Contemporary Health Studies

Contemporary Health Studies
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Contemporary Health Studies  provides an accessible introduction to current issues and key debates in understanding and promoting health. Its up-to-date, global focus places a strong emphasis on the social, political and environmental dimensions of health. Part One sets the scene by looking closely at the definition of ‘health’ and outlining the aims and purpose of health studies. Part Two explores the different disciplines that underpin health studies, such as sociology, psychology, anthropology and health psychology, incorporating new theoretical frameworks to help readers understand health. Part Three applies this knowledge to address the determinants of health, including chapters on individual factors, the role of public health, the latest policy influences on health and the growing importance of the global context. Each chapter contains contemporary statistics and evidence alongside carefully developed learning features designed to highlight the fundamentals of each topic, to apply these to in-depth case studies – from global antibiotic resistance to the challenge and promise of digital data –, and to pose questions for reflection and debate. Contemporary Health Studies  is an essential guide for undergraduate health students written by three authors who have a wealth of teaching experience in this subject area. Their book will inspire readers to consider the human experience of health within contemporary global society as it is mediated by individual, societal and global contexts.

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Louise Warwick-Booth. Contemporary Health Studies

CONTENTS

Guide

List of Illustrations

List of Tables

List of Case Studies

List of Learning Tasks

List of Boxes

Pages

Dedication

Contemporary Health Studies. An Introduction

Foreword

Acknowledgements

Picture credits

How to use this book

Part I. Chapter 1 – What is Health?

Chapter 2 – Contemporary Threats to Health

Chapter 3 – Investigating Health

Part II. Chapter 4 – Sociology

Chapter 5 – Social Anthropology

Chapter 6 – Health Psychology

Chapter 7 – Health Promotion

Part III

Chapter 8 – Individual Characteristics and their Influence upon Health

Chapter 9 – Social and Community Characteristics and their Influence upon Health

Chapter 10 – The Physical Environment and its Influence upon Health

Chapter 11 – Policy Influences upon Health

Chapter 12 – The Global Context of Health

Chapter 13 – Synthesizing Perspectives: Case Studies for Action

Introduction

Detailed outline of the book

Part I Understanding and Promoting Health

1 What is Health? Key learning outcomes

Overview

Definitions of health

Learning task 1.1. Defining health. Statement:

Learning task 1.2. Comparing definitions. Activity

Theoretical perspectives

The medical model

Learning task 1.3. Influences upon health

The social model

Salutogenesis

The holistic model

The biopsychosocial model

Different perspectives

Social construction

A moral phenomenon

Lay perspectives

Understandings according to culture

Understandings vary according to social class and level of formal education

Understandings across the lifespan

Children and young people’s perceptions of health

Older people’s perceptions of health

Understandings of health vary according to gender

Learning task 1.4. Different people, different definitions

Why is this important for understanding health?

Case study 1. Concepts of health and open defecation

Summary

Questions

Further reading

2 Contemporary Threats to Health. Key learning outcomes

Overview

Learning task 2.1. The significance of health threats

Conceptualizing the identifying of threats. Nature and determinants of health

Learning task 2.2. Hypertension and health

Magnitude and severity

Media construction and moral panics

Box 2.1 Media and moral panics (selected examples)

Learning task 2.3. HPV media coverage

Communicable and non-communicable diseases

Learning task 2.4. Analysing trends in life expectancy

Contemporary threats

Box 2.2 Examples of wide-ranging health inequalities

Why and how is all this important?

Case study 2. Global antibiotic resistance

Summary

Questions

Further reading

3 Investigating Health. Key learning outcomes

Overview

What is research?

Learning task 3.1. Where do I begin in thinking about my research project?

Philosophical frameworks

Research question/s

Quantitative research. Nature of quantitative research

Quantitative methods

Quantitative sampling

Quantitative analysis

Qualitative research. Nature of qualitative research

Qualitative methods

Learning task 3.2. Choosing an appropriate method for your project

Qualitative sampling

Learning task 3.3. Sampling for your project

Qualitative analysis

Differences between quantitative and qualitative research

Box 3.1 An example of a mixed method evaluation

Ethics of research

Box 3.2 Principles of research ethics

Evidence-based practice

Learning task 3.4. Appraising evidence for your project

Case study 3. Digital data

Why is understanding research important?

Summary

Questions

Further reading

Part II The Disciplinary Context of Health Studies

4 Sociology. Key learning outcomes

Overview

What is sociology?

