Ethical Considerations in Pediatric Chronic Illness: The Relationship between Psychological Factors, Treatment Adherence, and Health Outcomes

This volume addresses the relationship between archaeologists and the dead, through the many dimensions of their relationships: in the field (through practical and legal issues), in the lab (through their analysis and interpretation), and in their written, visual and exhibitionary practice--disseminated to a variety of academic and public audiences. Written from a variety of perspectives, its authors address the experience, effect, ethical considerations, and cultural politics of working with mortuary archaeology. Whilst some papers reflect institutional or organizational approaches, others are more personal in their view: creating exciting and frank insights into contemporary issues that have hitherto often remained "unspoken" among the discipline. Reframing funerary archaeologists as "death-workers" of a kind, the contributors reflect on their own experience to provide both guidance and inspiration to future practitioners, arguing strongly that we have a central role to play in engaging the public with themes of mortality and commemoration, through the lens of the past. Spurred by the recent debates in the UK, papers from Scandinavia, Austria, Italy, the US, and the mid-Atlantic, frame these issues within a much wider international context that highlights the importance of cultural and historical context in which this work takes place.

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The power-trust cycle in global health: Trust as belonging in relations of dependency

Review of International Studies ◽

10.1017/s0260210521000346 ◽

2021 ◽

pp. 1-21

Author(s):

Emma-Louise Anderson ◽

Laura Considine ◽

Amy S. Patterson

Keyword(s):

Global Health ◽

Health Outcomes ◽

Positive Health ◽

Global Health Initiatives ◽

Health Initiatives ◽

Power Trust ◽

Trust And Power ◽

Positive Health Outcomes ◽

Exercise Of Discretion ◽

The Relationship

Abstract Trust between actors is vital to delivering positive health outcomes, while relationships of power determine health agendas, whose voices are heard and who benefits from global health initiatives. However, the relationship between trust and power has been neglected in the literatures on both international politics and global health. We examine this relationship through a study of relations between faith based organisations (FBO) and donors in Malawi and Zambia, drawing on 66 key informant interviews with actors central to delivering health care. From these two cases we develop an understanding of ‘trust as belonging’, which we define as the exercise of discretion accompanied by the expression of shared identities. Trust as belonging interacts with power in what we term the ‘power-trust cycle’, in which various forms of power undergird trust, and trust augments these forms of power. The power-trust cycle has a critical bearing on global health outcomes, affecting the space within which both local and international actors jockey to influence the ideologies that underpin global health, and the distribution of crucial resources. We illustrate how the power-trust cycle can work in both positive and negative ways to affect possible cooperation, with significant implications for collective responses to global health challenges.

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Hispanic/Latino Ethnic Identity and Diabetes: An Examination of Underlying Acculturation Processes and the Hispanic/Latino Health Advantage

Health Education & Behavior ◽

10.1177/10901981211010083 ◽

2021 ◽

Vol 48 (3) ◽

pp. 285-294

Author(s):

Jeannie B. Concha ◽

Kristen Kelly ◽

Briana Mezuk

Keyword(s):

Ethnic Identity ◽

Confidence Interval ◽

Health Outcomes ◽

Physical Health ◽

Odds Ratio ◽

Well Being ◽

The United States ◽

Diabetes Prevalence ◽

Physical Health Outcomes ◽

The Relationship

Background. Hispanics/Latinos in the United States experience both a health advantage and disadvantage in developing diabetes. Ethnic identity, a predictor of psychological well-being, has not been widely applied to physical health outcomes. The objective of this study is to apply what is known regarding ethnic identity and psychological health to physical health outcomes (diabetes) and to explore the moderating effect of education as a possible underlying mechanism of the Hispanic Health Advantage/Disadvantage. Specifically, this study examines (a) the association between ethnic identity and diabetes prevalence among adult Hispanics/Latinos and (b) determines whether education modifies this relationship. Method. Data come from the nationally representative adult U.S. household study, National Latino and Asian American Study (NLAAS), collected in 2001 to 2003 ( N = 1,746). Multiple logistic regression was conducted to examine the relationship between ethnic identity, education, and their interaction with likelihood of diabetes. Results. Hispanics/Latinos with high ethnic identity have a higher odds of reporting diabetes among those with 13 to 15 years of education (odds ratio: 1.84; 95% confidence interval: 1.16–2.92) and a lower odds among those with 16+ years of education (odds ratio: 0.53; 95% confidence interval: 0.34–0.84). Ethnic identity is associated with diabetes prevalence and the relationship is moderated by educational attainment. Conclusion. Given the growth, diversity, and diabetes disparities among Hispanics/Latinos, our buffering and exacerbating findings exemplify the complexity and fluidity of theory in understanding psychological/behavioral processes. The findings highlight the importance of designing targeted health interventions that take into account the diverse psychosocial and educational experiences of Hispanics/Latinos.

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Health Outcomes of Parents of Children with Chronic Illness: A Systematic Review and Meta-Analysis

The Journal of Pediatrics ◽

10.1016/j.jpeds.2019.10.068 ◽

2020 ◽

Vol 218 ◽

pp. 166-177.e2 ◽

Cited By ~ 6

Author(s):

Liel N. Cohn ◽

Petros Pechlivanoglou ◽

Yuna Lee ◽

Sanjay Mahant ◽

Julia Orkin ◽

...

Keyword(s):

Systematic Review ◽

Chronic Illness ◽

Health Outcomes ◽

Meta Analysis

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