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41,950 result(s) for "Sante"
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The World Health Organization between North and South
Since 1948, the World Health Organization (WHO) has launched numerous programs aimed at improving health conditions around the globe, ranging from efforts to eradicate smallpox to education programs about the health risks of smoking. In setting global health priorities and carrying out initiatives, the WHO bureaucracy has faced the challenge of reconciling the preferences of a small minority of wealthy nations, who fund the organization, with the demands of poorer member countries, who hold the majority of votes. InThe World Health Organization between North and South, Nitsan Chorev shows how the WHO bureaucracy has succeeded not only in avoiding having its agenda co-opted by either coalition of member states but also in reaching a consensus that fit the bureaucracy's own principles and interests. Chorev assesses the response of the WHO bureaucracy to member-state pressure in two particularly contentious moments: when during the 1970s and early 1980s developing countries forcefully called for a more equal international economic order, and when in the 1990s the United States and other wealthy countries demanded international organizations adopt neoliberal economic reforms. In analyzing these two periods, Chorev demonstrates how strategic maneuvering made it possible for a vulnerable bureaucracy to preserve a relatively autonomous agenda, promote a consistent set of values, and protect its interests in the face of challenges from developing and developed countries alike.
Black Women and Public Health
2022 CHOICE Outstanding Academic Title Black Women and Public Health creates an urgently needed interdisciplinary dialogue about issues of race, gender, and health. An enduring history of racism, sexism, and dehumanization of Black women's bodies has largely rendered the health needs of the Black community inaudible and invisible. Grounded in the lived experiences and expertise of Black women, this collection bridges gaps between researchers, practitioners, educators, and advocates. Black women's public health work is a regenerative practice-one that looks backward, inward, and forward to improve the quality of life for Black communities in the United States and beyond. The three dozen authors in this volume offer analysis, critique, and recommendations for overcoming longstanding and contemporary challenges to equity in public health practices.
A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010
Quantification of the disease burden caused by different risks informs prevention by providing an account of health loss different to that provided by a disease-by-disease analysis. No complete revision of global disease burden caused by risk factors has been done since a comparative risk assessment in 2000, and no previous analysis has assessed changes in burden attributable to risk factors over time. We estimated deaths and disability-adjusted life years (DALYs; sum of years lived with disability [YLD] and years of life lost [YLL]) attributable to the independent effects of 67 risk factors and clusters of risk factors for 21 regions in 1990 and 2010. We estimated exposure distributions for each year, region, sex, and age group, and relative risks per unit of exposure by systematically reviewing and synthesising published and unpublished data. We used these estimates, together with estimates of cause-specific deaths and DALYs from the Global Burden of Disease Study 2010, to calculate the burden attributable to each risk factor exposure compared with the theoretical-minimum-risk exposure. We incorporated uncertainty in disease burden, relative risks, and exposures into our estimates of attributable burden. In 2010, the three leading risk factors for global disease burden were high blood pressure (7·0% [95% uncertainty interval 6·2–7·7] of global DALYs), tobacco smoking including second-hand smoke (6·3% [5·5–7·0]), and household air pollution from solid fuels (4·3% [3·4–5·3]). In 1990, the leading risks were childhood underweight (7·9% [6·8–9·4]), household air pollution from solid fuels (HAP; 6·8% [5·5–8·0]), and tobacco smoking including second-hand smoke (6·1% [5·4–6·8]). Dietary risk factors and physical inactivity collectively accounted for 10·0% (95% UI 9·2–10·8) of global DALYs in 2010, with the most prominent dietary risks being diets low in fruits and those high in sodium. Several risks that primarily affect childhood communicable diseases, including unimproved water and sanitation and childhood micronutrient deficiencies, fell in rank between 1990 and 2010, with unimproved water and sanitation accounting for 0·9% (0·4–1·6) of global DALYs in 2010. However, in most of sub-Saharan Africa childhood underweight, HAP, and non-exclusive and discontinued breastfeeding were the leading risks in 2010, while HAP was the leading risk in south Asia. The leading risk factor in Eastern Europe, Andean Latin America, and southern sub-Saharan Africa in 2010 was alcohol use; in most of Asia, most of Latin America, North Africa and Middle East, and central Europe it was high blood pressure. Despite declines, tobacco smoking including second-hand smoke remained the leading risk in high-income north America and western Europe. High body-mass index has increased globally and it is the leading risk in Australasia and southern Latin America, and also ranks high in other high-income regions, North Africa and Middle East, and Oceania. Worldwide, the contribution of different risk factors to disease burden has changed substantially, with a shift away from risks for communicable diseases in children towards those for non-communicable diseases in adults. These changes are related to the ageing population, decreased mortality among children younger than 5 years, changes in cause-of-death composition, and changes in risk factor exposures. New evidence has led to changes in the magnitude of key risks including unimproved water and sanitation, vitamin A and zinc deficiencies, and ambient particulate matter pollution. The extent to which the epidemiological shift has occurred and what the leading risks currently are varies greatly across regions. In much of sub-Saharan Africa, the leading risks are still those associated with poverty and those that affect children. Bill & Melinda Gates Foundation.
