VISTAS Online is an innovative publication produced for ACA by Dr. Garry R. Walz and Dr. Jeanne C. Bleuer of Counseling Outfitters, LLC. Its purpose is to provide a means of capturing the ideas, information and experiences generated by the annual ACA Conference and selected ACA Division Conferences. Papers on a program or practice that has been validated through research or experience may also be submitted. This digital collection of peer-reviewed articles is authored by counselors, for counselors. VISTAS Online contains the full text of over 900 proprietary counseling articles published from 2004 to 2017.
Health Inequality: What Counselors Need to Know to Act
David E. Jones and Mei Tang
The United States is known as the land of opportunity. Many have immigrated to
the United States hoping to find a better future. Among the developed countries,
the United States is ranked 29th for inequality (Bezruchka, 2012). Furthermore,
the gap has widened over the past decade (Blank, 2011). An individual’s social
position can reveal much about their health trajectory. This social position is
associated with an individual’s context—place matters (Subramanian, Jones, &
Duncan, 2003). This paper examines the consequences of inequality that bring
about persistent poor health outcomes using ecological counseling theory, Pierre
Bourdieu’s theory, social determinants of health frameworks, and avenues for
ameliorating the impact of health inequalities.
Keywords: inequality, context, social determinants of health, mental health