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Whilst those in healthcare might like to think that they work to reduce stigma and social exclusion of others, this book reveals many strategies by which healthcare professionals contribute to increasing these conditions. Written by practitioners, some of whom have themselves been stigmatised, the book exposes the hidden processes of prejudice and the dogma of ideology that permeate contemporary healthcare. Engaging with the realities of stigma through a grassroots approach, topics covered include: * hearing * sight * sexuality * HIV and AIDS * drug use * teenage pregnancy * breastfeeding * old age. Stigma and Social Exclusion in Healthcare provides practical solutions to problems, recommendations for training and a blueprint for the future. It will prove a valuable reference for all those wanting to deal with the issues of stigmatisation.
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.
In the nineteenth century some scientists argued that women should not be educated because thinking would use energy needed by the uterus for reproduction. The proof? Educated women had a lower birth rate. Today's researchers can only shake their heads at such reasoning. Yet professional journals and the popular press are increasingly criticizing medical research for ignoring women's health issues. Women and Health Research examines the facts behind the public's perceptions about women participating as subjects in medical research. With the goal of increasing researchers' awareness of this important topic, the book explores issues related to maintaining justice (in its ethical sense) in clinical studies. Leading experts present general principles for the ethical conduct of research on womenâ€"principles that are especially important in the light of recent changes in federal policy on the inclusion of women in clinical research. Women and Health Research documents the historical shift from a paternalistic approach by researchers toward women and a disproportionate reliance on certain groups for research to one that emphasizes proper access for women as subjects in clinical studies in order to ensure that women receive the benefits of research. The book addresses present-day challenges to equity in four areas: Scientificâ€"Do practical aspects of scientific research work at cross-purposes to gender equity? Focusing on drug trials, the authors identify rationales for excluding people from research based on demographics. Social and Ethicalâ€"The authors offer compelling discussions on subjectivity in science, the evidence for male bias, and issues related to race and ethnicity, as well as the recruitment, retention, and protection of research participants. Legalâ€"Women and Health Research reviews federal research policies that affect the inclusion of women and evaluates the basis for researchers' fears about liability, citing court cases. Riskâ€"The authors focus on risks to reproduction and offspring in clinical drug trials, exploring how risks can be identified for study participants, who should make the assessment of risk and benefit for participation in a clinical study, and how legal implications could be addressed. This landmark study will be of immediate use to the research community, policymakers, women's health advocates, attorneys, and individuals.
Health and Exclusion is a pioneering examination of those policies and practices of exclusion currently experienced by health 'customers' in the UK. Chapters document examples of exclusion in a number of controversial areas, including: *the impact of poverty on the health of children *exclusion in maternity care *exclusion of those with mental health problems *exclusion of the elderly in health care *the silenced voice of the patient *barriers to recruitment and advancement within the health professions. The authors challenge whether New Labour policies sufficiently address the inequalities in health experienced by some sectors of society. Moreover they suggest that health professionals at times actively contribute to exclusion and suggest strategies and practices to combat marginalisation and resist exclusion.
Drawing on interdisciplinary, cross-national perspectives, this open access book contributes to the development of a coherent scientific discourse on social exclusion of older people. The book considers five domains of exclusion (services; economic; social relations; civic and socio-cultural; and community and spatial domains), with three chapters dedicated to analysing different dimensions of each exclusion domain. The book also examines the interrelationships between different forms of exclusion, and how outcomes and processes of different kinds of exclusion can be related to one another. In doing so, major cross-cutting themes, such as rights and identity, inclusive service infrastructures, and displacement of marginalised older adult groups, are considered. Finally, in a series of chapters written by international policy stakeholders and policy researchers, the book analyses key policies relevant to social exclusion and older people, including debates linked to sustainable development, EU policy and social rights, welfare and pensions systems, and planning and development. The book’s approach helps to illuminate the comprehensive multidimensionality of social exclusion, and provides insight into the relative nature of disadvantage in later life. With 77 contributors working across 28 nations, the book presents a forward-looking research agenda for social exclusion amongst older people, and will be an important resource for students, researchers and policy stakeholders working on ageing.
For those wishing to understand issues of homelessness, social exclusion and health at a local level by framing these issues in a global context. It expands notions of health by drawing on disciplines outside the fields of housing and health to better comprehend the ways that stigma, identity and urban geographies shape and present homelessness.
Social exclusion attempts to make sense out of multiple deprivations and inequities experienced by people and areas, and the reinforcing effects of reduced participation, consumption, mobility, access, integration, influence and recognition. This book works from a multidisciplinary approach across health, welfare, and education, linking practice and research in order to improve our understanding of the processes that foster exclusion and how to prevent it. Theorising Social Exclusion first reviews and reflects upon existing thinking, literature and research into social exclusion and social connectedness, outlining an integrated theory of social exclusion across dimensions of social action and along pathways of social processes. A series of commissioned chapters then develop and illustrate the theory by addressing the machinery of social exclusion and connectedness, the pathways towards exclusion and, finally, experiences of exclusion and connection. This innovative book takes a truly multidisciplinary approach and focuses on the often-neglected cultural and social aspects of exclusion. It will be of interest to academics in fields of public health, health promotion, social work, community development, disability studies, occupational therapy, policy, sociology, politics, and environment.
Social exclusion is a key problem for policy makers, researchers and professionals worldwide. Despite this, the debate lacks a dominant disciplinary focus. This innovative handbook covers evidence from key research and policy to offer cross-disciplinary perspectives on major areas of social exclusion. Focusing on central policy domains including education, healthcare and crime, it is structured so as to relate evidence to the state of social exclusion and the mechanisms by which it can be tackled. It book will be an unrivalled reference for academics and practitioners working across disciplines including housing, education, psychology, political science, healthcare, sociology and law.
This text explores the issue of social exclusion, considering its measurement, main determinants, and ways in which it may be reduced. The editors show how a focus on the topic may alter the relevant policy questions by fostering debate in government.