Exam 11: Health and Society
Discuss the historical evolution of doctors from a profession of little prestige to the important place they hold in present-day society.
In Rome,medicine was a low-level occupation.Eighteenth-century English physicians were at the margins of the gentry.The pay for physicians in the Soviet Union was low because women dominated the profession.Barbaric rituals that were used to heal-bloodletting,leeches- maintained a mistrust of doctors.The stethoscope allowed examination of things that could not previously be seen or heard.Homeopathy started in the nineteenth century.Mid-nineteenth- century doctors could not sue for payment.Licensing helped organize a monopoly over the profession.Hospitals changed from places of death to places of healing.Finally,doctors stopped being employees of hospitals,and hospitals now depend on doctors.
A person's health varies depending on the social and ethnic groups to which he or she belongs.If you are a racial minority or are of lower social status,how does this influence health and longevity? How do we explain this association? How do socioeconomic status and race interact with each other? If one is of upper status,can it be assumed that this person will live longer,regardless of his or her race?
Black people have the highest infant mortality rate and cancer rates in the United States.Native Americans have the highest rates of cirrhosis of the liver and suicide.Hispanics have higher rates of diabetes than whites.Racism increases stress.It is suggested that economics are a factor in the rates of infant mortality.People with higher incomes may have better health and longevity due to healthier habits: they smoke less,eat better,and exercise more.This is explained with (1)selection theory,which asserts that the relationship between lower income and higher morbidity is spurious and that the observed correlation may be explained by other factors,such as genetics and biology,that affect both health and socioeconomic status; (2)the drift explanation,which asserts that health causes social position and that people who are in poor health cannot work so they drift into lower status; and (3)social determinants theory,which asserts that low socioeconomic status causes poor health and higher mortality rates.Being poor correlates with reduced health,and a disproportionate number of black people are poor.
However,if you are a racial minority and are middle or upper class,you can still suffer from shortened longevity and may have higher morbidity.This could be due to the fact that even though a person is middle or upper class,if that person is a racial minority,he or she can still feel the stress associated with discrimination or tokenism.
Physician prestige has been on the decline since the 1980s.Which of the following might be a reason?
A
Married people tend to live longer than unmarried people.It could be that they take better care of themselves when they have the responsibility of a family.It could also be that:
What did Bogin find was different in the Mayans' lifestyle that allowed them to grow 4 inches taller in the United States than in Guatemala?
Poor diet during adolescence can be detrimental to growth potential because:
According to existing studies,why did the elderly who received more Social Security have higher mortality rates than the elderly who received less Social Security and had to work part-time?
Historically,physicians did not have particularly high prestige,but their power did peak,according to some sociologists,around:
What population currently has the highest rate of HIV contraction in the United States?
In 1986,the Emergency Medical Treatment and Active Labor Act (EMTALA)was passed,making it:
One of the criticisms of the Whitehall Study is that the researchers did not adequately address the possibility that occupational and health differences were caused by:
Which of the following is true with regard to bottled water?
Reproductive technology has increased the number of multiple births,which leads to the ethical issue of:
What did the former United Nations secretary-general Kofi Annan say was one of the most important factors in defeating infectious diseases?
One of the things that may have led Dr.Paul Farmer's (cofounder of Partners in Health)continued commitment to helping the poorest regions of the world with regard to health care is:
Inequality creates ____________,which affects our height through stress reactions.
What invention first helped doctors examine patients rather than just observe them?
While HMOs might decrease the prestige of physicians,they could also be detrimental to patients because a patient could be:
Hypertension is directly related to stress,which can be attributed to being poor.However,poor African Americans in the United States have rates of hypertension that are similar to middle- and upper-class African Americans.How would the "tokenism theory" explain this?
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