Illness is more than just biological – medical sociology shows how social factors get under the skin and cause disease

Social factors in health & Disease by Dr. Mumux | PPTX

Health and medicine is more than just biological – societal forces can get under your skin and cause illness. Medical sociologists like me study these forces 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 continue to have higher death rates, despite improved social and environmental conditions across society? Foundational research in medical sociology reveals that access to resources like money, knowledge, power and social networks strongly affects a person’s health. Medical sociologists have shown that social class is linked to numerous diseases and mortality, including risk factors that influence health and longevity. These include smoking, overweight and obesity, stress, social isolation, access to health care and living in disadvantaged neighborhoods.

Moreover, social class alone cannot explain such health inequalities. My own research examines how inequalities related to social class, race and gender affect access to autism services, particularly among single Black mothers who rely on public insurance. This work helps explain delays in autism diagnosis among Black children, who often wait three years after initial parent concerns before they are formally diagnosed. White children with private insurance typically wait from 9 to 22 months depending on age of diagnosis. This is just one of numerous examples of inequalities that are entrenched in and deepened by medical and educational systems.

Medical sociologists like me investigate how all of these factors interact to affect a person’s health. This social model of illness sees sickness as shaped by social, cultural, political and economic factors. We examine both individual experiences and societal influences to help address the health issues affecting vulnerable populations through large-scale reforms.

By studying the way social forces shape health inequalities, medical sociology helps address how health and illness extend beyond the body and into every aspect of people’s lives.

Protesters standing in front of a federal building, holding signs in the shape of graves reading '16 MILLION LIVES' and 'R.I.P. DEATH BY A THOUSAND CUTS,' wearing shirts that read 'MEDICAID SAVES LIVES'

Access to health insurance is a political issue that directly affects patients. Here, care workers gathered in June 2025 to protest Medicaid cuts.
Tasos Katopodis/Getty Images for SEIU

Origins of medical sociology in the US

Medical sociology formally began in the U.S after World War II, 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…

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