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Epidemiology is often referred to as the science of public health. However, unlike other major sciences, its theoretical foundations are rarely articulated. While the idea of epidemiologic theory may seem dry and arcane, it is at its core about explaining the people's health. It is about life and death. It is about biology and society. It is about ecology and the economy. It is about how myriad aspects of people's lives - involving work, dignity, desire, love, play, conflict, discrimination, and injustice - become literally incorporated into our bodies and manifest in our health status, individually and collectively. And it is about essential knowledge critical for improving the people's health and minimizing inequitable burdens of disease, disability, and death. Woven from a vast array of schools of thought, including those in the natural, social, and biomedical sciences, epidemiologic theory is a rich tapestry whose time for analysis is long overdue. By tracing its history and contours from ancient societies on through the development of - and debates within - contemporary epidemiology worldwide, Dr. Krieger shows how epidemiologic theory has long shaped epidemiologic practice, knowledge, and the politics of public health. Outlining an ecosocial theory of disease distribution that situates both population health and epidemiologic theory in societal and ecologic context, she offers a more holistic picture of how we embody the human experience. This concise, conceptually rich, and accessible book is a rallying cry for a return to the study and discussion of epidemiologic theory: what it is, why it matters, how it has changed over time, and its implications for improving population health and promoting health equity. It should be required reading for all epidemiologists, or anyone involved in the study of human health and well-being.
To advance the epidemiological analysis of social inequalities in health, and of the ways in which population distributions of disease, disability, and death reflect embodied expressions of social inequality, this volume draws on articles published in the "International Journal of Health Services" between 1990 and 2000. Framed by ecosocial theory, it employs ecosocial constructs of "embodiment"; "pathways of embodiment"; "cumulative interplay of exposure, susceptibility, and resistance across the lifecourse"; and "accountability and agency" to address the question; and who and what drives current and changing patterns of social inequalities in health.
To advance the epidemiological analysis of social inequalities in health, and of the ways in which population distributions of disease, disability, and death reflect embodied expressions of social inequality, this volume draws on articles published in the "International Journal of Health Services" between 1990 and 2000. Framed by ecosocial theory, it employs ecosocial constructs of "embodiment"; "pathways of embodiment"; "cumulative interplay of exposure, susceptibility, and resistance across the lifecourse"; and "accountability and agency" to address the question; and who and what drives current and changing patterns of social inequalities in health.
This collection of essays addresses the broadening array of issues on the agenda of the women's health movements of the 1980s and 1990s, just as a previous collection, "Women and Health: The Politics of Sex in Medicine", gathered contributions from the earlier wave of the women's health movement in the 1970s. The papers in both volumes are selected from the "International Journal of Health Services", edited by Vicente Navarro. The essays in this volume were originally published in the 1980s and early 1990s. Together, they present a framework for understanding the struggles over women's health that have occurred in this time period, and provide specific analyses of women's health in relation to race/ethnicity and class, the work of health care, the health of women workers, international reproductive health, sexuality, AIDS, and public health policy.
In one short decade, the politics of AIDS has become the politics of survival. In a world whose social order is changing before our eyes, AIDS insistently brings new meaning to the age-old question of what it is we must do to survive-as individuals, as families, as communities, as nations, as members of an interdependent world. This book brings together a collection of articles that frankly discuss what it will take to stop the AIDS epidemic and deal with the devastation it has already wrought.
