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Conceiving risk, bearing responsibility : fetal alcohol syndrome & the diagnosis of moral disorder
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ISBN: 0801873452 Year: 2003 Publisher: Baltimore (Md.) : Johns Hopkins university press,

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In American society, the consumption of alcohol during pregnancy is considered dangerous, irresponsible, and in some cases illegal. Pregnant women who have even a single drink routinely face openly voiced reproach. Yet fetal alcohol syndrome (FAS) in infants and children is notoriously difficult to diagnose, and the relationship between alcohol and adverse birth outcomes is riddled with puzzles and paradoxes. Sociologist Elizabeth M. Armstrong uses fetal alcohol syndrome and the problem of drinking during pregnancy to examine the assumed relationship between somatic and social disorder, the ways in which social problems are individualized, and the intertwining of health and morality that characterizes American society. She traces the evolution of medical knowledge about the effects of alcohol on fetal development, from nineteenth-century debates about drinking and heredity to the modern diagnosis of FAS and its kindred syndromes. She argues that issues of race, class, and gender have influenced medical findings about alcohol and reproduction and that these findings have always reflected broader social and moral preoccupations and, in particular, concerns about women's roles and place in society, as well as the fitness of future generations. Medical beliefs about drinking during pregnancy have often ignored the poverty, chaos, and insufficiency of some women's lives -- factors that may be more responsible than alcohol for adverse outcomes in babies and children. Using primary sources and interviews to explore relationships between doctors and patients and women and their unborn children, Armstrong offers a provocative and detailed analysis of how drinking during pregnancy came to be considered a pervasive social problem, despite the uncertainties surrounding the epidemiology and etiology of fetal alcohol syndrome.

Bioethical issues
Authors: --- ---
ISBN: 0762314389 008055508X 1849505012 1281055719 9786611055714 9781849505017 9780080555089 9780762314386 Year: 2009 Publisher: Bingley Emerald Group Publishing Limited

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This volume deals with the topic of health inequalities and health disparities. The volume is divided into five sections. The first section includes an introductory look at the issue of health care inequalities and disparities and also an introduction to the volume. One of the backdrops to this topic in the United States was The National Healthcare Disparities Report and its focus on the ability of Americans to access health care and variation in the quality of care. Disparities related to socioeconomic status were included, as were disparities linked to race and ethnicity and the report also tried to explore the relationship between race/ethnicity and socioeconomic position, as explained in more detail in the first article in the book.The second article discusses a newer overall approach to issues related to health inequalities and health disparities. The remaining four sections of the book address more specific topics relating to inequalities and disparities. The second section examines racial and ethnic inequalities and disparities. The third section includes articles that address the issue from the perspective of research about health care providers and health care facilities. The last two sections of the book focus on consumers and topics of health care disparities, with Section 4 focused on issues related to substance abuse, mental health and related concerns.Section 5 includes articles looking at issues of vulnerable women, women with breast cancer and people with colorectal cancer. "Inequalities and Disparities in Health Care and Health" is important reading for medical sociologists and people working in other social science disciplines studying health-related issues. The volume also provides vital information for health services researchers, policy analysts and public health researchers. It is a great resource for health services researchers, policy analysts and public health researchers. It offers an in-depth look at bioethics, focusing on health inequalities and disparities.

Bioethical issues, sociological perspectives
Authors: --- ---
ISBN: 0762314389 008055508X Year: 2008 Publisher: Boston Elsevier JAI

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