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, 13 (3-4), 267-287

Two Decades of Neo-Marxist Class Analysis and Health Inequalities: A Critical Reconstruction

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Two Decades of Neo-Marxist Class Analysis and Health Inequalities: A Critical Reconstruction

Carles Muntaner et al. Soc Theory Health.

Abstract

Most population health researchers conceptualize social class as a set of attributes and material conditions of life of individuals. The empiricist tradition of 'class as an individual attribute' equates class to an 'observation', precluding the investigation of unobservable social mechanisms. Another consequence of this view of social class is that it cannot be conceptualized, measured, or intervened upon at the meso- or macro levels, being reduced to a personal attribute. Thus, population health disciplines marginalize rich traditions in Marxist theory whereby 'class' is understood as a 'hidden' social mechanism such as exploitation. Yet Neo-Marxist social class has been used over the last two decades in population health research as a way of understanding how health inequalities are produced. The Neo-Marxist approach views social class in terms of class relations that give persons control over productive assets and the labour power of others (property and managerial relations). We critically appraise the contribution of the Neo-Marxist approach during the last two decades and suggest realist amendments to understand class effects on the social determinants of health and health outcomes. We argue that when social class is viewed as a social causal mechanism it can inform social change to reduce health inequalities.

Keywords: Neo-Marxist; exploitation; health inequalities; mechanism; social class.

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References

    1. Bartley M., Sacker A., Firth D., Fitzpatrick R. Social position, social roles and women's health in England: Changing relationships 1984–1993. Social Science & Medicine. 1999;48 (1:99–115. - PubMed
    1. Blane D., Smith G.D., Bartley M. Social selection: What does it contribute to social class differences in health. Sociology of Health & Illness. 1993;15 (1:1–15.
    1. Borrell C., Muntaner C., Benach J., Artazcoz L. Social class and self-reported health status among men and women: What is the role of work organisation, household material standards and household labour. Social Science & Medicine. 2004;58 (10:1869–1887. - PubMed
    1. Borrell C., et al. Immigration and self-reported health status by social class and gender: The importance of material deprivation, work organisation and household labour. Journal of Epidemiology and Community Health. 2008;62 (5:e7–e7. - PubMed
    1. Bourdieu P. What makes a social class? On the theoretical and practical existence of groups. Berkeley Journal of Sociology. 1987;32 (1:1–17.

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