2024-03-29T12:46:19Z
http://hcs.pitt.edu/ojs/index.php/hcs/oai
oai:ojs.hcs.pitt.edu:article/198
2017-01-12T15:40:29Z
hcs:INV
Health Care for Modern Families: Practical suggestions concerning care for families of gay men and lesbians
Olson, L. C.
Communication
LGBT health care; health care and sexuality
This article offers a first person perspective concerning how health care providers can better recognize modern families and improve health care for them, especially families founded by gay men and lesbians in U.S. culture. It interweaves information concerning the historical, legal, and economic situation impinging on gay men and lesbians while offering personal stories in dealing with health care professionals. The article references germane scholarly literature for further reading throughout.
University Library System, University of Pittsburgh
none
2015-07-22
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/198
10.5195/hcs.2015.198
Health, Culture and Society; Vol 8, No 1 (2015): Integration, Participation and Identity: Understanding Diversity; 81-103
2161-6590
eng
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/198/237
http://hcs.pitt.edu/ojs/index.php/hcs/article/downloadSuppFile/198/61
http://hcs.pitt.edu/ojs/index.php/hcs/article/downloadSuppFile/198/62
http://hcs.pitt.edu/ojs/index.php/hcs/article/downloadSuppFile/198/63
http://hcs.pitt.edu/ojs/index.php/hcs/article/downloadSuppFile/198/64
Copyright (c) 2015 Health, Culture and Society
oai:ojs.hcs.pitt.edu:article/79
2017-01-12T15:38:30Z
hcs:INV
The Evolving Relationships Between Hospital, Physician and Patient in Modern American Healthcare
Garner, C B
McCabe, D
This article explores the ways in which health care has evolved over the past few years for patients, doctors and hospitals in the United States, and the impact these changes have made on modern American health care. As the amount of money the nation spends on health care continues to increase at alarming rates, patients, doctors, and hospitals all appear to have greater struggles than before.This inherent disconnection between the changes in American health care system and the satisfaction of patients and providers leaves much to be desired and considered. Before a solution can be found, however, we must first understand the problem.
University Library System, University of Pittsburgh
2012-08-14
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/79
10.5195/hcs.2012.79
Health, Culture and Society; Vol 3, No 1 (2012): Identities; 150-158
2161-6590
eng
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/79/123
oai:ojs.hcs.pitt.edu:article/239
2017-12-11T16:50:18Z
hcs:INV
Individualism as Habitus: Reframing the Relationship between Income Inequality and Health
Adjaye-Gbewonyo, D.
Public Health
culture, Bourdieu, income distribution, public health
Public health literature has demonstrated a negative effect of income inequality on a number of health outcomes. Researchers have attempted to explain this phenomenon, drawing on psychosocial and neo-materialist explanations. This paper argues, however, that these approaches fail to recognize the crucial role of culture, focusing specifically on the cultural value of individualism. Through a review of the literature and Pierre Bourdieu’s theory of practice as a theoretical framework, I provide support for the proposition that an ideology based in individualism is the context within which income inequality, social fragmentation, material deprivation, and consequently poor health outcomes are produced. I further offer recommendations for continued research into the role of cultural determinants in the income inequality-health relationship.
University Library System, University of Pittsburgh
2017-12-08
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/239
10.5195/hcs.2017.239
Health, Culture and Society; Perspectives II; 97-111
2161-6590
eng
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/239/283
Copyright (c) 2017 Health, Culture and Society
oai:ojs.hcs.pitt.edu:article/114
2017-01-12T15:39:10Z
hcs:INV
The Stench of Disease: Public Health and the Environment in Late-Medieval English towns and cities
Ciecieznski, N. J.
History; Medieval History; English History; Medical History
Medieval Era; health; urban; Environment; disease
This article explores the urban environmental concerns of late-medieval English towns and cities and argues that these urban areas had a form of public health. During this period, regulations that focused on maintaining the good health of town and city inhabitants were created and enforced. Among other things, these regulations focused on reducing unsanitary trade practices, protecting water sources, eliminating foul smells from the air, and preventing the consumption of bad food and water. They also represented a practical application of medieval theories and perceptions of disease—namely that disease was linked to bad smells. Rather than lacking any form of public health due to medieval theories of disease, they actively pursued it due to the ancient and medieval link between environmental health and physical health.
