The Cultural Context of Health, Illness, and Medicine

A "one size fits all" approach to health care doesn't work well, especially for America's extremely diverse population. This book provides a lively and accessible discussion of how and why a more flexible and culturally sensitive system of health care can-and must be-achieved. A "one size fits all" approach to health care doesn't work well, especially for America's extremely diverse population. This book provides a lively and accessible discussion of how and why a more flexible and culturally sensitive system of health care can—and must be—achieved. Notable anthropologist George Foster defined the first edition as "a very readable introductory text dealing with the sociocultural aspects of health," adding: "[T]he authors do a commendable job… . I have profited from reading The Cultural Context of Health, Illness, and Medicine". With engaging examples, minimal jargon, and updated scholarship, the second edition of The Cultural Context of Health, Illness, and Medicine offers a comprehensive guide to the practice of culturally sensitive health care. Readers will see America's biomedically dominated health care system in a new light as the book reveals the changes wrought by increasing cultural diversity, technological innovation, and developments in care delivery. Written by a sociologist and an anthropologist with direct, hands-on experience in the health services, the volume tracks culture's influence on and relationship to health, illness, and health-care delivery via an examination of social structure, medical systems, and the need for—and challenges to—culturally sensitive care. Cultural differences are situated against social-class differences and related health inequities, as well as different needs and challenges throughout the life course. In prescribing caring that is more holistic, culturally sensitive, and cost-effective, the work promotes awareness of pressing issues for health care professionals—and the people they serve.

Summarizing the vast literature on culture and caring in a lively and jargon-free fashion, sociologist Martha O. Loustaunau and anthropologist Elisa J. Sobo introduce readers to the practice of culturally sensitive health care. With engaging examples, they describe the special approaches sociologists and anthropologists take to health, clearly illustrating the main concepts used in the two fields. Loustaunau and Sobo demonstrate the ways in which cultural and social factors shape medicine and health care. After a discussion of culture, the social structure and the impact of poverty, class, gender, and family patterns on health, illness and care-seeking, they explain the similarities and differences of medical systems cross-culturally. The authors call for a more flexible and culturally sensitive system of health care that expresses caring in more holistic ways, and offer examples as to how this might be accomplished in the increasingly multicultural USA. Clinicians are cautioned against making ethnocentric value judgments and encouraged to recognize patient behaviors that are culturally patterned. Current issues discussed include HIV/AIDS, ethics, alternative medicine, political and economic forces, and the high cost of health care today, all with regard to cultural context.