Health and Social Organization: Towards a Health Policy for the Twenty-first Century

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David Blane, Eric Brunner, Richard G. Wilkinson
Psychology Press, 1996 - Health & Fitness - 326 pages
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There is a growing recognition that the most powerful determinants of health in modern populations are to be found in social, economic and cultural circumstances. These include economic growth, income distribution, consumption, work organization, unemployment and job insecurity, social and family structure, education and deprivation, and they are all aspects of social organization. In this work, these issues are examined by British and North American researchers. They bring together an array of evidence from the social sciences, epidemiology and biology. The text starts by examining the strengths and weaknesses of these approaches to improving the population's health. It then considers the timing of major influences on health and questions whether there are special periods of vulnerability early in life or whether circumstances throughout life are equally important. The final section draws out the implications for policy and for links between health and economic performance, emphasising the need for greater investment to combat the low educational standards and high and poor economic performance.
 

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Contents

the need for a new approach
21
The significance of socioeconomic factors in health
32
The social pattern of health and disease
42
the sociobiological translation
71
population health
94
Patterns of attachment interpersonal relationships
125
Family and education as determinants of health
152
Education social circumstances and mortality
171
Transmission of social and biological risk across the life
188
Unpaid work carers and health
204
implications for individuals and society
235
Health and work insecurity in young men
255
The social and biological basis of cardiovascular disease
272
Health and social capital
303
Index
314
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About the author (1996)

Blane-Charing Cross & Westminster Medical School

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