Pursuing Health and Wellness: Healthy Societies, Healthy People

Paperback | October 4, 2016

byAlexander Segall, Christopher J. Fries

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Now in its second edition, Pursuing Health and Wellness looks beyond health as a mere absence of disease and explores the structural and behavioural factors that affect it. Viewing health as a social construct, authors Alexander Segall and Christopher J. Fries look at how inequalities insocial class, gender, and ethnicity produce broad disparities in population health before narrowing their focus to analyze the personal determinants of health and wellness. They conclude with a look at the parts that make up our health-care system, examining how complementary and alternative caremay be incorporated while inviting the reader to consider the personal, professional, and public responsibilities that must be met to achieve healthy futures for Canadians. The text advocates for the creation of healthy societies in which people can engage in the active pursuit of healthy living andis essential reading for all students studying the sociology of health. This second edition features the latest research and data, a more fully integrated intersectional life course perspective throughout, and new and expanded coverage of issues such as Aboriginal health, racism in health care, gender-based analysis in health research, and health literacy.

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Now in its second edition, Pursuing Health and Wellness looks beyond health as a mere absence of disease and explores the structural and behavioural factors that affect it. Viewing health as a social construct, authors Alexander Segall and Christopher J. Fries look at how inequalities insocial class, gender, and ethnicity produce broad...

Alexander Segall is a professor emeritus and a senior scholar of sociology in the Faculty of Arts and a research affiliate at the Centre of Aging at the University of Manitoba. In his 40-year career as a health sociologist, his research has focused on the social determinants of health, population health assessment, self-health manageme...

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Pursuing Health and Wellness: Healthy Societies, Healthy People
Pursuing Health and Wellness: Healthy Societies, Health...

Paperback|Apr 8 2011

$80.74 online$83.95list price
Format:PaperbackDimensions:480 pages, 9 × 7 × 0.55 inPublished:October 4, 2016Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199014337

