Over the past two decades, rates of adult and childhood obesity in the developed world have risen sharply. By the year 2000, 65% of the United States population were overweight, 30% of these obese. Whilst medical treatment has tended to focus on individual habits of diet and exercise, this approach does little to account for globally increasing levels of obesity, and the external, environmental factors that may be responsible. This in-depth study assembles the evidence for a geographical explanation of current obesity trends, and is the first work to examine the ways in which environment and living conditions promote an imbalance of energy intake over energy expenditure. The book calls upon the expertise of geographers, nutritionists, epidemiologists, sociologists and public health researchers, resulting in a broad, multidisciplinary analysis of this important health issue. Cover graphic designed by Georgia Witten-Sage.

In the twenty-first century there is increasing global recognition of pain relief as a basic human right. However, as Susan Honeyman argues in this new take on child pain and invisible disability, such a belief has historically been driven by adult, ideological needs, whereas the needs of children in pain have traditionally been marginalised or overlooked in comparison. Examining migraines in children and the socially disabling effects that chronic pain can have, this book uses medical, political and cultural discourse to convey a sense of invisible disability in children with migraine and its subsequent oppression within educational and medical policy. The book is supported by authentic migraineurs' experiences and first-hand interviews as well as testimonials from a range of historical, literary, and medical sources never combined in a child-centred context before. Representations of child pain and lifespan migraine within literature, art and popular culture are also pulled together in order to provide an interdisciplinary guide to those wanting to understand migraine in children and the identity politics of disability more fully. Child Pain, Migraine, and Invisible Disability will appeal to scholars in childhood studies, children's rights, literary and visual culture, disability studies and medical humanities. It will also be of interest to anyone who has suffered from migraines or has cared for children affected by chronic pain.

Against a background of debate around global ageing and what this means in terms of the future care need of older people, this book addresses key concerns about the nature and site of care and care-giving. Following a critical review of research into who cares, where and how, it uses geographical perspectives to present a comprehensive analysis of how the intersection of informal care-giving within domestic, community and residential care homes can create complex landscapes and organizational spatialities of care. Drawing on contemporary case studies largely, but not exclusively from the UK, the book reviews and develops a theoretical basis for a geographical analysis of the issue of care. By relating these theoretical concepts to empirical data and case studies it illustrates how formal and informal care-giver responses to the changing landscape of care can act to facilitate or constrain the development of inclusionary models of care.

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.

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.

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.

The Social Pathologies of Contemporary Civilization explores the nature of contemporary malaises, diseases, illnesses and psychosomatic syndromes, examining the manner in which they are related to cultural pathologies of the social body. Multi-disciplinary in approach, the book is concerned with questions of how these conditions are not only manifest at the level of individual patients' bodies, but also how the social 'bodies politic' are related to the hegemony of reductive biomedical and individual-psychologistic perspectives. Rejecting a reductive, biomedical and individualistic diagnosis of contemporary problems of health and well-being, The Social Pathologies of Contemporary Civilization contends that many such problems are to be understood in the light of radical changes in social structures and institutions, extending to deep crises in our civilization as a whole. Rather than considering such conditions in isolation - both from one another and from broader contexts - this book argues that health and well-being are not just located at the level of the individual body, the integral human person, or even collective social bodies; rather, they encompass the health of humanity as a whole and our relationship with Nature. A ground-breaking analysis of social malaise and the health of civilization, this book will be of interest to scholars of sociology, social theory, social psychology, philosophy and anthropology.

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.

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.

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.

This title was first published in 2001. Enhancing the quality of health services remains a key challenge for all health systems, whatever their stage of development. This collection of leading-edge research from Europe and America explores both quantitative and qualitative approaches to identifying and remedying deficiencies in health care.

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.

This book focuses on using plants in spatial design to reduce the infectiousness of viruses in different working and living spaces. It presents strategies for interior and exterior green designs with plants that are likely effective for flu virus tolerance and reduction of infectiousness. The designs are appealing for interaction and healing, as well as focusing on the reduction and removal of virus infectiousness. The Famulari Theory requires examining plants that are likely effective for virus accumulation based on their leaves with stomata, trichomes, and dense leaf growth, and transpiration rate accumulation of airborne viruses. In addition, this research requires reviewing the quantity and specific types of plants (as well as electronic sources, such as humidifiers and water features) needed to produce effective humidity for plants to decrease the infectiousness or transmission of viruses; the effective distance of people to plants; and light, water, soil, and temperature needs. The book addresses the various greening practices that can be applied to sites to reduce the infectiousness of the airborne flu virus - especially in areas such as train stations, restaurants, rooftops, courtyards, office buildings and work spaces/conference rooms, and the home office - and the ways that businesses owners and residents can integrate these practices to reduce the air contaminants with a green solution. Designing green spaces that accumulate, reduce, and remove the infectiousness of viruses involves exploring multiple approaches from different directions to achieve the most effective and ideal design. The six basic approaches include 1. Temperature minimum of 70 Degrees Fahrenheit 2. Plants with multiple stomata on the leaf surfaces 3. Plants with multiple clumps of dense leaves with a high transpiration rate 4. Plants with rough leaf surfaces or with trichomes (plant hairs) on the leaf 5. Relative humidity (RH) minimum of 43% or higher 6. Air circulation to direct air with the airborne flu virus to the planted areas Stevie Famulari brings unique insights and inspires the development of green understanding and design solution plans with both short-term and long-term approaches. Illustrations of greening applied to locations help you understand your own design solutions to create them in your site. This book breaks down the misconceptions of the complexity of sustainability and green practices and provides illustrations and site-appropriate green solutions that you can incorporate into your lifestyle for a healthier site. Greening is a lifestyle change, and this guide lets you know how easy it is to transition to the green side to improve your health.

