{"id":{"repo_id":"umkc","oai_identifier":"oai:mospace.umsystem.edu:10355/70889"},"canonical_url":"https://search.dev.ndltd.org/etd/umkc/oai:mospace.umsystem.edu:10355/70889","repository":{"repo_id":"umkc","name":"University of Missouri - Kansas City","base_url":"https://mospace.umsystem.edu/oai/request"},"display":{"title":"Adding Insult to Injury: How Neoliberal Ideology Convinces the Disadvantaged to Blame Themselves for Poor Health","abstract":"Health outcomes are strongly tied to social class. Childhood environment, level of education, income, and even neighborhood characteristics are strongly correlated with negative health outcomes such as obesity, diabetes, hypertension, stress, and others. Despite extensive research chronicling these structural factors, federal, state, and community initiatives to combat these issues target individuals as actors responsible for enacting change through their personal choices, ignoring the systemic barriers that many people face to make healthy decisions. Tying Bourdieu’s theory of class distinction, system justification, and neoliberal theory, I conducted and analyzed 11 qualitative, semi-structured interviews with Americans of varied class backgrounds. These were analyzed to understand whether individuals perceive health outcomes as the result of neoliberal choice or of structural conditions of socioeconomic positioning, which for the purposes of this study is measured primarily as a combination of income and education. The results suggest that individuals with lower income and education characterize obstacles to health as a result of their personal choices, reflecting a subscription to neoliberal ideology which mandates rational choice and personal responsibility. Individuals with lower socioeconomic status were also more likely to state positive attitudes of doctors and medical professionals despite negative experiences with them, reflecting the structural limitations of low capital. In contrast, those with higher income and education tend to characterize obstacles to health as a result of deficiencies in the health care system, class advantages, and the economic cost of a healthy lifestyle, as well as hold more negative views of doctors, reflecting the high capital that allows them mitigate poor medical care. This study did not find race, gender, or age to have a meaningful systemic effect on either individuals’ subscription to neoliberal ideology or their trust in doctors, but these variables may have effects that could be observed in a larger sample.","abstract_html":"Health outcomes are strongly tied to social class. Childhood environment, level of education, income, and even neighborhood characteristics are strongly correlated with negative health outcomes such as obesity, diabetes, hypertension, stress, and others. Despite extensive research chronicling these structural factors, federal, state, and community initiatives to combat these issues target individuals as actors responsible for enacting change through their personal choices, ignoring the systemic barriers that many people face to make healthy decisions. Tying Bourdieu’s theory of class distinction, system justification, and neoliberal theory, I conducted and analyzed 11 qualitative, semi-structured interviews with Americans of varied class backgrounds. These were analyzed to understand whether individuals perceive health outcomes as the result of neoliberal choice or of structural conditions of socioeconomic positioning, which for the purposes of this study is measured primarily as a combination of income and education. The results suggest that individuals with lower income and education characterize obstacles to health as a result of their personal choices, reflecting a subscription to neoliberal ideology which mandates rational choice and personal responsibility. Individuals with lower socioeconomic status were also more likely to state positive attitudes of doctors and medical professionals despite negative experiences with them, reflecting the structural limitations of low capital. In contrast, those with higher income and education tend to characterize obstacles to health as a result of deficiencies in the health care system, class advantages, and the economic cost of a healthy lifestyle, as well as hold more negative views of doctors, reflecting the high capital that allows them mitigate poor medical care. This study did not find race, gender, or age to have a meaningful systemic effect on either individuals’ subscription to neoliberal ideology or their trust in doctors, but these variables may have effects that could be observed in a larger sample.","abstract_has_math":false,"creators":["Robertson, Elise"],"institution":"University of Missouri--Kansas City","degree_name":"M.A. ( Master of Arts)","degree_level":"Masters","degree_discipline":"Sociology (UMKC)","degree_department":null,"school":null,"contributors":[],"advisors":["Smirnova, Michelle"],"committee_chairs":[],"committee_members":[],"year":2019,"date_issued":"2019","date_published":"2019","updated_at":"2026-07-24T05:16:32Z","subjects":[],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://hdl.handle.net/10355/70889","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Smirnova, Michelle"]},{"key":"dc:creator","label":"Author","values":["Robertson, Elise"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2020-01-02T20:01:18Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2020-01-02T20:01:18Z"]},{"key":"dc:date.issued","label":"Date","values":["2019"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Sociology (UMKC)"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Masters"]},{"key":"thesis:degree_name","label":"Degree Name","values":["M.A. ( Master of Arts)"]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["University of Missouri--Kansas City"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://hdl.handle.net/10355/70889"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Title from PDF of title page viewed January 9, 2020","Thesis advisor: Michelle Smirnova","Vita","Includes bibliographical references (page 59-71)","Thesis (M.A.)