Minority Health and Health Equity Archive
Permanent URI for this collectionhttp://hdl.handle.net/1903/21769
Welcome to the Minority Health and Health Equity Archive (MHHEA), an electronic archive for digital resource materials in the fields of minority health and health disparities research and policy. It is offered as a no-charge resource to the public, academic scholars and health science researchers interested in the elimination of racial and ethnic health disparities.
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Item Philosophical Reflections on Experimenting with Human Subjects(Biomedical Ethics and the Law, 1976) Jonas, HansExperimenting with human subjects is going on in many fields of scientific and technological progress. It is designed to replace the overall instruction by natural, occasional, and cumulative experience with the selective information from artificial, systematic experiment which physicial science has found so effective in dealing with inanimate nature. Of the new experimentation with man, medical is surely the most legitimate; psychological, the most dubious; biological (still to come), the most dangerous. I have chosen here to deal with the first only, where the case for it is strongest and the task of adjudicating conflicting claims hardest. When I was first asked1 to comment “philosophically” on it, I had all the hesitation natural to a layman in the face of matters on which experts of the highest competence have had their say and still carry on their dialogue. As I familiarized myself with the material,2 any initial feeling of moral rectitude that might have facilitated my task quickly dissipated before the awesome complexity of the problem, and a state of great humility took its place. The awareness of the problem in all its shadings and ramifications speaks out with such authority, perception, and sophistication in the published discussions of the researchers themselves that it would be foolish of me to hope that I, an onlooker on the sidelines, could tell those battling in the arena anything they have not pondered themselves. Still, since the matter is obscure by its nature and involves very fundamental, transtechnical issues, anyone’s attempt at clarification can be of use, even without novelty. And even if the philosophical reflection should in the end achieve no more than the realization that in the dialectics of this area we must sin and fall into guilt, this insight may not be without its own gains.Item Use of Native American Healers Among Native American Patients in an Urban Native American Health Center(1998) Marbella, Anne M.; Harris, Mickey C.; Diehr, Sabina; Ignace, Gerald; Ignace, GeorgiannaItem Roll Call Voting Behavior of the U.S. Senate on Selected Health Legislation 1973-1982: Implications for Health Education(Sage, 1987-02-09) Thomas, Stephen; Robert, Gold; David, DuncanItem Social Conditions as Fundamental Causes of Disease(1995) Link, Bruce G.; Phelan, JoOver the last several decades, epidemiological studies have been enormously successful in identifying risk factors for major diseases. However, most of this research has focused attention on risk factors that are relatively proximal causes of disease such as diet, cholesterol level, exercise and the like. We question the emphasis on such individually-based risk factors and argue that greater attention must be paid to basic social conditions if health reform is to have its maximum effect in the time ahead. There are two reasons for this claim. First we argue that individually-based risk factors must be contextualized, by examining what puts people at risk of risks, if we are to craft effective interventions and improve the nation's health. Second, we argue that social factors such as socioeconomic status and social support are likely 'fundamental causes" of disease that, because they embody access to important resources, affect multiple disease outcomes throughmultiple mechanisms, and consequently maintain an association with disease even when intervening mechanisms change. Without careful attention to these possibilities, we run the risk of imposing individually-based intervention strategies that are ineffective and of missing opportunities to adopt broad-based societal interventions that could produce substantial health benefits for our citizensItem Medical and health orientations of American Jews: A case of diminishing distinctiveness(1974) Greenblum, JosephItem Lung cancer in African Americans. A call for action.(1998) Cooley, ME; Jennings-Dozier, KAbstract available at publisher's website.Item Ethnicity and cancer outcomes: Behavioral and psychosocial considerations.(1998) Meyerowitz, Beth E.; Richardson, Jean; Hudson, Sharon; Leedham, BethAbstract available at publisher's website.Item Racial disparities in reported prenatal care advice from health care providers.(1994) Kogan, M D; Kotelchuck, M; Alexander, G R; Johnson, W EAbstract available at publisher's website.Item Class, race, and infant mortality in the United States.(1993) Hogue, C J; Hargraves, M AAbstract available at publisher's website.