With the World Health Organization estimating that nearly four percent of global deaths are due to alcohol, alcohol misuse can be an extremely damaging social problem, and one that governments around the world have endeavored to address through a range of policy strategies. Regulating Alcohol around the World explores historical and contemporary case studies in multiple countries to gain a richer understanding of the political, economic, and other forces that influence alcohol-related policymaking. The case studies presented in the book investigate a range of different kinds of alcohol policies, including prohibition strategies, general efforts to reduce alcohol's social harms, and more targeted policies. The explanatory value of leading theories from political science, policy studies, anthropology, and other fields is assessed, with particular reference to the influence of cultural and historical factors on approaches to alcohol regulation. The book adopts a global perspective and offers guidance for students, researchers, practitioners, policymakers, and other stakeholders about the lessons that can be learned from previous efforts to change alcohol policies. As such, it will be of interest to practitioners in the fields of health and alcohol abuse prevention, as well as scholars and students of social policy, criminology, and the sociology of health, addiction, and social problems.

Exploring the value of photography and video as legitimate forms of social enquiry, An Applied Visual Sociology: Picturing Harm Reduction constitutes a guidebook for conducting applied visual sociology within health related or social science research projects, providing a full account of the visual research journey and presenting a tested template for conducting theoretically-driven, sociologically-informed research. Against the background of the growing popularity of visual methods, this book goes beyond using photographs for illustrative and descriptive purposes, to emphasise the importance of sociological, epistemological and analytical theory, together with methods of data collection and the presentation of images for applied purposes. As such, An Applied Visual Sociology: Picturing Harm Reduction offers a template for considering visual data as applied research, providing a full account of the manner in which visual methods can inform research and specific interventions, together with opportunities for students and practitioners to consider applied visual sociology in a series of practical or self-study tasks . It will therefore appeal not only to students and researchers involved in social and health-related qualitative research, or those seeking to conduct innovative visual projects within the social sciences, but also to scholars interested in research methods, visual ethnography and harm reduction approaches to drug use.

This book examines donor conception and the search for information by donor-conceived people. It details differing regulatory approaches across the globe, including those that provide for 'open-identity' or anonymous donation, or that take a 'dual-track' approach. In doing so, it identifies models regarding the recording and release of information about donors that may assist in the further development of the law, policy and associated practices. Arguments for and against donor anonymity are considered, and specifically critiqued. The study highlights contrasting reasoning and emphasis upon various interests and factors that may underpin secrecy, anonymity or openness. The book will be of value to academics, students and legal practitioners involved with this area. It is also relevant to policy makers, health practitioners and anyone with an interest in the subject.

The last twenty years have witnessed an important movement in the aspirations of public policy beyond meeting merely material goals towards a range of outcomes captured through the use of the term 'wellbeing'. Nonetheless, the concept of wellbeing is itself ill-defined, a term used in multiple different contexts with different meanings and policy implications. Bringing together a range of perspectives, this volume examines the intersections of wellbeing and place, including immediate applied policy concerns as well as more critical academic engagements. . Conceptualisations of place, context and settings have come under critical examination, and more nuanced and varied understandings are drawn out from both academic and policy-related research. Whilst quantitative and some policy approaches treat place as a static backdrop or context, others explore the interrelationships of emotional, social, cultural and experiential meanings that are both shape place and are shaped in place. Similarly, wellbeing may be understood as a relatively stable and measurable entity or as a more situation-dependent and relational effect. The book is structured into two sections: essays that explore the dynamics that determine wellbeing in relation to place and essays that explore contested understandings of wellbeing both empirically and theoretically.

Dementia and related diseases are likely to affect at least four in every hundred 75-79 year olds in the developed world over the coming years. Faced with an expanding older population, it is crucial that we develop our understanding of how to treat people suffering from such conditions. This accessible book provides extensive information on the different types of dementia and on memory problems more generally. It includes detailed coverage of how to alleviate memory problems and discussion on issues such as ageism. For the student reader, there are descriptions and discussions of key topics as well as practical step-by-step guidance. The book includes a memory test as well as a comprehensive list of useful addresses and suggestions for further reading. This book will be an invaluable resource for the trained healthcare and medical professional and for the student reader.