ISBN - 13:9780199014330

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Table of Contents

PrefaceAcknowledgementsPart 1 Understanding Health and Wellness Sociologically1. Introducing Health SociologyIntroduction: The Mystery of Good HealthHealth as a Social ConstructionHealth Consciousness: Producing Health versus Consuming Health CareThe Origins of Medical SociologyThe Scope of Medical SociologyFrom Medical Sociology toward Health SociologyHealth Sociology in Canada- The Social Determinants of Health- Health and Illness Behaviour- The Health-Care SystemChapter SummaryStudy QuestionsRecommended ReadingsRecommended WebsitesRecommended Audiovisual Sources2. Applying the Sociological Imagination to Health and IllnessApplying Sociological Paradigms to Theorize Health and IllnessHealth and Illness as "Social Roles"-The Structural Functionalist ParadigmHealth and Illness as "Professional Constructs"-The Conflict ParadigmHealth and Illness as "Interpersonal Meanings"-The Symbolic Interactionist ParadigmHealth and Illness as "Gendered Experiences"-The Feminist ParadigmHealth and Illness as "Embodied Cultural Facts"-The Sociology of the Body ParadigmHealth and Illness as "Unfolding across Time"-The Importance of Adopting an Intersectional Life Course PerspectiveChapter SummaryStudy QuestionsRecommended ReadingsRecommended WebsiteRecommended Audiovisual Sources3. Measuring the Dimensions of HealthThe Meaning and Measurement of HealthDifferentiating Personal and Population HealthAdopting a Salutogenic Approach for Understanding the Dimensions of HealthThe Meaning of Ill Health (Sickness) and Good Health (Wellness)- Sickness: The Presence of Disease and the Experience of Illness- Wellness: More Than the Absence of Disease and Illness- The Process of Health Status Designation: Separating the Dimensions of HealthUnderstanding the Difference between Health Inputs and Health OutcomesHealth Status Indicators- Single-Item Measures: Global Self-Rated Health- Composite Measures: The Health Utilities IndexIndicators of Ill Health: Limits to the Standard Approach- Morbidity and Mortality- Disability and Utilization of Health Services- What Can We Learn about Health from Disease and Death Rates?Indicators of Good Health: The Challenge of Measuring Wellness- Sense of Coherence- Canadian Index of Wellbeing- Health Expectancy: Estimating Future Health Status and Quality of LifeThe Need for a Mixed-Methods Approach to Measuring Health: Surveys, Statistics, and Stories- Population Health Surveys: The Canadian Experience- Health Diary Studies and Illness Narrative Accounts: The Importance of Digging DeeperChapter SummaryStudy QuestionsRecommended ReadingsRecommended WebsitesPart 2 Exploring the Factors That Shape Health and Wellness4. Making People Healthy: General Determinants of Health and WellnessWhat Makes People Healthy? Two Different AnswersPersonal and Structural Health DeterminantsThe Major Determinants of Population Health: An Overview of the Four Key Factors- Biology- Lifestyle Behaviour- Environment- Use of Formal Health-Care ServicesThe Relative Importance of Health Determinants- Upstream and Downstream Health Determinants: Jason's Story- Primary and Secondary Determinants: Moving Upstream- Understanding the Cumulative Effects of Health Determinants: A Life Course Approach- Estimating the Health Benefits of Major DeterminantsThe Determinants of Good Health and Ill HealthChapter SummaryStudy QuestionsRecommended ReadingsRecommended WebsitesRecommended Audiovisual Sources5. Addressing Sources of Inequality and Health Disparities: Socioeconomic StatusUnderstanding Social InequalitySocial Determinants of Health Disparities: Income, Occupation, and Education- Income- Occupation- EducationThe Social Gradient and HealthExplanations of the Social Gradient in Health- Materialist and Neo-materialist Explanations- Cultural Behavioural Explanations- Psychosocial ExplanationsIncome Inequality and Population Health: More to the StoryReducing Socioeconomic Differences in Health: Is It Possible to Close the Gap?Toward an Intersectional Theory of Health and Socioeconomic Status across the Life CourseChapter SummaryStudy QuestionsRecommended ReadingsRecommended WebsitesRecommended Audiovisual Sources6. Addressing Sources of Inequality and Health Disparities: GenderHealth and GenderThe Importance of Sex- and Gender-Based Analysis in Health ResearchGender Differences in Health- Women Live Longer Than Men- The Genders Differ in Major Causes of Death- Women Are Diagnosed as Suffering from More Ill Health Than Men- Women Make More Frequent Use of Formal Health Care Than Men- Gender Differences in the Social Determinants of HealthExplanations of Gender Differences in Health and Illness- The Role Accumulation Hypothesis- The Role Strain Hypothesis- The Social Acceptability Hypothesis- The Risk-Taking HypothesisToward an Intersectional Theory of Health and Gender across the Life CourseChapter