Living with Health Inequalities: Upstream–Downstream Connections

By: Anne Rogers and David Pilgrim

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Synopsis: This book explores how people encounter, understand, live with and respond to health risks associated with social, economic and political inequality. Complementing a traditional public health approach, the book moves beyond a focus on categories of morbidity and their structural causes. Instead, it focuses on everyday understandings and actions for people living in unequal social conditions. Making use of a variety of case studies related to physical and mental health, the authors emphasise interpersonal relationships, biographical meanings and the daily tactics of ‘getting by’. These are recurrently linked to the social-structural aspects of particular times and places. The book: Draws upon, applies and extends the biopsychosocial approach, which is well known to students of public health. Respects and gives due weight to the experience in context of people who live with health inequalities, in domestic and local settings. Explores notions of personal agency and the contingencies of everyday life, in order to offer a focused psycho-social compliment to a public health tradition dominated by top-down reasoning. This is an important read for all those seeking to understand the complexities of health inequalities holistically in their studies, research and practice. The book brings together thinking in the fields of public health, sociology, mental health and social policy.