University Library System, University of Pittsburgh
University of Houston, Department of History
2013-05-17
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/114
10.5195/hcs.2013.114
Health, Culture and Society; Vol 4, No 1 (2013): Ways of Seeing: Causes and Beliefs; 91-104
2161-6590
eng
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/114/145
England
Medieval
public health history; medieval England; medieval medicine; disease prevention; urban environmental history; disease in medieval cities; sanitation
oai:ojs.hcs.pitt.edu:article/14
2017-01-12T15:38:05Z
hcs:INV
Medical Error and Medical Truth: The Placebo Effect and Room for Choice in Ayurveda
Wujastyk, Dominik
History, anthropology and philosophy of medicine
Ayurveda; India; Medicine; Alternative medicine; Establishment medicine; Placebo; Meaning effect; Iatrogenic death; Britain; National Health Service
medicine, history; medicine, anthropology; medicine, philosophy
I attempt to relativize allopathic medicine, or Modern Establishment Medicine (MEM), specifically in the context of the ayurvedic medical system of India, and to promote Daniel Moerman’s concept of the medical “meaning response” as a preferable conceptualization of the phenomena usually subsumed under the name “placebo.” Finally, I suggest that once these steps have been taken, a space opens up in which informed ayurvedic practice – indeed, any human activities aimed at promoting health – may find a valid place.
University Library System, University of Pittsburgh
2011-11-02
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/14
10.5195/hcs.2011.14
Health, Culture and Society; Vol 1, No 1 (2011): PERSPECTIVES; 221-231
2161-6590
eng
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/14/93
India, Britain
20th and 21st century
oai:ojs.hcs.pitt.edu:article/184
2017-01-12T15:40:33Z
hcs:INV
The Influence of Neighborhood Poverty on Blood Glucose Levels: Findings from the Community Initiative to Eliminate Stroke (CITIES) program
Cathorall, M. L.
Xin, H.
Aronson, R.
Peachey, A.
Bibeau, D. L.
Schulz, M.
Dave, G.
public health; disease prevention
multilevel; deprivation index; prevention; non-fasting blood glucose level; type 2 diabetes
Objectives: To examine the relationship between both individual and neighborhood level characteristics and non-fasting blood glucose levels.Study design: This study used a cross sectional design using data from the Community Initiative to Eliminate Stroke Program in NC (2004-2008). A total of 12,809 adults nested within 550 census block groups from two adjacent urban counties were included in the analysis.Methods: Participants completed a cardiovascular risk factor assessment with self-reported demographics, stroke-risk behaviors, and biometric measurements. Neighborhood level characteristics were based upon census data. Three multilevel models were constructed for data analysis.Results: Mean blood glucose level of this sample population was 103.61mg/dL. The unconditional model 1 suggested a variation in mean blood glucose levels among the neighborhoods (τ00 = 13.39; P < .001). Both models 2 and 3 suggested that the neighborhood composite deprivation index had a significant prediction on each neighborhood’s mean blood glucose level (¡01= .69; P < 0.001,¡01= .36; P = .004). Model 3 also suggested that across all the neighborhoods, on average, after controlling for individual level risk factors, deprivation remained a significant predictor of blood glucose levels.Conclusions: The findings provide evidence that neighborhood disadvantage is a significant predictor of neighborhood and individual level blood glucose levels. One approach to diabetes prevention could be for policymakers to address the problems associated with environmental determinants of health.
University Library System, University of Pittsburgh
Office of Minority Health, Department of Health and Human Services Award # 93.004.
2015-12-17
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/184
10.5195/hcs.2015.184
Health, Culture and Society; Vol 8, No 2 (2015): Horizons of Health; 87-96
2161-6590
eng
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/184/263
http://hcs.pitt.edu/ojs/index.php/hcs/article/downloadSuppFile/184/58
oai:ojs.hcs.pitt.edu:article/91
2017-01-12T15:38:36Z
hcs:INV
Mothers and Children: Designing research toward integrated care for both
Stalcup, M
Verguet, S
In this paper we examine pragmatic corollaries to the design and implementation of Millennium Development Goals (MDG) 4 and 5. The first corollary we analyze is how the timeframe imposed on the MDGs affects choices about how to implement health care interventions to meet those goals, which we look at specifically in terms of the trade-off between strengthening a health care system or increasing mass campaigns. The second corollary is that, in the allocation of resources, those choices must often be made between providing health care interventions for certain members of the population as opposed to others. We analyze aspects of these unintentional effects of the MDGs, and then offer a model for designing research on the provision of maternal and child health that does aim to take them into account.
