This work is the fifth in a series of bulletins on the applications of sociology to various fields of professional practice prepared under the joint sponsorship of the American Sociological Association and the Russell Sage Foundation. Previous bulletins have dealt with applications of sociology in the fields of corrections, mental health, education, and military organization. Dr. Suchman has performed an important service in his clear delineation of the great potential sociology and related disciplines have for sharpening our understanding of the social factors in health and disease, for intelligent planning and mounting of appropriate action programs, and for improving the organizational structure and institutional mechanisms of the health professions themselves.

In contemporary manifestations of public health rituals and events, people are being increasingly united around what they hold in common--their material being and humanity. As a cult of humanity, public health provides a moral force in society that replaces 'traditional' religions in times of great diversity or heterogeneity of peoples, activities and desires. This is in contrast to public health's foundation in science, particularly the science of epidemiology. The rigid rules of 'scientific evidence' used to determine the cause of illness and disease can work against the most vulnerable in society by putting sectors of the population, such as underrepresented workers, at a disadvantage. This study focuses on this tension between traditional science and the changing vision articulated within public health (and across many disciplines) that calls for a collective response to uncontrolled capitalism and unremitting globalization, and to the way in which health inequalities and their association with social inequalities provides a political rhetoric that calls for a new redistributive social programme. Drawing on decades of research, the author argues that public health is both a cult and a science of contemporary society.

Sixth edition of the hugely successful, internationally recognised textbook on global public health and epidemiology, with 3 volumes comprehensively covering the scope, methods, and practice of the discipline

`A Sociology of Health charts a way forward for a medical sociology that can make a positive contribution to medical practice and health policy′ - Dr Michael Fitzpatrick, East London GP and author of The Tyranny of Health `This is a very lively book that will stimulate good debate amongst students undertaking sociology of health courses in higher education′ - Mathew Jones, Senior Lecturer in Health and Social Policy, University of the West of England A Sociology of Health offers an authoritative and up-to-date introduction to the key issues, perspectives and debates within the field of medical sociology. The book will aid readers′ understanding of how sociological approaches are crucial to understanding the impact that health and illness have on the behaviour, attitudes, beliefs, and practices, of an increasingly health-aware population. The book is topical and unique in its approach, combining commentary and analysis of classic debates in medical sociology with contemporary issues in health care policy and practice. The content is wide-ranging, including chapters on: health scares, therapy culture, new dimensions of international health, changes in health care organisation and the feminization of health. Features such as case studies, questions for debate, and further reading sections are used throughout to promote critical reflection and further debate. A Sociology of Health offers readers a fresh approach to the subject, and will be essential reading for all undergraduate students on medical sociology and sociology of health and illness courses, as well as postgraduate students in related health and social care disciplines. David Wainwright is a Senior Lecturer in the School for Health, University of Bath.

From mad-cow disease and E. coli-tainted spinach in the food supply to anthrax scares and fears of a bird flu pandemic, national health threats are a perennial fact of American life. Yet not all crises receive the level of attention they seem to merit. The marked contrast between the U.S. government's rapid response to the anthrax outbreak of 2001 and years of federal inaction on the spread of AIDS among gay men and intravenous drug users underscores the influence of politics and public attitudes in shaping the nation's response to health threats. In Disease Prevention as Social Change, sociologist Constance Nathanson argues that public health is inherently political, and explores the social struggles behind public health interventions by the governments of four industrialized democracies. Nathanson shows how public health policies emerge out of battles over power and ideology, in which social reformers clash with powerful interests, from dairy farmers to tobacco lobbyists to the Catholic Church. Comparing the history of four public health dilemmas—tuberculosis and infant mortality at the turn of the last century, and more recently smoking and AIDS—in the United States, France, Britain, and Canada, Nathanson examines the cultural and institutional factors that shaped reform movements and led each government to respond differently to the same health challenges. She finds that concentrated political power is no guarantee of government intervention in the public health domain. France, an archetypical strong state, has consistently been decades behind other industrialized countries in implementing public health measures, in part because political centralization has afforded little opportunity for the development of grassroots health reform movements. In contrast, less government centralization in America has led to unusually active citizen-based social movements that campaigned effectively to reduce infant mortality and restrict smoking. Public perceptions of health risks are also shaped by politics, not just science. Infant mortality crusades took off in the late nineteenth century not because of any sudden rise in infant mortality rates, but because of elite anxieties about the quantity and quality of working-class populations. Disease Prevention as Social Change also documents how culture and hierarchies of race, class, and gender have affected governmental action—and inaction—against particular diseases. Informed by extensive historical research and contemporary fieldwork, Disease Prevention as Social Change weaves compelling narratives of the political and social movements behind modern public health policies. By comparing the vastly different outcomes of these movements in different historical and cultural contexts, this path-breaking book advances our knowledge of the conditions in which social activists can succeed in battles over public health.

A social epidemiologist looks at health inequalities in terms of the upstream factors that produced them. A political sociologist sees these same inequalities as products of institutions that unequally allocate power and social goods. Neither is wrong -- but can the two talk to one another? In a stirring new synthesis, Political Sociology and the People's Health advances the debate over social inequalities in health by offering a new set of provocative hypotheses around how health is distributed in and across populations. It joins political sociology's macroscopic insights into social policy, labor markets, and the racialized and gendered state with social epidemiology's conceptualizations and measurements of populations, etiologic periods, and distributions. The result is a major leap forward in how we understand the relationships between institutions and inequalities -- and essential reading for those in public health, sociology, and beyond.

Health, Illness, and Society, Second Edition provides a comprehensive yet concise introduction to medical sociology. In his accessible style, Steven Barkan covers health and illness behaviors, the social determinants of illness, the health professions and health care system in the U.S., and how the U.S. system compares to that of other countries. The book also critically examines the achievements and limitations of the Affordable Care Act and other recent health care reform efforts. Each chapter opens with learning questions to guide the student and “Health and Illness in the News” cases that apply each chapter’s contents to contemporary events. Chapter summaries reinforce key ideas and “Give it Some Thought” boxes emphasize critical thinking. New to This Edition: New discussion of research on marriage and health as well as food deserts highlights the impact that marriage and urban vs. rural environments have on everyday health (Chapter 5) New coverage on medical students, faculty, sexual harassment in medical school, and medical school debt provides students with a deeper understanding of the issues facing doctors and why there is a shortage of family doctors in the U.S. (Chapter 7) Updated health and health care data on peer nations and new discussion of health and health care rankings of U.S. women provide a critical examination of the quality and cost of health care in the U.S. and its peer nations (Chapter 11) Enhanced examination of health insurance status and surprise medical billing, updated survey data on health care costs, and a new discussion of high deductibles emphasize the patient financial burden created by a private system of medicine (Chapter 12) Revised and updated discussion of the achievements and limitations of Obamacare, including new material on Medicaid expansion under Obamacare and efforts of the Trump administration to weaken Obamacare, provides coverage of recent policy changes (Chapter 13)