The rapid increase in the demand for international tourism has led a growing number of people to seek holidays and travel experiences in both developed and developing countries. Yet little interest has been shown in the interface between tourism and health, Health and the International Tourist, first published in 1996, examines key relationships between travel, tourism and health. Particular attention is given to the behaviour and lifestyle of tourists and approaches to reducing the health risks associated with international travel and tourism. This was the first book to address tourist health in an interdisciplinary manner, with contributions from professionals in medicine, health promotion, the travel and tourism industry and tourism researchers. It will provide a sound basis for further research and the development of health promotion strategies, and will be of interest to students of health and tourism.

Health geographers are well situated for undertaking population health intervention research (PHIR), and have an opportunity to be at the forefront of this emerging area of inquiry. However, in order to advance PHIR, the scientific community needs to be innovative with its methodologies, theories, and ability to think critically about population health issues. For example, using alternatives (e.g. community-based participatory research) to traditional study designs such as the randomised control trial, health geographers can contribute in important ways to understanding the complex relationships between population health (both intended and unintended consequences), interventions and place. Representing a diverse array of health concerns ranging across chronic and infectious diseases, and research employing varied qualitative and quantitative methodologies, the contributions to this book illustrate how geographic concepts and approaches have informed the design and planning of intervention(s) and/or the evaluation of health impacts. For example, the authors argue that geographically targeting interventions to places of high-need and tailoring interventions to local place contexts are critically important for intervention success. Including an afterword by Professor Louise Potvin, this book will appeal to researchers interested in population and public/community health and epidemiology as well as health geography.

The second decade of the twenty-first century has witnessed a surging interest in personalized medicine with the concomitant promise to enable more precise diagnosis and treatment of disease and illness, based upon an individual's unique genetic makeup. In this book, my goal is to contribute to a growing body of literature on personalized medicine by tracing and analyzing how this field has blossomed in Asia. In so doing, I aim to illustrate how various social and economic forces shape the co-production of science and social order in global contexts. This book shows that there are inextricable transnational linkages between developing and developed countries and also provides a theoretically guided and empirically grounded understanding of the formation and usage of particular racial and ethnic human taxonomies in local, national and transnational settings. The Open Access version of this book, available at http://www.taylorfrancis.com/doi/view/10.4324/9781315537177 has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 license.

Cognitive Aging and the Role of Strategy is the English Language edition of 'Vieillissement cognitif et variations strategiques', oriiginally published in French . Lemaire is a well-respected professor and text-book author of Cognitive Psychology in France and his English language edition will have updated content on theories of cognitive aging to provide a broad view of adult development and the aging process. This title will be of interest to students of specialist psychology courses at both undergraduate and postgraduate level.

Public Health Law in Practice offers an accessible deep dive into public health law for public health students and practitioners with or without a legal background. It provides a detailed overview of the American legal system with clear explanation of the government's abilities and limitations to promote public health through policies and programs. Chapters further describe the influence of law by subject, with excerpts from real legal cases across topical areas like tobacco, firearms, reproductive health, and nutrition policies. The volume concludes with practical strategies for legislation drafting and coalition building with government and community groups. Enriched with insights into the inner workings of public health departments, Public Health Law in Practice is the crucial public health law textbook that prepares public health students for work in the field of public health outside the classroom.

Person-centred health care is increasingly endorsed as a key element of high-quality care, yet, in practice, it often means patient-centred health care. This book scrutinizes the principle of primacy of patient welfare, which, although deeply embedded in health professionalism, is long overdue for critical analysis and debate. It appears incontestable because patients have greater immediate health needs than clinicians and the patient-clinician encounter is often recognized as a moral enterprise as well as a service contract. However, Buetow argues that the implication that clinician welfare is secondary can harm clinicians, patients and health system performance. Revaluing participants in health care as moral equals, this book advocates an ethic of virtue to respect the clinician as a whole person whose self-care and care from patients can benefit both parties, because their moral interests intertwine and warrant equal consideration. It then considers how to move from values including moral equality in health care to practice for people in their particular situations. Developing a genuinely inclusive concept of person-centred care - accepting clinicians as moral equals - it also facilitates the coalescence of patient-centred care and evidence-based health care. This reflective and provocative work develops a constructive alternative to the taken-for-granted principle of primacy of patient welfare. It is of interest to students and academics in the health and caring sciences, philosophy, ethics, medical humanities and health management.

