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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
The new millennium is widely considered to be the age of globalisation, democratisation, and human rights. We live in a knowledge society and in a time of risk and uncertainty. World society is rapidly urbanising and ageing and exhausting its natural resources. It is the interplay of such key trends of the era that calls for a fresh approach to measuring quality of life. This collection of papers presents an innovative approach to evaluating living standards and wellbeing under the new circumstances facing individuals and societies in twenty-first century. Contributions cover a wide range of issues that impact positively and negatively on wellbeing in our age. While stability, trust, equal access to resources and the social integration of disadvantaged members of society enhance well-being, poverty, social exclusion, congestion in cities, HIV/AIDS and global warming pose threats to both modern and traditional lifestyles. Methodological refinements of conventional measurement tools are presented that take into consideration the rich diversity of lifestyles and values among different populations and regions of the world. This book will be essential reading for social scientists and ordinary citizens who are concerned about the future of human well-being on our planet.
This volume is relevant to quality-of-life researchers working in the areas of social medicine, sustainable development, social indicators research and health psychology/behavioral medicine. It represents a culmination of programmatic research in the science of QOL. The research methods and conceptual models used are exemplary and can induce QOL researchers to conduct future research in other cultures, geographic areas, and different socio-economic and demographic groups as well as in different QOL domains.
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
This book is about places - cities, suburbs and towns - and happiness of people living there. Taking an interdisciplinary approach, Okulicz-Kozaryn examines the relations between human happiness and the infrastructure of the places they live. This thought-provoking book argues for the overlooked idea that we are happiest in smaller areas.