PUBLIC HEALTH 3pages APA not including title and min 5 references on reference page

profilevwccspt12
reqread1.pdf

! "#"$%&'&$'()'*+$ !,-( ./0123456$7$%&'&$81$"#"

CROSSROADS

9:/$;5/<$=/22>?0/@A>@=>$?5/BCA$8>$DAA2>??>A+

EDF>$.D<08>CC

University of Calgary

G<D3C+$A=D<08>CHB=DC4D21I=D

Anthropology’s Contribution to

Public Health Policy Development

EDF>$.D<08>CC9

65>$ B@>JBDC$ 0/;>2$ 2>CD63/@?530?$ 65D6$ 5DF>$ 8>>@$

5D2<KBC$6/$3@K/2<D@6?I$L5>$=DCC?$K/2$D@652/0/C/43?6?$

to take a critical stance against such structural and

3@?636B63/@DC$F3/C>@=>$)M./<3@4$6/$NB2$L>@?>?O*I

$ P/C3?<$ 5D?$ DC?/$ 8>=/<>$ D@$ 3<0/26D@6$

5DCC<D2Q$ /K$ </A>2@$ >65@/42D051I$ GF>@$ 65>$ </?6$

8D?3=$=/@=>06$/K$=CD??3=$D@652/0/C/41$R$=BC6B2>$R$

5D?$8>>@$2>65/B456+$M65>$</A>2@$F3>;$/K$=BC6B2>$3?$

6/$?62>??$65>$3<0/26D@=>$/K$DC;D1?$?>>3@4$36$;3653@$

36?$0D263=BCD2$=/@6>S6III$T=BC6B2>U$=D@@/6$R$D@A$?5/BCA$

@>F>2$8>$R$=/@?3A>2>A$3@$D$FD=BB<O$)P>C<D@$VW *I$

:5>?>$KB@AD<>@6DC$=5D@4>?$3@$65>$82/DA$A3?=30C3@>$

/K$ ?/=3/,=BC6B2DC$ D@652/0/C/41$ 5DF>$ <D@3K>?6>A$

65><?>CF>?$ 3@$ >D=5$ /K$ 36?$ 2>CD6>A$ ?B8,A3?=30C3@>?I$

:53?$0D0>2$;3CC$>SD<3@>$65>?>$=5D@4>?$3@$65>$?B8,

A3?=30C3@>$/K$<>A3=DC$D@652/0/C/41W$D@A$0D263=BCD2C1$

5/;$65>?>$=5D@4>?$DCC/;$D@652/0/C/41$6/$<DQ>$D$

=/@6238B63/@$6/$0B8C3=$5>DC65$0/C3=1$A>F>C/0<>@6I$

RECENT EVOLUTION IN MEDICAL ANTROPOLOGY

$ X@652/0/C/43?6?$ 5DF>$ 8>>@$ 3@6>2>?6>A$ 3@$

<>A3=DC$ 02D=63=>?$ K/2$ <D@1$ A>=DA>?Y$ 5/;>F>2W$

<>A3=DC$ D@652/0/C/41$ D?$ D$ A3?63@=6$ ?B8Z>CA$ 3?$ D$

2>CD63F>$@>;=/<>2$3@$65>$;/2CA$/K$D=DA><3DI$:5>$

3A>@63Z=D63/@$ /K$ 65>$ Z>CA$ /K$ <>A3=DC$ D@652/0/C/41$

3?$ 4>@>2DCC1$ D66238B6>A$ 6/$ [3CC3D<$ .DBA3CC$ 3@$ 53?$

0D0>2$ K2/<$ '\]($ >@636C>A$ MX00C3>A$ X@652/0/C/41$

3@$ ">A3=3@>O$ )"=GC2/1*I$ L3@=>$ 65D6$ 63<>$ ">A3=DC$

X@652/0/C/41$ 5D?$ >?6D8C3?5>A$ D$ A>42>>$ /K$

3@A>0>@A>@=>$ K2/<$ 36?$ 0D2>@6$ A3?=30C3@>$ /K$ ?/=3DC$

D@A$=BC6B2DC$D@652/0/C/41I$$ E>?036>$ 653?$

DB6/@/<1W$ <>A3=DC$ D@652/0/C/41U?$ A3?=30C3@D21$

evolution has been greatly affected by the changes

3@$?/=3DC$D@652/0/C/41I

$ G65@/<>A3=3@>$;D?$65>$Z2?6$/K$65>$?B8Z>CA?$

/K$<>A3=DC$D@652/0/C/41$6/$A>F>C/0I$:5>$02><3?>?$

of this ideology was that gaining an understanding

/K$ C/=DC$ <>A3=DC$ 8>C3>K?$ D@A$ 02D=63=>?$ =/BCA$ 8>$

$ "D@1$0>/0C>$3@$65>$Z>CA?$/K$<>A3=3@>$D@A$

0B8C3=$5>DC65$A/$@/6$B@A>2?6D@A$65>$0/6>@63DC$2/C>$

65D6$ D@652/0/C/41$ =/BCA$ 0CD1$ 3@$ 65>$ A>F>C/0<>@6$

/K$0B8C3=$5>DC65$0/C3=1I$:5>$3@6>@63/@$/K$653?$D263=C>$

3?$ 6/$ 02/F3A>$ 2>DA>2?$ ;365$ D@$ B@A>2?6D@A3@4$ /K$

65>$B@3JB>$0>2?0>=63F>$65D6$<>A3=DC$D@652/0/C/41$

=/BCA$ =/@6238B6>$ 6/$ 3@K/2<3@4$ 0B8C3=$ 5>DC65$ 0/C3=1$

decisions.

