Download Free Diabetes Depression And Syndemic Suffering Among African American Patients Book in PDF and EPUB Free Download. You can read online Diabetes Depression And Syndemic Suffering Among African American Patients and write the review.

This research study illustrates the overarching syndemic theory, which was used to explain the interconnections of type 2 diabetes, clinical depression, and human suffering among low-income African American outpatients in the southern sector of Dallas TX, USA. The intersections of race, gender, and class were additional variables that were included in this research. Furthermore, this research indicated how poverty, social relationships and other conditions stressed individuals and populations, weakened their natural defenses and caused exposure to disease clusters. I have coined the term D2 S2 to deconstruct the social/syndemic interconnections that interface with diabetes, depression and human suffering. The first dimension in the D2 S2 Model is Diabetes - the chronic blood glucose dysregulating condition. The second dimension is Depression - the biochemical mood disorder, which is often chronic, internalized and untreated. The third and fourth dimensions are Syndemic Suffering - which entails adverse psychological and social conditions encompassing poverty, social relationships and other conditions. The discussion of these four dimensions in this research was illustrated by the personal narratives of six (6) African American outpatients, was shaped by and associated with social, political and economic inequalities, and was escalated by the chronic adversity of diabetes and depression. The D2 S2 Model was developed from the triangulation of the biological, psychosocial and survey data, as well as, through the critical examination of narratives. The narratives indicated that internalized stress and chronic hardships interacted with the self-management of type 2 diabetes and depression. Their narratives indicated that the most frequently occurring themes were physical health problems, mental health problems, occupational problems and economic problems. The research study findings established the value of using narratives in qualitative research and how this methodology provided a vast depth and breadth of knowledge from the information that was gathered. Other findings indicated that psychosocial distress, poverty, and unemployment were major contributing factors vis-à-vis type 2 diabetes, depression and syndemic suffering. The results indicated the benefits of Solution Focused Brief Therapy (SFBT) in the treatment of depression with these outpatients who were living with type 2 diabetes, as evidenced by decreased or stabilized scores on the nine question psychometric screening instrument, the Patient Health Questionnaire-9 © (PHQ-9 ©). Further results indicated that applied syndemic theory was very useful and a "goodness of fit" in addressing the research questions and the intersections of race, gender and class.
In a major contribution to the study of diabetes, this book is the first to analyze the disease through a syndemic framework. An innovative, mixed-methods study, Emily Mendenhall shows how adverse social conditions, such as poverty and oppressive relationships, disproportionately stress certain populations and expose them to disease clusters. She goes beyond epidemiological research that has linked diabetes and depression, revealing how broad structural inequalities play out in the life histories of individuals, families, and communities, and lead to higher rates of mortality and morbidity. This intimate portrait of syndemic suffering is a model study of chronic disease disparity among the poor in high income countries and will be widely read in public health, medical anthropology, and related fields.
In a major contribution to the study of diabetes, this book is the first to analyze the disease through a syndemic framework, offering a model study of chronic disease disparity among the poor in high income countries.
In Rethinking Diabetes, Emily Mendenhall investigates how global and local factors transform how diabetes is perceived, experienced, and embodied from place to place. Mendenhall argues that the link between sugar and diabetes overshadows the ways in which underlying biological processes linking hunger, oppression, trauma, unbridled stress, and chronic mental distress produce diabetes. The life history narratives in the book show how deeply embedded these factors are in the ways diabetes is experienced and (re)produced among poor communities around the world. Rethinking Diabetes focuses on the stories of women living with diabetes near or below the poverty line in urban settings in the United States, India, South Africa, and Kenya. Mendenhall shows how women's experiences of living with diabetes cannot be dissociated from their social responsibilities of caregiving, demanding family roles, expectations, and gendered experiences of violence that often displace their ability to care for themselves first. These case studies reveal the ways in which a global story of diabetes overlooks the unique social, political, and cultural factors that produce syndemic diabetes differently across contexts. From the case studies, Rethinking Diabetes clearly provides some important parallels for scholars to consider: significant social and economic inequalities, health systems that are a mix of public and private (with substandard provisions for low-income patients), and rising diabetes incidence and prevalence. At the same time, Mendenhall asks us to unpack how social, cultural, and epidemiological factors shape people's experiences and why we need to take these differences seriously when we think about what drives diabetes and how it affects the lives of the poor.