University Library System, University of Pittsburgh
2012-08-14
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/91
10.5195/hcs.2012.91
Health, Culture and Society; Vol 3, No 1 (2012): Identities; 159-171
2161-6590
eng
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/91/127
oai:ojs.hcs.pitt.edu:article/126
2017-01-12T15:39:18Z
hcs:INV
What to Do When there is Nothing to Do: The psychotherapeutic value of Meaning Therapy in the treatment of late life depression
Morgan, J. H.
Social Psychology; Clinical Psychotherapy; Public Health and Counseling Psychology
geriatric logotherapy; late life depression; end of life ennui
Psychotherapeutic treatment with the goal of cure, of course, is the standard within the healing professions but when we are dealing with late life depression where there is no hope for longevity, the agenda necessarily must shift from cure to care, from treatment with the goal of renewed healthy living to a focus upon the palliative aspects of a limited prognosis. Here, then, the clinician is faced with the challenge of existential intervention with an emphasis upon the “moment” rather than the future. The encroachment of ennui upon the elderly, particularly and especially those who have been actively engaged in a full life of service such as the clergy, physicians, teachers, and attorneys, can be a traumatic and debilitating experience.When hope for the future is not being sought but rather an effective and celebrative address to the existential realities confronting the elderly patient who is facing decline and death, the quest for those “happy moments” conjured in the patient’s memory constitute a promising field of treatment.Geriatric logotherapy is uniquely constructed to do just that.
University Library System, University of Pittsburgh
2013-11-15
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/126
10.5195/hcs.2013.126
Health, Culture and Society; Vol 5, No 1 (2013): Translating Happiness: Medicine, Culture and Social Progress; 324-330
2161-6590
eng
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/126/178
oai:ojs.hcs.pitt.edu:article/56
2017-01-12T15:38:49Z
hcs:INV
Health Care and Women's Empowerment: The role of Self Help Groups
Chakravarty, S
Jha, A N
Management, Social Sciences
Women’s empowerment, health care, SHGs, socio-economic status, poverty alleviation, India.
Social Welfare
Over the last couple of decades the concept of Self Help Groups (SHGs) and its potential as an effective tool to alleviate poverty and empower women has garnered considerable interest worldwide. Considering the importance given by policy makers across various nations to the group approach while conceptualizing, formulating and implementing any scheme or programme for the welfare of marginalized and underprivileged sections of the society (especially women), we identified the need to critically examine and explore the role of SHGs in the empowerment of women with a special emphasis on health status. To date, the functioning of SHGs has essentially been viewed only from an economic perspective. The existing approach puts encourages the economic development of women, with SHGs a mechanism to achieving this. However, how these economic benefits are being translated into the change in women’s status, particularly their health status, remains unexplored and ultimately unaddressed. This working research paper attempts to review the scope and limitations of SHGs in improving women’s health and empowerment based upon empirical work undertaken in the Jharkhand state of India. Our paper also explores the extent to which SHGs can be involved in attaining better health status for women, and thereby point the way for further research.
University Library System, University of Pittsburgh
2012-02-05
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/56
10.5195/hcs.2012.56
Health, Culture and Society; Vol 2, No 1 (2012): Health System Dynamics and Barriers; 115-128
2161-6590
eng
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/56/98
Global with special emphasis upon developing countries
1990s till date
Exploratory in nature relying on both secondary & primary data
oai:ojs.hcs.pitt.edu:article/207
2017-01-12T15:40:48Z
hcs:INV
Health, Ageing Migrants and Care Strategies
Bäckström, B.
sociology of health; sociology of migrations; elderly migrants and health
elderly; immigrants; health; active ageing; socio-economic groups; Cape Verdeans
This article is the result of a study that seeks to understand the relationship between socio-economic conditions, health and active ageing. We identified the activities related to active ageing in relation to health, the strategies used in active ageing and their determinants. We chose a qualitative methodology using semi-structured interviews and data processing that consisted of thematic content analysis in interviews. We carried out this analysis in two socio-economic groups of elderly Cape Verdean men and women in both groups making up a total of 22 cases. The socio-economic group interferes directly in the affairs of active ageing rather than health issues. In the higher socio-economic group, status determines active ageing rather than health issues. It is evident that in the group with lower socio-economic conditions, the latter act in parallel with health conditions and both determine activities developed by older people.