Narrative Art and the Politics of Health
As countless alterations have taken place in medicine in the twenty-first century so too have literary artists addressed new understandings of disease and pathology. Dis/ability studies, fat studies, mad studies, end-of-life studies, and critical race studies among other fields have sought to better understand what social factors lead to pathologizing certain conditions while other variations remain “normalized.\" While recognizing that these scholarly approaches often speak to identities with radically different experiences of pathologization, this collection of essays is open to all critical engagements with narratives of health in order to facilitate the messiness of cross-disciplinary collaboration and interdisciplinarity. As scientific advances provide insight into a wide range of well-being issues and help extend life, it is vital that we come to question the very categories of “healthy\" and “unhealthy.\" This collection brings together analyses of cultural productions which probe those categorizations and suggest new psychological and philosophical understandings which will help better apply and guide the knowledge being rapidly developed within the life sciences. “Right of health\" is a widely accepted human right, but in applying a right to healthcare what care and what sort of health are less universally agreed upon. The contributors share an interest in addressing who controls answers to the questions of “how do we define a healthy body and a healthy life?\" and “what are the political forces that influence our definitions of health?\"
Health and Wellness in People Living With Serious Mental Illness
People with serious mental illness get sick and die 10--20 years earlier than their same age cohort. The social determinants are many: stigma associated with mental illness, poverty, ethnicity-based discrimination, higher rates of smoking and alcohol and drug use, and poor diet and exercise patterns, to name a few. Although multiple interventions have emerged as ways to combat these health challenges, additional research is necessary for the continued development and evaluation of strategies. This context serves as the springboard for Health and Wellness in People Living With Serious Mental Illness. Through multiple case vignettes, the book delves into the challenges of health and wellness for people with mental illness -- including those listed above -- summarizing the research on mortality and morbidity in this group as well as information about the status quo on wellness. It also provides a thorough description of community-based participatory research (CBPR), an approach that includes people in a community as partners in all facets of research, rather than just the subjects of that research. CBPR acts as the lens through which this guide considers solutions to these health problems, including integrated services and patient-centered medical homes; medical practices that diminish the iatrogenic effects of psychiatry; psychoeducation; interpersonal supports; and shared decision-making. Co-edited by Patrick Corrigan, with a 30-year history in services research, and Sonya Ballentine, a community-based member of a CBPR team, this volume offers a grounded, real-world illustration of CBPR in practice. Students of psychiatry, practicing clinicians, primary care providers, allied health professionals, policy makers -- all will find, in the pages of this book, a nuanced portrait of the health challenges patients with mental illness face, possible treatment options, and future directions for the field.
