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It is claimed there are discrepancies in health outcomes in western societies between the “working class” and other social classes in Western society. Health is determined not only through biological factors but the interaction of lifestyle choices and distribution of services; it is argued that the class system is a determinant of these. A class society is the theory of people grouped into hierarchical social categories, working and lower class, middle class & upper class. A person’s class is determined by a person’s level of education, level of skill, employment and social belonging and is often indicated by job (Oesch, 2006). Working class are defined by those who are employed on the basis of manual labour (oxforddictionaries.com) with indicators of a low standard of education and low economic status backgrounds and are indicators of higher morbidity and mortality rates are exhibited in those of lower indicators associated with the working class (Matthews, 2007). As shown by Whitehall Study (Marmot et al, 1978), an investigation into the social determinants of health of class and morbidity began in a longitudinal study of 17,530 civil servants over 10 years, comparing employment grade with Coronary Heart Disease (CHD) mortality. The men partaking in the study were asked to complete a questionnaire as to grade their level of employment, from low to high. Those in low grade employment who partook in manual work i.e messengers were of working class Analysis of data and death records over the subsequent years exhibited a negative correlation between employment grade and CHD mortality, with those in a lower grade experiencing rates of 3.6 times higher mortality rate than higher grades of employment. The study only showed a correlati... ... middle of paper ... ...e into blue collar jobs. In being trapped in a class cycle through poor education, they are also destined to a life of poor health being unable to make key decisions towards risk behaviour and preventative health measures.. Being of working class is a socioeconomic indicator of household income of $16,000-$40,000 (Thompson & Hickey, 2005) due to nature of working class employment being manual labour or low skill service work (Stevens, 2014). Evidence shows that people belonging to lower socioeconomic status groups have greater disadvantages when it comes to health outcomes compared to those of a higher socioeconomic status (Govil et al, 2009). There are a conglomerate of factors which effect health outcomes of people, many of these are either denied or are of lower quality to those who are of lesser economic status and as Schrader (2003) has shown through his study

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