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Chapter 2 Illness and the Health Care Crisis. The Global Context: Patterns of Health and Disease HIV/AIDS: A Global Health Concern Mental Illness: The Invisible Epidemic. Chapter 2 Illness and the Health Care Crisis. Sociological Theories of Illness and Health Care
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Chapter 2Illness and the Health Care Crisis • The Global Context: Patterns of Health and Disease • HIV/AIDS: A Global Health Concern • Mental Illness: The Invisible Epidemic
Chapter 2Illness and the Health Care Crisis • Sociological Theories of Illness and Health Care • Social Factors Associated With Health and Illness • Problems in U.S. Health Care • Strategies for Action: Improving Health and Health Care
Life Expectancy: 2000 • Japan - 81 years • France - 79 years • U.S. - 77 years • Congo - 49 years • Angola - 35 years
Leading Causes of Death • Worldwide - infectious and parasitic diseases. • U.S. - heart disease, cancer, stroke • U.S. youths - nearly 3/4 of deaths result from motor-vehicle crashes, unintentional injuries, homicide, and suicide.
HIV/AIDS: A Global Concern Transmission: • Sexual intercourse • Sharing unclean intravenous needles • From infected mother to fetus • Blood transfusions or blood products • Breast-milk
HIV/AIDS in the U.S. • Leading cause of death among African American men ages 25 to 44. • At least half of new infections are among people under age 25. • Nearly half of HIV cases are among females.
Mental Illness • 40% of Americans will experience a mental disorder in their lifetime. • Nearly 25% of U.S. adults suffer from mental disorders or substance abuse disorders. • In 1998, major depression was the leading cause of disability in developed nations.
Structural-Functionalist Perspective • Health care functions to maintain well-being of individuals and society. • High cost of medical care is necessary to entice people into medical profession. • HIV/AIDS helped unite and mobilize gay rights activists.
Conflict Perspective • Focuses on how wealth, status, and power influence illness and health care. • Lack of status and power affects the health of women in many societies.
Symbolic Interactionist Perspective • Focuses on how meanings, definitions, and labels influence health care. • Illness and disease are conditions that society defines as illness or disease. • There are stigmatizing effects of being labeled as ill.
Poverty and Health • Poverty is the world’s leading health problem. Associated with: • unsanitary living conditions. • hazardous working conditions. • lack of access to medical care. • onadequate nutrition.
Gender and Health • One in three women has been beaten, coerced into sex, or abused. • In some societies, boys receive more medical treatment than girls. • Men are less likely than women to seek medical care.
Problems In U.S. Health Care • In 2000, World Health Organization ranked the U.S. health care system 37th out of 191. Problems include: • High cost of medical care and insurance. • Unequal access to health care. • Inadequate mental health care.
Health Insurance Coverage 1999: • 15.5% of U.S. population had no medical insurance for the entire year. • 32.4% of U.S. poor had no insurance during the entire year.