$ L/=3/,=BC6B2DC$D@652/0/C/41$5D?$B@A>24/@>$

?34@3Z=D@6$65>/2>63=DC$D@A$02D4<D63=$=5D@4>?$/F>2$

65>$0D?6$5DCK,=>@6B21I$X?$D$A3?=30C3@>W$D@652/0/C/41$

5D?$8>>@$=2363=3^>A$K/2$36?$2/C>$3@$3<0>23DC$=/@JB>?6I$

EB23@4$ =/C/@3DC$ 63<>?W$ D@652/0/C/43?6?$ /K6>@$

D==/<0D@3>A$=/C/@3DC$>S0C/2>2?$D@A$<3C36D21$3@$/2A>2$

to facilitate their work, this is often referred to as ‘the

5D@A<D3A>@$ >2DU$ 3@$ 65>$ 53?6/21$ /K$ D@652/0/C/41U?$

53?6/21I$ _6$ 3?$?D3A$65D6$ 3@$ 653?$2/C>W$D@652/0/C/43?6?$

gained the trust of natives using their linguistic

02/Z=3>@=1$ D@A$ =BC6B2DC$ D;D2>@>??$ 3@$ /2A>2$ 6/$

D??3?6$ 65>$ =/C/@3DC$ ?6D6>$ 3@$ 65>$ 3<0C><>@6D63/@$ /K$

0/C3=3>?$65D6$BC63<D6>C1$C>A$6/$KB265>2$/002>??3/@$D@A$

A3?><0/;>2<>@6$)`>C?$D@A$LDC><3@A*I$

$ LB=5$ =2363JB>?W$ D</@4$ /65>2?W$ 5DF>$ C>A$

6/$ D$ ?34@3Z=D@6$ 2>A32>=63/@$ /K$ D@652/0/C/43=DC$

65/B456$ D@A$ 65>/21$ )a>;3?*I$ L/=3DC$ D@A$ =BC6B2DC$

D@652/0/C/41$5DF>$6B2@>A$6/;D2A?$D$</2>$=2363=DCW$

2>b>S3F>$ D@A$ 5/C3?63=$ D002/D=5$ ?3@=>$ 65D6$ 63<>I$

:53?$ T2>=/@?62B=63/@U$/K$D@652/0/C/41$5D?$2>?BC6>A$

3@$ D@$ 3@=2>D?>$ 3@$ =2363=3?<$ /K$ 65/?>$ ?62B=6B2>?$

65D6$ 5DA$ 02>F3/B?C1$ 8>>@$ D??B<>A$ D?$ T23456U$ D@A$

3@5>2>@6C1$ T4//AUI$ L=5>0>2,PB45>?$ ;236>?$ D8/B6$

5/;$?/=3DC$?=3>@63?6?$5DF>$6103=DCC1$8>>@$8C3@A$ 6/$

8>@>Z=3DC$ 3@$ 65>$ 02/F3?3/@$ /K$ 83/<>A3=DC$ ?>2F3=>?$

6/$ 0>/0C>$ 3@$ =BC6B2>?$ ;5>2>$ 83/<>A3=3@>$ ;D?$

new and unknown. McElroy states that “Since

65>$ '\V&?$ D@652/0/C/43?6?$ 5DF>$ 5>C0>A$ 5>DC65$

=D2>$ 02/F3A>2?$ B@A>2?6D@A$ =BC6B2DC$ A3KK>2>@=>?$ 3@$

5>DC65$8>5DF3/B2?O$)(*I$$G<05D?3?$/@$653?$D?0>=6$/K$

<>A3=DC$D@652/0/C/41$C>A$6/$65>$A>F>C/0<>@6$/K$65>$

TGS0CD@D6/21$"/A>CU$K2D<>;/2Q$)cC>3@<D@*$D@A$65>$

8>@=5<D2Q$F/CB<>$T.C3@3=DCC1$X00C3>A$X@652/0/C/41U$

).523?<D@$ D@A$ "D2>6^Q3*$ D</@4$ <D@1$ /65>2?I$

