Access•Vanessa Pinfold, Rose Thompson et al.•Health Expectations•2024

  • Coproduction of a resource sharing public views of health inequalities

    Open Access•Charlotte Parbery‐Clark, Rosemary Nicholls et al.•Health Expectations•2024

  • “Take away the greed of the private landlord housing market … because is killing people”

    Open Access•Victoria J Mcgowan•Social Science & Medicine•2025

  • It All Kind of Links Really’

    Open Access•Hannah Fairbrother, Nicholas Woodrow et al.•International Journal of…•2022

  • Policy actors’ perceptions of public participation to tackle health inequalities in Scotland

    Open Access•Neil Mchugh, R Baker et al.•International Journal for Equity…•2023

  • What’s important to you? Socioeconomic inequalities in the perceived importance of health compared to other life domains

    Open Access•Sanne E Verra, Maartje P Poelman et al.•BMC Public Health•2022

  • Individualisation in public health

    Open Access•Justin Berg, J Harting et al.•Critical Public Health•2019

  • Exploring inequalities in health with young people through online focus groups

    Open Access•Nicholas Woodrow, Hannah Fairbrother et al.•Qualitative Research Journal•2021

  • Children's perspectives on water, sanitation and hygiene in schools

    Open Access•Celia Mcmichael, Hassan Vally•Health & Place•2020

  • Linking pathogens, people and places

    Open Access•Suzanne Rotheram, Jessie Cooper et al.•Health & Place•2022

  • It's like being in Tattooville’

    Open Access•Kayleigh Garthwaite, Clare Bambra•Health & Place•2018

  • Contextualising lifestyles

    Open Access•Sarah Mcgarrol•Health & Place•2020

  • Austerity, Health and Public Safety in Low-Income Neighborhoods

    Open Access•David M Smith•Journal of Urban Health•2023

  • The effect of volunteering upon volunteers’ Christian faith

    Open Access•Stephanie Denning•Geoforum•2021

  • I believe in building people up’

    Open Access•Stephanie Denning•Area•2023

  • Participação pública na saúde

    Open Access•Sofia Crisóstomo, Margarida Santos•Revista crítica de ciências…•2018

  • Power, control, strain

    Open Access•Kevin Bernard, Victoria J Mcgowan et al.•Social Science & Medicine•2024

  • Health inequality attributions and support for healthcare policy

    Open Access•Sharon Baute•Social Science & Medicine•2025

  • It feels like somebody cut my legs off

    Open Access•Jacob Albin Korem Alhassan, Sylvia Abonyi et al.•Social Science & Medicine•2021

  • Understanding 'fat shaming' in a neoliberal era

    Open Access•Tanisha Spratt•Feminist Theory•2023

  • From Streetscapes to Sofas

    Open Access•Katherine Harrison, J Raisborough et al.•Sociological Research Online•2021

  • Uncertain and under Quarantine

    Open Access•Owen Whooley, Kristin Kay Barker•Journal of Health and Social…•2021

  • The Role of Boundary Spanning in Building Trust

    Open Access•Lara Bianchi, Mihaela Kelemen et al.•Sociology of Health & Illness•2025

  • Fat shaming under neoliberalism and Covid-19

    Open Access•Luna Dolezal, Tanisha Spratt•Sociology of Health & Illness•2023

  • Conflicting experiences of health and habitus in a poor urban neighbourhood

    Open Access•Tom A Scott-Arthur, Brian Brown et al.•Sociology of Health & Illness•2021

  • Understanding lay perspectives on socioeconomic health inequalities in Britain

    Open Access•Katherine E Smith, Rosemary Anderson•Sociology of Health & Illness•2018

  • Psychosocial and material pathways in the relation between income and health

    Open Access•Michael Marmot, Richard G Wilkinson•BMJ•2001

  • Higher mortality in deprived areas

    Open Access•Andrew Sloggett, Heather Joshi•BMJ•1994

  • Sociology, social structure and health-related stigma

    Graham Scambler•Psychology, Health & Medicine•2006

  • Austerity, sanctions, and the rise of food banks in the UK

    Open Access•Rachel Loopstra, Aaron Reeves et al.•BMJ•2015

  • Are rich people or poor people more likely to be ill? Lay perceptions, by social class and neighbourhood, of inequalities in health