This volume addresses the ideational and policy-oriented challenges of Africa's health governance due to voluntary and involuntary cross-border migration of people and diseases in a growing 'mobile Africa'. The collected set of specialized contributions in this volume examines how national and regional policy innovation can address the competing conception of sovereignty in dealing with Africa's emerging healthcare problems in a fast-paced, interconnect world.

Controlling costs in health care is rarely something that can be tackled in isolation. Cost control invariably interacts with issues of quality and health care access. Thus, this diverse collection of papers is concerned not just with costs but more importantly with value. Both macro and micro concerns are covered. At the macro level, health care reforms (and especially the 'marketisation' of health care systems) receive some attention. Papers explore how policy prescriptions get translated and modified during implementation, and assess how these prescriptions impact on both the incentive context and subsequent patterns of service delivery. Resource allocation within bureaucratic health systems continues to pose problems and these too are analysed with new solutions being proposed. At the micro level, a number of contributors wrestle with the difficulties of carrying out the economic evaluation of new drugs and technologies. In each case, the wider theoretical and practical implications of balancing costs and benefits are explored. This collection should prove helpful to health care policy specialists, managers and researchers interested in gaining a feel for the real-world application of cost-focused health services research.

The first fully comparative study of fuel poverty across the EU, this work analyses the relationship between domestic energy efficiency, fuel poverty and health. The book adopts a holistic approach, incorporating a large number of social and economic risk factors to present a large-scale, cross-country, longitudinal analysis. The book is unique in: * Developing a new (consensual) methodology for calculating cross-country fuel poverty levels; * Presenting a detailed econometric/statistical analysis of EU fuel poverty; * Detailing the results of an empirical investigation of EU housing conditions, affordability and housing satisfaction; * Identifying risk factors related to seasonal variations in mortality across the EU; * Offering an empirical examination of health outcomes associated with fuel poverty; * Providing startling new evidence on fuel poverty in Southern Europe. Housing, Fuel Poverty and Health provides a powerful reference source for researchers and practitioners in the areas of energy economics, public health and epidemiology, housing and social policy.

Since the late 1990s approaches to women's reproductive health has shifted from a service-based model to a human rights approach. This approach associates reproductive health with freedom from discrimination and enjoyment of a satisfying and safe sex life, and full access to information and services related to reproduction. In spite of this shift, and the global effort to promote women's reproductive health through the enhancement of human rights and gender equality, progress has been very slow. In this book the author fills a much-needed empirical study of women's reproductive health. The author assesses data from 137 developing countries (or areas) and challenges the prevailing bioscience and public health models by linking women's reproductive health to gender equality measures and development policies. Discussion on abortion rights, regional variations and reproductive health needs among refugees and internally displaced persons are also discussed. This is a timely study which provides a theoretical and social policy basis for monitoring and improving women's reproductive health in developing countries. This is particularly important in the light of insufficient research in the field and a lack of analysis on the empirical and theoretical linkages between reproductive health and gender equality. The book will be of interest to researchers, professionals and students interested in women's health issues, gender/women's studies and human rights.

A prevailing excitement can be discerned in the medical and public health literature and popular media concerning the apparent 'disruptive' or 'revolutionary' potential of digital health technologies. Most of the wider social implications are often ignored or glossed over in such accounts. Critical approaches from within the social sciences that take a more measured perspective are important - including those that focus on risk. The contributors to this volume examine various dimensions of risk in the context of digital health. They identify that digital health devices and software offer the ability to configure new forms of risk, in concert with novel responsibilities. The contributions emphasise the sheer volume of detail about very personal and private elements of people's lives, emotions and bodies that contemporary digital technologies can collect. They show that apps and other internet tools and forums provide opportunities for health and medical risks to be identified, publicised or managed, but also for unvalidated new therapies to be championed. Most of the authors identify the neoliberal 'soft' politics of digital health, in which lay people are encouraged ('nudged') to engage in practices of identifying and managing health risk in their own interests, and the victim-blaming that may be part of these discourses. This book was originally published as a special issue of Health, Risk and Society.