SummaryStudy QuestionsRecommended ReadingsRecommended Websites7. Addressing Sources of Inequality and Health Disparities: EthnicityHealth and EthnicityEthnic Differences in Health- Aboriginal Peoples Have Poorer Health Outcomes Because of Social Exclusion and Racism- The Healthy Immigrant Effect Deteriorates over Time- Ethnic Differences in the Perception and Understanding of Symptoms- Ethnic Differences in Health-Care Behaviour- Ethnic Differences in the Social Determinants of HealthExplanations of Ethnic Differences in Health and Illness- Biological Determinist Explanations- Cultural Behavioural Explanations- Socioeconomic Explanations- Ethnicity, Religion, and HealthToward an Intersectional Theory of Health and Ethnicity across the Life CourseChapter SummaryStudy QuestionsRecommended ReadingsRecommended WebsitesRecommended Audiovisual Sources8. Unravelling the Mystery of Health: An Intersectional Model of Health across the Life CourseIntersectionality and Health DisparitiesLifestyle Behaviours and HealthIndividualized Health Promotion- The Individualization of Health Lifestyles- Health Lifestyles or Health Behaviours?Theorizing the Intersectionality of Health- Health Lifestyles and the Structure-Agency Issue- Pierre Bourdieu and a Relational Theory of Health LifestylesAn Intersectional Model of Health and Health Lifestyles across the Life CourseChapter SummaryStudy QuestionsRecommended ReadingsRecommended WebsiteRecommended Audiovisual SourcesPart 3 Pursuing Health and Wellness9. Discovering the Hidden Depths of Health Care: Lay Beliefs, Social Support, and Informal CareThe Iceberg of Health CareHidden Components of the Health-Care System- Lay Beliefs about Health Maintenance and Illness Management- Popular and Professional Health Belief Systems- Self-Care Beliefs and Behaviour- Social Support, Helping Networks, and HealthInformal Care and Illness as Embodied Experience: Making Sense of Sickness and- Maintaining a Healthy Self-Identity- A Narrative Account: The Meaning and Management of Pain- Chronic Illness WorkChapter SummaryStudy QuestionsRecommended ReadingsRecommended Websites10. Medicalizing Beings and Bodies: The Link between Population Health and Biomedical CareThe Origins of the Biomedical Model- Bedside Medicine- Hospital Medicine- Laboratory MedicineBasic Ideas of the Biomedical Model- Mind-Body Dualism- Physical Reductionism- Specific Etiology- The Machine Metaphor- Therapeutic Focus on Individualized Regimen and ControlMedical Dominance of the Health-Care SystemMedicalizing Beings and Bodies- Explanations for MedicalizationChapter SummaryStudy QuestionsRecommended ReadingsRecommended WebsitesRecommended Audiovisual Sources11. Moving beyond Biomedicine: Medical PluralismThe Social Construction of Healing: A Sociological Perspective on Medical Pluralism- The Historical Persistence of Medical Pluralism- Avoiding the "Stereotypes of Marginality" in Social Studies of Alternative Medicine- Labelling Alternative Medicine- Three Streams of Complementary Alternative Medicine ResearchExplanations for the Revival of Medical Pluralism- The Demographic Transition and Population Aging- Dissatisfaction with Biomedicine- The Postmodern Condition- Individualization and ConsumerismCrossing Cultures in Pursuit of Health and Wellness: Choosing Healing Practices- Multiculturalism- Medical Consumerism, the Marketing of Ethnicity, and Revival of Medical PluralismIntegrative Medicine: Prospects for a New MedicineChapter SummaryStudy QuestionsRecommended ReadingsRecommended WebsiteRecommended Audiovisual Sources12. Achieving Healthy FuturesToward a Sociological Understanding of Healthy Societies and Healthy People- Studying Health: Alternative Sociological Paradigms- Developing an Intersectional Model of Health across the Life Course- Measuring the Dimensions of Health: A Mixed-Methods ApproachSocial Determinants of Health: Reflections on What We Have Learned- Structural and Personal Determinants of Health- Sources of Social Inequality and Health Disparities: Intersections of Socioeconomic Status, Gender, and Ethnicity- Adopting a Life Course Perspective on the Pursuit of Health and Wellness- Life Chances and Health Choices: The Structure-Agency QuestionShared Responsibility for Making Societies and People Healthy- Personal Responsibility: Informal Care and Health- Professional Responsibility: Formal Care and Health- Public Responsibility: The Governance of Health- Health Policy Initiatives: Lalonde and BeyondThe Ongoing Pursuit of Health and Wellness: Some Unanswered Questions- How Does the Vision of a Healthy Society Differ from the Reality of Health-Care Reform?- Is It Possible to Redress Social Inequalities in Health?- Why Is It So Difficult to Implement Healthy Public Policy?- Is Wellness Always Good for Your Health?- What Is Required to Remake the Medicalized Society into a Salutogenic SocietyStudy QuestionsRecommended ReadingsRecommended WebsitesGlossaryReferencesIndex