From public health luminary Nancy Krieger comes a revolutionary way of addressing health justice and the embodied truths of lived experience. Since the 1700s, fierce debates in medicine and public health have centered around whether sources of ill health can be attributed to either the individual or the surrounding body politic. But what if instead health researchers measure-and policies address-how people biologically embody their societal and ecological context? Ecosocial Theory, Embodied Truths, and the People's Health represents a daring new foray into analyzing how population patterns of health reveal the intersections of lived experience and biology in historical context. Expanding on Nancy Krieger's original ecosocial theory of disease distribution, this volume lays new theoretical groundwork about embodiment and health justice through concrete and novel examples involving pathways such as workplace discrimination, relationship abuse, Jim Crow, police violence, pesticides, fracking, green space, and climate change. It offers a crucial counterargument to dominant biomedical and public health narratives attributing causality to either innate biology or decontextualized health behaviors and provides a key step forward towards understanding and addressing the structural drivers of health inequities and health justice. Bridging insights from politics, history, sociology, ecology, biology, and public health, Ecosocial Theory, Embodied Truths, and the People's Health presents a bold new framework to transform biomedical and population health thinking, practice, and policies and to advance health equity across a deeply threatened planet.
Epidemiology is often referred to as the science of public health. However, unlike other major sciences, its theoretical foundations are rarely articulated. While the idea of epidemiologic theory may seem dry and arcane, it is at its core about explaining the people's health. It is about life and death. It is about biology and society. It is about ecology and the economy. It is about how myriad aspects of people's lives-involving work, dignity, desire, love, play, conflict, discrimination, and injustice-become literally incorporated into our bodies and manifest in our health status, individually and collectively. And it is about essential knowledge critical for improving the people's health and minimizing inequitable burdens of disease, disability, and death. Woven from a vast array of schools of thought, including those in the natural, social, and biomedical sciences, epidemiologic theory is a rich tapestry whose time for analysis is long overdue. By tracing its history and contours from ancient societies on through the development of-and debates within-contemporary epidemiology worldwide, Dr. Krieger shows how epidemiologic theory has long shaped epidemiologic practice, knowledge, and the politics of public health. Outlining an ecosocial theory of disease distribution that situates both population health and epidemiologic theory in societal and ecologic context, she offers a more holistic picture of how we embody the human experience.
Climate change and social inequity are both sprawling, insidious forces that threaten populations around the world. It's time we start talking about them together. Climate Change and the People's Health offers a brave and ambitious new framework for understanding how our planet's two greatest existential threats comingle, complement, and amplify one another - and what can be done to mitigate future harm. In doing so it posits three new modes of thinking: * That climate change interacts with the social determinants of health and exacerbates existing health inequities * The idea of a "consumptagenic system" - a network of policies, processes, governance and modes of understanding that fuel unhealthy, and environmentally destructive production and consumption * The steps necessary to move from denial and inertia toward effective mobilization, including economic, social, and policy interventions With insights from physical science, social science, and humanities, this short book examines how climate change and social inequity are indelibly linked, and considering them together can bring about effective change in social equity, health, and the environment.
An indispensable read for all those seeking to address the severe problems of local and global human health and environmental crises The widespread growth of monopolies and big business has led to a fourth industrial revolution focused on producing fast, living fast, and dying fast for the sole benefit of accelerated profit. Despite unprecedented accumulations of wealth and industry, the world has watched as indicators of income inequality-a partial parameter of social inequity-have increased, while big business, with their nearly unrestricted influence, has increasingly distorted advancements in medical research. Bold and incisive, Critical Epidemiology and the People's Health invites readers to the next great paradigm in public health by promoting a progressive, transdisciplinary, intercultural, community-building approach radically divergent from the presiding object-based, empiricist mode of thinking. A concise overview of the Latin American Social Medicine movement, this book introduces the work of leading scientist Jaime Breilh to a global English audience, focusing on key questions such as: What are the real challenges facing critical epidemiology during the current time of immense turmoil and inequity? How can we conduct responsible and sensitive public health research? What role does epidemiology play in addressing the societal ills of both the global North and South? And how can we create a more rigorous, updated, and effective epidemiology? In addressing these questions, Critical Epidemiology and the People's Health offers readers a clear-eyed and much-needed perspective on how to overcome Cartesian reductionism with renewed methodological tools to address the rampant growth of injustices harming our global collective health and to subvert the reigning notions of health prevention and promotion.
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