Serenity is becoming alarmingly absent from our daily existence, especially within the urban context. Time is dense and space is tumultuous. The idea of the serene has gained currency in postmodern discussions, and when combined with urbanism conjures questions, even contradictions, as the two ideas seem improbable yet their correspondence seems so inherently desirable. Integrated, these two constructs present design challenges as they manifest in differing ways across the rural-urban transect. In response, Part I of this book establishes the theoretical framework through different contemporary perspectives, and concludes with a clear explanation of a theory of serene urbanism. The positive characteristics of urbanism and beneficial qualities of the serene are explored and related to sustainability, biophilia, placemaking and environmental design. Both principles and examples are presented as compelling portraits for the proposal of these new urban landscapes. Part II of the work is an in-depth exploration and analysis of serene urban ideas related to the intentional community being created outside of Atlanta, Georgia, USA. "Serenbe" is the name given to this place to commemorate the value and nuance between the serene and urban.

Counselling Ideologies draws our attention to the dilemmas inherent within the therapeutic ideologies commonly subscribed to by psychotherapists and counsellors working with those who challenge heteronormative models and approaches. Identifying the modernist, heteronormative understandings of the world implicit in the more popular models, this book employs queer theory to challenge these ideologies, drawing on disciplines both within and outside of counselling and psychology, as well as sociology, cultural studies and various ethnographic accounts. It highlights the dilemmas faced by those who may wish to practise as 'queer therapists', addressing not only therapeutic dilemmas, but also issues such as: identity, race, coming-out experiences, 'internalised homophobia', 'empathy', 'ethical issues', bisexuality and pathologisation. Comprising contributions from both academic experts and practitioners from the UK, USA and Australia, this book represents a new approach to counselling and psychotherapy that will appeal not only to sociologists and those working in the field of mental health, but also to scholars of race and ethnicity, gender, queer studies and queer theory.

This volume explores the nature of health and health-care experiences in Russia by comparing societies and communities with different socio-cultural conditions. The unique use of longitudinal data collected over ten years, allows the authors to address key questions on Russians individual experiences of health care and their understanding of its influencing factors. They explore the methods of self treatment and illness prevention in combination with the effects poverty and treatment availability can have on the standards of living for the people surveyed. This pertinent issue follows a time of rapidly worsening health status amongst the Russian population and a grave decline in male life expectancy. The findings are set within the context of experience from Finland and the UK, allowing the authors to explore the challenge of the Russian health-care crisis to Western European models of health status and health care.

Testing for genetic diseases or traits is a rapidly developing practice, the most widely used form of testing currently in use being newborn screening. Based on a five-year research project and winner of the Prix 'Le Monde' for academic research in France, The Birth of a Genetics Policy analyses the three dimensions - scientific, political and moral - of the social issues raised by a policy of screening for the genetic disease of cystic fibrosis amongst babies. Drawing on extensive interview material and observational research, it explores the conditions under which a screening policy is decided upon and implemented, the types of political logic underlying it, and the effects it has on norms and values. Revealing the ties that exist between forms of biomedical knowledge and political techniques, whilst showing how the notion of biomedical abnormality is being extended, this book sheds light on judgements surrounding the idea of the 'quality (of) life'. A rigorous examination of the discourses and practices of medical genetics in the early twenty-first century, The Birth of a Genetics Policy will appeal to sociologists and anthropologists with interests in medicine and the body, evidence-based care and questions of biopolitics and governmentality.

Health care is constantly undergoing change and refinement resulting from the adoption of new practices and technologies, the changing nature of societies and populations, and also shifts in the very places from which care is delivered. Primary Health Care: People, Practice, Place draws together significant contributions from established experts across a variety of disciplines to focus on such changes in primary health care, not only because it is the most basic and integral form of health service delivery, but also because it is an area to which geographers have made significant contributions and to which other scholars have engaged in 'thinking geographically' about its core concepts and issues. Including perspectives from both consumers and producers, it moves beyond geographical accounts of the context of health service provision through its explicit focus on the practice of primary health care. With arguments well-supported by empirical research, this book will appeal not only to scholars across a range of social and health sciences, but also to professionals involved in health services.

