Display options
Share it on

Sociol Health Illn. 2021 Mar;43(3):779-795. doi: 10.1111/1467-9566.13265. Epub 2021 Mar 15.

Non-human matter, health disparities and a thousand tiny dis/advantages.

Sociology of health & illness

Nick J Fox, Katie Powell

Affiliations

  1. Department of Behavioural and Social Sciences, School of Health and Human Research, University of Huddersfield, Huddersfield, UK.
  2. Health Equity and Inclusion Research Group, School of Health and Related Research, University of Sheffield, Sheffield, UK.

PMID: 33720407 DOI: 10.1111/1467-9566.13265

Abstract

The materialist thread within health sociology has observed a clear gradient linking inequalities in health with measures of social class and poverty. More recently, Bourdieu's approach to social class complemented the 'economic capital' of Marxist analysis with 'symbolic' capitals such as 'social' and 'cultural'. However, efforts to assess how symbolic capital interacts with health disparities reveal complex or contradictory effects. In this paper, we re-materialise the study of health and social position via a new materialist focus on the interactions between humans and non-human matter (NHM). We analyse empirical data to disclose the range of human/NHM interactions in daily life, and how these affect people's health status. These interactions establish physical, psychological and social opportunities and constraints on what human bodies can do, contributing to relative advantages and disadvantages. We argue for a revised materialist understanding of sociomaterial position as constituted by a 'thousand tiny dis/advantages', and suggest that health and wellbeing are inextricably linked to dis/advantage.

© 2021 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for SHIL (SHIL).

