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In this chapter, we first provide an overview of health and mental health outcomes across the different types of street segments studied to assess whether residents of crime hot spots have more adverse health issues compared with residents living on street segments with little or no crime. We find that there are strong relationships between mental and physical health and living in crime hot spots as opposed to non-hot spots. We then examine whether negative health outcomes are a consequence of living in a crime hot spot. We find that hot spots of crime are not simply places with high crime rates; they are also places with strong physical and mental health deficits. After accounting for selection, several physical and mental health problems are found to result from living in a crime hot spot.
Human capital – defined by education, health, and skills – is essential for economic resilience and social cohesion. This chapter analyses how inclusive investment in people drives innovation, reduces inequality, and strengthens institutions. It critiques underinvestment in public services and challenges the idea that human development is a luxury. Drawing on comparative data, the chapter shows that equitable access to quality education and healthcare correlates strongly with long-term growth and democratic stability. Prosperity begins with people.
Chapter 2 turns to the second betrayal. This chapter scales down into the personal accounts of test veterans post-service lives, when emergent illnesses eluded explanation and social recognition, and private shame and debility stalled their lives. I show how unsettled memories and unsettled illnesses coalesced with the slow-moving invisibility of radiation in ways that negatively impacted their families and their well-being. Claim-making thus began as prefigurative struggles driven by delegitimating encounters with medical actors, and the accumulating acts of sharing service memories in veteran spaces. This chapter charts how in these practices test veterans and their family members became claim-makers, a collectivity that produced the possibilities for political and legal action.
This chapter offers readers perspective on ideals and practices that shaped health-related treatment of former service members from the Revolutionary period through the end of the Cold War. Studying how veterans fought for and accessed health services over two centuries offers a compelling view of the wide-ranging impacts of military endeavors on policy and politics and on the individual lives of service members and civilians. It also brings into sharp relief the extent to which norms of civilian society – for example, changing perceptions of how diseases are classified and what constitutes proper care – influence wars and perceptions of them. Broadly, the chapter shows that, while veterans’ care became more bureaucratized and institutionalized over time, some realities were constant: the nature and extent of available services, and the ways people interpreted them, were dictated by former service members’ advocacy, as well as prevailing notions about governmental responsibility, illness and disease, disability, and medical practice. Most broadly, the history of veterans’ experiences related to health care reveals that war and society are inextricably and intricately linked.
Ad hoc coalitions (AHCs) have been a persistent feature of global governance. However, only recently have they become the focus in governance scholarship. Why are they created, and how do they vary in their composition and afterlife? We examine AHCs since 1919 across health and security governance challenges. Our analysis rests on archival material from international organizations (IOs) and national governments. We argue that, in bringing together political rivals, AHCs serve three primary purposes. Firstly, as agenda setters, they address new governance challenges. Secondly, as capacity generators, they reshuffle membership compositions. Finally, as decision accelerators, they enable their members to bypass existing IOs. Beyond these commonalities, notable differences exist that are rooted in relative issue salience. Less salient issues are often led by bureaucrats and experts, glossing over political agendas and mediating between rivals. This set-up often leads to permanent cooperative structures. Issues that decision-makers perceive as highly salient occupy the attention of politicians who want to keep the coalition small. As a result, rivalries can easily come to the fore, leading to short-lived coalitions. Overall, AHCs point to more or less exclusionary action that serves as a testing ground for international cooperation in times of uncertainty and (geo)political crises.
Human flourishing is a fundamental goal of most societies, and various theories have approached this concept, including the International Classification of Functioning, Disability, and Health (ICF), the job demands-resources (JD-R) model, self-determination theory (SDT), and the integrative model of behavioural prediction (IMBP). These theories focus on different aspects of well-being and the factors that influence an individual’s ability to lead a fulfilling life. This chapter aims to explore the capability approach (CA) and examines how it complements and connects with these existing theories. This chapter demonstrates how, by emphasising the importance of individual capabilities and human agency, the CA broadens the applicability of these theories. Unlike classical models that focus primarily on analysing situations, the CA highlights the broader context, aiming to enhance flourishing by considering situational determinants and the impact of contextual factors on an individual’s ability to make meaningful choices. This chapter contributes to a more nuanced understanding of human flourishing by illustrating the synergies between the CA model and other theoretical models. It argues that to be truly comprehensive and effective in the real world, theories must embrace the transformative potential of the CA.
Experiences of healthcare services are an important indicator of quality and health system improvement. In correctional facilities, structural and contextual factors affect experiences of healthcare services and processes for voicing these experiences. This study explores barriers and opportunities for people in custody to voice their experiences of healthcare services in custody. We held four focus groups and one interview with people living in the community who had accessed, or tried to access, healthcare services while incarcerated in a provincial correctional facility in Ontario, Canada in the previous five years. Using template analysis, we developed four interacting themes related to expectations and experiences of healthcare, and of submitting complaints or asking for help: i) the system is not designed for healthcare, ii) gatekeeping and perceptions of ‘deserving’ healthcare, iii) impact of healthcare on other outcomes, and iv) calling the abyss. These factors affected perceptions of the potential efficacy of a patient feedback process, and how people in custody were likely to engage with it. Participants also identified five key features that should be components of any patient feedback processes. This study highlights challenges to patient-reported experiences of care in quality improvement work in restrictive environments and with incarcerated populations.
Inclusion is about recognising the rights of every person and ensuring that equitable opportunities exist for all. Inclusive Practice in the Early Years provides pre-service and in-service early childhood teachers and educators with theoretical guidance and practical strategies to allow all children to participate meaningfully in learning. Inclusive Practice in the Early Years focuses on the inclusion of children with disability, developmental delay and neurodivergence from birth to five years. The book also highlights the importance of recognising inclusive principles that apply to a wider range of diversity including Aboriginal and Torres Strait Islander children, refugee and migrant children, children who have experienced trauma and families experiencing disadvantage. Developed by authors with extensive experience across early childhood education, disability, community, and allied health, this text provides valuable information and strategies to support both pre-service and in-service teachers and practitioners to develop an inclusive practice.
Mental health concerns are rising for business school academics who cope with increased expectations about job performance. The multiple and concurrent tasks that academics engage in gives rise to feelings of stress and inadequacy that can lead to mental distress. The changing role of academia has created confusion and as sense of panic surrounding job longevity, which has resulted in increased emphasis on well-being in universities. Whilst universities pride themselves as supposedly good work environments in reality many academics are facing mental health issues. This means the joy once evident in academics in a profession they love has changed due to the increased complexities. In this editorial, I discuss the role mental health plays in an academic’s survival in the global educational environment. The consequences of altering work/life resources are examined with the goal of suggesting ways to alleviate mental health issues whilst respecting the privacy and individualisation of academics.
Between 2010 and 2012, a catastrophic earthquake sequence devastated Christchurch, a colonial city built on Ngāi Tahu ancestral land in Canterbury, New Zealand. This chapter explores how government agencies, including public health services, collaborated with mana whenua (Ngāi Tahu, the local Māori tribe) to rebuild Ōtautahi Christchurch in ways that respect its colonial past while looking to a climate-challenged future. The rebuild sought to integrate natural environmental features and symbolic markers significant to mana whenua, while also promoting health, wellbeing, and a renewed sense of place for all residents. Writing as three Tangata Tiriti (settler-colonial) women, we draw on our professional roles in public health, urban design, landscape architecture, and strategic planning. We reflect on our involvement in planning and policy implementation, considering what worked well, what fell short, and our hopes for a future city that fosters resilience, inclusivity, and belonging.
Southeast Asia is a booming region which is nevertheless among the most vulnerable to climate change. This book assesses how Southeast Asian countries – from the wealthiest to the poorest – are adapting to meet climate change challenges across several key sectors: agriculture and fisheries, conservation, energy, health, and migration. In the broad context of the global system, it celebrates some of the region's remarkable successes, whilst also examining serious adaptive issues. Through a political economy lens, the author describes growing private-sector control over adaptations, shining a light on who benefits and loses from these systems. He untangles the complex interconnectedness of different sectors, examining how adaptations to one can undermine progress in others. This sharply focused volume is a vital reference on a rising global issue for graduate students and researchers, and offers invaluable lessons for policymakers in countries around the world that share similar development challenges.
A nuclear detonation will result in thousands of casualties who will need to be monitored for the occurrence of delayed complications from their exposure to radiation. The National Academies of Sciences have published a report on the key elements of the long-term health monitoring of populations after an improvised nuclear device (IND) detonation incident.
Material and Methods
We describe the results of a modified Delphi study where we sought consensus among a group of experts on the importance and difficulty of achieving the items in a list of key elements they were presented with.
Results
The expert consensus meeting included 27 experts from relevant disciplines and agencies. Consensus was reached in round 3 of the Delphi process on the initial list of 79 items that were generated during the first 2 rounds. Consensus was reached on 59 items regarding the level of importance and on 13 items regarding the difficulty of achieving the element in the design of a long-term health study.
Conclusions
The items identified in this study, including those where consensus was met among the experts, can guide emergency and public health planners in preparing for a long-term population health program after an IND incident.
Chapter 1 tracks frenzy’s trajectory as a medical diagnosis between 1500 and 1700. It offers an introduction to frenzy as it was understood by eight medical practitioners, four of whom came of age in a time of relative stability in English medicine (1560–1640) and four in a time of rapid change (1640–1700). It shows how, from the mid seventeenth century, the old humoral definition of frenzy was altered to fit new medical philosophies – chemical, mechanistic, and corpuscular – and new models of human physiology. Tracing the contours of the disease over two centuries, it highlights points of continuity as well as change. Throughout this period, it argues, theorists from diverse schools explained frenzy’s effects with reference both to the solid structures of the body and the fluids which flowed through them. This chapter argues that it was the devastating effects of brain disease which galvanized medical theorists to seek to explain disorders of the mind as disruptions of material ‘animal spirits’.
We develop a health demand model informed by Grossman's theoretical framework, examining how air pollution governance (APG) affects health and income inequality. Analysis of the China Health and Nutrition Survey data reveals that APG has markedly enhanced the health status of local residents, consequently mitigating regional income inequality. For every doubling of air pollution control, the likelihood of residents falling ill diminishes by 40.3 per cent; in contrast to regions with inadequate APG, the income inequality coefficient in regions with robust APG declines by approximately 6.2 per cent. An in-depth examination of the welfare implications of APG, both theoretically and empirically, reveals that such governance enhances the ‘production possibility frontier’ for the population, thereby augmenting individual utility.
This research note assessed the relationship between health status and union dissolution in middle and later life in the Canadian context.
Methods
Data were drawn from four waves (2014–2020) of the Canadian Longitudinal and International Study of Adults aged 45 and older. Logistic regression analyses examined the effects of stability and changes in self-rated health (SRH) and psychological distress on subsequent marital and cohabiting union dissolution.
Findings
Unlike those whose SRH declined over time, those who experienced continuing fair/poor SRH had a greater likelihood of subsequent union dissolution compared to those experiencing continuing good/very good/excellent or improved SRH. In contrast, those reporting increased psychological distress were more likely to experience union dissolution later on.
Discussion
Policies and interventions that limit poor physical and mental health of individuals as they age may also serve to reduce the occurrence of union dissolution and its implications.
Selective logging is a prevalent practice in tropical forests that can impact wildlife health. Here, we investigate the effects of selective logging on the body condition of the Lowland tapir (Tapirus terrestris) in Jamari National Forest, Brazilian Amazonia. We apply a visual assessment protocol for scoring tapir body condition, based on camera trap images obtained in logged and unlogged areas. Tapirs from both areas presented high body condition scores (average of 4.2 on a scale of 1 to 5), and there were no significant differences in scores between areas (mean score unlogged = 4.2, sd = 0.54; mean score logged = 4.3, sd = 0.56), suggesting that logging does not affect tapir body condition. However, our results apply to the short term. Further research is necessary to understand the long-term implications of logging on the tapir.
A growing standardisation of eating behaviours worldwide is observed, especially in children, notably characterised by the increasing consumption of both unsustainable animal- and plant-based ultra-processed foods (UPFs). The objective of this study was to identify five high-impact eating behaviours (HIBs) in a French child population (living in Clermont-Ferrand city and surroundings, n = 92, aged 6–15), that is, behaviours to change for the strongest positive impact on health and sustainability. For this, both multidisciplinary top-down and participatory bottom-up approaches has been carried out. First, from European and French dietary guidelines, desk research, European researchers’ evaluation, and expert interviews and workshops the technical potential (for their impact on health and environment), plasticity and feasibility of 40 HIB were first quantified (top-down approach). Secondly, in the French living lab (LL), from photo-voice and focus groups with children, online surveys, meetings with families and children, interviews with stakeholders, and assessments of the behavioural change potential of the French LL children’s target, five HIB were finally selected (bottom-up approach). Therefore, among the initial 342 European recommended eating behaviours, the selected HIBs for our specific population were: limiting the consumption of UPFs (notably those high in added salt, sugars and/or fats), eating 0–3 servings of meat/week, eating three servings of legumes/week, choosing primarily wholegrain than refined cereals, and choose water instead of sweetened beverages. These five HIBs constitutes a solid basis to perform next LL participatory actions, notably to test HIB feasibility/plasticity, and implement them in real life conditions through transversal actions with non-researcher.
Through a cluster randomised field trial, we evaluate the impact of an evidence-based, soft skills curriculum aimed at adolescents, referred to as Healthy Minds, that ran in 35 high schools in England over four years (2013/14 – 2017/18). We find supportive evidence that Healthy Minds positively augments the primary outcome of self-reported physical health in the treated adolescents. Treated pupils have global health attainment that is 0.235 standard deviations higher than children in the control group, resulting in a 10-percentile increase in their measured health status. We also find evidence of positive impacts on behaviour. There is no evidence of impacts on improved emotional wellbeing. We note significant gender differences in the effects found, strongly favouring boys. Overall, we provide strong evidence that a designed, taught life skills curriculum can improve related outcomes during the adolescent years, and that differential learning styles across visible aspects of diversity are worthy of consideration Healthy Minds.
Ginsberg was famous for chronicling every facet of his life, and his last poems in the mid 1990s frequently reflect an intense self-consciousness about his final illnesses. While earlier in his career, the body was an important site for Ginsberg’s poetics of candor, confrontation, and erotic epiphanies, he remained equally adamant as his health faltered in ascertaining his physical deterioration in poems such as “Here We Go Round the Mulberry Bush” and “Sphincter.” Even during his final period, however, Ginsberg’s level of literary fame provided him access to figures in popular music that amplified his cultural prominence and enabled him to retain a sense of artistic relevance. Simultaneously with his meditations on death, Ginsberg’s culminating poems maintained his renowned sly humor about his social status as a writer whose expansive cultural reputation included the continuity of radical political critique. This chapter on his posthumous volume Death and Fame: Last Poems 1993–1997 (1999) explores Ginsberg’s attempts to reconcile the problematic contexts of fame’s durability while struggling to find succor, in both Buddhist and poetic terms, with his accelerating disability and terminal departure.
Medical experts and epidemiologists knew the importance of hygiene on the home front. They convinced local, state, and federal authorities that the war on disease had to be fought. Consequently, the Modern Health Crusade, which originated in Detroit, became a nationwide movement in 1915. Federal authorities realized that a high infant mortality rate threatened the fabric of American society in the long run. Additionally, in order to build a strong and healthy army (and nation), bodies had to be physically fit. Children began to matter to the military and the nation writ large. As hygiene became a national concern, between 1914 and 1918, both medical and military authorities promoted hygienic standards to lift the nation.