:5>?>$ ;/2Q?$ K/=B?>A$ 5>DF3C1$ /@$ A/=6/2,0D63>@6$

3@6>2D=63/@$D@A$5/;$D@652/0/C/41$=D@$8>$B?>A$D?$D$

6//C$3@$83/<>A3=3@>I

This thinking was followed by a new wave

/K$ 653@Q3@4$ 65D6$ 0D2DCC>C?$ 65>$ 6B2@$ 6/$ 2>b>S3F361$ 3@$

?/=3DC$ D@652/0/C/41I$ _@$ '\-(W$ 65>$ 6>2<$ T=2363=DC$

<>A3=DC$D@652/0/C/41U$;D?$3@62/AB=>A$)dD>2*I$:53?$

@>;$82D@A$/K$<>A3=DC$D@652/0/C/41$;D?$?3<3CD2$6/$

65>$@>;$2>b>S3F>$?/=3DC$D@652/0/C/41$3@$65D6$36$;D?$

=2363=DCW$5/C3?63=$D@A$3@;D2A$C//Q3@4+$M36$3?$65>$;/2Q$

/K$D@652/0/C/41$6B2@>A$3@$B0/@$/B2?>CF>?W$/B2$/;@$

?/=3>61O$ )L=5>0>2,PB45>?$ M:52>>$ `2/0/?363/@?O$

'\!*I$ L=5>0>2,PB45>?$ 4/>?$ /@$ 6/$ A2D;$ >S0C3=36$

0D2DCC>C?$8>6;>>@$=/C/@3DC$?/=3DC$D@652/0/C/41$D@A$

=C3@3=DC$<>A3=DC$D@652/0/C/41$81$?D13@4$65D6$<>A3=DC$

D@652/0/C/43?6?$ 0CD1>A$ D$ F36DC$ 2/C>$ 3@$ >?6D8C3?53@4$

65>$=BC6B2DC$5>4></@1$/K$83/<>A3=3@>I$L5>$=DCC?$K/2$

<>A3=DC$D@652/0/C/43?6?$ 6/$82>DQ$;365$ 65>$Z>CA$/K$

;>?6>2@$<>A3=3@>$D@A$A3?6D@=>$65><?>CF>?$3@$/2A>2$

6/$C//Q$8D=Q$B0/@$83/<>A3=3@>$/8e>=63F>C1I

ANTHROPOLOGY OF PUBLIC HEALTH

$ PD@?$ dD>2$ A>Z@>?$ =2363=DC$ <>A3=DC$

D@652/0/C/41$D?$65D6$;53=5$MD?032>?$6/$<>24>$65>/21$

D@A$02DS3?$3@$fDg$A>?32>$6/$02/</6>$>S0>23>@63DC$5>DC65$

D?$/00/?>A$6/$65>$KB@=63/@DC$5>DC65$D??/=3D6>A$;365$

=/@6><0/2D21$0/C363=DC$>=/@/<3=?$D2/B@A$65>$;/2CAO$

)'&''*I$ L3@=>$ 65>$ ><>24>@=>$ /K$ =2363=DCC1$ D00C3>A$

<>A3=DC$ D@652/0/C/41W$ ?>F>2DC$ D@652/0/C/43?6?$

5DF>$82/B456$653?$82D@A$/K$D@652/0/C/43=DC$>@JB321$

6/$65>$;/2CA$/K$0B8C3=$5>DC65$0/C3=1I$

$ :53?$3?$@/6$6/$?D1$65D6$<>A3=DC$D@652/0/C/41$

3?$@>;$6/$0B8C3=$5>DC65I$X@652/0/C/43?6?$5DF>$8>>@$

3@F/CF>A$3@$0B8C3=$5>DC65$K/2$<D@1$1>D2?I$P/;>F>2W$

023/2$6/$.2363=DC$">A3=DC$X@652/0/C/41$)."X*W$<D@1$

<>A3=DC$D@652/0/C/43?6?$0CD1>A$65>$2/C>$/K$T=BC6B2DC$

82/Q>2?U$ )L=5>0>2,PB45>?$ M:52>>$ `2/0/?363/@?O*I$

