Illness is More Than Just Biological – Medical Sociology Shows How Social Factors Get Under the Skin and Cause Disease
Illness is More Than Just Biological – Medical Sociology Shows How Social Factors Get Under the Skin and Cause Disease
Health and medicine is more than just biological – societal forces can . Medical sociologists by treating society itself as our laboratory. Health and illness are our experiments in uncovering meaning, power and inequality, and how it affects all parts of a person’s life.
For example, why do low-income communities , despite improved social and environmental conditions across society? Foundational research in medical sociology reveals that like money, knowledge, power and social networks strongly affects a person’s health. Medical sociologists have shown that , including risk factors that influence health and longevity. These include , and , , , and .
Moreover, social class alone cannot explain such health inequalities. examines how inequalities related to social class, race and gender affect , particularly among single Black mothers who rely on public insurance. This work helps explain among Black children, who often wait three years after initial parent concerns before they are formally diagnosed. White children with private insurance typically depending on age of diagnosis. This is just one of that are entrenched in and deepened by medical and educational systems.
Medical sociologists like me investigate how all of these . This sees sickness as shaped by social, cultural, political and economic factors. We examine both to help address the health issues affecting vulnerable populations through large-scale reforms.
By studying the way , medical sociology helps address how health and illness extend beyond the body and into every aspect of people’s lives.
Access to health insurance is a political issue that directly affects patients. Here, care workers gathered in June 2025 to protest Medicaid cuts.Origins of Medical Sociology in the US
Medical sociology , when the National Institutes of Health started investing in joint medical and sociological research projects. Hospitals began hiring sociologists to address questions like how to improve patient compliance, doctor-patient interactions and medical treatments.
However, the focus of this early work was on issues specific to medicine, such as quality improvement or barriers to medication adherence. The goal was to study problems that could be directly applied in medical settings rather than challenging medical authority or existing inequalities. During that period, sociologists viewed illness mostly as a leading to impairments that require treatment.
For example, the concept of the – developed by medical sociologist Talcott Parsons in the 1950s – saw illness as a form of deviance from social roles and expectations. Under this idea, patients were solely responsible for seeking out medical care in order to return to normal functioning in society.
In the 1960s, sociologists began . Researchers criticized the idea of the sick role because it assumed illnesses were temporary and did not account for chronic conditions or disability, which can last for long periods of time and do not necessarily allow people to deviate from their life obligations. The sick role assumed that all people have access to medical care, and it did not take into account how social characteristics like race, class, gender and age can .
Early models of illness in medical sociology discounted the experience of the patient.Parsons’ sick role concept also emphasized the expertise of the physician rather than the patient’s experience of illness. For example, sociologist Erving Goffman showed that the way . He also examined how the is an interactive process that develops in response to social norms. This work influenced how researchers understood chronic illness and disability and laid the groundwork for .
In the 1970s, some researchers began to question the model of . They critiqued how medicine’s jurisdiction expanded over many societal problems – such as old age and death – which were defined and treated as medical problems. and apply labels like “healthy” and “ill” to increasing parts of human existence. This shift emphasized how a medical diagnosis can carry political weight and how medical authority can affect social inclusion or exclusion.
The critical perspective aligns with critiques from . Unlike medical sociology, which emerged through the medical model of disease, disability studies emerged from . Rather than viewing disability as pathological, this field sees disability as a variation of the human condition rooted in social barriers and exclusionary environments. Instead of seeking cures, researchers focus on increasing accessibility, human rights and autonomy for disabled people.
A contemporary figure in this field was , a disability rights activist and medical sociologist who . Her work amplified disabled voices and helped shaped how the public understood disability justice and access to technology.
Structural Forces Shape Health and Illness
By focusing on social and structural influences on health, to programs addressing issues like segregation, discrimination, poverty, unemployment and underfunded schools.
For example, sociological research on racial health disparities invite that can help improve overall quality of life by increasing the or initiatives that . At the societal level, such as guaranteed minimum incomes or universal health care can dramatically reduce health inequalities.
Access to nutritious food is critical to health.Medical sociology has also expanded the understanding of , helping ensure that policy changes take into account the broader social context. For example, a key area of medical sociological research is the . This body of work focuses on the complex social and organizational factors of delivering health services. It highlights the need for more state and federal regulatory control as well as investment in groups and communities that need care the most.
Modern medical sociology ultimately considers all societal issues to be health issues. Improving people’s health and well-being requires improving education, employment, housing, transportation and other social, economic and political policies.
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, Associate Professor of Sociology,
Media Contact:
Shelley Wunder-Smith
shelley.wunder-smith@research.gatech.edu