Health inequalities have long been deeply engrained in society. If we are to address these inequalities, we need to reflect on what has driven them, and critically review the approaches that do and do not work. This Monograph brings together leading experts and up-and-coming researchers, in a collection of state-of-the-art articles, discussing the drivers and consequences of respiratory inequality.

The world we live in is hugely unequal. People in a better socioeconomic position do not only lead more comfortable lives, but also longer and healthier lives. This is true not only in the poorer parts of the world but also in the richest countries, including the advanced welfare states of Western Europe which have successfully pushed back poverty and other forms of material disadvantage. Why are health inequalities - systematically higher rates of disease, disability, and premature death among people with a lower level of education, occupation or income - so persistent? How can we expect to reduce this when it persists even in the most advanced states? Written by a leading figure in public health, this book looks to answer these questions by taking a broad, critical look at the scientific evidence surrounding the explanation of health inequalities, including recent findings from the fields of epidemiology, sociology, psychology, economics, and genetics. It concludes that a simplistic view, in which health inequalities are a direct consequence of social inequality, does not tell us the full story. Drawing upon a unique series of studies covering 30 European countries and more than three decades of observations, it shows that health inequalities are partly driven by autonomous forces that are difficult to counteract, such as educational expansion, increased social mobility, and rapid but differential health improvements. Finally, the book explores how we might use these new findings to continue our efforts to build a healthier and more equal future. Offering a truly multidisciplinary perspective and an accessible writing style, Health Inequalities is an indispensable resource for health researchers, professionals, and policy-makers, as well as for social scientists interested in inequality.

"Thoroughly updated and revised, this new edition of Understanding Health Inequalities, edited by Hilary Graham, remains a welcome and timely contribution. Replete with thoughtful essays on health inequities analyzed in relation to societal structure, social position and geography ... the volume provides important insights into how class, racial/ethnic, gender, and spatial health inequities are produced - and how they can be rectified. The world economic crisis launched by the implosion of unregulated financial markets in the fall of 2008 only serves to underscore the volume's central conclusion: that government regulation and intervention, premised on a commitment to equity, is essential for tackling health inequalities. Health professionals, students, and any and all working for healthy and sustainable ways of living will benefit from this collection." Nancy Krieger, Harvard School of Public Health, USA Understanding Health Inequalities second edition provides an accessible and engaging exploration of why the opportunity to live a long and healthy life remains profoundly unequal. Hilary Graham and her contributors outline the enduring link between people’s socioeconomic circumstances and their health and tackle questions at the forefront of research and policy on health inequalities. These include: How health is influenced by circumstances across people's lives and by the areas in which they live How health is simultaneously shaped by inequalities of gender, ethnicity and socioeconomic position How policies can impact on health inequalities All the chapters have been specially written for the new edition by internationally-recognised researchers in social and health inequalities. The book provides an authoritative guide to these fields as well as presenting new research. Contributors Karl Atkin, Mel Bartley, G. David Batty, David Blane, Bo Burström, Danny Dorling, Anne Ellaway, Hilary Graham, Barbara Hanratty, Kate Hunt, Saffron Karlsen, Catherine Law, Sally Macintyre, James Nazroo, Naomi Rudoe, Bethan Thomas, Rachel Thomson, Margaret Whitehead

By relating theoretical arguments to specific landscapes Sarah Curtis develops the basis for a geographical analysis of health problems and proposes a range of strategies for reducing disadvantage and societal inequalities.

Including comprehensive coverage of health disparities commonly encountered in pediatric and adult pulmonary, critical care, and sleep medicine, Achieving Respiratory Health Equality in the United States provides a definitive reference on this prominent issue. Expert authors explore questions such as: * What is the evidence that respiratory health disparities exist? * What do we know about the causes of the disparities? * What are the clinical implications? * What can be done to address the particular disparities and thus achieve health equality? Recognizing the magnitude of this problem, the American Thoracic Society (ATS) Executive Committee created a Health Equality Sub-Committee, with an initial mandate of defining respiratory health disparities and respiratory health equality in the United States. This book will follow the format of a workshop on respiratory health equality held before the 2015 ATS International Meeting and led by editor Juan Carlos Celedón. Written by the workshop presenters, this book focuses closely on major risk factors for health, specific respiratory diseases for which health disparities are known to occur, and potential approaches to eliminate such disparities. Achieving Respiratory Health Equality in the United States is a timely resource for researchers, clinicians, and public health practitioners in respiratory medicine.

This book discusses health disparities in respiratory medicine and suggests methods to reduce them. In the United States, health disparities are well documented in the care of patients with respiratory disorders, particularly among minorities who often have higher rates of disease and poorer health outcomes. Similarly, differences in health and health outcomes exist between differing socioeconomic groups, with lower income groups generally having poorer health and higher rates of chronic illness. Health Disparities in Respiratory Medicine investigates these differing outcomes through the complex connections between access and quality of treatment available to these groups. Chapters are organized around either causes, diseases, or types of care, including tobacco smoke exposure, environmental air quality, acute respiratory distress syndrome, chronic obstructive pulmonary disease, and end-of-life care. This volume is an ideal resource for pulmonologists, health care administrators, and policy makers who aim to understand disparities in respiratory medicine and take steps to improve the differences among groups.

Respiratory care is undergoing a period of major change as it cautiously begins to embrace digital transformation. Catalysed by the need for remote consultation in the pandemic, time-honoured approaches to delivering care are now being challenged by technology-based initiatives. This Monograph deftly guides the reader through the potential benefits and pitfalls of such change, breaking the discussion down into three areas: technological opportunities and regulatory challenges ; social benefits, challenges and implications; exemplars of digital healthcare. Each chapter reviews contemporary literature and considers not ‘if’ but ‘how’ a digital respiratory future can provide optimal care. The result is an authoritative, balanced guide to developing digital respiratory health.

At a time when social inequalities are increasing at an alarming rate, this new edition of Mel Bartleys popular book is a vital resource for understanding the extent of health inequalities and why they are proving to be persistent despite decades of growing knowledge and policies on the issue. As in the first edition, by examining influences of social class, income, culture and wealth as well as gender, ethnicity and other factors in identity, this accessible book provides a key to understanding the major theories and explanations of what lies behind inequality in health. Bartley re-situates the classic behavioural, psycho-social, and material approaches within a life-course perspective. Evaluating the evidence of health outcomes over time and at local and national levels, Bartley argues that individual social integration demands closer attention if health inequality is to be tackled effectively, revealing the important part that identity plays in relation to the chances of a long and healthy life. Health Inequality will be essential reading for students taking courses in the sociology of health and illness, social policy and welfare, health sciences, public health and epidemiology and all those interested in understanding the consequences of social inequality for health.

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.

The last 10 years have seen a resurgence in interest and research around inequalities in the health sector. While a disproportionate share of the new research has focused on measuring inequality in the health sector, work is emerging on how to understand the causes of inequality and on identifying successful approaches for tackling the problem. This book summarizes the operational lessons emerging from this new focus. It is intended to be an operational resource for change agents within and outside government in low and middle countries committed to improve access and use of critical health services to income poor and social vulnerable populations.