:5>1$ ;>2>$ /K6>@$ 3@F/CF>A$ 3@$ <>A3D63@4$ 8>6;>>@$

0/0BCD63/@?$D@A$0/C3=1$<DQ>2?$3@$<B=5$65>$?D<>$;D1$

3@$;53=5$<>A3=DC$D@652/0/C/43?6?$<>A3D6>A$8>6;>>@$

=C3@3=3D@$ D@A$ 0D63>@6W$ /2$ ?/=3DC$ D@652/0/C/43?6?$

between colonizer and colonized. Inadvertent as it

<D1$5DF>$8>>@W$B63C3^3@4$D@652/0/C/41$3@$653?$2/C>$

3@$0B8C3=$5>DC65$/K6>@$3@5>2>@6C1$B?>A$6>=5@3JB>?$/K$

MF3=63<$8CD<3@4$R$65D6$3?W$?>>3@4$65>$0//2$5>DC65$/K$

D$0/0BCD63/@$D?$65>$?/C>$2>?BC6$/K$36?$=BC6B2>W$3@?6>DA$

/K$C//Q3@4$DC?/$D6$65>32$0D263=BCD2$>=/@/<3=$/2$?/=3DC$

?36BD63/@O$)P>C<D@$]*I$hD2<>2$KB265>2$>CD8/2D6>A$/@$

653?$3??B>+

Scholars often weaken their

contributions to an understanding

/K$ 3@K>=63/B?$ A3?>D?>?$ 81$ <DQ3@4$

M3<</A>?6$ =CD3<?$ /K$ =DB?DC361IO$ :5>?>$

=CD3<?$D2>$3<</A>?6$8>=DB?>$65>1$D2>$

;2/@4$/2$<3?C>DA3@4I$:5>1$D2>$3<</A>?6$

8>=DB?>$65>1$A3?62D=6$D66>@63/@$K2/<$65>$

</A>?6$ 3@6>2F>@63/@?$ 65D6$ =/BCA$ 62>D6$

D@A$/K6>@$>@/B45$=B2>$0>/0C>I$X@A$65>1$

D2>$ 3<</A>?6$ 8>=DB?>$ 65>1$ A3?62D=6$

D66>@63/@$ K2/<$ 65>$ 02>F>@6D8C>$ ?/=3DC$

disorder that exacerbates biological

A3?/2A>2I$)]*

Clearly, there was a need for the

D@652/0/C/41$ /K$ 0B8C3=$ 5>DC65$ 6/$ DA/06$ D$ ?3<3CD2$

0>2?0>=63F>$6/$65D6$/K$=2363=DC$<>A3=DC$D@652/0/C/41I$

iD@$ [3CC34>@$ A>Z@>?$ D$ A3=5/6/<1$ 8>6;>>@$

TD@652/0/C/41$3@$0/C3=1U$D@A$TD@652/0/C/41$/K$0/C3=1U$

)'!V*I$ :53?$ ?><D@63=$ 6>=5@3=DC361$ A3KK>2>@63D6>?$

8>6;>>@$D@652/0/C/43?6?$;5/$D??3?6$0/C3=1$<DQ>2?$

)2><3@3?=>@6$/K$=C3@3=DCC1$D00C3>A$D@652/0/C/41*$D@A$

65/?>$ ;5/$ =2363=DCC1$ D002D3?>$ 65>$ ;/2Q$ /K$ 0/C3=1$

<DQ>2?$ D@A$ 65>32$ 0/C3=3>?U$ B@3@6>@A>A$ @>4D63F>$

>KK>=6?$ B0/@$ 65>$ 6D24>6$ 0/0BCD63/@I$ `D2Q>2$ D@A$

PD20>2$A>?=238>$65>$D@652/0/C/41$/K$0B8C3=$5>DC65$

D?$ 65D6$ M;53=5$ 2><D3@?$ 0D??3/@D6>C1$ =/@=>2@>A$

D8/B6$ 3CC,5>DC65$ D@A$ A>023FD63/@$ D@A$ 65>$ @>>A$ K/2$