References

  1. Bambra, C., Riordan, R., Ford, J. et al (2020). The COVID-19 pandemic and health inequalities. Journal of Epidemiology and Community Health, 74, 964-968. - PubMed
  2. Barad, K. (1996). Meeting the universe halfway: Realism and social constructivism without contradiction. In L. H. Nelson, & J. Nelson (Eds.), Feminism, science and the philosophy of science (pp. 161-194). Kluwer. - PubMed
  3. Bennett, J. (2005). The agency of assemblages and the North American blackout. Public Culture, 17(3), 445-465. - PubMed
  4. Bennett, J. (2010). Vibrant matter. Duke University Press. - PubMed
  5. Bourdieu, P. (1984). Distinction: A social critique of the judgement of taste. Harvard University Press. - PubMed
  6. Bourdieu, P. (1986). The forms of capital. In J. Richardson (Ed.), Handbook of theory and research for the sociology of education (pp. 46-58). Greenwood. - PubMed
  7. Braidotti, R. (2011). Nomadic theory. Columbia University Press. - PubMed
  8. Braidotti, R. (2013). The posthuman. Polity. - PubMed
  9. Buchanan, I. (1997). The problem of the body in Deleuze and Guattari, or, what can a body do? Body & Society, 3(3), 73-91. - PubMed
  10. Burke, S., & Pentony, S. (2011). Eliminating health inequalities: A matter of life and death. TASC. - PubMed
  11. Carpiano, R. M. (2007). Neighborhood social capital and adult health: An empirical test of a Bourdieu-based model. Health & Place, 13(3), 639-655. - PubMed
  12. Cheah, P. (2008). Nondialectical materialism. Diacritics, 38(1-2), 143-157. - PubMed
  13. Christensen, V. T., & Carpiano, R. M. (2014). Social class differences in BMI among Danish women: Applying Cockerham's health lifestyles approach and Bourdieu's theory of lifestyle. Social Science & Medicine, 112, 12-21. - PubMed
  14. Coburn, D. (2004). Beyond the income inequality hypothesis: class, neo-liberalism, and health inequalities. Social Science & Medicine, 58(1), 41-56. - PubMed
  15. Colebrook, C. (2008). On not becoming man: The materialist politics of unactualized potential. In S. Alaimo, & S. J. Hekman (Eds.), Material feminisms (pp. 52-84). Indiana University Press. - PubMed
  16. Coleman, R., & Ringrose, J. (2013). Introduction. In R. Coleman, & J. Ringrose (Eds.), (2013) Deleuze and research methodologies (pp. 1-22). Edinburgh University Press. - PubMed
  17. Coole, D. H., & Frost, S. (2010). Introducing the new materialisms. In D. H. Coole, & S. Frost (Eds.), New materialisms. Ontology, agency, and politics (pp. 1-43). Duke University Press. - PubMed
  18. DeLanda, M. (2006). A new philosophy of society. Continuum. - PubMed
  19. DeLanda, M. (2016). Assemblage theory. Edinburgh University Press. - PubMed
  20. Deleuze, G. (1988). Spinoza: Practical philosophy. City Lights. - PubMed
  21. Devellennes, C., & Dillet, B. (2018). Questioning new materialisms: an introduction. Theory, Culture & Society, 35, 7-8, 5-20. - PubMed
  22. Dolphijn, R., & van der Tuin, I. (2013). A thousand tiny intersections: Linguisticism, feminism, racism and Deleuzian becomings. In Saldanha, A. and Adams, J.M. (eds) Deleuze and Race. : Edinburgh University Press, pp. 129-143. - PubMed
  23. Dorling, D. (2013). What class are you? Statistics Views 11 April 2013. Retrieved from http://www.statisticsviews.com/details/feature/4582421/What-Class-Are-You.html. - PubMed
  24. Dorling, D. (2015). The mother of underlying causes - economic ranking and health inequality. Social Science & Medicine, 128, 327-330. - PubMed
  25. Doyal, L., & Pennell, C. (1979). The Political Economy of Health. Pluto Press. - PubMed
  26. Duff, C. (2014). Assemblages of health. Springer. - PubMed
  27. Fox, N. J. (2012). The body. Polity. - PubMed
  28. Fox, N. J., & Alldred, P. (2017). Sociology and the new materialism. Sage. - PubMed
  29. Fox, N. J., & Alldred, P. (2018). Social structures, power and resistance in monist sociology: (new) materialist insights. Journal of Sociology, 54(3), 315-330. - PubMed
  30. Fox, N. J., & Alldred, P. (2019). New materialism. In P. A. Atkinson, S. Delamont, A. Cernat, J. W. Sakshaug, & M. Williams (Eds.), SAGE Research Methods Foundations. Sage. https://doi.org/10.4135/9781526421036. - PubMed
  31. Grosz, E. (1993). A thousand tiny sexes: Feminism and rhizomatics. Topoi, 12(2), 167-179. - PubMed
  32. Hollway, W., & Jefferson, T. (2000). Doing Qualitative Research Differently: Free Association, Narrative and the Interview Method. Sage. - PubMed
  33. Khawaja, M., & Mowafi, M. (2006). Cultural capital and self-rated health in low income women: evidence from the urban health study, Beirut. Lebanon. Journal of Urban Health, 83(3), 444-458. - PubMed
  34. Marmot, M. (2005). Social determinants of health inequalities. The Lancet, 365(9464), 1099-1104. - PubMed
  35. Marmot, M., & Bell, R. (2012). Fair society, healthy lives. Public Health, 126(Supplement 1), S4-S10. - PubMed
  36. Navarro, V. (1976). Social class, political power and the state and their implications in medicine. Social Science & Medicine, 10(9-10), 437-457. - PubMed
  37. Navarro, V., & Shi, L. (2001). The political context of social inequalities and health. International Journal of Health Services, 31(1), 1-21. - PubMed
  38. Paton, K., McCall, V., & Mooney, G. (2017). Place revisited: class, stigma and urban restructuring in the case of Glasgow’s Commonwealth Games. The Sociological Review, 65(4), 578-594. - PubMed
  39. Pickett, K. E., & Wilkinson, R. G. (2015). Income inequality and health: a causal review. Social Science & Medicine, 128, 316-326. - PubMed
  40. Rosiek, J. L., Snyder, J., & Pratt, S. L. (2020). The new materialisms and indigenous theories of non-human agency: making the case for respectful anti-colonial engagement. Qualitative Inquiry, 26(3-4), 331-346. - PubMed
  41. Rotarou, E. S., & Sakellariou, D. (2017). Neoliberal reforms in health systems and the construction of long-lasting inequalities in health care: A case study from Chile. Health Policy, 121(5), 495-503. - PubMed
  42. Saldanha, A. (2006). Reontologising race: the machinic geography of phenotype. Environment and Planning D: Society and Space, 24(1), 9-24. - PubMed
  43. Savage, M., Devine, F., Cunningham, N. et al (2013). A new model of social class? Findings from the BBC’s Great British Class Survey experiment. Sociology, 47(2), 219-250. - PubMed
  44. Scambler, G. (2007). Social structure and the production, reproduction and durability of health inequalities. Social Theory & Health, 5(4), 297-315. - PubMed
  45. Scambler, G. (2012). Health inequalities. Sociology of Health & Illness, 34(1), 130-146. - PubMed
  46. Skeggs, B. (2015). Introduction: stratification or exploitation, domination, dispossession and devaluation? Sociological Review, 63(2), 205-222. - PubMed
  47. Standing, G. (2014). Understanding the precariat through labour and work. Development and Change, 45(5), 963-980. - PubMed
  48. Story, W. T. (2014). Social capital and the utilization of maternal and child health services in India: a multilevel analysis. Health & Place, 28, 73-84. - PubMed
  49. Szreter, S., & Woolcock, M. (2004). Health by association? Social capital, social theory, and the political economy of public health. International Journal of Epidemiology, 33(4), 650-667. - PubMed
  50. Toft, M. (2019). Mobility closure in the upper class: assessing time and forms of capital. British Journal of Sociology, 70(1), 109-137. - PubMed
  51. Villalonga-Olives, E., & Kawachi, I. (2017). The dark side of social capital: A systematic review of the negative health effects of social capital. Social Science & Medicine, 194, 105-127. - PubMed
  52. West, P. (1991). Rethinking the health selection explanation for health inequalities. Social Science & Medicine, 32(4), 373-384. - PubMed

MeSH terms

Publication Types

Grant support