The Social Context Of Health And Health Work

The Social Context of Health and Health Work breaks new ground by linking together sociology of health and social policy perspectives. Linda Jones argues that health and health work cannot be understood in isolation. Patterns of disease, illness, treatment and provision are crucially influenced by class, race, gender, age and disability. Conflicts over health policies reflect fundamental debates about the purpose of welfare. The writer draws on her specialist knowledge of developing and teaching nursing and health studies courses, and on her recent experience of writing distance learning materials, to create a book which encourages critical thinking and supports study.

Anyone who has ever had a job has probably experienced work-related stress at some point or another. For many workers, however, job-related stress is experienced every day and reaches more extreme levels. Four in ten American workers say that their jobs are “very” or “extremely” stressful. Job stress is recognized as an epidemic in the workplace, and its economic and health care costs are staggering: by some estimates over $ 1 billion per year in lost productivity, absenteeism and worker turnover, and at least that much in treating its health effects, ranging from anxiety and psychological depression to cardiovascular disease and hypertension. Why are so many American workers so stressed out by their jobs? Many psychologists say stress is the result of a mismatch between the characteristics of a job and the personality of the worker. Many management consultants propose reducing stress by “redesigning” jobs and developing better individual strategies for “coping” with their stress. But, these explanations are not the whole story. They don’t explain why some jobs and some occupations are more stressful than other jobs and occupations, regardless of the personalities and “coping strategies” of individual workers. Why do auto assembly line workers and air traffic controllers report more job stress than university professors, self-employed business owners, or corporate managers (yes, managers!)? The authors of Work and Mental Health in Social Context take a different approach to understanding the causes of job stress. Job stress is systematically created by the characteristics of the jobs themselves: by the workers’ occupation, the organizations in which they work, their placements in different labor markets, and by broader social, economic and institutional structures, processes and events. And disparities in job stress are systematically determined in much the same way as are other disparities in health, income, and mobility opportunities. In taking this approach, the authors draw on the observations and insights from a diverse field of sociological and economic theories and research. These go back to the nineteenth century writings of Marx, Weber and Durkheim on the relationship between work and well-being. They also include the more contemporary work in organizational sociology, structural labor market research from sociology and economics, research on unemployment and economic cycles, and research on institutional environments. This has allowed the authors to develop a unified framework that extends sociological models of income inequality and “status” attainment (or allocation) to the explanation of non-economic, health-related outcomes of work. Using a multi-level structural model, this timely and comprehensive volume explores what is stressful about work, and why; specifically address these and questions and more: -What characteristics of jobs are the most stressful; what characteristics reduce stress? -Why do work organizations structure some jobs to be highly stressful and some jobs to be much less stressful? Is work in a bureaucracy really more stressful? -How is occupational “status” occupational “power” and “authority” related to the stressfulness of work? -How does the “segmentation” of labor markets by occupation, industry, race, gender, and citizenship maintain disparities in job stress? - Why is unemployment stressful to workers who don’t lose their jobs? -How do public policies on employment status, collective bargaining, overtime affect job stress? -Is work in the current “Post (neo) Fordist” era of work more or less stressful than work during the “Fordist” era? In addition to providing a new way to understand the sociological causes of job stress and mental health, the model that the authors provide has broad applications to further study of this important area of research. This volume will be of key interest to sociologists and other researchers studying social stratification, public health, political economy, institutional and organizational theory.

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 what way is health related to our sense of self-identity? * How do we make decisions about our health in an age of uncertainty? * Which developments in medical knowledge and the delivery of care change our ideas about health? The central theme running through this book is the essentially 'social' nature of health. This embraces the way medical knowledge emerged out of a specific set of historical and intellectual circumstances, and the shaping of the health professions by the cultural and political milieu of the nineteenth century. Like non-expert knowledge, the development and application of expert knowledge in health is embedded in social processes. In this accessible text the complex relationships between inequality, race, gender and other social divisions are examined and related to changes in health care. Problems central to the delivery of health care are highlighted and linked to challenges to established health-care professions and systems. Michael Hardey shows the way in which health has become part of our identity, and relates this to the increasing range of health advice and the constant choices available in terms of our health and lifestyles.

As the most comprehensive text of its kind, Social Work in Health Settings introduces social work students to a range of clients and provides an overview of many social work settings and services in the health arena. If you're a practitioner, you'll find the book useful for examining and evaluating your practice. This second edition features 18 new chapters and chapter subjects and rewritten and updated versions of the 14 chapters which were part of the first edition.

A quick look at the table of contents will show that Health for the Whole Person is easily the most comprehensive book available on holistic approaches to health. This authoritative sourcebook will answer your questions about alternative health practices and direct you to the best additional information on such topics as homeopathic medicine, biofeedback, chiropractic, natural childbirth, herbal medicines, psychic healing, and nutrition therapy. - Back cover.

The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.