caa a22 4500 397524692 CHVBK 20180308164641.0 cr unu---uuuuu 161202e199512 xx s 000 0 eng 10.1093/oxfordjournals.esr.a036361 doi (NATIONALLICENCE)oxford-10.1093/oxfordjournals.esr.a036361 Explaining Health Inequalities: Beyond Black and Barker [Elektronische Daten] A Discussion of some Issues Emerging in the Decade Following the Black Report [DENNY VÅGERÖ, RAYMOND ILLSLEY] Why does social class continue to exercise so important an influence on health? We examine the explanatory framework provided by the Black Report on ‘Inequalities in Health'. We also examine a new medical theory, praised as representing a paradigmatic shift in medicine, developed by the British epidemiologist David Barker. The answers given by Black and Barker to the above question are related. And both are riddled with problems. The typology of four explanations introduced by Black reveals a number of unspoken sociological assumptions. The typology is sometimes obscuring, sometimes not helpful. The favoured explanation is also ambiguous, particularly since there is no clear idea about how poverty is translated into disease in modern society. Barker's theory that disease results from poverty-driven ‘biological programming' in foetus, or in infancy, moves the focus of explanation back to the social conditions that existed when the generations now living were born. The link between childhood conditions and adult health, however, need not be biological in character. We suggest an alternative interpretation based on studying health inequalities across the life cycle and in their historical context. Co-evolution of health and social achievement could provide an explanation beyond those of Black and Barker. © Oxford University Press Articles nationallicence VÅGERÖ DENNY Swedish Institute for Social Research, Stockholm University S-191, Stockholm, Sweden aut ILLSLEY RAYMOND School of Social Sciences University of Bath, Claverton Down, Bath aut European Sociological Review Oxford University Press 11/3(1995-12), 219-241 0266-7215 11:3<219 1995 11 eursoj https://doi.org/10.1093/oxfordjournals.esr.a036361 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/oxfordjournals.esr.a036361 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- VÅGERÖ DENNY Swedish Institute for Social Research, Stockholm University S-191, Stockholm, Sweden aut NATIONALLICENCE 700 1- ILLSLEY RAYMOND School of Social Sciences University of Bath, Claverton Down, Bath aut NATIONALLICENCE 773 0- European Sociological Review Oxford University Press 11/3(1995-12), 219-241 0266-7215 11:3<219 1995 11 eursoj Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford