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Lecture

HLTC05 Lecture 2.pdf


Department
Health Studies
Course Code
HLTC05H3
Professor
R Song

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Cue Column:
Note-Taking Area:
Cultural& Historical Determinants of Health
Look @ all levels of interaction
Evol or historical perspective
Anthro brings historical perspective
Critical medical anthro
Biocultural perspective
Diff cultures have diff views of medicine
Have relative perspective /context
Indi can do something against what culture expects
Pay attn to individual w/in pop.
Population health
Illness/conditions according to cultures } have idea/not
western/biomed perspective
Can change when enviro, psych, soc etc. changes
Change over time, not static perspective
Lifelong, not short term
Think about indi health and health discrepancy as long historical
process
Historical contingency
Culture sig factor of health
Why do they exist, persist
Address groups who've been historically marginalized
Women, minorities
Ask why excluded
Who's not considered in health stats
Anthro contributes to public health
Who is included/excluded, why?
Anthro's contributions
Bio and culture intertwine
Active role in social change
They do something about it
Strategies at community, gov't levels
Beyond recognizing differences
Why is there inequality, and how does that effect health patterns?
Ultimate goal: reduce health discrepancy
Trapped in role (job etc.); very rigid
Social structures
Inequality coming in diff forms
Critical medical anthro (CMA)
Diff forms of inequality
Check slide for inequalities
Cause violence directly or indirectly
Ideally structural violence
Inequality
Result of 1 group parasitize other ppl
1 group doing better, taking resources for their benefit while others
suffer
Poverty --> living enviro
Though poverty decreases, inequality increasing
Inequality --> diff w/in ppl living in same society
Macroparasitism
Social Inequality - Armelagos et al.
HLTC05 Lecture 2
Wednesday, May 22, 2013
12:17 PM
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suffer
Poverty --> living enviro
Huge income disparity
Though poverty decreases, inequality increasing
Inequality --> diff w/in ppl living in same society
Changes over time reflect changes in inequality
They suffered from diseases
Not highly infectious and mortality sig
These diseases did not kill off entire population
Pathogen persists but not wipe out entire population
More crowded, more spread
Infectious diseases causing high mortality
Nomads => moving around
Hunter gatherers
Control food supply/agriculture
Age where humans manipulate nature
Able to have more kids alive
Ppl stay put
Steady food supply
More children ==> able to survive better
Population starts increasing
As a result, must stay in 1 area to farm rather than nomad
(sedentary)
The transition was demographic
Can see how health changed w/ agri ==> 1st epi
transition
Check slide for details
Hunter gather ==> survival, no diff roles
Farming: more specialized
Ppl start getting more jobs
Working land ==> changing landscapes
Land patterns change
Contaminated water sources
Greater exposure to diseases
Since in same spot
Increased interactions
Area expansion to wilderness area
Agri, sendentism, and population increase
Change from hunter gather to farmer
Gather for everyone
HG societies ==> social equality
Privileges some } not equal access
Diff ppl's roles and their access } inequality
Due to inequality
First epi transition
Reduced dietary variety
More prevalent w/ agri communities
Skull bone thinning }porotic hyperostosis
Eye sockets } cribra orbitalia
Chronic Fe deficiency
If suffer a lot of infectious disease, can suffer from
anemia
Anemia
Effects teeth} suffered
Starch becomes staple
Diet sig factor in changing health
Become stunted
Heavy reliance on protein deficient foods
Depressions in enamel
Disruption to G&D
Enamel hypoplasia
Growth & development
Epi Transitions & Inequality
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