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List of Figures and Tables page ix

Foreword by S. Leonard Syme xi

Acknowledgments xv

1 Introduction

  I. Patterns of Disease and Patterns of Culture

  II. Epidemiology and Medical Anthropology

  III. Applying an Integrated Cultural-Epidemiological

Approach

   For Further Reading

2 The Origins of an Integrated Approach in Anthropology and

Epidemiology

  I. Scientific Attention to the Social Environment in the

Nineteenth Century

  II. Epidemiology and Medical Anthropology in

Collaboration

  III. Continuity and Change in Twenty-first Century Projects

Integrating Anthropology and Epidemiology

   For Further Reading

3 Disease Patterns and Assumptions: Unpacking Variables

  I. The Origins and Meanings of Disease-pattern

Categories

  II. Assumptions about Defining and Measuring Variables

  III. Aspects of the Category Person

  IV. Aspects of Place

  V. Aspects of Time

  VI. Conclusion

   For Further Reading

4 Cultural Issues in Measurement and Bias

  I. Introduction

  II. Bias in Epidemiology and Its Anthropological

Counterparts

  III. Data Collection as Social Exchange

  IV. Data Collection and the Challenges of Human

Attention

  V. Social and Cultural Aspects of Clinical Trials as a Form

of Data Collection

   For Further Reading

5 Anthropological Contributions to the Study of Cholera

  I. The Pervasiveness of Diarrhea: Implications for

Epidemiology

  II. Cholera: The So-called Natural History of a Diarrheal

Disease

  III. Cholera in Latin America: A Sociocultural History of

Disease

  IV. Conclusion: Is Cholera a Signpost?

   For Further Reading

6 Anthropological and Epidemiological Collaboration to Help

Communities Become Healthier

  I. Introduction

  II. The Community in Public Health Interventions

  III. Anthropological Participation in Population

Interventions

  IV. The Tools of Intervention Research: An Anthropological

Analysis of Randomized Controlled Trials

  V. Conclusion

   For Further Reading

7 Perceiving and Representing Risk

  I. Popular and Professional Ideas about Risk

  II. Communicating about Risk, Menace, and Safety

  III. A Few Lessons and Opportunities

   For Further Reading

8 Conclusion

  I. Epidemiology, Proof and Judgment

  II. Conclusions about Defining Disciplines: Defended Border

versus Semi-permeable Membrane

References

Index

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　　This book shows how practitioners in the emerging field of

'cultural epidemiology' describe human health, communicate with

diverse audiences, and intervene to improve health and prevent

disease. It uses textual and statistical portraits of disease to

describe past and present collaborations between anthropology and

epidemiology. Interpreting epidemiology as a cultural practice

helps to reveal the ways in which measurement, causal thinking, and

intervention design are all influenced by belief, habit, and

theories of power. By unpacking many common disease risks and

epidemiologic categories, this book reveals unexamined assumptions

and shows how sociocultural context influences measurement of

disease. Examples include studies of epilepsy, cholera, mortality

on the Titanic, breastfeeding, and adolescent smoking. The book

describes methods as varied as observing individuals, measuring

social networks, and compiling data from death certificates. It

argues that effective public health interventions must work more

often and better at the level of entire communities.

    ? Demonstrates how individual decisions and

beliefs become health patterns of populations ? Written in

accessible language and with many examples for upper-level

undergraduates, graduate students in public health and medicine,

and practising professionals ? Includes lists of recommended

readings for each chapter as well as extensive references