The material in this book is an expansion of a lecture given at the Army Medical Center, Washington, D.C., on May 15, 1933. I have thought it best to leave it in the somewhat informal discourse of the lecture platform. References to the literature, and other annotations, are numbered consecutively and placed together at the end of the book. It should be pointed out here at the start, as it is in the text, that the author is not a medical man, but merely a biologist greatly interested in human biology; aware of his deficiencies in knowledge and experience consequent upon not having an equally lively sense of his inalienable right as a biologist to study man, the most interesting of all animals.

"Persuading People to Have Safer Sex" offers a lucid, in-depth, student-friendly and academically thorough discussion of AIDS prevention and health persuasion. In so doing it provides an introduction to the ways that social scientific research can be brought to bear on a daunting health problem.
Covering many aspects of the AIDS crisis, the book introduces readers to the severity of the AIDS problem and explains the epidemiology of the disease. It discusses why persuasion is so important, explicates cognitive theories of AIDS prevention, and notes the role emotions and communication play in safer sex prevention. It also discusses:
*functions that unsafe sex plays in peoples' lives;
*why people, notably minority women, frequently choose to engage in unsafe sex; and
*social factors underlying the spread of AIDS in urban America and portions of Africa.
As a resource for introducing students to the role that theory and research play in health communication and psychology, the volume is appropriate for use in communication, journalism, social psychology, and public health courses, and will be of value to scholars, researchers, and all who seek to understand the use of persuasion in changing behavior.

Risk management, assessment and reduction, alongside patient involvement, is an essential part of the current NHS reforms. This book draws together and summarises the latest information on risk in healthcare. It outlines the facts patients need and the level of involvement they require to make informed decisions, and emphasises the practical aspects of how practitioners can best explain risk. The first section of the book concentrates on defining risk and the factors influencing individuals as they make decisions about risk, and the latter part focuses on how clinical teams make decisions about organisational matters and the working environment. All health professionals, including doctors, nurses and managers throughout primary and secondary care will find it an essential reference.

Topical and controversial The Tyranny of Health exposes the dangers of the explosion of health awareness for both patients and doctors, using straightforward language to explain the latest health statistics and and research findings. Michael Fitzpatrick, a full-time inner-city GP, argues from his day-to-day experience in the surgery that health propaganda is having a very unhealthy effect on the nation. Patients are made unnecessarily anxious as a result of health scares which have greatly exaggerated the risks of everyday activities such as eating beef, sunbathing and having sex. Doctors no longer seem content with treating disease but are encouraged by the government to tell people how to live more and more aspects of their lives.
Michael Fitzpatrick concludes that doctors should stop trying to make people virtuous. He argues that we need to establish a clear boundry between the worlds of medicine and politics, so that doctors can concentrate on treating the sick - and leave the well alone.

eBook available with sample pages: 0203129261

Topical and controversial The Tyranny of Health exposes the dangers of the explosion of health awareness for both patients and doctors, using straightforward language to explain the latest health statistics and and research findings. Michael Fitzpatrick, a full-time inner-city GP, argues from his day-to-day experience in the surgery that health propaganda is having a very unhealthy effect on the nation. Patients are made unnecessarily anxious as a result of health scares which have greatly exaggerated the risks of everyday activities such as eating beef, sunbathing and having sex. Doctors no longer seem content with treating disease but are encouraged by the government to tell people how to live more and more aspects of their lives.
Michael Fitzpatrick concludes that doctors should stop trying to make people virtuous. He argues that we need to establish a clear boundary between the worlds of medicine and politics, so that doctors can concentrate on treating the sick - and leave the well alone.

This Book explains and investigates how medicines are controlled in Europe, especially the EU. Based on penetrating documentary and interview research with the pharmaceutical industry, regulators and consumer organisations,it provides the first major critical examination of the new Europeanised systems of medicine regulation. The authors argue that the drive to produce and approve more drugs more quickly for a single European market dominates other considerations, such as improvements in democratic accountability, the independence of regulators and scientific expertise from commercial interests, and drug safety testing and surveillance.

