Disease and Rural Development: A Sociological Analysis of Morbidity in Two Mexican Villages

Abstract

It is suggested that the problem of the social causes of disease should be analyzed on the basis of the significant social processes of a given society. In this theoretical framework, a comparative study of two Mexican rural villages at different degrees of development is presented in order to clarify two related questions: what is the impact on morbidity of the rural development process, and what is the influence of socio-economic conditions on the distribution of disease in the population? It was found that morbidity was significantly higher in the more “developed” village than in the one characterized by a predominantly subsistence economy. This finding is ascribed to the character of Mexican rural development, similar to that of other subordinated countries, which implies a change from subsistence agriculture to cash-crops in an unstable market, a massive conversion of peasants into wage laborers with unstable employment, and substantial migration; these phenomena give rise to new, unfavorable living and working conditions for large parts of the rural population. It is argued that it is not development as such that is responsible for the increase in morbidity, but the particular form that it assumes in the dependent countries. It was also found that socioeconomic characteristics such as people's position in production, the sector of economic activity, and migration patterns define groups of high and low morbidity more clearly than do sanitary conditions and access to professional medical care. These results suggest that the success of public health activities depends on the possibility to plan the process of change.