University Library System, University of Pittsburgh
2015-12-17
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/207
10.5195/hcs.2015.207
Health, Culture and Society; Vol 8, No 2 (2015): Horizons of Health; 75-86
2161-6590
eng
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/207/262
Copyright (c) 2015 Health, Culture and Society
oai:ojs.hcs.pitt.edu:article/101
2017-01-12T15:38:43Z
hcs:INV
The Identity Work and Health of Intensive Motherhood
Paltineau, M
The French government strictly frames the health of mothers, establishing specific protocols of maternal healthcare during pregnancy and childbirth, as well as for baby care. Intensive mothers seek to free themselves from a state controlled health care system, and seek to undertake their own therapeutic of pregnancy on the fringes of standardized procedures. Their behaviors enable them to operate an identity work as mothers, and as intensive mothers in particular. These women, use health as a tool to construct their identity as an individual, and, likewise, as part of a couple and a group. But what characterizes the health choices of intensive mothers and what are the hallmarks to intensive motherhood? How is a specific parental identity formed? And how, moreover, do more natural health behaviors enable intensive parents to assert themselves as individuals within an everchanging society?
University Library System, University of Pittsburgh
2012-11-12
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/101
10.5195/hcs.2012.101
Health, Culture and Society; Vol 3, No 1 (2012): Identities; 172-183
2161-6590
eng
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/101/133
oai:ojs.hcs.pitt.edu:article/85
2017-01-12T15:40:00Z
hcs:INV
The Unsuspecting CAM User: Cancer patients and the changing nature of holistic health
Kabel, A M.
Johnson, L. P.
The number of cancer patients using complementary and alternative medicine (CAM) in the United States is growing, yet little is known about the meaning these activities have for users. Current literature supports the assumption that stigma surrounding CAM and holistic health practices are responsible for the reluctance of many cancer patients to self-identify as CAM users. This study explored the frequency of use, and familiarity with CAM among 25 female patients at a Midwestern oncology clinic. Findings suggest that patients need to be asked about CAM use multiple times and in multiple formats to gain an accurate assessment. Also, the assumptions about stigma may no longer be the reason patients are less than forthcoming about CAM use. The rise of integrative medicine and shifting boundaries of the holistic health movement may be equally, or in some cases, more responsible for the reluctance for CAM users to self-identify.
University Library System, University of Pittsburgh
2014-05-19
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/85
10.5195/hcs.2014.85
Health, Culture and Society; Vol 6, No 1 (2014): Cultural Realities To Health; 98-108
2161-6590
eng
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/85/203
oai:ojs.hcs.pitt.edu:article/41
2017-01-12T15:38:48Z
hcs:INV
Global Health Equity and Advocacy: The roles of international Non-Governmental Organizations
Lurie, S G
medical anthropology, public health
global health, health equity, non-governmental organizations
global health
International health equity and community empowerment are promoted through local and global collaborations with non-governmental organizations (NGO’s). Civil society organizations and inter-agency partnerships assume central roles in addressing global health inequity, within the context of national health and social systems, local realities and priorities. Community health promotion through public-private collaboration by NGO’s on health needs assessments and fund-raising is designed to increase support for local programs in the United States. This paper compares health promotion and advocacy roles of an international non-governmental organization in global and local arenas, based on community case studies by the author in rural Hungary and North Texas from 2009 to 2011, using ethnographic and qualitative research methods. Findings confirm the need for systematic evaluation of the effects of complex socioeconomic, political and multi-ethnic contexts, and the impacts of prevention programs and healthcare on health equity.
