Chapter 5 – Conceptions of health, disease and illness

This chapter we explore what people mean by health, the difference between disease an illness and the role of attributions and blame for being ill. We will explore how social determinants of health can have negative impacts for various groups in terms of access to healthcare and health outcomes. Western and Indigenous perspectives on health and illness will be explored, along with the need for cultural humility. The chapter will finish with examples of ways in which to measure health.

  • Chapter 5 – Key Readings

    These readings have been chosen by the author to support and enhance the chapter material.

    Bircher J. (2005). Towards a dynamic definition of health and disease. Medicine, Health Care, and Philosophy, 8(3), 335–341. https://doi.org/10.1007/s11019-005-0538-y

    Evandrou, M., Falkingham, J., Feng, Z., & Vlachantoni, A. (2016). Ethnic inequalities in limiting health and self-reported health in later life revisited. Journal of Epidemiology and Community Health, 70(7), 653–662. https://doi.org/10.1136/jech-2015-206074

    Krahn, G. L., Walker, D. K., & Correa-De-Araujo, R. (2015). Persons with disabilities as an unrecognized health disparity population. American Journal of Public Health,105(2), S198–S206. https://doi.org/10.2105/AJPH.2014.302182  

    Sabater Minarim, D., Morgan, K. M., Buckley, K., Riviere, P., Ochoa, C., Deshler, L. N., Duran, E. A., Mehtsun, W. T., Rose, B. S., & Banegas, M. P. (2025). Racial and ethnic disparities in perceived healthcare discrimination and health outcomes. Journal of General Internal Medicine, 10.1007/s11606-025-09627-y. Advance online publication. https://doi.org/10.1007/s11606-025-09627-y

  • Chapter 5 – Video Resources

    Watch these videos to see the concepts from this chapter brought to life through real-world examples and expert insights.

    Medical deception: Understanding Munchausen’s syndrome / factitious disorder Website:

    https://www.youtube.com/watch?v=vrF-F_ZeRy8

  • Chapter 5 – Reflective Questions

    These questions are designed to prompt deeper thinking about the ideas and themes presented in this chapter.

    1. Why might focusing only on physical symptoms not be enough to fully understand someone’s illness?
    2. How do social determinants of health impact on disease?
    3. How do Western and Indigenous conceptions of health and disease differ
  • Chapter 5 – Flashcards

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Chapter 5 – Quiz