When health is wealth: occupationally differentiated patterns of health capital in post-industrial Europe

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This paper explores the general relationship between peoples’ health-related practices and their affiliation with different fields in the occupational structure. It argues that ‘healthy behaviour’ may be particularly induced in the field of service occupations (jobs where one is providing a service, rather than producing a physical product), rendering such practices an emerging capital in the sense advanced by Bourdieu. The paper presents an empirical elaboration of this theoretical argument by assessing comparative European data on health behavioural dispositions. Across occupational class levels, defined according to Esping-Andersen’s post-industrial class scheme, service workers display dispositions suggesting greater possessions of health capital than their counterparts in the industrial hierarchy. In a multilevel analysis, considering societal context, the paper furthermore associates such endowments with post-industrial development. Elaborating on the general relationships identified, we suggest the rising importance of individual health investments to be considered as potentially instigating and reinforcing symbolic boundaries (social closure).

Original languageEnglish
JournalSocial Theory and Health
Volume21
Pages (from-to)388–408
Number of pages21
ISSN1477-8211
DOIs
Publication statusPublished - 2023

Bibliographical note

Funding Information:
We are grateful to Professor Håkon Leiulfsrud, Norwegian University of Science and Technology for sharing the syntax for recoding ISCO 88 data into the post-industrial class scheme. We thank statistician Dr. Yuhua Su for setting up the polychoric correlation matrix and doing the EFA used to test the health capital index. We thank Kirsti Valset for advice on preparing the multi-level analysis, and Professor Thorgeir Kolshus for constructive comments on the final draft. Clare Bambra is funded by a grant awarded by the Norwegian Research Council (CHAIN: Centre for Global Health Inequalities Research, project number 288638).

Publisher Copyright:
© 2022, The Author(s).

    Research areas

  • Bourdieu, Health capital, Occupational fields, Post-industrial society, Social closure, Social inequalities in health

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