This book presents both theoretical contributions and empirical applications of advanced statistical techniques including geo-additive models that link individual measures with area variables to account for spatial correlation; multilevel models that address the issue of clustering within family and household; multi-process models that account for interdependencies over life-course events and non-random utilization of health services; and flexible parametric alternatives to existing intensity models. These analytical techniques are illustrated mainly through modeling maternal and child health in the African context, using data from demographic and health surveys. In the past, the estimation of levels, trends and differentials in demographic and health outcomes in developing countries was heavily reliant on indirect methods that were devised to suit limited or deficient data. In recent decades, world-wide surveys like the World Fertility Survey and its successor, the Demographic and Health Survey have played an important role in filling the gap in survey data from developing countries. Such modern demographic and health surveys enable investigators to make in-depth analyses that guide policy intervention strategies, and such analyses require the modern and advanced statistical techniques covered in this book. The text is ideally suited for academics, professionals, and decision makers in the social and health sciences, as well as others with an interest in statistical modelling, demographic and health surveys. Scientists and students in applied statistics, epidemiology, medicine, social and behavioural sciences will find it of value.

First published in 1998 , This timely book describes the challenges that need to be met in bringing together health and social services into a partnership to create effective and responsive services. It presents the reader with both conceptual frameworks and practical examples on how change can be managed and the momentum maintained towards the development of a quality service. The authors present practical examples and reflect on what worked and what was not successful. Over twenty writers (staff and managers, senior and junior, qualified and unqualified) describe focused work in particular areas which will be of interest to any service for this user group. Throughout, the emphasis is on how to deliver an accessible good quality service and how this can be safeguarded in the future. Fifty years after the establishment of the NHS, and nearly twenty five years since the establishment of British Social Services departments, this book articulates a modern, practical and principled vision of community based services to vulnerable people.

First published in 1998, this volume emerged in the context of rapidly developing nursing and health care fields and features contributions on areas in the NHS and private nursing including nurses' pay and education, the gender balance in the nursing labour market, working patterns, employment contracts and turnover. It is part of a series of monographs offers up-to-date reports of recently completed research projects in the fields of nursing and health care. The aim of the series is to report studies that have relevance to contemporary nursing and health care practice. It includes reports of research into aspects of clinical nursing care, management and education. The series is of interest to all nurses and health care workers, researchers, managers and educators in the field.

Social investment is part of a strategy to modernize the European welfare states by focusing on human resource development throughout the life-course, while ensuring financial sustainability. The last decades have seen cost containment in areas such as pensions and health care, but also expansion in areas such as early childhood education, higher education and active labor market policies. This development is linked to a Social Investment (SI) approach, which should, ideally, promote a better reconciliation of work and family life, high levels of labor market productivity and strong economic growth, while also mitigating social inequality. However, institutionalization of policies that may mainly benefit the middle class has some unintended effects, such as perpetuating new inequalities and the creation of other Matthew effects. While research on the rise of the social investment state as a new paradigm of social policy-making for European welfare states has grown significantly, there are still important gaps in the literature. The chapters in this book address the controversies around social investment related to inequalities, individual preferences and the politics of social investment. This volume is therefore organized around policies, politics and outcomes. The contributing authors bring together expert knowledge and different perspectives on SI from several disciplines, with original path-breaking empirical contributions, addressing some key questions that thus far are unanswered, related to Matthew effects, inequalities, ambiguities of social investment and institutional complementarities. Furthermore, it is the first volume that covers the core policy areas of social investment: childcare, education and labour market policies. The chapters in this book were originally published in a special issue of the Journal of European Public Policy.

This book explores the impact of Covid-19, and the associated state lockdown, on rural lives in a former homeland in South Africa. The 2020 Disaster Management Act saw the state sweep through rural areas, targeting funerals and other customary practices as potential 'super-spreader' events. This unprecedented clampdown produced widespread disruption, fear and anxiety. The authors build on path-breaking work concerning local responses to West Africa's Ebola epidemic, and examine the HIV/AIDS pandemic, to understand the impact of the Covid crisis on these communities, and on rural Africa more broadly. To shed light on the role of custom and ritual in rural social change during the pandemic, Covid and Custom in Rural South Africa applies long-term historical and ethnographic research; theories of people's science, local knowledge and the human economy; and fieldwork conducted in ten rural South African communities during lockdown. The volume highlights differences between developments in Southern Africa and elsewhere on the continent, while exploring how the former apartheid homelands-commonly, yet problematically, represented as former 'labour reserves'-have since been reconstituted as new home-spaces. In short, it explains why rural people have been so angered by the state's assault on their cultural practices and institutions in the time of Covid.

Unhealthy Places focuses on issues of health in today's cities. By arguing that 'place matters' in relation to the population's health, Kevin Fitzpatrick and Mark LaGory make a convincing argument about the general unhealthiness of urban environments and thus, of the urban dweller. The authors offer a place-oriented approach to health and cover such topics as:
* the ecology of everyday urban life
* the sociology of health
* needs and risks of the socially disadvantaged
* needs and risks of children and the elderly in cities
* strategies for better health services in urban environments.