University Library System, University of Pittsburgh
Susan G. Komen for the Cure
2012-04-18
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/41
10.5195/hcs.2012.41
Health, Culture and Society; Vol 2, No 1 (2012): Health System Dynamics and Barriers; 103-114
2161-6590
eng
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/41/97
Hungary, United States
2009-2011
health screening participants, breast cancer survivors
oai:ojs.hcs.pitt.edu:article/241
2017-12-11T16:50:18Z
hcs:INV
THINK PIECE: Reflecting on Medical Anthropology in Aotearoa New Zealand
Trundle, C.
anthropology; medical anthropology
Medical Anthropology; New Zealand; Neoliberal Reform; Healthcare; Ethics; Indigenous Health; Culture and Illness
In considering what makes New Zealand unique for medical anthropological focus, this think piece sets out four themes. These reflect New Zealand’s particular historical, political, social and cultural landscape, and reveal the relevance of local scholarship for wider global debates about health. By tracing the neoliberal reform of state healthcare, indigenous approaches to wellbeing, local cultural practices of health, and the complex ethics involved in health and illness, this paper spotlights the opportunities that New Zealand medical anthropology affords us for addressing the important health and wellbeing challenges that we face today.
University Library System, University of Pittsburgh
2017-12-08
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/241
10.5195/hcs.2017.241
Health, Culture and Society; Perspectives II; 81-89
2161-6590
eng
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/241/285
Copyright (c) 2017 Health, Culture and Society
oai:ojs.hcs.pitt.edu:article/110
2017-01-12T15:39:07Z
hcs:INV
How the Practicing Physician Encounters Human Rights in Daily Clinical Situations
Rosiek, A.
Leksowski, K.
Medical Ethics; Clinical Practice
Patient Rights; Human Rights; Medical Ethics
Our study shows the awareness and application of the concept of human rights (understood as patient rights) in a hospital environment. We sought to determine whether such rights are respected, soliciting the opinion of patients and as to how it acts as a measure for whether service delivery is wholly effective in the conext of the clinician-patient relation. Our research was undertaken to signal a contemporary need in service delivery: health personnel involved in the delivery of surgical services have much to learn from the practical applications of human rights principles and the essential role they must fulfill in research and advocacy in order to improve the availability of surgical care globally. Human rights, medical ethics and empathy are parallel mechanisms working at the level of the patient-clinician relationship. This, in general, can influence the quality of care and communication for the better. Our study was conducted in 2011 and lasted 6 months. The research sites were the public hospitals located in the Kujavian-Pomeranian region of Poland. There were two classes of hospitals: the first, had more than 400 beds (Group I) and the second one: above 400 beds (Group II). We solicted the opinion of 180 patients who had undergone laparoscopic cholecystectomy. The main planned outcome (hypothesis zero) of the study was that there were no differences between the two Groups of hospitals, and therefore no substantial variance in service delivery. The Mann-Whitney U test evidenced that judging by the significance level (p > 0.05), there is no basis for rejecting hypothesis zero.
University Library System, University of Pittsburgh
2013-05-17
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/110
10.5195/hcs.2013.110
Health, Culture and Society; Vol 4, No 1 (2013): Ways of Seeing: Causes and Beliefs; 66-79
2161-6590
eng
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/110/142
oai:ojs.hcs.pitt.edu:article/65
2017-01-12T15:38:25Z
hcs:INV
Physiologie du risque face à l’Histoire, or, Health, Culture and Society: The possibilities of anthropology and policy
Jouanjean, Bernard
Physiology; Health Policy and Practice; Anthropology; Sociology
Physiology; Anthropology; System building
Health Systems / Policy and Practice
This review of published research (Health, Culture and Society – Rawat Publications, India, 2000) seeks to introduce the reader to the driving themes of a work establishing the link between human physiological functions and social represetations. In doing so the author articulates the topic of prevention within a broad and complex social, historical and anthropological framework.
University Library System, University of Pittsburgh
College de France
2011-10-12
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/65
10.5195/hcs.2011.65
Health, Culture and Society; Vol 1, No 1 (2011): PERSPECTIVES; 213-220
2161-6590
eng
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/65/90
Global /International
oai:ojs.hcs.pitt.edu:article/160
2017-01-12T15:39:48Z
hcs:INV
Migrants and Health in Portugal
Bäckström, B.
