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Serving the community.

Occupational health nurse managers have been known to deliver Meals on Wheels, volunteer as Girl Scout leaders, consultants, and trainers, teach first aid and CPR classes to the public, as well as company employees, and work with community leaders and health science students to develop company and community health fairs. The positive image created by such activity for the company, the nurse, and the profession is far reaching and ultimately cost effective. Community service is important now more than ever. It is evident that government cannot solve our problems. Fortunately, the answer to many of our current health and social concerns is in our own backyard our communities. Occupational health managers have a unique opportunity to garner the support of business and industry and contribute to the grassroots movement to improve the health of all Americans.

Community Participation↗

From neurons to King County neighborhoods: partnering to promote policies based on the science of early childhood development.

A diverse community partnership in the Seattle area developed a policy agenda based on science, organized community support, and committed to monitor policy changes. It found that public health agencies are well positioned to develop a common knowledge base on early childhood development and to initiate community coalitions promoting policies to strengthen environments. It was challenging to maintain participants' focus on environments over time. Providing access to conditions that promote optimal development for all children will require ongoing commitment and alignment of many sectors to move political will and mobilize for change.

Child↗

A student's perspective on community medicine and the health crisis.

Community medicine is more difficult to teach and to learn than the traditional medical sciences. Teachers of community health have an interest in the rigors and theory of epidemiology and biostatistics, while most students plan a career in patient care. Abstractions and statistical data need not be presented unless it can be shown that these are the "physical findings" of a community and that they have value in the discovery of the etiology of disease, the prediction of risks, and the delivery of health care. Community medicine curricula must include experiential learning, with real patients and problems, in order to prove that health is affected by culture, politics, the environment, and individual behavior. If a student-physician's concern for community health is to be enduring, it must match in sophistication his skill in clinical medicine.

Community Medicine↗

Embodied health movements: new approaches to social movements in health.

Social movements organised around health-related issues have been studied for almost as long as they have existed, yet social movement theory has not yet been applied to these movements. Health social movements (HSMs) are centrally organised around health, and address: (a) access to or provision of health care services; (b) health inequality and inequity based on race, ethnicity, gender, class and/or sexuality; and/or (c) disease, illness experience, disability and contested illness. HSMs can be subdivided into three categories: health access movements seek equitable access to health care and improved provision of health care services; constituency-based health movements address health inequality and health inequity based on race, ethnicity, gender, class and/or sexuality differences; and embodied health movements (EHMs) address disease, disability or illness experience by challenging science on etiology, diagnosis, treatment and prevention. These groups address disproportionate outcomes and oversight by the scientific community and/or weak science. This article focuses on embodied health movements, primarily in the US. These are unique in three ways: 1) they introduce the biological body to social movements, especially with regard to the embodied experience of people with the disease; 2) they typically include challenges to existing medical/scientific knowledge and practice; and 3) they often involve activists collaborating with scientists and health professionals in pursuing treatment, prevention, research and expanded funding. This article employs various elements of social movement theory to offer an approach to understanding embodied health movements, and provides a capsule example of one such movement, the environmental breast cancer movement.

Breast Neoplasms↗

Riding natural scientists' coattails onto the endless frontier: the SSRC and the quest for scientific legitimacy.

This article proposes that the postwar National Science Foundation (NSF) debate constituted a critical, transitional episode in American social science and partisan politics. I show that by responding to powerful conservative critics in the scientific and political communities, the Social Science Research Council's (SSRC's) leading scholars (re)asserted a contested scientistic strategy-to advance the social sciences by following the natural sciences. Further, I reconstruct a wider and longer framework of analysis in order to recover central challenges to the scientistic strategy raised by prominent liberal scholars who rejected the associated commitments to value neutrality and disinterested professionalism. In developing this framework for understanding the contrasting fortunes of each strategy, this article argues that the NSF debate has a deep historical significance-for the social sciences, for American liberalism, and for the nation.

Foundations↗

Integrating social science and design inquiry through interdisciplinary design charrettes: an approach to participatory community problem solving.

Interdisciplinary collaborations that aim to facilitate meaningful community outcomes require both the right mix of disciplinary knowledge and effective community participation, which together can deepen collective knowledge and the capacity to take action. This article explores three interdisciplinary design charrettes, intensive participatory workshops that addressed specific community problems and provided a context for integrating design and social science inquiry with local community knowledge. Evaluation data from the charrettes shed light on how students from the design and social science disciplines experienced the charrettes, and on their interactions with community members. Key advantages to this interdisciplinary, community-based collaboration included expanded knowledge derived from the use of multiple modes of inquiry, particularly the resulting visualization tools that helped community members understand local issues and envision novel solutions. Key drawbacks included difficulties in balancing the two disciplines, the tendency for social scientists to feel out of place on designers' turf, and the increased disciplinary and interpersonal conflicts arising from a more diverse pool of participants.