Providing a critical review of the current state of health promotion research. This book re-conceptualises the field of health promotion as collaborative and integrating enterprise, rather than as a battlefield for disciplinary and intellectual clashes.
It makes a significant contribution to ongoing epistemological, theoretical and methodological debates in health promotion research. With contributors from Sweden, Switzerland, Denmark, Ireland, the UK and the US, Researching Health Promotion will be of interest to students and professionals working in health promotion, public health, medicine and health policy.

At least 5 million people die each year from injuries, and about half the deaths in the 10-24 age group are accountable to them. This is a major health problem for which a number of strategies for prevention and control can be developed.
This book presents a series of the plenary and state-of-the-art presentations from the 5th World Conference on Injury Prevention and Control. There is a focus on transportation, workplace, sport and leisure, and domestic sectors, and an exploration of the legal, medical, environmental, safety and governmental issues which play a part in the subject.
Practitioners and researchers in a variety of activities, including epidemiology and public health, occupational health and safety, ergonomics and product design, medicine, criminology, engineering and physical sciences, and the behavioural sciences, should find this a useful and challenging work.

Finding Dignity at the End of Life discusses the need for palliative care as a human right and explores a whole-person methodology for use in treatment. The book examines the concept of palliative care as a holistic human right from the perspective of multiple aspects of faith, ideology, culture, and nationality. Integrating a humanities-based approach, chapters provide detailed discussions of spirituality, suffering, and healing from scholars from around the world. Within each chapter, the authors address a different cultural and religious focus by examining how this topic relates to questions of inherent dignity, both ethically and theologically, and how different spiritual lenses may inform our interpretation of medical outcomes. Mental health practitioners, allied professionals, and theologians will find this a useful and reflective guide to palliative care and its connection to faith, spirituality, and culture.

Published in 1998. This book brings together both the history of community involvement and health and ideas and proposals for further developing the potential of this approach. It explores the roots and branches of community involvement, drawing together different strands from within and outside the NHS. It explores the impact of the rapid changes in the NHS and in local government on local communities and patients and ways in which current policy can enhance and enable the general public to be more involved in their own health and effective service provision. Ideas, models and case studies are used to illustrate practical ways in which skills and knowledge can be enhanced.

First published in 1999, Maruyama explores some significant difficulties and differences in bringing the western hospice philosophy to the Japanese medical culture. Whilst not giving any definite answers, this study determines what some of the critical questions that need to be considered into Japanese medicine, as Mayuyama argues without defining these questions to begin with we cannot find appropriate solutions.

First published in 1998, this book covers a variety of health issues in the contemporary Middle east. Its thirteen chapters, contributed by a total of 23 authors and co-authors, reflect several different disciplines relevant for health studies, including epidemiology, economics and anthropology. In the field of reproductive health, there are chapters on maternal health indicators, fertility, infertility and the utilization of family planning services. In the field of infectious disease there are chapters on schistosomiasis, HIV/AIDS, hepatitis C, and Rift Valley Fever. Several different parts of the Middle East and North Africa are covered, including Tunisia, Egypt, Israel, Palestine and Lebanon. Problems of reproductive health and infectious disease in the region are seen to be more serious than generally recognised. There are significant cultural and political obstacles in both areas. A particular need is for greater empowerment of women as both clients and providers within the health care systems.

First published in 1998, this book contributes to our understanding of emergent and resurgent infectious diseases and health ecology in developing areas through detailed spatial and temporal analysis of recent cholera and bacillary dysentery epidemics in Mozambique. The book examines the influence of environmental, demographic and socio-economic changes on the nature and context of cholera and bacillary dysentery. It provides a detailed background to the two diseases based on their ecology and contemporary status in human communities together with analysis of extensive primary field data centered on three key urban areas in central Mozambique. Influences are weighed up against factors relating to the individual ecologies of the different pathogens, primary subsistence, and the impacts of Mozambique's history of conflict and development policies on human vulnerability. The extensive case study material is used to provide clear indications of appropriate ways forward in the field of environmental health management.

First published in 1997, this work makes a substantial reexamination of the social processes behind the labelling of patients in hospital care. Taking an interpretive perspective, the author analyzes the social construction of patient labels identifying strategies for and the consequences of giving and receipt of 'good' and 'bad' labels. He shows how the rich data of truly participant observation in the tradition of reflexive ethnography can powerfully illuminate the experiences and actions of both patients and their nurses. It is a critical analysis of key work in this field. Professor Johnson demonstrates the redundancy of trait theories of social judgment, offering a more complex and negotiated reality in which patient labels form a part of a rich web of unequal power relations between nurses and their clients.