The need to reduce disability and premature deaths from non-communicable diseases (NCDs) is increasingly engaging international organisations and national and sub-national governments. In this book, experts from a range of backgrounds provide insights into the legal implications of regulating tobacco, alcohol and unhealthy foods, all of which are risk factors for NCDs. As individual countries and the international community move to increase targeting of these risk factors, affected industries are turning to national and international law to challenge the resulting regulations. This book explores how the effective regulation of tobacco, alcohol and unhealthy foods can be achieved within the context of international health law, international trade and investment law, international human rights law, international intellectual property law, and domestic laws on constitutional and other matters. Its contributors consider the various tensions that arise in regulating NCD risk factors, as well as offering an original analysis of the relationship between evidence and health regulation. Covering a range of geographical areas, including the Americas, the European Union, Africa and Oceania, the book offers lessons for health and policy practitioners and scholars in navigating the complex legal fields in which the regulation of tobacco, alcohol and unhealthy foods takes place.

Alongside globalization, the sense of vulnerability among people and populations has increased. We feel vulnerable to disease as new infections spread rapidly across the globe, while disasters and climate change make health increasingly precarious. Moreover, clinical trials of new drugs often exploit vulnerable populations in developing countries that otherwise have no access to healthcare and new genetic technologies make people with disabilities vulnerable to discrimination. Therefore the concept of 'vulnerability' has contributed new ideas to the debates about the ethical dimensions of medicine and healthcare. This book explains and elaborates the new concept of vulnerability in today's bioethics. Firstly, Henk ten Have argues that vulnerability cannot be fully understood within the framework of individual autonomy that dominates mainstream bioethics today: it is often not the individual person who is vulnerable, rather that his or her vulnerability is created through the social and economic conditions in which he or she lives. Contending that the language of vulnerability offers perspectives beyond the traditional autonomy model, this book offers a new approach which will enable bioethics to evolve into a global enterprise. This groundbreaking book critically analyses the concept of vulnerability as a global phenomenon. It will appeal to scholars and students of ethics, bioethics, globalization, healthcare, medical science, medical research, culture, law, and politics.

Through case studies, Outsourcing the Womb, Second Edition provides a critical analysis and global tour of the international surrogacy landscape in Egypt, India, China, Japan, Israel, Ukraine, the European Union and the United States. By providing a comparative analysis of countries that have very different policies, this book disentangles the complex role that race, religion, class inequality, legal regimes, and global capitalism play in the gestational surrogacy market. This book provides an intersectional frame of analysis in which multiple forms of social inequality and power differences become institutionalized and restrict the access of some individuals and families while privileging others, and concludes with a discussion of "reproductive justice" and "reproductive liberty." It is an ideal addition to courses on social problems, race, gender, and inequality.

Alongside globalization, the sense of vulnerability among people and populations has increased. We feel vulnerable to disease as new infections spread rapidly across the globe, while disasters and climate change make health increasingly precarious. Moreover, clinical trials of new drugs often exploit vulnerable populations in developing countries that otherwise have no access to healthcare and new genetic technologies make people with disabilities vulnerable to discrimination. Therefore the concept of 'vulnerability' has contributed new ideas to the debates about the ethical dimensions of medicine and healthcare. This book explains and elaborates the new concept of vulnerability in today's bioethics. Firstly, Henk ten Have argues that vulnerability cannot be fully understood within the framework of individual autonomy that dominates mainstream bioethics today: it is often not the individual person who is vulnerable, rather that his or her vulnerability is created through the social and economic conditions in which he or she lives. Contending that the language of vulnerability offers perspectives beyond the traditional autonomy model, this book offers a new approach which will enable bioethics to evolve into a global enterprise. This groundbreaking book critically analyses the concept of vulnerability as a global phenomenon. It will appeal to scholars and students of ethics, bioethics, globalization, healthcare, medical science, medical research, culture, law, and politics.

Introduces innovative state-of-the-art methods for delineation of hospital service areas Studies the temporal trend of intra-urban commuting patterns based on the most recent data Explains the best practices and one-stop solution for urban and regional planning, and public health Includes free ready-to-download GIS-based simulation tools and sample data and an explanation of optimization and statistical techniques for measuring commutes Presents a methodology that can be easily applicable to other studies in urban planning