For international experts health is a comprehensive concept closely linked to bodily, material, spiritual and social well-being. But what does health mean to women living in a poor neighborhood of an African city? Women in Dar es Salaam see health as primarily related to livelihood, hygiene and care. To stay healthy one has to fulfill basic needs for food, water and shelter, to keep the body and home clean and to take good care of the family. Since the state and newly privatized services hardly reach them and husbands often fail in their role as breadwinners, women bear a growing burden in daily health practice. They become increasingly vulnerable, unless they manage to create a new balance by improving their knowledge, becoming economically more independent and raising support within the household, in social networks and organizations. By shifting the focus from illness to local meanings of health and vulnerability, anthropology can make a unique contribution to the rapidly expanding field of urban health research. Such an actor-centered approach provides fascinating insights and fosters innovative theoretical debates for both scholars and practitioners. With regard to medical anthropology, this study opens new lines of inquiry which may eventually lead to an anthropology of health.

There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Overcrowding, noise and air pollution, long commutes and lack of daylight can take a huge toll on the mental well-being of city-dwellers. With mental healthcare services under increasing pressure, could a better approach to urban design and planning provide a solution? The restrictions faced by city residents around the world during the COVID-19 pandemic has brought home just how much urban design can affect our mental health – and created an imperative to seize this opportunity. Restorative Cities explores a new way of designing cities, one which places mental health and wellness at the forefront. Establishing a blueprint for urban design for mental health, it examines a range of strategies – from sensory architecture to place-making for creativity and community – and brings a genuinely evidence-based approach that will appeal to designers and planners, health practitioners and researchers alike - and provide compelling insights for anyone who cares about how our surroundings affect us. Written by a psychiatrist and public health specialist, and an environmental psychologist with extensive experience of architectural practice, this much-needed work will prompt debate and inspire built environment students and professionals to think more about the positive potential of their designs for mental well-being.

Over the past fifty years we have seen an enormous demographic shift in the number of people migrating to urban areas, proliferated by factors such as industrialisation and globalisation. Urban migration has led to numerous societal stressors such as pollution, overcrowding, unemployment, and resource, which in turn has contributed to psychiatric disorders within urban spaces. Rates of mental illness, addictions, and violence are higher in urban areas and changes in social network systems and support have increased levels of social isolation and lack of social support. Part of the Oxford Cultural Psychiatry series, Urban Mental Health brings together international perspectives on urbanisation, its impacts on mental health, the nature of the built environment, and the dynamic nature of social engagement. Containing 24 chapters on key topics such as research challenges, adolescent mental health, and suicides in cities, this resource provides a refreshing look at the challenges faced by clinicians and mental health care professionals today. Emphasis is placed on findings from low- and middle-income countries where expansion is rapid and resources limited bridging the gap in research findings.

From the founding of New Amsterdam until today, working people have helped create and re-create the City of New York through their struggles. Starting with artisans and slaves in colonial New York and ranging all the way to twenty-first-century gig-economy workers, this book tells the story of New York’s labor history anew. City of Workers, City of Struggle brings together essays by leading historians of New York and a wealth of illustrations, offering rich descriptions of work, daily life, and political struggle. It recounts how workers have developed formal and informal groups not only to advance their own interests but also to pursue a vision of what the city should be like and whom it should be for. The book goes beyond the largely white, male wage workers in mainstream labor organizations who have dominated the history of labor movements to look at enslaved people, indentured servants, domestic workers, sex workers, day laborers, and others who have had to fight not only their masters and employers but also labor groups that often excluded them. Through their stories—how they fought for inclusion or developed their own ways to advance—it recenters labor history for contemporary struggles. City of Workers, City of Struggle offers the definitive account of the four-hundred-year history of efforts by New York workers to improve their lives and their communities. In association with the exhibition City of Workers, City of Struggle: How Labor Movements Changed New York at the Museum of the City of New York

Presents a historical analysis of the New York City Department of Health from the 1960s to the present-day.