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The firsthand pandemic experiences of rural health-care providers—who were already burdened when COVID-19 hit—raise questions about the future of public health and health-care delivery. This volume comprises the COVID-19 pandemic experiences of Appalachian health-care workers, including frontline providers, administrators, and educators. The combined narrative reveals how governmental and corporate policies exacerbated the region's injustices, stymied response efforts, and increased the death toll. Beginning with an overview of the SARS-CoV-2 virus and its impact on the body, the essays in the book's first section provide background material and contextualize the subsequent explosion of telemedicine, the pandemic's impact on medical education, and its relationship to systemic racism and related disparities in mental health treatment. Next, first-person narratives from diverse perspectives recount the pandemic's layered stresses, including the scramble for ventilators, masks, and other personal protective equipment the neighbors, friends, and family members who flouted public-health mandates, convinced that COVID-19 was a hoax the added burden the virus leveled on patients whose health was already compromised by cancer, diabetes, or addiction the acute ways the pandemic's arrival exacerbated interpersonal and systemic racism that Black and other health-care workers of color bear not only the battle against the virus but also the growing suspicion and even physical abuse from patients convinced that doctors and nurses were trying to kill them These visceral, personal experiences of how Appalachian health-care workers responded to the pandemic amid the nation's deeply polarized political discourse will shape the historical record of this “unprecedented time” and provide a glimpse into the future of rural medicine. Contributors: Lucas Aidukaitis, Clay Anderson, Tammy Bannister, Alli Delp, Lynn Elliott, Monika Holbein, Laura Hungerford, Nikki King, Brittany Landore, Jeffrey J. LeBoeuf, Sojourner Nightingale, Beth O'Connor, Rakesh Patel, Mildred E. Perreault, Melanie B. Richards, Tara Smith, Kathy Osborne Still, Darla Timbo, Kathy Hsu Wibberly

This volume of Research in the Sociology of Health Care analyses a variety of important social factors and their relationship to health and health care inequities in both the United States and the rest of the world. With distinct sections for vaccination and other related topics, the chapters unveil the health care inequities that exist across a broad range of scenarios such as residential segregation, rurality, caregiving during COVID-19, the effects of stress on patients of color with chronic illnesses, cochlear implants in children, community health centers and viral load testing. Employing a sociological and broader social sciences approach, Social Factors, Health Care Inequities and Vaccination draws on a variety of contexts, including the COVID-19 pandemic, to explore wider trends in healthcare and the impact they may have on historically disadvantaged communities.

Appalachian Health explores major challenges and opportunities for promoting the health and well-being of the people of Appalachia, a historically underserved population. It considers health's intersection with social, political, and economic factors to shed light on the trends affecting mortality and morbidity among the region's residents.Editors F. Douglas Scutchfield and Randy Wykoff have assembled high-profile experts working in academia, public health, and government to offer perspectives on a wide range of topics including health behaviors, environmental justice, and pandemic preparedness. This volume also provides updated data on issues such as opioid abuse,'deaths of despair,'and the social determinants of health. Together, the contributors illuminate the complex health status of the region and offer evidence-based programs for addressing the health problems that have been identified.

Bioethics needs an expanded moral vision. Born in the ferment of the 1970s, the field responded to rapid developments in biomedical technology and injustices in clinical care and research. Since then, bioethics has predominantly focused on respect for autonomy, beneficence and nonmaleficence, and the zero-sum'lifeboat'ethics of distributive justice, applying these principles almost exclusively within the walls of medical institutions. It is now time for bioethics to take full account of the problems of health disparities and structural injustice that are made newly urgent by the COVID-19 pandemic and the effects of climate change. This book shows why and how the field must embrace a broader and more meaningful view of justice, principally by incorporating the tools and insights of the social sciences, epidemiology, and public health. Nancy M. P. King, Gail E. Henderson, and Larry R. Churchill make the case for a more social understanding and application of justice, a deeper humility in assessing expertise in bioethics consulting, a broader and more relevant research agenda, and greater appreciation of the profound health implications of global warming.

