內容簡介
Public Health and Social Justice explores the role of social and economic injustices as root causes of the uneven distribution of disease across population groups according to class, race and gender. Readers are exposed to the research documenting the strong relation between social and economic inequities and health inequities, and learn to develop a framework to understand social and economic policies that would successfully improve the health status of all segments of society. Readers learn the crucial importance of civic engagement in determining policy directions, and determining the health of the society they inhabit. By the end of the book, readers will be familiar with global public health issues, processes for influencing policy, and the skills to effectively advocate for health and social justice.
The book will be organized in nine sections, reflecting the author's teaching experience and students input. Each section includes an introduction describing the historical and contemporary links between public health and social justice. Excerpted readings, each published previously in major medical, public health, and social science journals, follow.
I. Human Rights, Economics, Poverty and Health Care -- Overview of human rights and international law and treaties relevant to public health and social justice. Readings also cover the ways in which social and economic inequalities create health disparities, differences in educational quality, and impaired access to scientific advances.
II. Special Populations-- Covers the homeless, migrant farm workers, Native Americans, prisoners, and African-American physicians
III. Women's Health-- Covers physical and societal violence against women. Physical violence includes domestic violence, rape, and female genital cutting. Societal violence refers to the legal, political, educational, and social marginalization of women, which leave them with impaired access to reproductive health care, substandard employment, and sometimes with no options but prostitution.
IV. Obesity, Tobacco, and Suicide - The Other Epidemics --overspublic health and governmental approaches to obesity, tobacco abuse, and suicide.
V. Food: Safety, Security, and Disease -- Readings cover threats to the food system, including overuse of agricultural antibiotics, the rise of genetically-modified crops and biopharming, the addition of hormones to the food supply, and hunger.
VI. Environmental Health -- Covers the causes and consequences of environmental degradation and social injustice, including overpopulation, pollution, deforestation, global warming, unsustainable agricultural and fishing practices, overconsumption, mal distribution of wealth, the rise of the corporation, the hird World debt crisis, and militarization and wars. Consequences include increased poverty, overcrowding, famine, weather extremes, species loss, acute and chronic medical illnesses, war and human rights abuses, and an increasingly unstable global situation that portends Malthusian chaos and disaster. One paper is devoted to global warming, another to the consequences of production of "symbols of love" (gold, diamonds, and cut flowers).
VII. War and Violence --?Covers the medical impacts of iroshima, the history of rape in war and genocide, violence against female soldiers, and the health consequences of the diversion of resources to war and the preparation for war. A harrowing piece from 1949 covering the Doctors' Trial at Nuremberg shows how medical scientists can be co-opted for evil in the names of science and nationalism; a brief commentary discusses the relevance of the author's work for contemporary scientific investigation.
VIII. Corporations and Public Health-- Covers how corporations subvert, obfuscate, and repress science in the name of profit. Issues covered include pharmaceutical company pricing, the for-profit medical imaging industry, the rise in workplace drug testing, and the naming of medical schools.
IX. Achieving Social Justice in Health Care through Education and Activism -- Offers advice for health professionals, educators, patients, legislators, and concerned citizens hoping to improve awareness of social justice issues and to change social policy. Essays cover how to promote public understanding of population health, educate medical trainees through immersion in their communities, teach health professionals and ethicists using great works of literature, and promote social justice through direct action and via working with activist-oriented groups. The author will provide a list, with contact information, of activist-oriented groups.
目錄
Introduction
Acknowledgments
The Editor
The Contributors
Part One Human Rights, Economics, Poverty, and Health Care
1. Universal Declaration of Human Rights
2. Public Health as Social Justice (Dan E. Beauchamp)
3. What We Mean by Social Determinants of Health (Vicente Navarro)
4. The Magic Mountain: Trickle-down Economics in a Philippine (Garbage Dump and Matthew Power)
5. Family Medicine Should Encourage the Development of Luxury Practices: Negative Position (Martin Donohoe)
Part Two Special Populations
6. Homelessness in the United States: History, Epidemiology, Health Issues, Women, and Public Policy (Martin Donohoe)
7. Historical and Contemporary Factors Contributing to the Plight of Migrant Farm Workers in the United States (Safina Koreishi and Martin Donohoe)
8. The Persistence of American Indian Health Disparities (David S. Jones)
9. Prejudice and the Medical Profession: A Five-Year Update (Peter A. Clark)
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