Macrosocial Determinants of Population Health -

Macrosocial Determinants of Population Health (eBook)

Sandro Galea (Herausgeber)

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2007 | 2007
XII, 502 Seiten
Springer New York (Verlag)
978-0-387-70812-6 (ISBN)
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This book explores social factors such as culture, mass media, political systems, and migration that influence public health while systematically considering how we may best study these factors and use our knowledge from this study to guide public health interventions. Throughout, contributors emphasize the potential of population strategies to influence traditional risk factors associated with health and disease. Each section ends with Galea's integrative chapters, bringing the observations and conclusions from the chapters into clear, usable focus.



Sandro Galea is an Associate Professor in the Department of Epidemiology at the University of Michigan. He was formerly an Associate Director at the Center for Epidemiologic Studies at the New York Academy of Medicine. Dr. Galea co-edited the Handbook of Urban Health for Springer, and he is on the editorial board of the Journal of Urban Health.


Macrosocial Determinants of Population Health explores social factors such as culture, mass media, political systems, and migration that influence public health while systematically considering how we may best study these factors and use our knowledge from this study to guide public health interventions.Starting from the dual premises that a population is not merely the sum of its individuals and that the improvement of population health is not at odds with the practical desire of improving the health of individuals, Sandro Galea and 33 expert contributors present chapters in three sections. The first section includes eleven chapters that each discuss one macrosocial determinant of population health. The factors covered by these chapters encompass a broad range of intellectual concerns, ranging from regulations and legal frameworks (global governance, patent law and policy), to overarching global phenomena (globalization, migration, urbanization, the media), to a specific consideration of the role of economic, political, and corporate policies and practices. The second section considers particular methodologic issues pertinent to those interested in the study of how macrosocial factors influence the health of populations, offering insights on ecological studies and causal inference, and weighing how we may best study the overlapping roles of determinants at local, state, and national levels. The third section presents a framework for interventions that aim to improve population health and innovative case studies that show this framework in action. Throughout, contributors emphasize the potential of population strategies to influence traditional risk factors associated with health and disease. Each section ends with Galea's integrative chapters, bringing the observations and conclusions from the chapters into clear, usable focus.Macrosocial Determinants of Population Health is a work of major theoretical, empirical, and practical interest for disciplines as varied as public health, epidemiology, health promotion, sociology, and health policy. Its systematic field-building approach makes it as valuable to the public health provider as to the scholars and students studying the health of populations.

Sandro Galea is an Associate Professor in the Department of Epidemiology at the University of Michigan. He was formerly an Associate Director at the Center for Epidemiologic Studies at the New York Academy of Medicine. Dr. Galea co-edited the Handbook of Urban Health for Springer, and he is on the editorial board of the Journal of Urban Health.

Acknowledgements 5
Contents 6
Contributors 8
Introduction 11
Chapter 1 12
The Role of Macrosocial Determinants in Shaping the Health of Populations 12
Section 1 Determinants 22
Chapter 2 23
Macrosocial Determinants of Population Health in the Context of Globalization 23
Chapter 3 60
Urbanicity, Urbanization, and the Urban Environment 60
Chapter 4 77
Corporate Practices 77
Chapter 5 111
Political Economic Systems and the Health of Populations: Historical Thought and Current Directions 111
Chapter 6 145
Climate Change 145
Chapter 7 164
Global Governance 164
Chapter 8 173
Macroeconomics 173
Chapter 9 196
Culture 196
Chapter 10 213
Taxation and Population Health: "Sin Taxes" or Structured Approaches 213
Chapter 11 234
Patent Law and Policy 234
Chapter 12 247
Migration 247
Chapter 13 274
Mass Media 274
Chapter 14 294
Integrative Chapter: Macrosocial Determinants of Population Health 294
Section II Methods 297
Chapter 15 298
Identifying Causal Ecologic Effects on Health: A Methodological Assessment 298
Chapter 16 329
Ecological Studies 329
Chapter 17 351
Making Causal Inferences About Macrosocial Factors as a Basis for Public Health Policies 351
Chapter 18 370
Estimating the Health Effects of Macrosocial Shocks: A Collaborative Approach 370
Chapter 19 393
What Level Macro? Choosing Appropriate Levels to Assess How Place Influences Population Health 393
Chapter 20 430
Integrative Chapter: Methodologic Considerations in the Study of the Macrosocial Determination of Population Health 430
Section III Improving population health 433
Chapter 21 434
Acting Upon the Macrosocial Environment to Improve Health: A Framework for Intervention 434
Chapter 22 453
Case Studies: Improving the Macrosocial Environment 453
Chapter 23 475
Integrative Chapter: Modifying Macrosocial Factors to Improve Population Health 475
Index 478

Erscheint lt. Verlag 24.10.2007
Zusatzinfo XII, 502 p.
Verlagsort New York
Sprache englisch
Themenwelt Medizin / Pharmazie Allgemeines / Lexika
Medizin / Pharmazie Pflege
Studium Querschnittsbereiche Prävention / Gesundheitsförderung
Sozialwissenschaften Soziologie Empirische Sozialforschung
Schlagworte Assessment • epidemiology • Health and disease • Health Promotion • Individual health • Population health • Public Health • Public Health Interventions
ISBN-10 0-387-70812-X / 038770812X
ISBN-13 978-0-387-70812-6 / 9780387708126
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