La salud es un asunto social, no solo porque la protección de la salud se organiza socialmente, sino también porque la propia producción de salud y enfermedad es mediada socialmente, de tal forma que las fracturas, las opresiones y las desigualdades sociales se encarnan en los cuerpos en términos de salud y enfermedad. Las investigaciones en torno a los denominados Determinantes Sociales de la Salud desvelan que las desigualdades sociales tienden a transformarse en desigualdades en salud, distribuyendo de forma desigual la incidencia de la morbilidad y la mortalidad. Cuando estas desigualdades en la distribución de los determinantes de salud interaccionan –como es frecuente– con desigualdades y exclusiones en el acceso a la asistencia sanitaria o a las medicinas esenciales, los efectos para la salud se multiplican. Pero incluso en los casos en los que no es así, la desigualdad en los determinantes sociales de la salud dificulta que la asistencia sanitaria generalizada se traduzca realmente en resultados de salud equitativos. La lucha por la protección de la salud, entonces, tiene que ser también una lucha por la igualdad y la justicia social. Este libro analiza los Determinantes Sociales de la Salud como un paradigma que ha de ser integrado con la idea del Derecho a la salud y de derechos humanos, con la convicción de que ello puede ofrecer nuevas perspectivas para la protección de la salud. Los trabajos aquí recogidos parten de la necesidad de un compromiso teórico y práctico con el Derecho a la salud. Conciben como un imperativo el que la atención sanitaria de calidad y el acceso a los medicamentos necesarios estén al alcance de todas las personas y comunidades en condiciones de universalidad. Pero, a la vez, consideran que esto no es suficiente: el derecho a la salud y el compromiso con la protección de la salud exige una visión más amplia que considere los factores sociales, económicos, políticos, culturales y ambientales que determinan la producción de salud y enfermedad.

An event-by-event look at how institutionalized racism harms the health of African Americans in the twenty-first century A crucial component of anti-Black racism is the unconscionable disparity in health outcomes between Black and white Americans. Sickening examines this institutionalized inequality through dramatic, concrete events from the past two decades, revealing how unequal living conditions and inadequate medical care have become routine. From the spike in chronic disease after Hurricane Katrina to the lack of protection for Black residents during the Flint water crisis—and even the life-threatening childbirth experience for tennis star Serena Williams—author Anne Pollock takes readers on a journey through the diversity of anti-Black racism operating in healthcare. She goes beneath the surface to deconstruct the structures that make these events possible, including mass incarceration, police brutality, and the hypervisibility of Black athletes'bodies. Ultimately, Sickening shows what these shocking events reveal about the everyday racialization of health in the United States.Concluding with a vital examination of racialized healthcare during the COVID pandemic and the Black Lives Matter rebellions of 2020, Sickening cuts through the mind-numbing statistics to vividly portray healthcare inequalities. In a gripping and passionate style, Pollock shows the devastating reality and consequences of systemic racism on the lives and health of Black Americans.

Medical Entanglements uses intersectional feminist, queer, and crip theory to move beyond “for or against” approaches to medical intervention. Using a series of case studies – sex-confirmation surgery, pharmaceutical treatments for sexual dissatisfaction, and weight loss interventions – the book argues that, because of systemic inequality, most mainstream medical interventions will simultaneously reinforce social inequality and alleviate some individual suffering. The book demonstrates that there is no way to think ourselves out of this conundrum as the contradictions are a product of unjust systems. Thus, Gupta argues that feminist activists and theorists should allow individuals to choose whether to use a particular intervention, while directing their social justice efforts at dismantling systems of oppression and at ensuring that all people, regardless of race, gender, sexuality, class, or ability, have access to the basic resources required to flourish.

A frank analysis of the medical and emotional inequalities that pervade the healthcare process for critically ill children Families who have a child with a life-threatening illness face a daunting road ahead of them, one that not only upends their everyday lives, but also strikes at the very heart of parenthood. In “Save My Kid,” Amanda M. Gengler traces the emotional difficulties these families navigate as they confront a fundamentally unequal healthcare system in the United States. Gengler reveals the unrecognized, everyday inequalities tangled up in the process of seeking medical care, showing how different families manage their children's critical illnesses. She also uncovers the role that emotional goals—deeply rooted in the culture of illness and medicine—play in medical decision-making, healthcare interactions, and the end of children's lives. A deeply compassionate read, “Save My Kid” is an inside look at inequality in healthcare among those with the most at stake.

Millions of low-income African Americans in the United States lack access to health care. How do they treat their health care problems? In Health Care Off the Books, Danielle T. Raudenbush provides an answer that challenges public perceptions and prior scholarly work. Informed by three and a half years of fieldwork in a public housing development, Raudenbush shows how residents who face obstacles to health care gain access to pharmaceutical drugs, medical equipment, physician reference manuals, and insurance cards by mobilizing social networks that include not only their neighbors but also local physicians. However, membership in these social networks is not universal, and some residents are forced to turn to a robust street market to obtain medicine. For others, health problems simply go untreated. Raudenbush reconceptualizes U.S. health care as a formal-informal hybrid system and explains why many residents who do have access to health services also turn to informal strategies to treat their health problems. While the practices described in the book may at times be beneficial to people's health, they also have the potential to do serious harm. By understanding this hybrid system, we can evaluate its effects and gain new insight into the sources of social and racial disparities in health outcomes.

Important links between health and human rights are increasingly recognised, and human rights can be viewed as one of the social determinants of health. A human rights framework provides an excellent foundation for advocacy on health inequalities, a value-based alternative to views of health as a commodity, and an opportunity to move away from public health action being based on charity. This text demystifies systems set up for the protection and promotion of human rights globally, regionally, and nationally. It explores the use and usefulness of rights-based approaches as an important part of the toolbox available to health and welfare professionals and community members working in a variety of settings to improve health and reduce health inequities.Global in its scope, Health Equity, Social Justice, and Human Rights presents examples from all over the world to illustrate the successful use of human rights approaches in fields such as HIV/AIDS, improving access to essential drugs, reproductive health, women's health, and improving the health of marginalised and disadvantaged groups.Understanding human rights and their interrelationships with health and health equity is essential for public health and health promotion practitioners, as well as being important for a wide range of other health and social welfare professionals. This text is valuable reading for students, practitioners, and researchers concerned with combating health inequalities and promoting social justice.

The relationship between undocumented immigrants and law enforcement officials continues to be a politically contentious topic in the United States. Nolan Kline focuses on the hidden, health-related impacts of immigrant policing to examine the role of policy in shaping health inequality in the U.S., and responds to fundamental questions regarding biopolitics, especially how policy can reinforce ‘race'as a vehicle of social division. He argues that immigration enforcement policy results in a shadow medical system, shapes immigrants'health and interpersonal relationships, and has health-related impacts that extend beyond immigrants to affect health providers, immigrant rights groups, hospitals, and the overall health system. Pathogenic Policing follows current immigrant policing regimes in Georgia and contextualizes contemporary legislation and law enforcement practices against a backdrop of historical forms of political exclusion from health and social services for all undocumented immigrants in the U.S. For anyone concerned about the health of the most vulnerable among us, and those who interact with the overall health safety net, this will be an eye-opening read.

This uniquely accessible volume challenges professionals to understand—and help correct—health disparities, both at the patient level and in their larger social contexts. Dedicated to eradicating this ongoing injustice, contributors focus on marginalized populations, the role of healthcare systems in perpetuating inequities, the need for deeper engagement and listening by professionals, and the need for advocacy within professional education and the political/policy arena. The compelling case narratives at the core of the book illustrate the interrelated biopsychosocial components of patients'health problems and the gradations of learning needed for practitioners to address them effectively. The book's tools for developing a health disparities curriculum include a selection of workshop exercises, facilitator resources, and a brief guide to writing effective case narratives. A sampling of the narratives: “Finding the Person in Patient-Centered Health Care” (race/ethnicity/culture). “The Annual Big Girl / Big Boy Exchange” (gender). “Just Give Me Narcan and Let Me Go” (poverty/addiction). “Everyone Called Him Crazy” (immigration). “Adrift in the System” (disability). “Aging out of Pediatrics” (mental illness and stigma). “Time to Leave” (LGBT) A work of profound compassion, Health Disparities will be of considerable interest to researchers and practitioners interested in public health, population health, health disparities, and related fields such as sociology, social work, and narrative medicine. Its wealth of educational features also makes it a quality training text.'I was impressed when I read Health Disparities: Weaving a New Understanding through Case Narratives. As a patient who has experienced unpleasant situations in health care, I was moved to see that it was emotional and personal for the writers. The book confirms for me that the time is now for change to take place in our health care systems. I see this book as a light that can shine bright in the darkest places of health care. The editors have assembled a powerful book that provides all health professionals with specific steps they can take towards addressing and then eventually eliminating health disparities. A few steps that I really connected with were improving critical awareness, delivering quality care, listening and empathizing with patients and families, and advocating for changes. I recommend that anyone interested in working to improve health care obtain a copy of this book—it's filled with useful information that every medical professional should know. The book reminds me of a quote by Wayne Dyer,'When you change the way you look at things, the things you look at change.''-Delores Collins, Founder and Executive Director, A Vision of Change Incorporated, Certified Community Health Worker. Founder of The Greater Cleveland Community Health Workers Association.

The popularization of the Internet, due in larger part to the advent of multifunctional cell phones, poses new challenges for health professionals, patients, and caregivers as well as creates new possibilities for all of us. This comprehensive volume analyzes how this social phenomenon is transforming long-established healthcare practices and perceptions in a country with one of the highest numbers of Internet users: Brazil. After an opening text that analyzes the Internet and E-Health Care as a field of study, the book comprises six parts. The first part introduces the emergence and development of the internet in Brazil, its pioneering experience in internet governance, digital inclusion, and online citizen participation. The second part is dedicated to internet health audiences by analyzing the cases of patients, the young, and the elderly seeking and sharing health information online, especially in virtual communities. The third part is dedicated to the challenges that the expansion of the internet in healthcare poses to all of us, such as the evaluation of the quality of health information available online and the prevention of the risks involved with online sales, cyberbullying, and consumption of prescription medicines. The fourth presents some innovative e-learning experiences carried out with different groups in Brazil, while the fifth part analyses some practical applications involving the Internet and health, including studies on M-Health, the Internet of things, serious games and the use of new information and communication technologies in health promotion. The last chapter analyses the future of healthcare in the Internet Age. The authors establish a critical and creative debate with international scholarship on the subject. This book is written in a direct and comprehensible way for professionals, researchers, students of communication and health, as well as for stakeholders and others interested in better understanding the trends and the different challenges related to the social phenomenon of the internet in health.

Chronic Failures: Kidneys, Regimes of Care and the Mexican State is about Chronic Kidney Disease (CKD) and the relentless search for renal care lived out in the context of poverty, inequality and uneven welfare arrangements. Based on ethnographic research conducted in the state of Jalisco, this book documents the routes uninsured Mexican patients take in order to access resource intensive biotechnical treatments, that is, different modes of dialysis and organ transplantation. It argues that these routes are normalized, bureaucratically, socially and epidemiologically, and turned into a locus for exploitation and profit. Without a coherent logic of healthcare access, negotiating regimes of renal care has catastrophic consequences for those with the least resources to expend in that effort. In carrying both the costs and the burden of care, the practices of patients without entitlement offer a critical vantage point on the interplay between the state, markets in healthcare and the sick body.

This book deals with various facets of the human right to health: its normative profile as a universal right, current political and legal conflicts and contextualized implementation in different healthcare systems. The authors come from different countries and disciplines - law, political science, ethics, medicine etc. - and bring together a broad variety of academic and practical perspectives. The volume contains selected contributions of the international conference'The Right to Health - an Empty Promise?'held in September 2015 in Berlin and organized by the Emerging Field Initiative Project'Human Rights in Healthcare'(University of Erlangen-Nürnberg).

What do undocumented migrants experience when they try to access healthcare? How do they navigate the (often contradictory) challenges presented by bureaucratic systems, financial pressures, attitudes to migrants, and their own healthcare needs? This urgent study uses a grounded theory approach to explore the ways in which undocumented migrants are included in or excluded from healthcare in a Swiss region. Marianne Jossen explores the ways migrants try to obtain healthcare on their own, with the help of NGOs or via insurance, and how they cope if they fail, whether by using risky strategies to access healthcare or leaving serious health issues untreated. Jossen shows that even for those who succeed, inclusion remains partial and fraught with risks. Based on interviews with migrants, health practitioners and NGO staff and using a rigorous academic approach, Undocumented Migrants and Healthcare is an important contribution to a vital contemporary issue. It is necessary reading for researchers in Public Health and Migration Studies, as well as government and non-governmental organisations in Switzerland and beyond. It will be of interest to anyone concerned with healthcare and migration in the twenty-first century.

Two leading oncologists, along with experts spanning several medical disciplines, shed light on the global pandemic of cancer, particularly the difference in diagnosis, treatment, and care between global communities.Despite advancing globalization and amazing breakthroughs in modern medicine, developing countries continue to struggle with the prevention and treatment of the most common killer in the world today—cancer. Logistical barriers, scarceness of resources, and economic hardships in these regions make the screening, detection, and care of this disease difficult at best.This book is the only one of its kind to review the pandemic of cancer from a global and epidemiological perspective. The work is presented in three sections, focusing on key issues in cancer management, treatment of specific types of the disease, and the difference in medical care between low-, medium-, and high-resource countries. Chapters address the history, incidence, and treatment across nations; presiding cultural attitudes which may delay or prevent treatment in many parts of the world; and the geopolitics of cancer care and funding. Patients and caregivers from all around the globe explain the daily challenges of living with the disease in their nation.

Homelessness & Health in Canada explores, for the first time, the social, structural, and environmental factors that shape the health of homeless persons in Canada. Covering a wide range of topics from youth homelessness to end-of-life care, the authors strive to outline policy and practice recommendations to respond to the ongoing public health crisis. This book is divided into three distinct but complimentary sections. In the first section, contributors explore how homelessness affects the health of particular homeless populations, focusing on the experiences of homeless youth, immigrants, refugees and people of Aboriginal ancestry. In the second section, contributors investigate how housing and public health policy as well as programmatic responses can address various health challenges, including severe mental illness and HIV/AIDS. In the final section, contributors highlight innovative Canadian interventions that have shown great promise in the field. Together, they form a comprehensive survey of an all too important topic and serve as a blueprint for action.

This volume looks at the key links between social determinants, health disparities and health and health care. There is a particular focus on macro-level systems and micro-level issues, including the examination of issues for patients, carers and providers of care. Coverage includes papers on geographical and place factors and disparities, SES and race/ethnicity factors, chronic care and serious health problems such as HIV/AIDs and kidney transplantation, comparative aspects and perceptions of health disparities. Starting with an introduction that reviews the crucial sociological literature on social determinants and health disparities, papers in this volume go on to cover key themes including ageing, barriers to care, ethnicity, social inequalities, the views of parents on their children's care, and doctor/patient relationships.

The desperate need for a vast part of the global population to access better medicines in more certain ways is one of the biggest concerns of the modern era. Pills for the Poorest offers a new perspective on the much-debated issue of the links between intellectual property and access to medication. Using ethnographic case studies in Djibouti and Ghana, and insights from actor-network theory, it explores the ways in which TRIPs and pharmaceutical patents are translated in the daily practices of those who purchase, distribute, and use (or fail to use) medicines in sub-Saharan Africa. It suggests that focusing on routine practices and the material deployment of intellectual property significantly enriches our understanding of the complex dynamics that animate the field of access to medicines and helps relocate the role of law within those processes. It demonstrates how intellectual property affects access to medicines in ways that are often discreet, indirect and forgotten. By exploring these complex mechanisms, it seeks to ask questions about the modes of actions of pharmaceutical patents, but also, more generally, about the complexity of legal objects.

Explores the moral dilemmas posed by disparities in health across nations. Millions around the world die from preventable diseases. Millions more suffer from poor health as a result of extreme poverty. Who bears responsibility for heath inequalities? Who should take responsibility for ameliorating them?Contributors to this volume consider whether health inequalities are a result of global distributive inequalities and are therefore of concern to those promoting global redistributive justice.

