Justice,Health, and Healthcare

Healthcare (including public health) is special because it protects normal functioning, which in turn protects the range of opportunities open to individuals. I extend this account in two ways. First, since the distribution of goods other than healthcare affect population health and its distribution, I claim that Rawls's principles of justice describe a fair distribution of the social determinants of health, giving a partial account of when health inequalities are unjust. Second, I supplement a principled account of justice for health and healthcare with an account of fair process for setting limits or rationing care. This account is provided by three conditions that comprise "accountability for reasonableness."     

Health Promotion,Health Locus of Control,and Health Behavior: Two Field Experiments1

In spite of a sizable body of research on the effects of information promotions on health knowledge and health behavior, relatively little is known about how such efforts affect change (or why they do not). This paper addresses that problem by exploring the particular role that health locus of control (HLC) beliefs play in individual responses to health promotion efforts aimed at encouraging preventive health behaviors. Two field experiments are presented. The first experiment examined the extent to which HLC beliefs are related to differences in individual levels of health knowledge following the distribution of an informational booklet on health. Internals high on health value who received the information booklet demonstrated greater health knowledge three months later than did other subjects, although this difference was greater among men than among women. The second experiment explored how HLC beliefs interact with differently framed “control” messages to promote behavior change in breast self-examination (BSE). HLC beliefs interacted with the control language of the BSE promotional message and a neutral reminder to affect subsequent BSE practice. Together, these studies suggest a more influential role for health locus of control beliefs in shaping responses to health messages than has previously been documented in field settings.     

Religiousness, Health, and Health Behavior in Public-Use Data of the National Center for Health Statistics

Studies of religiousness and health-related variables in large, population-based cross-sectional or, preferably, longitudinal studies, which are often prohibitively expensive, are important to complement findings from the more commonly performed studies. Inadequately known among social science researchers, the national health surveys of the Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS) offer large, high-quality data sets to the public at no or nominal cost and hence offer important opportunities for research in the area of religion and health, religion and reproductive behavior, sociology of religion and psychology of religion. This report provides an overview of the data sets and a bibliography of prior research using these data, which is intended to suggest how the data of NCHS may be further exploited by researchers of religiousness and health.

Religion and Health: Anxiety,Religiosity, Meaning of Life and Mental Health

We examined the association among anxiety, religiosity, meaning of life and mental health in a nonclinical sample from a Chinese society. Four hundred fifty-one Taiwanese adults (150 males and 300 females) ranging in age from 17 to 73 years (M = 28.9, SD = 11.53) completed measures of Beck Anxiety Inventory, Medical Outcomes Study Health Survey, Perceived Stress Scale, Social Support Scale, and Personal Religiosity Scale (measuring religiosity and meaning of life). Meaning of life has a significant negative correlation with anxiety and a significant positive correlation with mental health and religiosity; however, religiosity does not correlate significantly anxiety and mental health after controlling for demographic measures, social support and physical health. Anxiety explains unique variance in mental health above meaning of life. Meaning of life was found to partially mediate the relationship between anxiety and mental health. These findings suggest that benefits of meaning of life for mental health can be at least partially accounted for by the effects of underlying anxiety.     

Behavioral Genetics, Health, and Aging

A recurring observation from studies of health in the elderly is the pervasiveness of individual differences. For many health-related endpoints, total variation appears to increase across age group; however, few longitudinal studies have reported whether these age differences reflect true age-related changes. There are a growing number of twin studies of aging that provide some insight, at least cross-sectionally, into the nature of individual differences in health. Increases in total variance most often reflect increases in environmental sources of variance. Covariation among traits reflects both genetic and environmental mediation, dependent on the sex of the sample and the measures of interest. Co-twin control approaches have been successful in exploring the role of environmental influences as risk factors for poor health. The most serious limitation to these studies is the lack of longitudinal information to disentangle survival and selection effects from aging.     

Religion, Social Capital, and Health

Religion??s association with better physical health has been partially explained by health behaviors, psychosocial variables, and biological factors; but these factors do not fully explain the religion?Chealth connection. In concert with the religion and health literature, a burgeoning literature has linked social capital with salubrious health outcomes. Religious organizations are recognized in the social capital literature as producers and facilitators of social capital. However, few studies have examined the potential mediating role of social capital in the religion?Chealth relationship. Thus data from the 2006 Social Capital Community Benchmark Survey were analyzed for 10,828 adults. The composite unstandardized indirect effect from religion to social capital onto health was significant (???=?0.098; p?<?0.001). The unstandardized direct pathway from religion to self-reported health (???=?0.015; p?=?0.336) indicated that social capital is a mediator in the religion?Chealth relationship. Among the demographic variables investigated, only age and income had a significant direct effect on self-reported health.     