Since the naming of hepatitis C in 1989, knowledge about the disease has grown exponentially. So too, however, has the stigma with which it is linked. Associated with injecting drug use and tainted blood scandals, hepatitis C inspires fear and blame. Making Disease, Making Citizens takes a timely look at the disease, those directly affected by it and its social and cultural implications. Drawing on personal interviews and a range of textual sources, the book presents a scholarly and engaging analysis of a newly identified and highly controversial disease and its relationship to philosophies of health, risk and harm in the West. It maps the social and medical negotiations taking place around the disease, shedding light on the ways these negotiations are also co-producing new selves. Adopting a feminist science and technology studies approach, this theoretically sophisticated, empirically informed analysis of the social construction of disease and the philosophy of health will appeal to those with interests in the sociology of health and medicine, health communication and harm reduction, and science and technology studies.

Twentieth century Europe went through a dramatic transition from low income populations experiencing hunger and nutritionally inadequate diets, to the recent era of over-consumption and growing numbers of overweight and obese people. By examining the trends in food history from case studies across Europe, this book offers a historical context to explain how and why this transition has occurred and what we can learn in order to try and address the vitally important issues arising from obesity in contemporary Europe.

The anxiety over death persists in everyday life- though often denied or repressed- lingering as an unconscious worry or intuition that typically seems to compromise one's feelings of well-being and experience in a range of areas; coming out often as malaise, depression, and anger in much conduct. If one accepts the cliche that life is preparation for death, we must accept that the lived experience of the dying body is not highlighted merely in obvious cases of deterioration such as in the ageing or diseased body, but in everyday life as a normal phenomenon. This book proposes that sensitivity to this dimension can empower us to develop creative relationships to the vulnerability of others and to ourselves as well. Part One lays the groundwork for a study of the ways the aura and fear of death recurs as a constant premonition in life and how people try to deal with this uneasiness. Part Two then goes on to apply this focus to particular concerns and problems such as dementia, depression, aging, retirement, and a range of anxieties, frustrations and aggressions. The Dying Body as Lived Experience will be of interest to a wide interdisciplinary audience in the health sciences, in the sociology of health and illness, philosophy, bioethics and in the expanding field of medical humanities.

What is the relationship between politics and health policy in the UK? How are the interests of the medical profession, civil society and the state weighed and balanced in the making of health policy? Health Policy and Politics offers a sophisticated critical analysis of policy-making in the National Health Service. The team of contributors comprises established academics who have been actively involved in both research and policy-making in this field. They examine the 'macro' level of policy-making at governmental level, and then consider professional institutional relationships and struggles, and interpersonal decision-making and power relations within small organizations and departments. Unique in the variety of perspectives and topics covered, the volume will be required reading for those teaching and studying on a range of courses in health, social care and public policy, and for health professionals within the NHS.

This volume brings together researchers from different European countries and disciplines who are involved in Clinical Ethics Consultation (CEC). The work provides an analysis of the theories and methods underlying CEC as well a discussion of practical issues regarding the implementation and evaluation of CEC. The first section deals with different possible approaches in CEC. The authors explore the question of how we should decide complex cases in clinical ethics, that is, which ethical theory, approach or method is most suitable in order to make an informed ethical decision. It also discusses whether clinical ethicists should be ethicists by education or rather well-trained facilitators with some ethical knowledge. The second chapter of this book focuses on practical aspects of the implementation of CEC structures. The analysis of experienced clinical ethicists refers to macro and micro levels in both developed and transitional countries. Research on the evaluation of CEC is at the centre of the final chapter of this volume. In this context conceptual as well as empirical challenges with respect to a sound approach to judgements about the quality of the work of CECs are described and suggestion for further research in this area are made. In summary this volumes brings together theorists and healthcare practitioners with expertise in CEC. In this respect the volume serves as good example for a multi- and interdisciplinary approach to clinical ethics which combines philosophical reasoning and empirical research.