sociology of health; migration studies; health and society
immigration; access to health care services; health office, integration
The aim of this research is to atain knowledge on immigrant´s health related problems and to identify their dificulties when acesing health care services. The article describes immigrant´s dificulties when acesing health care services that are visiting the health ofice at a National Immigrant Support Centre.Design: : A qualitative study was conducted, analysing available documentation and observing the health isues dealt with at the National Immigrant Support Centre’s (CNAI) Health Ofice. The 148 cases are mainly immigrants coming from Portuguese speaking African countries for health purposes. Immigrants from Brazil have more restricted aces, and feel discrimination on the part of the services. Immigrants from Eastern Europe come in search of information and have communication dificulties. Obstacles are related to the lack of knowledge of the law, but also to the failure of puting the law into practice. The ofice has had a great demand of users seeking information and in acesingthe health care system.Results: The cases analysed are mainly nationals from Portuguese Speaking African Countries (PSAC), Brazil and countries in Eastern Europe. The majority of the immigrants coming from PSAC are patients receiving treatment under international Cooperation Agreements requesting financial and social support. Immigrants from Brazil have more restricted aces and feel greater discrimination on the part of the services. New Labour Migrants from Eastern Europe, on the other hand, come in search of information and are known to have communication dificulties.Conclusions: Legislation in Portugal provides aces to health care to al citizens, regardles of their legal condition and origin. However, some immigrants have had significant dificulties with aces to Portugal’s National Health Service. The obstacles are not only related to the lack of legal knowledge, but also to the failure of puting the law into practice, which requires atention by the institutionresponsible for efective and comprehensive coordination. The ofice has had a great demand of users seeking information, who, above al, wish to solve their problems and dificulties in acesing the health care system.
University Library System, University of Pittsburgh
2014-12-15
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/160
10.5195/hcs.2014.160
Health, Culture and Society; Vol 7, No 1 (2014): Cohabitation of Traditional and Modern Medicine in Madagascar: anthropological analyses; 80-93
2161-6590
eng
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/160/224
http://hcs.pitt.edu/ojs/index.php/hcs/article/downloadSuppFile/160/50
oai:ojs.hcs.pitt.edu:article/77
2017-01-12T15:38:59Z
hcs:INV
From Physiology to Prevention: Further remarks on a physiological imperative
Jouanjean, B
Physiology, is the fundamental and functional expression of life. It is the study of all the representative functions of Man in all his capacities, and in particular, his capacity to work. It is very possible to establish a link between a physiological and physiopathological state, the capacity of work and the economy, which can be understood as the articulation between the physiological capacities of Man and the production of work. If these functions are innately acquired by Man they are likewise maintained by regulatory functions throughout life. The stability of these regulatory mechanisms represent the state of good health. The management of this state, constitutes Primary Prevention where both chronic and acute physiopathology defines an alteration in these regulatory mechanisms. We deduce from this reasoning that a tripartite management adapted to the physiological situation is viable and that by choosing parameters specific to individual and collective behavior, it is possible to inject, and combine, at each level and to each demand in order to budget a healthcare system in a more balanced and equitable way.
University Library System, University of Pittsburgh
2012-01-01
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/77
10.5195/hcs.2012.77
Health, Culture and Society; Vol 2, No 1 (2012): Health System Dynamics and Barriers; 129-136
2161-6590
eng
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/77/103
oai:ojs.hcs.pitt.edu:article/243
2017-12-11T16:50:18Z
hcs:INV
Unsettling the (presumed) settled: Contents and Discontents of Contraception in Aotearoa New Zealand
Appleton, N. S.
Medical Anthropology; Feminist Studies
Contraception; Reproductive Justice; New Zealand; Indigenous Communities; Women
In January 2017, New Zealand’s medicines and medical devices safety authority, Medsafe, announced in a press release that its Medicines Classification Committee (MCC) had recommended a reclassification of certain oral contraceptives in order for them to be made available over the counter in pharmacies. In A/NZ, a progressive temporal narrative has been established around contraception that begins with the heroic struggle of women at the turn of the 20th Century to get access to contraception and abortion as a way to manage their reproductive lives and progresses to the guaranteed access of contraceptives to women. My intention to interrogate the contemporary contraceptive reality is not a project to undermine the historically important moves women have made here in A/NZ; but, rather, to include new places of analysis including how indigenous communities experienced the same contraceptives moments differently under the gaze of a eugenics project.
University Library System, University of Pittsburgh
2017-12-08
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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http://hcs.pitt.edu/ojs/index.php/hcs/article/view/243
10.5195/hcs.2017.243
Health, Culture and Society; Perspectives II; 90-96
2161-6590
eng
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/243/282
Copyright (c) 2017 Health, Culture and Society
oai:ojs.hcs.pitt.edu:article/102
2017-01-12T15:39:04Z
hcs:INV
Local Aetiology and Pathways to Care in Malaria among the Ibibio of South-coastal Nigeria
Ajala, A. S.
