Two decades of Neo-Marxist class analysis and health inequalities: A critical reconstruction

Social Theory & Health : STH
Carles MuntanerSeth J Prins

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 vie...Continue Reading

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Citations

Jun 27, 2017·International Journal of Health Services : Planning, Administration, Evaluation·C MuntanerP O'Campo
Feb 6, 2018·International Journal of Public Health·Núria Obradors-RialCarles Muntaner
Mar 7, 2019·International Journal of Health Services : Planning, Administration, Evaluation·Wei Zhang, Qingjun Wu
May 9, 2019·American Journal of Public Health·Gerry McCartneyRobert McMaster
Nov 9, 2019·International Journal of Health Services : Planning, Administration, Evaluation·Jerzy Eisenberg-Guyot, Seth J Prins
Feb 23, 2020·Journal of Epidemiology and Community Health·Jerzy Eisenberg-Guyot, Anjum Hajat
Dec 15, 2018·Community Dentistry and Oral Epidemiology·Herry NovrindaJae-In Ryu
Feb 26, 2019·International Journal of Health Services : Planning, Administration, Evaluation·Carles Muntaner, Virginia Gunn
Dec 9, 2020·Social Science & Medicine·Matthew B Flynn
May 1, 2021·International Journal of Environmental Research and Public Health·Hani Kim, Uros Novakovic
May 6, 2021·International Journal of Health Services : Planning, Administration, Evaluation·Deb F MahabirCarles Muntaner
Nov 20, 2021·American Journal of Industrial Medicine·Jerzy Eisenberg-GuyotCarles Muntaner
Dec 1, 2021·Journal of Health and Social Behavior·Megan M Reynolds

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