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This book reveals unexamined assumptions and shows how sociocultural context influences measurement of disease.
Over the past two decades increasing interest has emerged in the contribu tions that the social sciences might make to the epidemiological study of patterns of health and disease. Several reasons can be cited for this increasing interest. Primary among these has been the rise of the chronic, non-infectious diseases as important causes of morbidity and mortality within Western populations during the 20th century. Generally speaking, the chronic, non infectious diseases are strongly influenced by lifestyle variables, which are themselves strongly influenced by social and cultural forces. The under standing of the effects of the behavioral factors in, say, hypertension, thus requires an understanding of the social and cultural factors which encourage obesity, a sedentary lifestyle, non-compliance with anti-hypertensive medica tions (or other prescribed regimens), and stress. Equally, there is a growing awareness that considerations of human behavior and its social and cultural determinants are important for understanding the distribution and control of infectious diseases. Related to this expansion of epidemiologic interest into the behavioral realm 'has been the development of etiological models which focus on the psychological, biological and socio-cultural characteristics of hosts, rather than exclusive concern with exposure to a particular agent or even behavioral risk. Also during this period advances in statistical and computing techniques have made accessible the ready testing of multivariate causal models, and so have encouraged the measurement of the effects of social and cultural factors on disease occurrence.
Cultural and social boundaries often separate those who participate in public health activities, and it is a major challenge to translate public health knowledge and technical capacity into public health action across these boundaries. This book provides an overview of anthropology and illustrates in 15 case studies how anthropological concepts and methods can help us understand and resolve diverse public health problems around the world. For example, one chapter shows how differences in concepts and terminology among patients, clinicians, and epidemiologists in a southwestern U.S. county hinder the control of epidemics. Another chapter examines reasons that Mexican farmers don't use protective equipment when spraying pesticides and suggests ways to increase use. Another examines the culture of international health agencies, demonstrates institutional values and practices that impede effective public health practice, and suggests issues that must be addressed to enhance institutional organization and process.; Each chapter characterizes a public health problem, describes methods used to analyse it, reviews results, and discusses implications; several chapters also describe and evaluate programs designed to address the problem on the basis of anthropological knowledge. The book provides practical models and indicates anthropological tools to translate public health knowledge and technical capacity into public health action.
DIVShows how narratives of contagion structure communities of belonging and how the lessons of these narratives are incorporated into sociological theories of cultural transmission and community formation./div
This book shows the important links between social conditions and health and begins to describe the processes through which these health inequalities may be generated. It reviews a range of methodologies that could be used by health researchers in this field and proposes innovative future research directions.
The Black Death in Europe, from its arrival in 1347-52 into the early modern period, has been seriously misunderstood. From a wide range of sources, this study argues that it was not the rat-based bubonic plague usually blamed, and considers its effect on European culture.
This concise, conceptually rich, and accessible book is a rallying cry for a return to the study and discussion of epidemiologic theory: what it is, why it matters, how it has changed over time, and its implications for improving population health and promoting health equity. By tracing its history and contours from ancient societies on through the development of--and debates within--contemporary epidemiology worldwide, Dr. Krieger shows how epidemiologic theory has long shaped epidemiologic practice, knowledge, and the politics of public health.
Culture, Health and Illness is an introduction to the role of cultural and social factors in health and disease, showing how an understanding of these factors can improve medical care and health education. The book demonstrates how different cultural, social or ethnic groups explain the causes of ill health, the types of treatment they believe in, and to whom they would turn if they were ill. It discusses the relationship of these beliefs and practices to the instance of certain diseases, both physical and psychological. This new edition has been extended and modernised with new material added to every chapter. In addition, there is a new chapter on 'new research methods in medical anthropology', and the book in now illustrated where appropriate. Anyone intending to follow a career in medicine, allied health, nursing or counselling will benefit from reading this book at an early stage in their career.
"A groundbreaking approach to critical epidemiology for understanding the complexity of the health process and studying the social determination of health. A powerful critique of Cartesian health sciences, of the flaws of "functional health determinants" model, and of reductionist approaches to health statistics, qualitative research and conventional health geography. A consolidated and well sustained essay that explains the role of social-gender-ethnic relations in the reproduction of health inequity, proposing a new paradigm with indispensible concepts and methodological means to develop a new understanding of health as a socially determined and distributed process. It combines the strengths of scientific traditions of the North and South, to bring forward a new understanding and application of qualitative and quantitative (statistical) evidences, that looks beyond the limits of conventional epidemiology, public and population health. The book presents alternative conceptions and tools for constructing deep prevention. A neo-humanist conception of the role of health and life sciences that assumes critical, intercultural and transdisciplinary thinking as a fundamental tool beyond the limiting elitist framework of positivist reasoning. A most important source of fresh ideas and practical instruments for teaching, research and agency, based on a renewed conception of the relation between nature, society, health and environmental problems"--
This is the definitive textbook on global mental health, an emerging priority discipline within global health, which places priority on improving mental health and achieving equity in mental health for all people worldwide.