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 to explore the structural and behavioural factors that affect it. Advocating for the creation of healthy societies throughout, the text's three-part organization examines health as a socialconstruct; the social and personal determinants of health and wellness; and the components of our health-care system.

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Now in its second edition, Pursuing Health and Wellness looks beyond health as a mere absence of disease to explore the structural and behavioural factors that affect it. Advocating for the creation of healthy societies throughout, the text's three-part organization examines health as a socialconstruct; the social and personal determin...

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...

other books by Alexander Segall

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

Note: each chapter includes:- Chapter summary- Study questions- Recommended readings- Recommended websites- Recommended audiovisual sourcesPart One: 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 System2. 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 Perspective3. 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 DeeperPart Two: 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 Health5. Addressing Sources of Inequality and Health Disparities: Socioeconomic StatusUnderstanding Social InequalitySocial Determinants of Health Disparities: Income, Occupation, and Education- Income- Occupation- EducationThe Social Gradient of 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 Social Differences in Health: Is It Possible to Close the Gap?Toward an Intersectional Theory of Health and Socioeconomic Status across the Life Course6. 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 Course7. 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 Course8. 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 Course9. 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 Work10. 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 Medicalization11. 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- Medical Consumerism, the Marketing of Ethnicity, and Revival of Medical PluralismIntegrative Medicine: Prospects for a New Medicine12. 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 SocietyIndex

Editorial Reviews

"I find [the text] refreshing in its orientation to health and wellness. The text gives students a strong background in the theoretical frameworks driving particular types of research. The mix between current and historical examples is helpful for students" --Rochelle Tucker, Simon Fraser University