Complementary and integrative medicine (CIM) has become big business internationally, in particular with regards to a range of women's health issues. With this context in mind, Women's Health and Complementary and Integrative Medicine constitutes a valuable and timely resource for those looking to understand, initiate and expand CIM research and evidence-based debate with regards to a wide range of women's health care issues. The collection brings together leading international CIM researchers from Australia, the USA, the UK, Germany and Canada, with backgrounds and expertise in health social science, statistics, qualitative methodology, clinial trial design, clinical pharmacology, health services research and public health. Contributors draw upon their own CIM research work and experience to explain and review core research and practice issues pertinent to the contemporary field of CIM and its future development with regards to women's health. The book outlines the core issues, challenges and opportunities facing the CIM-women's health field and its study and will provide insight and inspiration for those practising, studying and/or researching the contemporary relations between CIM and women's health and health care.

This title was first publihsed in 2000: Confronting Icarus, is the first book to bring together all of the original research that has been published to date on the psycho-social aspects of Haematological malignancies. This is a practical book to be used by health care practitioners and researchers interested in Haematological malignancies. Clearly written summaries of the findings from a wealth of original research are organised into ten distinct topic areas so that the reader can quickly and easily access an overview of the work completed in the area. For more detailed reference, each chapter includes, in chronological and alphabetical order, full descriptions of the relevant research. This book provides a constructive way forward to addressing the extensive literature that is concerned with the problems inherent in the biomedical perspective that presently predominates in oncology. A remedy, it is argued, is to build into our response to disease a sophisticated understanding of the human experience of illness through psycho-social research.

This title was first published in 2003: This book provides an evaluation of the Gateshead Community Care Scheme which was devised as an alternative to residential and hospital care for frail elderly people. An important feature of the scheme was the decentralization of control of resources to individual social workers acting as care managers, with defined caseloads and expenditure limits to ensure accountability. The initial social social care scheme was subsequently extended to provide both health and social care to clients from a large general practice based in a health centre. The social care team was enlarged to include a nurse care manager and part-time doctor and physiotherapist. The study examines the operation of care management in both settings, the use of devolved budgets and services developed, the outcomes for clients and carers and the costs of care. Admissions to residential care were reduced and the elderly people who received the scheme's support experienced a better quality of care and greater well-being when compared with elderly people receiving the usual range of services. This was achieved at no greater cost. The characteristics of those for whom the scheme was most appropriate are described. In addition, the pattern of development of the scheme as it was incorporated into the mainstream of the Social Services and after the implementation of the NHS and Community Care Act are examined. Final, the implications for the development of care management are considered.

This title was first published in 2003: Although young people are generally very healthy, it has become clear that many of the health behaviours of young people can have serious consequences later in life. This is particularly so with the management of chronic illness, where poor management can result in serious long-term complications. This book explores how gender differentially affects both the ways in which young people manage chronic illness and the ways in which mothers care for their teenage sons and daughters. Until recently, where gender and health have been linked, the focus has typically been on women rather than men. However, there is growing interest in the health of men, with the recognition that masculinities and health interact in specific, sometimes detrimental ways. Most books examine either women's, or less commonly, men's health, but the comparative approach proposed reflects a growing academic and empirical trend which aims to develop new theoretical perspectives both on gender and on the relationship between gender and health. The book also challenges assumptions that gender is static, by exploring the effects of gender at a specific time of transition in the life course. The focus on adolescence is important, as it is seen by many to be the time when heterosexual values are most powerfully pursued and enforced, thus enabling interactions between gender and health to be thrown into relief. The approach adopted takes issue with many current ideas about young people, which tend to portray them as autonomous individuals, acting independently. For example, in terms of health care for young people with a chronic illness, health professionals generally adopt an individualistic approach, stressing the importance of independence for young people. Rather than seeing young people as purely autonomous, this book relocates them within families, in transition between childhood and adulthood and acting interdependently with other family members. Little is known about the complex deci

For the first time, life expectancy is declining in an industrialized society. In this pioneering work, William C. Cockerham examines the social causes of the decline in life expectancy beginning in the 1960s including:
*Russia
*Poland
*Hungary
*Romania
*Bulgaria
*the Czech Republic
*and East Germany.
Health and Social Change in Russia and Eastern Europe argues that the roots of this change are mainly social rather than biomedical - the result of poor policy decisions, stress and an unhealthy diet. Cockerham presents a theory of postmodern social change that goes beyond the borders of Eastern Europe.