Learning task 4.1

Society as a determinant of health

Learning task 4.2

Sociological theories of health and illness

Functionalist theory

Box 4.1 An example of sociological theory – Parson’s sick role

Symbolic interactionism

Box 4.2 An example of sociological theory – Goffman and the concept of stigma

Learning task 4.3. Stigma and health: biographical disruption

Marxist theory

Box 4.3 An example of sociological theory – medicine for profit

Feminist theory

Box 4.4 An example of sociological theory – the medicalization of women’s bodies

Social constructionism

Learning task 4.4. The social construction of disability

Post structuralism

Sociological critique of health promotion

Why is this important for understanding health?

Box 4.5 Key sociological questions about health promotion

Case study 4. The medical management of sleep

Summary

Questions

Further reading

5 Social Anthropology. Key learning outcomes

Overview

What is social anthropology?

Culture and health

Learning task 5.1. Reflecting upon why culture matters

Box 5.1 An example of cultural norms affecting health behaviour

Box 5.2 An example of cultural interpretations of illness

Experiencing illness

Box 5.3 Lay beliefs about cancer screening

Learning task 5.2. Exploring your own lay beliefs

Culture and treatment

Learning task 5.3. Healthworld, culture and environment

Cultural representations

Culture and mental illness

Box 5.4 HIV/AIDS and stigma

Cultural influences upon health

Learning task 5.4. Cultural representations of mental illness

Box 5.5 Medicine and the construction of health problems

Why is this important to health studies?

Case study 5. The Western culture of well-being

Summary

Questions

Further reading

6 Health Psychology. Key learning outcomes

Overview

Learning task 6.1. Reflection on changing behaviour

What is health psychology?

Health behaviour

Learning task 6.2. Lifestyle factors

Different kinds of behaviour

Determinants of behaviour

Learning task 6.3. Determinants of health behaviour

Self-efficacy

Beliefs about control

The Health Belief Model

Box 6.1 Application of the HBM to testicular self-examination (might also be applied in a similar way to breast self-examination)

Research and the Health Belief Model

The Theory of Planned Behaviour

Box 6.2 Application of the Theory of Planned Behaviour to taking up yoga

Research and the Theory of Planned Behaviour

Protection Motivation Theory (PMT)

Box 6.3 Application of Protection Motivation Theory to condom use

The Stages of Change Model

Box 6.4 Application of the Stages of Change Model to changing eating behaviour (reducing intake of high fat foods)

The COM-B Model

Learning task 6.4. Limitations of models of behaviour change

Critiques of theory

Health Action Model

Box 6.5 General critiques of behaviour change models in health psychology

How is health psychology important?

Critical perspectives

Case study 6

Summary

Questions

Further reading

7 Health Promotion. Key learning outcomes

Overview

What is health promotion?

Learning task 7.1. What do you think health promotion is?

Origins of health promotion

Box 7.1 Common features of new public health and health promotion

Tools for understanding health promotion

Tannahill’s model

Beattie’s model

Learning task 7.2. Applying Beattie’s model of health promotion

Naidoo and Wills’s typology

Box 7.2 Levels of prevention

Learning task 7.3. Behaviour-change campaigns

Tones and Tilford’s empowerment model

Caplan and Holland’s four perspectives

The Red Lotus Model

Principles and values

Focus on upstream approaches

Box 7.3 Upstream approaches in health promotion

Non-victim-blaming approaches

Evidence base

Participation and empowerment

Equity

Ethical practice

Learning task 7.4. Ethics in health promotion

Focus on salutogenic models

Critiques of health promotion

Contribution of health promotion

Case study 7. Using Caplan and Holland’s model to consider different approaches to addressing knife crime in England

Summary

Questions

Further reading

Part III Influences upon Health

8 Individual Characteristics and their Influence upon Health. Key learning outcomes

Overview

Learning task 8.1. Individual characteristics and health

What is this all about?

How do individual characteristics influence health?

Foetal development

Foetal programming

Box 8.1 The example of Foetal Alcohol Spectrum Disorder (FASD)

Learning task 8.2. The Avon Longitudinal Study of Parents and Children

Age

Biology and biological sex

Box 8.2 Key life stages

Gender

Hereditary and genetic factors

Box 8.3 Social and economic influences upon health

Box 8.4 Addictive personality

Personality

Learning task 8.3. Personality and motivation

Self-esteem

Box 8.5 Levels of motivation applied to the issue of safer sex (after the Health Action Model in Green et al., 2019)

Nature/nurture debate and individual characteristics

Learning task 8.4. The nature/nurture debate and individual differences

What does this mean?