    Open Access•Macintyre, Sally Macintyre et al.•Social Science & Medicine•2005

  • Walking across disciplines

    Sarah Pink, P Hubbard et al.•Visual Studies•2010

  • Improving health in deprived communities

    Open Access•Jayne Parry, Jonathan Mathers et al.•Critical Public Health•2007

  • The ‘blemish of place’

    Open Access•Jamie R Pearce•Social Science & Medicine•2012

  • I feel I'm Giving Something Back to Society’

    Open Access•Kayleigh Garthwaite•Social Policy and Society•2016

  • Social Investment, Protection and Inequality within the New Economy and Politics of Welfare in Europe

    Open Access•Marion Ellison, Menno Fenger•Social Policy and Society•2013

  • Neighbourhood demolition, relocation and health. A qualitative longitudinal study of housing-led urban regeneration in Glasgow, UK

    Open Access•Matt Egan, Louise Lawson et al.•Health & Place•2015

  • Location, location, location

    Open Access•Robert Davidson, Rosemary Davidson et al.•Health & Place•2007

  • The language of shirkers and scroungers?’ Talking about illness, disability and coalition welfare reform

    Kayleigh Garthwaite•Disability & Society•2011

  • Greenspace, urbanity and health

    Richard Mitchell, Frank Popham•Journal of Epidemiology and…•2007

  • Stigma as a Fundamental Cause of Population Health Inequalities

    Mark L Hatzenbuehler, Jo C Phelan et al.•American Journal of Public Health•2013

  • Austerity, welfare reform and the E nglish health divide

    Open Access•Clare Bambra, Kayleigh Garthwaite•Area•2015

  • Working-class discourses of politics, policy and health

    Margaret Mackenzie, Mhairi Mackenzie et al.•Policy & Politics•2017

  • The black report and beyond what are the issues

    Open Access•Macintyre, Sally Macintyre•Social Science & Medicine•1997

  • The wealthy get healthy, the poor get poorly? Lay perceptions of health inequalities

    Open Access•Robert Davidson, Rosemary Davidson et al.•Social Science & Medicine•2006

  • Individualisation and inequalities in health

    Open Access•Bruce Bolam, Simon Murphy et al.•Social Science & Medicine•2004

  • The causes of disease

    Open Access•Mildred Blaxter•Social Science & Medicine•1983

  • Health inequalities and place

    Open Access•Pauline Bernard, Paul Bernard et al.•Social Science & Medicine•2007

  • Place effects on health

    Open Access•Macintyre, Sally Macintyre et al.•Social Science & Medicine•2002

  • Contrasting lives, contrasting views? understandings of health inequalities from children in differing social circumstances

    Open Access•Kathryn Backett‐milburn, Kathryn Backett-Milburn et al.•Social Science & Medicine•2003

  • Understanding and representing 'place' in health research

    Open Access•Steven Cummin, Steven Curti et al.•Social Science & Medicine•2007

  • Healthy Land? An Examination of the Area-Level Association between Brownfield Land and Morbidity and Mortality in England

    Open Access•Clare Bambra, Steve Robertson et al.•Environment and Planning A…•2014

  • Whose fault is it? People's own conceptions of the reasons for health inequalities

    Open Access•Mildred Blaxter•Social Science & Medicine•1997

  • Welfare Commonsense, Poverty Porn and Doxosophy

    Open Access•Tracey Jensen•Sociological Research Online•2014

  • Health inequalities

    Open Access•Graham Scambler•Sociology of Health & Illness•2012

  • Beyond 'beer, fags, egg and chips'? Exploring lay understandings of social inequalities in health

    Open Access•Jennie Popay, Sharon Bennett et al.•Sociology of Health & Illness•2003

  • Desperately seeking reductions in health inequalities

    Open Access•Kayleigh Garthwaite, Katherine E Smith et al.•Sociology of Health & Illness•2016

  • Fatalism and short-termism as cultural barriers to cardiac rehabilitation among underprivileged men

    Open Access•Mathieu Savage, Alex Dumas et al.•Sociology of Health & Illness•2013

  • Is There a Place for Geography in the Analysis of Health Inequality

    Open Access•Steven Curti, Sarah Curtis et al.•Sociology of Health & Illness•1998

  • Theorising Inequalities in Health

    Open Access•Jennie Popay, Gareth Williams et al.•Sociology of Health & Illness•1998

Unique citing works27
Citations per year3,38
Citation span2018 - 2025 (8)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 27

Tools

Open DOISci-HubOpen Access
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae