Risk Culture And Health Inequality

Examines the diverse uses and abuses of risk by social actors across a wide range of cultural, ethnic, and geographical locales. The introductory chapter by the two co-editors analyzes and contextualizes current scholarly debates on the social, cultural, and political construction of risk. It is followed by an overview on the anthropology of harm reduction that outlines an innovative framework for culturally informed risk analysis. The remaining nine chapters are organized into three sections, The Cultivation of Fear, Perceptions of Health, Safety, and Hazard: Risk Makers and Risk Takers, and Regulating Risk and the Public's Health. The book aims to address a set of questions of theoretical and practical importance to anthropologists, sociologists, public health scholars and professionals, and public policy advocates, among others. These questions include: How do individuals conceptualize and respond to risk? Can risk be a tool of empowerment for individuals and communities who define themselves as at-risk? How has risk figured recently in the production of health inequality? Has the social contract to provide care in its broadest sense expanded or contracted around issues of risk? Are risk and the imperative to adhere to risk warnings used by experts as a means of social control? The volume's contributors, medical anthropologists and sociologists, provide rich, grounded ethnographic case material on the processes at work in everyday social life around the globe, as individuals and groups struggle to make saense of the health risks and inequities in their lives and communities. Authors address an array of urgent health concerns, ranging from food safety to environment, new technologies to infectious disease, in such contrasting locales as the US, Europe, South and Southeast Asia, and North Africa, and across diverse ethnicities and social classes.

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.

Since 1965 the foreign-born population of the United States has swelled from 9.6 million or 5 percent of the population to 45 million or 14 percent in 2015. Today, about one-quarter of the U.S. population consists of immigrants or the children of immigrants. Given the sizable representation of immigrants in the U.S. population, their health is a major influence on the health of the population as a whole. On average, immigrants are healthier than native-born Americans. Yet, immigrants also are subject to the systematic marginalization and discrimination that often lead to the creation of health disparities. To explore the link between immigration and health disparities, the Roundtable on the Promotion of Health Equity held a workshop in Oakland, California, on November 28, 2017. This summary of that workshop highlights the presentations and discussions of the workshop.

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 decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.

In early 2007, the Institute of Medicine convened the Roundtable on Health Disparities to increase the visibility of racial and ethnic health disparities as a national problem, to further the development of programs and strategies to reduce disparities, to foster the emergence of leadership on this issue, and to track promising activities and developments in health care that could lead to dramatically reducing or eliminating disparities. The Roundtable's first workshop, Challenges and Successes in Reducing Health Disparities, was held in St. Louis, Missouri, on July 31, 2007, and examined (1) the importance of differences in life expectancy within the United States, (2) the reasons for those differences, and (3) the implications of this information for programs and policy makers.

At a time when social inequalities are increasing at an alarming rate, this new edition of Mel Bartley's popular book is a vital resource for understanding the extent of health inequalities and why they are proving to be persistent despite decades of growing knowledge and policies on the issue. As in the first edition, by examining influences of social class, income, culture and wealth as well as gender, ethnicity and other factors in identity, this accessible book provides a key to understanding the major theories and explanations of what lies behind inequality in health. Bartley re-situates the classic behavioural, psycho-social, and material approaches within a life-course perspective. Evaluating the evidence of health outcomes over time and at local and national levels, Bartley argues that individual social integration demands closer attention if health inequality is to be tackled effectively, revealing the important part that identity plays in relation to the chances of a long and healthy life. Health Inequality will be essential reading for students taking courses in the sociology of health and illness, social policy and welfare, health sciences, public health and epidemiology and all those interested in understanding the consequences of social inequality for health.

In this innovative and entirely original text, which has been thoughtfully edited to ensure coherence and readability across disciplines, scientists and practitioners from around the world provide evidence of the opportunities for, and the challenges of, developing collaborative approaches to bringing advanced and emerging technology to poor communities in developing countries in a responsible and sustainable manner. This volume will stimulate and satisfy readers seeking to engage in a rich and challenging discussion, integrating many strands of social thought and physical science. For those also seeking to creatively engage in the great challenges of our times for the benefit of struggling farmers, sick children, and people literally living in the dark around the world, may this volume also spark imagination, inspire commitment, and provoke collaborative problem solving.