A lifespan perspective

How is this relevant?

Case study 8. Individual characteristics and the experience of HIV/AIDS

Summary

Questions

Further reading

9 Social and Community Characteristics and their Influence upon Health. Key learning outcomes

Overview

Learning task 9.1

Social and community networks

Social support

Relationship between social support and health

Social capital

Box 9.1 Different types of social capital

Measuring social capital

Learning task 9.2

Relationship between social capital and health

Learning task 9.3. Example of a connected community?

Settings for social and community networks

The family

Box 9.2 The importance of family ties for health. The Jigsaw Visitors’ Centre at HMP Leeds

Faith-based organizations

Box 9.3 Examples of social capital and faith-based organizations. Disaster Recovery

HIV/AIDS Prevention

Development

Implications for policy and practice

Social and community networks

Learning task 9.4. Communities and social capital

Case study 9. Asset-based community development in Northumberland

Summary

Questions

Further reading

10 The Physical Environment and its Influence upon Health. Key learning outcomes

Overview

Learning task 10.1. The physical environment and health

What is this all about?

Physical environment (living and working conditions)

Agriculture and food production

Learning task 10.2. Food scares and health

Water and sanitation

Learning task 10.3. Community-led total sanitation (CLTS)

Housing

The working environment

Learning task 10.4. The influence of the working environment upon health

Unemployment

Education

Health-care services

What does this mean?

How is this relevant?

Case study 10. Rural Ghana: the impact of the physical environment on health

Summary

Questions

Further reading

11 Policy Influences upon Health. Key learning outcomes

Overview

What is social policy?

Learning task 11.1. The UK media and policy influence

Social policy as a determinant of health

Learning task 11.2. Making health policy work

Current policy issues

Box 11.1 Challenges for the English NHS

Box 11.2 Rationing health care – the role of NICE in the UK

The British Welfare State

Box 11.3 Important debates in the provision of welfare

Ideological and political values

Learning task 11.3. Ideological beliefs

Health services as a determinant of health

Health in all policies

The broader policy environment

Learning task 11.4. Policy sectors and health implications

The importance of fiscal policy

Box 11.4 UK Fiscal Policy – Austerity and health outcomes

Social policy and health studies

Case study 11. Policy approaches to reducing inequalities

Summary

Questions

Further reading

12 The Global Context of Health. Key learning outcomes

Overview

Why is global health important?

Box 12.1 Defining global health

Learning task 12.1. Global health challenges

How does the global context influence health? Globalization

Box 12.2 Globalization and health

Migration

Learning task 12.2. Investigating the impact of health professional migration

Box 12.3 Overview of health tourism

Trade

Box 12.4 Examples of unethical trade practices

The environment

Learning task 12.3. Globalization, the environment and health

Inequalities

Box 12.5 Inequalities in global health

Financing and health care

Health governance and policy

Learning task 12.4. Were the Millennium Development Goals a success?

Why is all of this important?

Case study 12. Action on the global social determinants of health

Summary

Questions

Further reading

13 Synthesizing Perspectives: Case Studies for Action. Key learning outcomes

Overview

Case study 13. Malaria

Strategies to tackle malaria

Case study 14. Cervical cancer

Strategies to tackle cervical cancer

Learning task 13.1. Using Dahlgren and Whitehead as an analytical tool

Case study 15. Neighbourhoods

Strategies to improve neighbourhood health

Learning task 13.2. Strategies for tackling health problems

Case study 16. COVID-19

Strategies to tackle COVID-19

The determinants of health ‘rainbow’

Learning task 13.3. Evaluating Dahlgren and Whitehead’s rainbow model

Key strengths of the rainbow model

How the rainbow model might be improved

Learning task 13.4. Building on the rainbow model of health

Summary

Glossary

References and suggested reading

Index. A

B

C

D

E

F

G

H

I

J

K

L

M

N

O

P

Q

R

S

T

U

V

W

Y

Z

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ToAlex, Maia, Milana, Meadow and Race

ToEvie-Joy William – love you to the moon and back

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Table 1.2 The lay perspective on health

Source: adapted from Svalastog et al. (2017: 434)

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