In contemporary manifestations of public health rituals and events, people are being increasingly united around what they hold in common—their material being and humanity. As a cult of humanity, public health provides a moral force in society that replaces ‘traditional'religions in times of great diversity or heterogeneity of peoples, activities and desires. This is in contrast to public health's foundation in science, particularly the science of epidemiology. The rigid rules of ‘scientific evidence'used to determine the cause of illness and disease can work against the most vulnerable in society by putting sectors of the population, such as underrepresented workers, at a disadvantage. This study focuses on this tension between traditional science and the changing vision articulated within public health (and across many disciplines) that calls for a collective response to uncontrolled capitalism and unremitting globalization, and to the way in which health inequalities and their association with social inequalities provides a political rhetoric that calls for a new redistributive social programme. Drawing on decades of research, the author argues that public health is both a cult and a science of contemporary society.

Important links between health and human rights are increasingly recognised and human rights can be viewed as one of the social determinants of health. Furthermore, a human rights framework provides an excellent foundation for advocacy on health inequalities, a value-based alternative to views of health as a commodity, and the opportunity to move away from public health action being based on charity. This text demystifies systems set up for the protection and promotion of human rights globally, regionally and nationally. It explores the use and usefulness of rights-based approaches as an important part of the tool-box available to health and welfare professionals and community members working in a variety of settings to improve health and reduce health inequities. Global in its scope, Health Equity, Social Justice and Human Rights presents examples from all regions of the world to illustrate the successful use of human rights approaches in fields such as HIV/AIDS, improving accessibility to essential drugs, reproductive health, women's health, and improving the health of marginalised and disadvantaged groups. Understanding human rights and their interrelationships with health and health equity is essential for public health and health promotion practitioners, as well as being important for a wide range of other health and social welfare professionals. This text is valuable reading for students, practitioners and researchers concerned with combating health inequalities and promoting social justice.

The relation between socioeconomic status and population health is evident in epidemiological studies. Socioeconomic status is typically measured using income and financial resources, occupation type, and educational attainment. In this book, the authors present topical research in the study of socioeconomic status and its health implications. Topics discussed include diabetes, marginality, and gender identity; the socioeconomic aspects of health services in Israel; low socioeconomic status and child mental health disparities; adolescent health risk behavior from a migrant population in the United Arab Emirates; Japanese women's health related to job stress and the hidden costs incurred by families and friends of patients with low health literacy.

The book poses and explores questions about the roles of antiretroviral treatment and human rights in the global AIDS epidemic. A novel approach is used, which places treatment and human rights in the context of global debates, national struggles, and, especially, a case study of the lived experiences within a local community in South Africa.

Disability and Public Health opens up a new vista and territory by drawing down a new set of tools and strategies from the public health domain to examine the social determinants of health for people with disabilities and to develop systems of health education, health literacy and organization of services to improve their health and well-being. It examines the circumstances of disability from a personal, cultural, environmental, clinical, and policy perspective and ties it together in a public health paradigm.

Described as a Renaissance man of the twenty-first century, Sir George Alleyne, Chancellor of the University of the West Indies and Director Emeritus of the Pan American Health Organization, is one of the Caribbean's finest scholars. As a physician, scientist and public health leader, Sir George has had a profound impact on the Caribbean and the Americas, and the wider world. In this collection of oratory spanning three decades, readers are treated to the scope and breadth of George Alleyne's intellect. Rigorous and meticulous as a researcher, the 28 speeches bear witness to his disciplined, yet elegant skill as a Specialist in several fields, and Generalist in one – as a public health leader. Covering a range of topics delivered to various audiences at varying venue, this book brings Sir George's message of the quest for better health, to a wider audience. From medical and health research, to globalization and national security, chronic disease research and the challenges of HIV and Aids to the Caribbean, the speeches are expressions of global themes. Health and Development in Our Time resonates with the considered reflection of a Caribbean leader in World Health and will enrich the lives of its readers. Caribbean and world citizens alike will benefit from the eloquent expositions delivered by Sir George Alleyne.