There is a strong case today for a specific focus on mental public health and its relation to social and physical environments. From a public health perspective, we now appreciate the enormous significance of mental distress and illness as causes of disability and impairment. Stress and anxiety, and other mental illnesses are linked to risks in the environment. This book questions how and why the social and physical environment matters for mental health and psychological wellbeing in human populations. While putting forward a number of different points of view, there is a particular emphasis on ideas and research from health geography, which conceptualises space and place in ways that provide a distinctive focus on the interactions between people and their social and physical environment. The book begins with an overview of a rich body of theory and research from sociology, psychology, social epidemiology, social psychiatry and neuroscience, considering arguments concerning 'mind-body dualism', and presenting a conceptual framework for studying how attributes of 'space' and 'place' are associated with human mental wellbeing. It goes on to look in detail at how our mental health is associated with material, or physical, aspects of our environment (such as 'natural' and built landscapes), with social environments (involving social relationships in communities), and with symbolic and imagined spaces (representing the personal, cultural and spiritual meanings of places). These relationships are shown to be complex, with potential to be beneficial or hazardous for mental health. The final chapters of the book consider spaces of care and the implications of space and place for public mental health policy, offering a broader view of how mental health might be improved at the population level. With boxed case studies of specific research ideas and methods, chapter summaries and suggestions for introductory reading, this book offers a comprehensive introduction which will be valuable for students of health geography, public health, sociology and anthropology of health and illness. It also provides an interdisciplinary review of the literature, by the author and by other writers, to frame a discussion of issues that challenge more advanced researchers in these fields.

The contributing authors of this volume--respected authorities on health care and social work--describe the shift from hospital based care to ambulatory patient and family focused community based services. Social Work in Ambulatory Care assists readers who need to develop, plan, and implement new social work roles for a changing health care system. Chapters focus on the implications of health care reform, based on policy or economic mandates, and provide specific examples of how social service providers can approach health care in a new era.As the authors describe the shift in health care to ambulatory care and the role of social work in this new environment, they cover areas of potential concern to social service providers. Readers will be challenged to plan new social work roles in the future--roles that help advance social work's own definitions of health and wellness. Specific examples of creative roles for social work are described and several of the most important areas this guidebook analyzes are: the health care system under siege support groups managed care emergency room community based careFor social workers in health settings, struggling with the questions of relevance, growth, and worth in a changing environment, Social Work in Ambulatory Care provokes new ideas about health care for the future.

Compiled by the Partnership for Child Development at Imperial College London, the World Food Programme, the World Bank and the African Union's New Partnership for Africa's Development, this is the first sourcebook of its kind to document government-led school feeding programmes in low and middle income countries. It includes a compilation of concise but comprehensive chapters about national programmes in 14 countries from sub-Saharan Africa, Asia and Latin America. The sourcebook highlights the trade-offs associated with alternative school feeding models and analyses the overarching themes, trends and challenges which run across these programmes.This sourcebook supports learning and knowledge exchange among countries looking to strengthen and scale-up national school feeding programmes. The evidence presented here sheds light on identified global good practices which can be employed to improve the quality and effectiveness of programmes that positively impact on millions of children and communities worldwide.

Did you ever wonder whether doctors want cures, or just treatments?Did you know ... This book reviews recent key, hard-won successes and findings from recent biomedical research. Written by one of the most ardent defenders of the public trust in science, it provides an accessible, detailed look at successes in translational biomedical and clinical research. The author provides an optimistic, forward-looking view for the possibility of change for the public good, cutting through the controversy and gets to very core of each topic. The public can be optimistic about the future of medicine, but only if they learn the facts of these advances, and learn what their doctors should be expected to know.Highly referenced, and filled with interviews from experts and people directly involved in the research behind the new facts in each chapter, this book is a rich source of information on advances in biomedicine that you will want to share with your family & friends.

Did you ever wonder whether doctors want cures, or just treatments?Did you know ... This book reviews recent key, hard-won successes and findings from recent biomedical research. Written by one of the most ardent defenders of the public trust in science, it provides an accessible, detailed look at successes in translational biomedical and clinical research. The author provides an optimistic, forward-looking view for the possibility of change for the public good, cutting through the controversy and gets to very core of each topic. The public can be optimistic about the future of medicine, but only if they learn the facts of these advances, and learn what their doctors should be expected to know.Highly referenced, and filled with interviews from experts and people directly involved in the research behind the new facts in each chapter, this book is a rich source of information on advances in biomedicine that you will want to share with your family & friends.