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Widespread awareness of emerging infectious diseases and global environmental change makes the ecological perspective of this premier teaching text for medical anthropology as relevant as ever. Integrating biocultural, environmental, and evolutionary approaches to the study of human health, this fifth edition is now thoroughly revised to reflect new developments in the field. Research by human biologists and paleopathologists illuminates the history and prehistory of disease, while the work of cultural and applied anthropologists addresses contemporary health issues. The fifth edition features five new profiles by guest contributors, all leading researchers on health and environment. New topics include community health and disease prevention in urban America; water-borne disease in Ecuador; iodine deficiency in the Himalaya; stress and demographic change in northern Siberia; and participatory action research in Costa Rica. Also included is updated and expanded consideration of refugee health, global aspects of HIV/AIDS, and careers in applied medical anthropology.
Ann McElroy is Associate Professor of Anthropology at State University of New York at Buffalo, where Patricia K. Townsend is a Research Associate Professor. Ann McElroy is Associate Professor of Anthropology at State University of New York at Buffalo, where Patricia K. Townsend is a Research Associate Professor.
Table of Contents
|List of Profiles||p. xiii|
|About the Authors and Contributors||p. xv|
|Preface to the Fifth Edition||p. xvii|
|The Ecology of Health and Disease||p. 1|
|Studying Nepali Children: An Example of Medical Anthropology||p. 2|
|Environment, Culture, and Health||p. 7|
|Profile: Arctic Adaptations||p. 16|
|A Working Model of Ecology and Health||p. 28|
|Interdisciplinary Research in Health Problems||p. 33|
|The Nature of Collaboration||p. 34|
|Bio-Environmental Data||p. 37|
|Profile: Cannibal Mourners||p. 42|
|Clinical Data||p. 46|
|Epidemiological Data||p. 49|
|Social and Cultural Data||p. 53|
|Becoming a Medical Anthropologist||p. 62|
|Profile: Learning Field Methods in Costa Rica||p. 63|
|Fieldwork Ethics||p. 69|
|Medical Anthropology at Work||p. 72|
|Genes, Culture, and Adaptation||p. 81|
|Human Variability and Adaptation||p. 82|
|Adaptation Through Biological Evolution||p. 85|
|Skin Color and Adaptation||p. 91|
|Evolution and Human Immune Systems||p. 92|
|Profile: Malaria and Agriculture||p. 96|
|Evolution and Medicine||p. 100|
|Physiological and Developmental Adaptation||p. 103|
|Cultural Adaptation||p. 108|
|Direct Medical Control Strategies||p. 110|
|Variability and Change in Cultural Systems||p. 113|
|Studying Adaptation||p. 115|
|Profile: Local Differences in Iodine Deficiency Goiter in the Western Himalaya||p. 118|
|Studying Adaptation to Illness and Disability||p. 124|
|Changing Patterns of Disease and Health||p. 131|
|Culture as Environment||p. 133|
|The Study of Population||p. 134|
|Profile: Infant Survival in a Papua New Guinea Society||p. 136|
|Life and Death in Hunter-Gatherer Camps and Farming Villages||p. 143|
|Paleopathology: The Study of Disease in Prehistory||p. 148|
|Life and Death in the Preindustrial City||p. 152|
|Profile: The Black Death||p. 153|
|Life and Death in Industrial Society||p. 157|
|The Ecology and Economics of Nutrition||p. 169|
|Human Foodways and Nutritional Needs||p. 170|
|Subsistence by Hunting and Gathering||p. 173|
|Nutrition in Prehistory||p. 177|
|Profile: Dry Bones: Health in Southwestern Prehistory||p. 180|
|Subsistence in the Humid Tropics||p. 183|
|Profile: Famine in Ethiopia||p. 193|
|Industrial Agriculture||p. 198|
|The Global Epidemic of Malnutrition||p. 201|
|Breast or Bottle||p. 206|
|The Anthropology of Food and Cooking||p. 209|
|All That Goes in the Mouth Is Not Food||p. 212|
|Culture, Ecology, and Reproduction||p. 217|
|Three Birth Stories||p. 218|
|Well-Being in Pregnancy: Biological and Social Factors||p. 224|
|Profile: Pregnancy Beliefs and Food Taboos in Malaysia||p. 226|
|Care Providers in Pregnancy and Birth||p. 230|
|Species-Specific Reproductive Patterns||p. 237|
|Fecundity and Fertility||p. 242|
|Profile: Using Anthropological Methods to Understand Condom Use for STI Prevention in the Inner City||p. 253|
|Reproduction and Social Support Systems||p. 259|
|Stress, Illness, and Healing||p. 267|
|The Concept of Stress||p. 268|
|Understanding the Physiology of Stress||p. 271|
|Profile: Stress, Social Support, and Health: The Dressler Research||p. 277|
|Can Stress Induce Healing?||p. 283|
|Stress and Psychiatric Disorders||p. 286|
|Alcohol Abuse||p. 293|
|Post-Traumatic Stress Disorder||p. 295|
|Populations Under Stress||p. 297|
|Profile: Stress, Alcohol, and Demographic Change in Northern Siberia||p. 298|
|Environmental Disasters as Stressors||p. 304|
|Resilience: A Buffer Against Stress||p. 306|
|Health Resources in Changing Cultures||p. 311|
|The Story of Ishi||p. 313|
|Change and Adaptation||p. 314|
|Models for the Study of Contact Processes||p. 316|
|Repercussions of Culture Contact on Health in the Arctic||p. 319|
|Profile: Culture Change and Inuit Health: Two Families||p. 327|
|Health Care as an Adaptive System||p. 332|
|Decisions About Care||p. 337|
|Refugee Health Care||p. 342|
|Anthropology and HIV/AIDS||p. 348|
|Costs and Benefits of Development||p. 359|
|Spirit Possession in a Malaysian Factory||p. 361|
|Globalization and Health||p. 363|
|Water Systems, Disease, and Applied Medical Anthropology||p. 374|
|Profile: The Medical Ecology of Cholera in Ecuador||p. 375|
|Strategies for Improving Health||p. 382|
|Health Disparities in Developed Economies||p. 385|
|Paying the Costs of Industrial Development||p. 392|
|Profile: Hazardous Waste and the Mohawks at Akwesasne||p. 393|
|The Anthropology of Trouble||p. 399|
|Medical Anthropologists at Work: Meeting the Challenges of the Twenty-First Century||p. 409|
|Violence and Terror: The Work of Forensic Anthropologists||p. 410|
|The AIDS Pandemic: Medical Anthropologists in International Health||p. 415|
|Contemporary Medicine and Its Discontents||p. 421|
|Projects in Medical Anthropology||p. 429|
|References Cited||p. 433|
|Table of Contents provided by Ingram. All Rights Reserved.|