Community Health Planning↗

Human genetics, environment, and communities of color: ethical and social implications.

A conference titled "Human Genetics, Environment, and Communities of Color: Ethical and Social Implications" and a workshop symposium titled "Human Genetics and Environmental Justice" were held by West Harlem Environmental Action, Inc., with cosponsorship by the National Institute of Environmental Health Sciences (NIEHS), the Community Outreach and Education Program of the NIEHS P30 Center for Environmental Health at the Mailman School of Public Health at Columbia University, New York, and the U.S. Environmental Protection Agency. The conference and symposium took place at Columbia University in New York City on 4-5 February 2002. Expert panels composed of public health practitioners, genetic researchers, ethicists, lawyers, social scientists, and community organizations were assembled to explore how genetic research will affect communities of color, specifically in environmental health research. The goal of the conference was to educate participants on the science and ethics of genetic research and to explore the potential benefits and pitfalls of genetic research vis-à-vis new trends in environmental health research, specifically with reference to communities of color. The goal of the symposium was to discuss the major perceptions and concerns for community-based environmental justice advocates and other communities of color regarding environmental health genetic research. The conference and symposium drew more than 300 participants and articulated important perspectives on the opportunities and challenges for environmental justice advocates and other communities of color posed by rapid advances in environmental health genetic research and toxicogenomics.

Biomedical Research↗

Community-based participatory research as a tool to advance environmental health sciences.

The past two decades have witnessed a rapid proliferation of community-based participatory research (CBPR) projects. CBPR methodology presents an alternative to traditional population-based biomedical research practices by encouraging active and equal partnerships between community members and academic investigators. The National Institute of Environmental Health Sciences (NIEHS), the premier biomedical research facility for environmental health, is a leader in promoting the use of CBPR in instances where community-university partnerships serve to advance our understanding of environmentally related disease. In this article, the authors highlight six key principles of CBPR and describe how these principles are met within specific NIEHS-supported research investigations. These projects demonstrate that community-based participatory research can be an effective tool to enhance our knowledge of the causes and mechanisms of disorders having an environmental etiology, reduce adverse health outcomes through innovative intervention strategies and policy change, and address the environmental health concerns of community residents.

Child↗

Placing community psychology in the context of the social, health and educational sciences: directions for interdisciplinary research and action.

Building on Maton, Perkins and Saegert's framework on inter-disciplinary work related to community psychology, this article addresses two questions about community psychology in the context of the social, health and educational sciences: (1) What can community psychology learn from other disciplines? and (2) What can community psychology uniquely contribute to other disciplines?

Health Services Research↗

The making of the information society: driving forces, 'Leitbilder' and the imperative for survival.

In the field of science-technology-society, there are three one-sided approaches to analyzing the spread of the Internet: technology-push, economy-pull, and community-pull. Information science, when dealing with the transformation of our societies, will have to cover all of them and even try to find out missing links. We propose adding the analysis of metaphors accompanying the introduction and diffusion of new technologies, and evaluating metaphors and technologies using the criterion of how well they are shaped to meet global challenges. We conclude that contrary to ideological promises the capability of society to generate survival-relevant information will not be improved by establishing the so-called data highway per se, unless additional requirements are met which refer to higher information levels of knowledge and wisdom.

Developed Countries↗

Community medicine: its contribution to the social science of medicine.

The Division of Behavioral Sciences operates today in a social climate different from that in its formative years. The federal agencies created specifically to stimulate and support social research have been cut back severely over the past two decades, and in some instances have been eliminated. The official policy of the National Institute of Mental Health, once the main source of support for both training and research in social science in medicine, has changed to a much narrower biomedical focus. On the other hand, there are more social scientists engaged in integral roles both locally at Mount Sinai, at medical institutions nationally, and internationally (25-26). Further, reassertion of the importance for medical education of social science specifically, and of behavioral sciences more broadly defined, has been endorsed in the strongest terms by both the Association of American Medical Colleges and the National Board of Medical Examiners (27). Also, the published literature now incorporates what we in the Division of Behavioral Sciences judge to be a richer intellectual contribution to the field than ever before (28). Perhaps most important, funding for health services research and epidemiological studies has been increased in recent federal budgets. Therefore, the division is planning for expansion of both its research and education, perceiving the future as a challenge continuous with challenges of the past: finding new ways to understand the relation between social factors and the problems of health and illness.

Community Medicine↗