Most of the industrialized world now comprises of multi-ethnic societies, with_x000D_ people from widely varying ancestry, cultures, languages, and beliefs. With_x000D_ globalization of trade, increasing international travel, and migration, the whole_x000D_ world is destined to become multi-ethnic within the next 20 or 30 years. This poses_x000D_ huge challenges for doctors, nurses, public health practitioners, health care_x000D_ managers, and policy makers who have to meet legal and policy obligations to_x000D_ deliverhealth outcomes, and provide health care of equal quality and effectiveness._x000D_ To achieve this, they need a solid understanding of the underlying concepts of race_x000D_ and ethnicity, and how these are applied to achieve better health for ethnic_x000D_ minority populations. They also need to have an awareness of themisuses of these_x000D_ concepts, particularly taking into account the history of racism that permeates many_x000D_ societies to this day.Written in non-technical language, with all terminology_x000D_ explained and defined, this book provides an accessible introduction to these_x000D_ complex issues. The key concepts of race and ethnicity are explained, including_x000D_ their uses and misuses. The strengths and weaknesses of these concepts in terms of_x000D_ epidemiology, policy making, health service planning, research, health care, and_x000D_ health promotion are illustrated. The book emphasises theory, ideas, and principles,_x000D_ and and its aims are to helpcounteract the unethical and atheoretical methods often_x000D_ used to study ethnicity. Practical application of the theory is demonstrated through_x000D_ the use of extensive examples. The conceptual frameworks of ethnicity and race_x000D_ required by practitioners and researchers are slightly different, including the_x000D_ natureof research questions, the relative value of various methods of_x000D_ classification, and the approach to data analysis, presentation, and interpretation,_x000D_ and these differences are made explicit. Overall, the interdependence of theory and_x000D_ practice is demonstrated, making this and ideal foundation text or refresher for_x000D_ those involved in race and ethnicity from a health care perspective.

This interdisciplinary text develops a theory of heterosexism and provides everyday examples from health and social care environments. It engages with current debates, including intersecting identities, and presents a coherent analysis of the health and social care needs of lesbian, gay, bisexual and transgender people.

Essential reading for anyone who is concerned with global poverty and health disparity.

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.

Health Action Zones (HAZ) were one of the earliest and most prominent area-based initiatives launched by the New Labour government in England soon after it came to power in 1997. Written by members of the team undertaking the national evaluation of HAZ, this book examines the initiative's development and impact from a variety of perspectives. It outlines important features of the social, policy and evaluative environment within which HAZ were established and discusses enduring themes such as building and developing capacity with diverse and unequal partners within complex policy systems.Multidisciplinary in nature, the book provides in-depth analysis of a key policy initiative, offering guidance on how best to design, implement and evaluate future initiatives intended to deal with fundamental social problems.

Empower patients with culture-specific strategies for promoting health, treating disease, and preventing violence!Current reports show that Black Americans have the highest death rate of all racial and ethnic groups. They suffer disproportionately from a number of fatal diseases, including hypertension, diabetes, and certain cancers. Moreover, violence takes far too high a toll, especially among young Black men. Clearly a different approach to health education and promotion is needed to end this tragic waste of valuable human lives. Health Care in the Black Community: Empowerment, Knowledge, Skills, and Collectivism proposes an innovative model for health professionals working in the Black community.Traditional Western medicine focuses on sickness, the isolated individual, and the material world. However, the Afrocentric values of many Black people emphasize wellness, the community, and the spiritual world. By basing health care approaches on the community's positive values of holistic healing and mutual assistance, Health Care in the Black Community suggests practical, effective strategies for promoting physical and emotional wellness. This comprehensive and informative book offers a solid intellectual framework as well as practical advice. Health Care in the Black Community: identifies deeply held African-American cultural traditions and attitudes offers specific suggestions for combining health care priorities with respect for cultural concerns shows how to gain compliance by involving patients in their own care and drawing on community strengths discusses the impact of specific problems such as low self-esteem, infertility, HIV/AIDS, and violence on Black families develops strategies for preventing family violence by helping family members define and identify emotions shares programs and ideas for enhancing the physical and mental health of elderly Black people identifies ways to overcome the drawbacks of early parenthood Health Care in the Black Community offers health care professionals-- policymakers, practitioners, researchers, and educators in the fields of social work, health care, and cultural studies--successful methods, models, and suggestions to help improve health care in Black communities.