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Heart-sick : the politics of risk, inequality, and heart disease / Janet K. Shim.

LIBRA RC682 .S48 2014
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Format:
Book
Author/Creator:
Shim, Janet K., 1969-
Contributor:
James A. Crawford Memorial Fund.
Series:
Biopolitics (New York, N.Y.)
Biopolitics : medicine, technoscience, and health in the 21st century
Language:
English
Subjects (All):
Heart--Diseases--Political apects.
Heart.
Discrimination in medical care.
Minorities--Medical care.
Minorities.
Health services accessibility.
Heart Diseases.
Health Services Accessibility.
Health Status Disparities.
Healthcare Disparities.
Heart--Diseases.
Medical Subjects:
Heart Diseases.
Health Services Accessibility.
Health Status Disparities.
Healthcare Disparities.
Physical Description:
xii, 277 pages ; 24 cm.
Place of Publication:
New York : New York University Press, [2014]
Summary:
Heart disease, the leading cause of death in the United States, affects people from all walks of life, yet who lives and who dies from heart disease still depends on race, class, and gender. While scientists and clinicians understand and treat heart disease more effectively than ever before, and industrialized countries have made substantial investments in research and treatment over the past six decades, patterns of inequality persist. In Heart-Sick, Janet K. Shim argues that official accounts of cardiovascular health inequalities are unconvincing and inadequate, and that clinical and public health interventions grounded in these accounts ignore many critical causes of those inequalities. Shim demonstrates that these sites of expert knowledge routinely, yet often invisibly, make claims about how biological and cultural differences matter-claims that differ substantially from the lived experiences of individuals who themselves suffer from health problems. Drawing on firsthand research at epidemiologic conferences, conversations with epidemiologists, and in-depth interviews with people of color who live with heart disease, Shim explores how both scientists and lay people define "difference" and its consequences for health. Ultimately, Heart-Sick examines the deep rifts regarding the meanings and consequences of social difference for heart disease, and the changes that would be required to generate more convincing accounts of the significance of inequality for health and well-being. Book jacket.
Contents:
The politics of disease causation
Disciplining difference: a selective contemporary history of cardiovascular epidemiology
The contested meanings and intersections of race
An apparent consensus on class
The dichotomy of gender
Individualizing "difference" and the production of scientific credibility.
Notes:
Includes bibliographical references (pages 245-269) and index.
Local Notes:
Acquired for the Penn Libraries with assistance from the James A. Crawford Memorial Fund.
ISBN:
0814786855
9780814786833
0814786839
9780814786857
OCLC:
860943994
Publisher Number:
99963608595

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