Black Women and Resilience
A critical examination of the health disparities and collective resilience of Black women in the United States. Black Women and Resilience brings together a wealth of qualitative and quantitative research to help foster broad understanding and advancement of Black women's collective health and wellbeing. Throughout, Kisha Braithwaite Holden, Camara Phyllis Jones, and their contributors use a health equity lens, maintaining that achieving health equity requires valuing all individuals and populations equally, recognizing and rectifying historical injustices, and providing resources according to need. Across four sections, scholars, practitioners, and community leaders address cultural narratives of Black womanhood; significant health issues affecting Black women; trauma, stressors, and strategies for healing; and advocacy for social justice and collective action. Multivocal and multidisciplinary, Black Women and Resilience models and invites exchange across sectors and specializations while consistently centering the experiences and contributions of Black women as catalysts for transformation.
Preventing childhood obesity
Children's health has made tremendous strides over the past century. In general, life expectancy has increased by more than thirty years since 1900 and much of this improvement is due to the reduction of infant and early childhood mortality. Given this trajectory toward a healthier childhood, we begin the 21st-century with a shocking development-an epidemic of obesity in children and youth. The increased number of obese children throughout the U.S. during the past 25 years has led policymakers to rank it as one of the most critical public health threats of the 21st-century. Preventing Childhood Obesity provides a broad-based examination of the nature, extent, and consequences of obesity in U.S. children and youth, including the social, environmental, medical, and dietary factors responsible for its increased prevalence. The book also offers a prevention-oriented action plan that identifies the most promising array of short-term and longer-term interventions, as well as recommendations for the roles and responsibilities of numerous stakeholders in various sectors of society to reduce its future occurrence. Preventing Childhood Obesity explores the underlying causes of this serious health problem and the actions needed to initiate, support, and sustain the societal and lifestyle changes that can reverse the trend among our children and youth.
Power, Suffering, and the Struggle for Dignity
Directed at a diverse audience of students, legal and public health practitioners, and anyone interested in understanding what human rights-based approaches (HRBAs) to health and development mean and why they matter, Power, Suffering, and the Struggle for Dignity provides a solid foundation for comprehending what a human rights framework implies and the potential for social transformation it entails. Applying a human rights framework to health demands that we think about our own suffering and that of others, as well as the fundamental causes of that suffering. What is our agency as human subjects with rights and dignity, and what prevents us from acting in certain circumstances? What roles are played by others in decisions that affect our health? How do we determine whether what we may see as \"natural\" is actually the result of mutable, human policies and practices?Alicia Ely Yamin couples theory with personal examples of HRBAs at work and shows the impact they have had on people's lives and health outcomes. Analyzing the successes of and challenges to using human rights frameworks for health, Yamin charts what can be learned from these experiences, from conceptualization to implementation, setting out explicit assumptions about how we can create social transformation. The ultimate concern of Power, Suffering, and the Struggle for Dignity is to promote movement from analysis to action, so that we can begin to use human rights frameworks to effect meaningful social change in global health, and beyond.
Climate Change and Public Health
Orchestrating and coordinating contributions from more than 75 selected public health specialists and environmental scientists, the editors have developed a concise and comprehensive book that represents a core curriculum on climate change and public health, including key strategies for adaptation and mitigation. Written primarily for students and mid-career professionals in public health and environmental sciences, the book clearly describes concepts and their application to the health impacts of climate change. Chapters are supplemented with case studies, graphs, tables and photographs. The book's organization in 15 chapters makes it an ideal textbook for graduate and undergraduate courses in public health, environmental sciences, public policy, and other fields.
Applied spatial statistics for public health data
While mapped data provide a common ground for discussions between the public, the media, regulatory agencies, and public health researchers, the analysis of spatially referenced data has experienced a phenomenal growth over the last two decades, thanks in part to the development of geographical information systems (GISs). This is the first thorough overview to integrate spatial statistics with data management and the display capabilities of GIS. It describes methods for assessing the likelihood of observed patterns and quantifying the link between exposures and outcomes in spatially correlated data. This introductory text is designed to serve as both an introduction for the novice and a reference for practitioners in the field Requires only minimal background in public health and only some knowledge of statistics through multiple regression Touches upon some advanced topics, such as random effects, hierarchical models and spatial point processes, but does not require prior exposure Includes lavish use of figures/illustrations throughout the volume as well as analyses of several data sets (in the form of \"data breaks\") Exercises based on data analyses reinforce concepts