La sofferenza sociale e un tema fondamentale dell’antropologia medica da quando i sistemi medici ... more La sofferenza sociale e un tema fondamentale dell’antropologia medica da quando i sistemi medici sono emersi imponendosi per il loro attivo ruolo nella societa, e cio in ragione della rilevanza che ha il disagio fisico, emotivo o psichico nella vita di tutti i giorni. L’attenzione etnografica riservata alla sofferenza e essenzialmente politica, fosse anche al livello di un mero umanesimo populista. Essa richiede infatti solidarieta e sollecitudine da parte dell’antropologia, perche orienta l’analisi e l’osservazione verso quelle “categorie vicine all’esperienza (...) che hanno una prepotente rilevanza pratica” per gli individui che vengono studiati (Kleinman, Kleinman, 1991, p. 277).
Heritage colonial, dominations ethnique et de classe (discrimination a l'egard des Miskito pe... more Heritage colonial, dominations ethnique et de classe (discrimination a l'egard des Miskito perpetuee par les metis et les creoles) comme contexte a la « question » miskito. De la lutte armee a la negociation politique
A robust literature documents generational trends in drug use. We examined the implications of ch... more A robust literature documents generational trends in drug use. We examined the implications of changing national drug use patterns on drug injection histories of diverse people who inject drugs (PWID). Drug use histories were collected from 776 active PWID in 2011-13. Using descriptive statistics, we examine drug use initiation by year and birth cohort (BC) differences in drug first injected. A multivariate linear regression model of time to injection initiation ([TTII] (year of first injection minus year of first illicit drug use) was developed to explore BC differences. The first drug injected by BC changed in tandem with national drug use trends with heroin declining from 77% for the pre-1960's BC to 58% for the 1960's BC before increasing to 71% for the 1990's BC. Multivariate linear regression modeling found that shorter TTII was associated with the 1980's/1990's BC (-3.50 years; 95% Confidence Interval [CI]=-0.79, -6.21) as compared to the 1970's BC. Lo...
Academic medicine : journal of the Association of American Medical Colleges, Mar 12, 2016
The authors propose reinvigorating and extending the traditional social history beyond its narrow... more The authors propose reinvigorating and extending the traditional social history beyond its narrow range of risk behaviors to enable clinicians to address negative health outcomes imposed by social determinants of health. In this Perspective, they outline a novel, practical medical vulnerability assessment questionnaire that operationalizes for clinical practice the social science concept of "structural vulnerability." A structural vulnerability assessment tool designed to highlight the pathways through which specific local hierarchies and broader sets of power relationships exacerbate individual patients' health problems is presented to help clinicians identify patients likely to benefit from additional multidisciplinary health and social services. To illustrate how the tool could be implemented in time- and resource-limited settings (e.g., emergency department), the authors contrast two cases of structurally vulnerable patients with differing outcomes. Operationalizin...
La sofferenza sociale e un tema fondamentale dell’antropologia medica da quando i sistemi medici ... more La sofferenza sociale e un tema fondamentale dell’antropologia medica da quando i sistemi medici sono emersi imponendosi per il loro attivo ruolo nella societa, e cio in ragione della rilevanza che ha il disagio fisico, emotivo o psichico nella vita di tutti i giorni. L’attenzione etnografica riservata alla sofferenza e essenzialmente politica, fosse anche al livello di un mero umanesimo populista. Essa richiede infatti solidarieta e sollecitudine da parte dell’antropologia, perche orienta l’analisi e l’osservazione verso quelle “categorie vicine all’esperienza (...) che hanno una prepotente rilevanza pratica” per gli individui che vengono studiati (Kleinman, Kleinman, 1991, p. 277).
Heritage colonial, dominations ethnique et de classe (discrimination a l'egard des Miskito pe... more Heritage colonial, dominations ethnique et de classe (discrimination a l'egard des Miskito perpetuee par les metis et les creoles) comme contexte a la « question » miskito. De la lutte armee a la negociation politique
A robust literature documents generational trends in drug use. We examined the implications of ch... more A robust literature documents generational trends in drug use. We examined the implications of changing national drug use patterns on drug injection histories of diverse people who inject drugs (PWID). Drug use histories were collected from 776 active PWID in 2011-13. Using descriptive statistics, we examine drug use initiation by year and birth cohort (BC) differences in drug first injected. A multivariate linear regression model of time to injection initiation ([TTII] (year of first injection minus year of first illicit drug use) was developed to explore BC differences. The first drug injected by BC changed in tandem with national drug use trends with heroin declining from 77% for the pre-1960's BC to 58% for the 1960's BC before increasing to 71% for the 1990's BC. Multivariate linear regression modeling found that shorter TTII was associated with the 1980's/1990's BC (-3.50 years; 95% Confidence Interval [CI]=-0.79, -6.21) as compared to the 1970's BC. Lo...
Academic medicine : journal of the Association of American Medical Colleges, Mar 12, 2016
The authors propose reinvigorating and extending the traditional social history beyond its narrow... more The authors propose reinvigorating and extending the traditional social history beyond its narrow range of risk behaviors to enable clinicians to address negative health outcomes imposed by social determinants of health. In this Perspective, they outline a novel, practical medical vulnerability assessment questionnaire that operationalizes for clinical practice the social science concept of "structural vulnerability." A structural vulnerability assessment tool designed to highlight the pathways through which specific local hierarchies and broader sets of power relationships exacerbate individual patients' health problems is presented to help clinicians identify patients likely to benefit from additional multidisciplinary health and social services. To illustrate how the tool could be implemented in time- and resource-limited settings (e.g., emergency department), the authors contrast two cases of structurally vulnerable patients with differing outcomes. Operationalizin...
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Papers by Philippe Bourgois