Wilson, N. A.
History; Ethnography; Public Health
Malaria; Local Aetiology; Nigeria
There is a parallel between local and bio-medical perceptions of malaria among the Ibibio people of South-coastal Nigeria, as in many other societies of sub-Saharan Africa where malaria is endemic. Despite the fact that this accounts for resilience of the disease, earlier studies on malaria in Africa focused on causes, prevalence and socio-environmental factors. Local meanings of malaria and their influence on therapeutic choices have been largely ignored. This study examines local perceptions of malaria among the Ibibio and explains how attitudes are generated from indigenous meanings. It also examines how such attitudes inform a local aetiology of malaria. Similarly, our study examines how local meanings of, and attitudes towards malaria, set the pathway of care in malaria management among the Ibibio. Through qualitative and descriptive ethnography, Key Informant Interview (KII), Focus Group Discussion (FGD) and the textual analysis of documents, our study seeks to establish that malaria is caused by parasites–protozoa. 83% of the respondents held that malaria is due to witchcraft, exposure to sunlight and eating of yellowish food items such as yellow maize, paw-paw, orange and red oil. These local perceptions are drawn from local conceptions which in turn encourage malaria patients to seek assistance outside modern health care facilities. This also discourages local communities from attending health education workshops that link malaria with germ theory and care. Treatment of malaria is thus mostly home-based where a wide variety of traditional remedies is practiced. Our study concludes that the lack of convergence between local knowledge-contents and bio-medical explanations account for a high prevalence rate and the lack of effective management. For proper management of malaria, there is a need to understand local knowledge and indigenous concepts in order to establish a convergence between bio-medical explanations and indigenous perceptions. Only then can a community acceptable means of changing bio-medical perceptions of the disease be facilitated.
University Library System, University of Pittsburgh
2013-05-17
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/102
10.5195/hcs.2013.102
Health, Culture and Society; Vol 4, No 1 (2013): Ways of Seeing: Causes and Beliefs; 80-90
2161-6590
eng
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/102/143
Nigeria
Present-day
Ethnographic research; Key Informant Interview (KII), Focus Group Discussion (FGD) and the textual analysis of documents
oai:ojs.hcs.pitt.edu:article/42
2017-01-12T15:38:08Z
hcs:INV
Kanosa- Lending an Ear to the Body and Mind Secrets of Rural Women:Thoughts on Health and Modernity
Dighe, Satlaj
medical anthropology, sociology of health and illness, public health
Local cosmology of health, women’s health, Reproductive-heath, Ethnophysiology, Community Health
Anthropology, Public Health Policy
This review article discusses the text Kanosa - Grameen Streechya Sharir ani Manatil Gupitancha, translated as ‘Lending an Ear to the Secrets of Body and Mind of the Rural Woman’ by Dr. Rani Bang. The original text provides detailed information on various life-cycle health experiences of women; illness categories (nosography); health practices; sexualities; diets and local life-worlds of health and bodily experiences based on the in depth discussions with local women. In the context of current trends and prevailing ideologies in the community health sector of India, our critical review highlights the significance of the approach adopted by Dr. Rani Bang in locating health as an integral part of culture.We seek to introduce important discussions in Bang’s text on ethnophysiology, local categories of diseases and their implications on modern community health interventions, as ell as the definitions of the normal, abnormal and pathological as provided by the local community. In light of these discussions, we examine certain characteristics of the modern Indian community health sector such as its inability to work with local epistemologies of health and illness and its philosophical reliance on Cartesian dualism and western notions of personhood. Certain features of community health such as complete separation of fertility and sexuality as well as the exclusively nutritional approach to dietary phenomena are also reviewed with reference to Kanosa and other significant literature.
University Library System, University of Pittsburgh
2011-10-13
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
application/pdf
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/42
10.5195/hcs.2011.42
Health, Culture and Society; Vol 1, No 1 (2011): PERSPECTIVES; 232-247
2161-6590
eng
http://hcs.pitt.edu/ojs/index.php/hcs/article/view/42/92
District Gadchiroli, State of Maharashtra, India