--Department of Sociology. University of Missouri--Kansas City, 2019"]},{"key":"dc:description.abstract","label":"Abstract","values":["Health outcomes are strongly tied to social class. Childhood environment, level of education, income, and even neighborhood characteristics are strongly correlated with negative health outcomes such as obesity, diabetes, hypertension, stress, and others. Despite extensive research chronicling these structural factors, federal, state, and community initiatives to combat these issues target individuals as actors responsible for enacting change through their personal choices, ignoring the systemic barriers that many people face to make healthy decisions. Tying Bourdieu’s theory of class distinction, system justification, and neoliberal theory, I conducted and analyzed 11 qualitative, semi-structured interviews with Americans of varied class backgrounds. These were analyzed to understand whether individuals perceive health outcomes as the result of neoliberal choice or of structural conditions of socioeconomic positioning, which for the purposes of this study is measured primarily as a combination of income and education. The results suggest that individuals with lower income and education characterize obstacles to health as a result of their personal choices, reflecting a subscription to neoliberal ideology which mandates rational choice and personal responsibility. Individuals with lower socioeconomic status were also more likely to state positive attitudes of doctors and medical professionals despite negative experiences with them, reflecting the structural limitations of low capital. In contrast, those with higher income and education tend to characterize obstacles to health as a result of deficiencies in the health care system, class advantages, and the economic cost of a healthy lifestyle, as well as hold more negative views of doctors, reflecting the high capital that allows them mitigate poor medical care. This study did not find race, gender, or age to have a meaningful systemic effect on either individuals’ subscription to neoliberal ideology or their trust in doctors, but these variables may have effects that could be observed in a larger sample."]},{"key":"dc:title","label":"Title","values":["Adding Insult to Injury: How Neoliberal Ideology Convinces the Disadvantaged to Blame Themselves for Poor Health"]}]}],"canonical_facts":{"dc:contributor.advisor":["Smirnova, Michelle"],"dc:creator":["Robertson, Elise"],"dc:date.accessioned":["2020-01-02T20:01:18Z"],"dc:date.available":["2020-01-02T20:01:18Z"],"dc:date.issued":["2019"],"dc:description":["Title from PDF of title page viewed January 9, 2020","Thesis advisor: Michelle Smirnova","Vita","Includes bibliographical references (page 59-71)","Thesis (M.A.)--Department of Sociology. University of Missouri--Kansas City, 2019"],"dc:description.abstract":["Health outcomes are strongly tied to social class. Childhood environment, level of education, income, and even neighborhood characteristics are strongly correlated with negative health outcomes such as obesity, diabetes, hypertension, stress, and others. Despite extensive research chronicling these structural factors, federal, state, and community initiatives to combat these issues target individuals as actors responsible for enacting change through their personal choices, ignoring the systemic barriers that many people face to make healthy decisions. Tying Bourdieu’s theory of class distinction, system justification, and neoliberal theory, I conducted and analyzed 11 qualitative, semi-structured interviews with Americans of varied class backgrounds. These were analyzed to understand whether individuals perceive health outcomes as the result of neoliberal choice or of structural conditions of socioeconomic positioning, which for the purposes of this study is measured primarily as a combination of income and education. The results suggest that individuals with lower income and education characterize obstacles to health as a result of their personal choices, reflecting a subscription to neoliberal ideology which mandates rational choice and personal responsibility. Individuals with lower socioeconomic status were also more likely to state positive attitudes of doctors and medical professionals despite negative experiences with them, reflecting the structural limitations of low capital. In contrast, those with higher income and education tend to characterize obstacles to health as a result of deficiencies in the health care system, class advantages, and the economic cost of a healthy lifestyle, as well as hold more negative views of doctors, reflecting the high capital that allows them mitigate poor medical care. This study did not find race, gender, or age to have a meaningful systemic effect on either individuals’ subscription to neoliberal ideology or their trust in doctors, but these variables may have effects that could be observed in a larger sample."],"dc:identifier.uri":["https://hdl.handle.net/10355/70889"],"dc:title":["Adding Insult to Injury: How Neoliberal Ideology Convinces the Disadvantaged to Blame Themselves for Poor Health"],"thesis:degree_discipline":["Sociology (UMKC)"],"thesis:degree_level":["Masters"],"thesis:degree_name":["M.A. ( Master of Arts)"],"thesis:institution_name":["University of Missouri--Kansas City"]},"updated_at":"2026-07-24T05:16:32Z"}