Social Class Impact on Health: A Case Study Overview

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This scenario-based activity is designed for AQA A Level Sociology and focuses on the Health option, specifically the unequal distribution of health chances by social class. In the AQA specification, students are expected to study the unequal social distribution of health chances in the United Kingdom by social class, gender, ethnicity and region, so this task is directly linked to the core content for the Health topic in Paper 2: Topics in Sociology.

The activity uses a realistic case-study and follow-up multiple choice questions to help students apply key explanations such as the behavioural model, materialist model, psychosocial model, life-course model and artifact explanations. It also encourages students to bring in evidence from major reports and studies often used in AQA answers, including the Black Report, Acheson Report, Marmot Review, the Whitehall II Study, and official statistics from the Office for National Statistics, while also linking those explanations to wider sociological perspectives on inequality and health. AQA’s own teaching resources for the Health topic list contemporary sources on the unequal social distribution of health chances, including work by Hilary Graham, which fits well with this kind of application.

AQA A Level Sociology

Social Class and Health Chances: Scenario Activity + Follow-up MCQ

Read the case-study, sort the evidence into the strongest explanation, then complete the follow-up MCQ to test your understanding.

Scenario: Daniel is 45 and works nights in a warehouse on a temporary contract. He often skips meals or buys cheap fast food on shift. He smokes with workmates during breaks and says that healthy choices are difficult when money is tight and he is exhausted. He has little control over his shifts, worries constantly about bills, and lives in cold rented housing with damp. He grew up in a household where unemployment and debt were common, left school with few qualifications, and has moved through insecure jobs since his late teens. He rarely takes time off because losing pay would hit the family budget badly.

Your task: decide which explanation best fits each piece of evidence, then test yourself with a short follow-up MCQ.

Step 1: Sort the scenario evidence

Match score: 0 / 8

Explanations used in this activity

Social and cultural factors Behavioural model Materialist model Psychosocial model Life-course model Artifact explanations

Research and theory bank

Black Report, Acheson Report, Marmot Review: key reports on persistent class inequalities in health.
Whitehall II Study: useful for social gradient, status and control at work.
Office for National Statistics: useful for official data on life expectancy and healthy life expectancy by deprivation.
Navarro, Wilkinson and Pickett, Wilkinson and Marmot: useful for inequality, class power and psychosocial stress.
Graham, Shaw et al, Bartley and Blane: useful for poverty, place, employment and cumulative disadvantage.
Wider theory links: Parsons, Illich, Oliver, Blaxter, Shakespeare, Oakley, Giddens, McKeown, Goffman and the WHO can all be used to deepen evaluation.

Step 2: Follow-up MCQ

Check or reveal the scenario sorter first to unlock the follow-up MCQ.
Question 1 of 8
Quiz score: 0 / 8
Question 1

Behavioural: lifestyle patterns matter, but they are socially shaped rather than freely chosen.
Materialist: poverty, housing, work and environment often provide the strongest structural explanation.
Psychosocial: stress, status and low control help explain the social gradient in health.
Life-course: class inequalities in health often build up cumulatively over time.

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The Sociology Guy is a pseudonym originally used by Craig Gelling when he was working in an FE College to provide an outlet for his frustrations with how he was expected to teach and strict rules around intellectual property in his former employer. The Sociology Guy name came from his early years as a supply teacher, where students would often not know his name and ask for ‘the sociology guy’ when coming to the staff room. Initially set up in 2018 as an anonymous You Tube channel, Craig has since written, recorded and presented for many different organisations and education providers. His purpose is to try and make sociology both accessible and understandable for all students and support teachers to inspire the next generation of sociologists.

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