Table 1 Social/structural explanations for health inequalities based on characteristics of area and populations

Poor quality of the ecological environment in Port Adelaide

...there is a lot of industry down there that's belching stuff out into the atmosphere and pouring it into the river and I mean that can't be good for you. (Justin, 50, B)

Comparative amenity or visual quality of trees, parks and buildings

... you know the eastern suburbs are pretty green and offer a lot more healthy environment than somewhere that is heavily industrialised. (Maxine, 61, Pr)

Comparative service provision

It's a lot harder to get transport in those areas, public transport isn't as good as it might be for example... (Jason, 58, B)

Unemployment

Unemployment rates could have an impact, especially if you're unemployed and your future prospects don't look that great and the choices you make within that context. (Rebecca, 35, O)

Financial insecurity

I think worry must play a big part in general health. If you have a continual concern about...whether you've got enough money to see you out to the end of the week. (Drew, 78, B)

Level of income and access to health care

In Mitcham everybody has got the money to afford the appropriate healthcare... so they can afford to look after themselves, whereas in Port Adelaide you have got people on the social welfare, you can't get your dental fixed for 5 years because they are on the free list. (Evan, 51, Pr)

Social environment - crime

...living in a high crime rate or um people are being threatened on the streets, then they're in a lot worse position than if they're living in a stable community. (Michelle, 33, Pr)

Social environment - neighbourhood supports

... if you can talk and get on with your neighbours, that's a big thing to make you happy in your own environment and therefore you live longer. (Catherine, 68, Pl)