Introduction
Human health and disease are not determined only by biological factors but are deeply influenced by social structure, culture, and environment. Sociology helps us understand how society functions, how groups interact, and how social systems influence behavior, health, and well-being. In public health and community medicine, understanding social structure is essential for effective planning and implementation of health programs.
This blog discusses:
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Scope and significance of sociology
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Social structure
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Concept of society and community
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Association and institution
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Influence of class, caste, and race
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Social welfare programs
Scope and Significance of Sociology
Scope of Sociology
The scope of sociology is broad and covers various aspects of social life.
1. Study of Social Relationships
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Interaction between individuals and groups
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Family, peer groups, workplace relationships
2. Study of Social Institutions
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Family
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Education
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Religion
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Economy
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Government
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Healthcare system
3. Study of Social Groups
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Primary groups (family, close friends)
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Secondary groups (organizations, associations)
4. Study of Social Stratification
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Class
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Caste
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Race
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Gender inequality
5. Study of Culture
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Beliefs
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Customs
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Traditions
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Social norms and values
6. Study of Social Change
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Urbanization
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Industrialization
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Globalization
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Technological advancement
7. Study of Social Problems
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Poverty
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Unemployment
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Crime
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Illiteracy
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Health inequalities
8. Medical and Health Sociology
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Doctor–patient relationship
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Health-seeking behavior
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Impact of society on disease patterns
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Public health systems
Significance of Sociology
Sociology plays an important role in understanding and solving social and health-related issues.
1. Understanding Human Behavior – Helps explain why individuals behave differently in various social settings.
2. Promoting Social Awareness – Creates awareness about social inequalities and injustice.
3. Improving Healthcare Delivery – Helps healthcare professionals understand cultural beliefs and community practices.
4. Addressing Health Inequalities – Identifies how poverty, caste, class, and race affect health outcomes.
5. Assisting in Policy Formation – Provides data and insights for developing social and health policies.
6. Encouraging Social Development – Supports programs aimed at education, employment, and welfare.
7. Strengthening Community Participation – Promotes community involvement in development and public health programs.
Social Structure
Social structure refers to the organized pattern of social relationships, institutions, and social arrangements that together form society. It provides a framework within which individuals interact and perform their roles.
In simple terms, social structure is the “framework of society.”
Elements of Social Structure
1. Status
Status is the position an individual occupies in society.
Types:
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Ascribed status – Given by birth (e.g., gender, caste)
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Achieved status – Earned by effort (e.g., doctor, teacher)
2. Role
Role is the expected behavior associated with a particular status.
Example:
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A doctor is expected to treat patients ethically.
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A student is expected to attend classes and study.
3. Norms
Norms are rules or standards of behavior that guide individuals in society.
Examples:
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Respecting elders
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Following laws
4. Values
Values are beliefs about what is good, desirable, and important in society.
Examples:
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Honesty
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Equality
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Justice
5. Institutions
Institutions are organized systems that fulfill essential needs of society.
Major institutions include:
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Family
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Education
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Religion
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Economy
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Government
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Healthcare
Importance of Social Structure
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Maintains order and stability
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Regulates behavior
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Defines social expectations
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Influences opportunities and life chances
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Affects health, education, and employment
Social structure directly influences social inequality and access to resources.
Concept of Society
Society is a large group of people living together in an organized way, sharing common territory, culture, and social relationships.
It is a network of social relationships rather than just a collection of individuals.
Characteristics of Society
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Definite territory
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Common culture
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Social interaction
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Organized relationships
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Cooperation and interdependence
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Continuity over time
Society is broader and more complex than community.
Functions of Society
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Socialization of individuals
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Regulation of behavior
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Protection and security
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Economic production and distribution
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Cultural preservation
Society provides the environment in which human personality develops.
Concept of Community
Community is a group of people living in a specific geographical area who share common interests, interact with each other, and develop a sense of belonging.
Community is more localized than society.
Characteristics of Community
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Definite locality
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Common way of life
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Social interaction
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Sense of belonging (we-feeling)
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Shared customs and traditions
Types of Community
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Rural Community – Agriculture-based, close social ties
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Urban Community – Industrial-based, diverse population
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Tribal Community – Traditional and culturally distinct
Importance of Community in Health
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Basis of public health planning
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Influences health behavior
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Determines disease patterns
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Encourages community participation
Community health programs depend on understanding local culture and social structure.
Association
An association is a group of people deliberately organized for a specific purpose.
It is formed consciously to achieve common goals.
Characteristics
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Voluntary or organized membership
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Specific objectives
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Formal structure
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Rules and regulations
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Temporary or permanent nature
Examples
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Professional bodies (medical associations)
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Youth clubs
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Women’s self-help groups
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Trade unions
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Non-governmental organizations (NGOs)
Importance
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Promotes social cooperation
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Supports development activities
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Encourages community participation
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Helps in implementing welfare programs
Associations play a vital role in social development and public health initiatives.
Institution
An institution is an established system of norms, values, and procedures designed to fulfill important social needs.
Unlike associations, institutions are more permanent and fundamental to society.
Major Social Institutions
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Family – Socialization and emotional support
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Education – Knowledge and skill development
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Religion – Moral and spiritual guidance
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Economy – Production and distribution of goods
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Government – Law and order
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Healthcare system – Disease prevention and treatment
Characteristics
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Organized structure
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Stable and long-lasting
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Guided by norms and values
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Fulfill basic needs of society
Institutions maintain social order and stability.
Influence of Class, Caste, and Race System
Social stratification divides society into hierarchical layers based on power, wealth, or status. It significantly influences access to education, employment, and healthcare.
A. Social Class
Social class refers to division of society based on economic status, occupation, and education.
Categories
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Upper class
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Middle class
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Lower class
Influence
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Determines living standards
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Affects nutrition and housing
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Influences access to healthcare
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Impacts educational opportunities
Lower socioeconomic status is often associated with higher disease burden and poor health outcomes.
B. Caste System
Caste is a hereditary system of social stratification based on birth.
Characteristics
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Birth-based membership
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Endogamy (marriage within caste)
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Social hierarchy
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Occupational restrictions
Influence
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Limits social mobility
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Causes social discrimination
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Affects access to resources
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Contributes to health inequalities
Caste has historically influenced social and economic opportunities in certain societies.
C. Race System
Race refers to classification of people based on physical characteristics such as skin color and facial features.
Influence
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Social discrimination
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Economic disadvantage
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Limited access to healthcare
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Psychological stress
Racial inequality has been associated with health disparities globally.
Social Welfare Programs
Social welfare programs are government or community initiatives aimed at improving the well-being of vulnerable populations and reducing social inequalities.
Objectives
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Reduce poverty
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Improve health and nutrition
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Promote education
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Provide employment opportunities
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Ensure social justice
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Protect women, children, elderly, and disabled
Types of Social Welfare Programs
1. Health Programs
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Immunization
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Maternal and child health services
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Disease control programs
2. Nutrition Programs
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Mid-day meal schemes
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Supplementary nutrition for children
3. Education Schemes
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Free and compulsory education
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Scholarships
4. Employment Programs
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Rural employment schemes
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Skill development programs
5. Social Security Schemes
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Old age pensions
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Disability benefits
Importance in Public Health
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Reduces infant and maternal mortality
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Controls communicable diseases
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Improves quality of life
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Promotes equal opportunities
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Reduces social inequalities