This book explains the growing field of syndemic theory and research, a framework for the analysis and prevention of disease interactions that addresses underlying social and environmental causes. This perspective complements single-issue prevention strategies, which can be effective for discrete problems, but often are mismatched to the goal of protecting the public's health in its widest sense. "Merrill Singer has astutely described why health problems should not be seen in isolation, but rather in the context of other diseases and the social and economic inequities that fuel them. An important read for public health and social scientists." —Michael H. Merson, director, Duke Global Health Institute "Not only does this book provide a persuasive theoretical biosocial model of syndemics, but it also illustrates the model with a wide variety of fascinating historical and contemporary examples." —Peter J. Brown, professor of Anthropology and Global Health and director, Center for Health, Culture, and Society, Emory University "The concept of syndemics is Singer's most important contribution to critical medical anthropology as it interfaces with an ecosocial approach to epidemiology." —Mark Nichter, Regents Professor, Department of Anthropology, University of Arizona "Merrill Singer offers the public the most comprehensive work ever written on this key area of research and policy making." —Francisco I. Bastos, chairman of the graduate studies on epidemiology, Fundacao Oswaldo Cruz "Exquisitely describes how this new approach is a critical tool that brings together veterinary, medical, and social sciences to solve emerging infectious and non-infectious diseases of today's world." —Bonnie Buntain, MS, DVM, diplomate, American College of Veterinary Preventive Medicine "For too long the great integrative perspectives on modern biomedicine and public health disease ecology and social medicine-have remained more or less separate. In this innovative and provocative book, Merrill Singer develops a valuable synthesis that will reshape the way we think about health and disease." —Warwick H. Anderson, MD, PhD, professorial research fellow, Department of History and Centre for Values, Ethics, and the Law in Medicine, University of Sidney
Research in the field of Developmental Origins of Health and Disease has had a fundamental impact on our understanding of how environmental experiences and contexts influence the development of health and disease over the entire lifecourse. Covering a wide range of geographic regions, this volume includes an overview of the field, key concepts, and cutting-edge examples of interdisciplinary collaboration. The first reference text covering the interdisciplinary work of DOHaD, a broad list of contents maps the history of DOHaD, showcases examples of biosocial collaboration in action, offers a conceptual toolkit for interdisciplinary research, and maps future directions for the field. The definitive volume on biosocial collaborations in DOHaD, this will be indispensable for scholars working at the intersections of public health, lifecourse epidemiology and the social science of DOHaD. This title is also available as Open Access on Cambridge Core.
This publication presents evidence about the magnitude and severe consequences of comorbidity of mental and physical illnesses from a personal and societal perspective. Leading experts address the huge burden of co-morbidity to the affected individual as well as the public health aspects, the costs to society and interaction with factors stemming from the context of socioeconomic developments. The authors discuss the clinical challenge of managing cardiovascular illnesses, cancer, infectious diseases and other physical illness when they occur with a range of mental and behavioral disorders, including substance abuse, eating disorders and anxiety. Also covered are the organization of health services, the training of different categories of health personnel and the multidisciplinary engagement necessary to prevent and manage comorbidity effectively. The book is essential reading for general practitioners, internists, public health specialists, psychiatrists, cardiologists, oncologists, medical educationalists and other health care professionals.
The editors of the third edition of the seminal textbook Understanding and Applying Medical Anthropology bring it completely up to date for both instructors and students. The collection of 49 readings (17 of them new to this edition) offers extensive background description and exposes students to the breadth of theoretical, methodological, and practical perspectives and issues in the field of medical anthropology. The text provides specific examples and case studies of research as it is applied to a range of health settings: from cross-cultural clinical encounters to cultural analysis of new biomedical technologies and the implementation of programs in global health settings. The new edition features: • a major revision that eliminates many older readings in favor of more fresh, relevant selections; • a new section on structural violence that looks at the impact of poverty and other forms of social marginalization on health; • an updated and expanded section on “Conceptual Tools,” including new research and ideas that are currently driving the field of medical anthropology forward (such as epigenetics and syndemics); • new chapters on climate change, Ebola, PTSD among Iraq/Afghanistan veterans, eating disorders, and autism, among others; • recent articles from Margaret Mead Award winners Sera Young, Seth Holmes, and Erin Finley, along with new articles by such established medical anthropologists as Paul Farmer and Merrill Singer.
Diabetes has become a worldwide health problem, the global estimated prevalence approaches ten percent and the burden of this disease in terms of morbidity and mortality is unprecedented. The advances acquired through the knowledge of the mechanisms of the disease and the variety of therapeutic approaches contrast with the inability of private and public health systems in underdeveloped and even developed countries to achieve the goals of treatment. This paradox has been described in many sources: the surge of scientific advances contrast with an unprecedented amount of human suffering. Thus, a patient centered and an evidence based approach with the capacity to produce measurable clinical and economic outcomes is required. The purpose of this textbook is multiple: to offer a comprehensive resource covering all aspects of outpatient management; to address diabetes as a health problem from an epidemiological, economic and clinical perspective; to discuss the role of social determinants of health on the worldwide increase in diabetes; to highlight the challenges and obstacles in providing adequate care; and to outline a multidisciplinary approach to management in which medical visits retain their importance as part of a team comprising the patient, his or her family and a multidisciplinary group of health professionals who are able to move beyond the traditional approach of diabetes as a disease and greatly improve outcomes.
Unmasked is the story of what happened in Okoboji, a small Iowan tourist town, when a collective turn from the coronavirus to the economy occurred in the COVID summer of 2020. State political failures, local negotiations among political and public health leaders, and community (dis)belief about the virus resulted in Okoboji being declared a hotspot just before the Independence Day weekend, when an influx of half a million people visit the town. The story is both personal and political. Author Emily Mendenhall, an anthropologist at Georgetown University, grew up in Okoboji, and her family still lives there. As the events unfolded, Mendenhall was in Okoboji, where she spoke formally with over 100 people and observed a community that rejected public health guidance, revealing deep-seated mistrust in outsiders and strong commitments to local thinking. Unmasked is a fascinating and heartbreaking account of where people put their trust, and how isolationist popular beliefs can be in America's small communities. This book is the recipient of the 2022 Norman L. and Roselea J. Goldberg Prize from Vanderbilt University Press for the best book in the area of art or medicine.