Nancy Krieger

"Epidemiology is often referred to as the science of public health. However, unlike other major sciences, its theoretical foundations are rarely articulated. While the idea of epidemiologic theory may seem dry and arcane, it is at its core about explaining the people's health. It is about life and death. It is about biology and society. It is about ecology and the economy. It is about how myriad aspects of people's lives--involving work, dignity, desire, love, play, conflict, discrimination, and injustice--become literally incorporated biologically into our bodies and manifest in our health status, individually and collectively. And it is about essential knowledge critical for improving the people's health and minimizing inequitable burdens of disease, disability, and death. Woven from a vast array of schools of thought, including those in the natural, social, and biomedical sciences, epidemiologic theory is a rich tapestry whose time for analysis is long overdue. By tracing its history and contours from ancient societies on through the development of--and debates within--contemporary epidemiology worldwide, Nancy Krieger shows how epidemiologic theory has long shaped epidemiologic practice, knowledge, and the politics of public health. Outlining an ecosocial theory of disease distribution that situates both population health and epidemiologic theory in societal and ecologic context, she offers a more holistic picture of how we embody the human experience"--Provided by publisher.

theory and context

Epidemiology and the people's health

From public health luminary Nancy Krieger comes a revolutionary way of addressing health justice and the embodied truths of lived experience. Since the 1700s, fierce debates in medicine and public health have centered around whether sources of ill health can be attributed to either the individual or the surrounding body politic. But what if instead health researchers measure--and policies address--how people biologically embody their societal and ecological context? Ecosocial Theory, Embodied Truths, and the People's Health represents a daring new foray into analyzing how population patterns of health reveal the intersections of lived experience and biology in historical context. Expanding on Nancy Krieger's original ecosocial theory of disease distribution, this volume lays new theoretical groundwork about embodiment and health justice through concrete and novel examples involving pathways such as workplace discrimination, relationship abuse, Jim Crow, police violence, pesticides, fracking, green space, and climate change. It offers a crucial counterargument to dominant biomedical and public health narratives attributing causality to either innate biology or decontextualized health behaviors and provides a key step forward towards understanding and addressing the structural drivers of health inequities and health justice. Bridging insights from politics, history, sociology, ecology, biology, and public health, Ecosocial Theory, Embodied Truths, and the People's Health presents a bold new framework to transform biomedical and population health thinking, practice, and policies and to advance health equity across a deeply threatened planet.

Ecosocial Theory, Embodied Truths, and the People's Health

Elizabeth Fee

This collection of essays addresses the broadening array of issues on the agenda of the women's health movements of the 1980s and 1990s, just as a previous collection, "Women and Health: The Politics of Sex in Medicine", gathered contributions from the earlier wave of the women's health movement in the 1970s. The papers in both volumes are selected from the "International Journal of Health Services", edited by Vicente Navarro. The essays in this volume were originally published in the 1980s and early 1990s. Together, they present a framework for understanding the struggles over women's health that have occurred in this time period, and provide specific analyses of women's health in relation to race/ethnicity and class, the work of health care, the health of women workers, international reproductive health, sexuality, AIDS, and public health policy.

Essays on Sex/Gender, Medicine, and Public Health

Women's Health, Politics, and Power

From Embodying Injustice to Embodying Equity: Embodied Truths and the Ecosocial Theory of Disease Distribution -- Embodying (In)justice and Embodied Truths: Using Ecosocial Theory to Analyze Population Health Data -- Challenges: Embodied Truths, Vision, and Advancing Health Justice.

Nancy Krieger

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