Masculinities, Femininities, Behaviour and Health

Using the notion that gender is performed in daily life and through daily activities, I review some of the health behaviour literature which employs ideas about masculinity and femininity. I argue that recent theorising about both masculinities ( Connell & Messerschmidt, 2005 ) and femininities ( Schippers, 2007 ) can be extremely useful in this field. I consider two specific health behaviours in light of this theorising, namely healthy eating and drinking alcohol, and explore how and which versions of masculinities and femininities are played out, which are problematic, and what they mean for gender hegemony. I argue that across both areas (and across other health behaviours), there are three specific issues that are important and require further conceptual development and empirical work: (1) the relationality of gender; (2) masculinities and femininities as embodied; and (3) the local, contingent and intersectional nature of masculinities and femininities. This conceptual framework and the aspects of relationality, embodiment and intersectionality have important implications not only for understanding health behaviours, but for any social psychological work theorising identities and everyday social practice.     

Attention, Self-Control, and Health Behaviors

ABSTRACT— Past research has shown that limitations on attention can lead to loss of control. Our model of self-control suggests that when attentional resources are restricted, individuals can focus on only the most salient behavioral cues, to the neglect of more distal stimuli. Subsequent action is then likely to be under the near-exclusive motivational influence of those "central" cues. This state of narrowed attentional focus, which we term "attentional myopia," is predicted to lead to loss of control when salient cues serve to promote a behavior that violates self-standards. By contrast, limitations on attention can lead to more successful self-control when salient cues instead suggest restraint. We have investigated this model in the health domains of eating, smoking, and aggression, and we discuss its implications for individuals' efforts to respond to health-relevant messages.     

Religion,Health, and Psychological Well-Being

This study compares the effects of religiosity on health and well-being, controlling for work and family. With 2006 GSS data, we assess the effects of religiosity on health and well-being, net of job satisfaction, marital happiness, and financial status. The results indicate that people who identify as religious tend to report better health and happiness, regardless of religious affiliation, religious activities, work and family, social support, or financial status. People with liberal religious beliefs tend to be healthier but less happy than people with fundamentalist beliefs. Future research should probe how religious identity and beliefs impact health and well-being.     

Health Literacy,Health Inequality and a Just Healthcare System

Limited health literacy is a pervasive and independent risk factor for poor health outcomes. Despite decades of reports exhibiting that the healthcare system is overly complex, unneeded complexity remains commonplace and endangers the lives of patients, especially those with limited health literacy. In this article, we define health literacy and describe the empirical evidence associating health literacy and poor health outcomes. We recast the issue of poor health literacy from within the ethical perspective of the least well-off and argue that poor health outcomes deriving from limited health literacy ought to be understood as a fundamental injustice of the healthcare system. We offer three proposals that attempt to rectify this injustice, including: universal precautions that presume limited health literacy for all healthcare users; expanded use of technology supported communication; and clinical incentives that account for limited health literacy.     

Religion,Guilt, and Mental Health

This article reviews the constructs of religion, guilt, and mental health and explores relationships between these constructs as they pertain to the counseling profession. General therapeutic approaches are identified and summarized for counseling practice.     

The Relationship Between Spirituality,Health Beliefs,and Health Behaviors in College Students

The United States is a country in which religion and spirituality play a significant role in people’s lives. The relationship between religion, spirituality and health has long been investigated. However, most of these studies have focused only on patient populations and the elderly. The present study examines whether the same pattern of relations reported earlier is seen in a sample of healthy, college students using measures of both spirituality and religion. Health beliefs and behaviors were also examined. The results show that individuals with higher spirituality scores are more active and hold difference health beliefs than those who scored in the low spirituality group. However, some contradictions from previous research were reported in this sample. The study suggests religion may have some different pattern of relations in the overall health and health behaviors of younger, healthier populations. Dr. Sgoutas-Emch teaches at the University of San Diego. Erik Nagel received his BA from there.