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Books > Social sciences > Sociology, social studies > Social issues > Illness & addiction: social aspects
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Heart-Sick - The Politics of Risk, Inequality, and Heart Disease (Hardcover)
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Heart-Sick - The Politics of Risk, Inequality, and Heart Disease (Hardcover)
Series: Biopolitics
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Heart disease, the leading cause of death in the United States,
affects people from all walks of life, yet who lives and who dies
from heart disease still depends on race, class, and gender. While
scientists and clinicians understand and treat heart disease more
effectively than ever before, and industrialized countries have
made substantial investments in research and treatment over the
past six decades, patterns of inequality persist. In Heart-Sick,
Janet K. Shim argues that official accounts of cardiovascular
health inequalities are unconvincing and inadequate, and that
clinical and public health interventions grounded in these accounts
ignore many critical causes of those inequalities. Examining the
routine activities of epidemiology--grant applications, data
collection, representations of research findings, and
post-publication discussions of the interpretations and
implications of study results--Shim shows how social differences of
race, social class, and gender are upheld by the scientific
community. She argues that such sites of expert knowledge
routinely, yet often invisibly, make claims about how biological
and cultural differences matter--claims that differ substantially
from the lived experiences of individuals who themselves suffer
from health problems. Based on firsthand research at epidemiologic
conferences, conversations with epidemiologists, and in-depth
interviews with people of color who live with heart disease, Shim
explores how both scientists and lay people define "difference" and
its consequences for health. Ultimately, Heart-Sick explores the
deep rifts regarding the meanings and consequences of social
difference for heart disease, and the changes that would be
required to generate more convincing accounts of the significance
of inequality for health and well-being.
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