0B8C3=$ 0/C3=1Y$ 8B6$ DC?/$ 2><D3@?$ =/<<366>A$ 6/$ D$

234/2/B?$D@A$=2363=DC$D@DC163=DC$0>2?0>=63F>O$)%*I$

$ [365$ 36?$ @>;$ =2363=DC$ D@A$ 2>b>S3F>$

0>2?0>=63F>W$D@652/0/C/41$5D?$D$C/6$6/$=/@6238B6>$6/$

65>$A>F>C/0<>@6$/K$5>DC65$0/C3=1I$:5>$Z>CA$/K$0B8C3=$

5>DC65$R$D@A$</2>$4>@>2DCC1W$0/C3=1$A>F>C/0<>@6$R$

2>JB32>?$2>?>D2=5$=/@6238B63/@?$K2/<$D$<BC636BA>$/K$

A3?=30C3@>?I$[3CC3D<?$?6D6>?$65D6$MD$<BC63A3?=30C3@D21$

D002/D=5$ =/BCA$ 8>?6$ DAA2>??$ 65>$ 0B8C3=$ 5>DC65$

@>>A?$/K$D$0/0BCD63/@O$)[3CC3D<?$'*I

$ `B8C3=$ 5>DC65U?$ 023<D21$ =/@=>2@$ 3?$ 6/$

3<02/F>$ 65>$ 5>DC65$ /K$ D$ 0/0BCD63/@I$ :53?$ 82/DA,

?=/0>$ D002/D=5$ 5D?$ 82/B456$ >03A><3/C/41$ 6/$

8>$ 65>$ </?6$ 3@bB>@63DC$ A3?=30C3@>$ 3@$ 5>DC65$ 0/C3=1$

8>=DB?>$ 81$ B?3@4$ <>65/A3=DC$ ?D<0C3@4$ <>65/A?$

/@>$=D@$65>/2>63=DCC1$>S62D0/CD6>$=/@=CB?3/@?$D8/B6$

65>$?6D6>$/K$5>DC65$/K$>@632>$0/0BCD63/@?I$:B2@/=Q$

?6D6>?$65D6$65>2>$D2>$MZF>$8D?3=$?=3>@=>?$/K$0B8C3=$

5>DC65+$ >03A><3/C/41W$ 83/?6D63?63=?W$ >@F32/@<>@6DC$

?=3>@=>W$ <D@D4><>@6$ ?=3>@=>?$ D@A$ 8>5DF3/B2DC$

?=3>@=>?O$)%&*I$

i/CI$'($j/I$' X@652/0/C/41

- X@652/0/C/41 %&'&

$ "D@1$ <>A3=DC$ D@652/0/C/43?6?$ ?>>$ 653?$

</A>C$ /K$ A3?>D?>$ D?$ /B6AD6>A$ D@A$ 3@D==B2D6>$

because “it reduces the investigation of social

D@A$=BC6B2DC$D?0>=6?$/K$A3?>D?>$6/$A3?=2>6>W$?6D63=W$

JBD@63ZD8C>$T8>C3>K?U$5>CA$81$65>$?6BA1$0/0BCD63/@O$

)`D2Q>2$ D@A$ PD20>2$ ',%*I$ :53?$ KD=6/23DC$ @/63/@$

/K$ A3?>D?>$ ?>><?$ 6/$ 3@F/CF>$ 65>$ 2>D?/@3@4$ 65D6$

factors of disease causation such as biology and

>@F32/@<>@6$ D2>$ 8>1/@A$ 65>$ 2>D=5$ /K$ =BC6B2>I$ X$

</A>2@$ =/@=>063/@$ /K$ =BC6B2>W$ D?$ D==>06>A$ 81$

</?6$D@652/0/C/43?6?$3?$?34@3Z=D@6C1$</2>$=/<0C>S$

D@A$ DCC,>@=/<0D??3@4I$ _@$ =/@6><0/2D21$ <>A3=DC$

D@652/0/C/41W$36$3?$8>C3>F>A$65D6$DCC$2>?>D2=5W$>F>@$

65>$</?6$?B8e>=63F>$D@A$?=3>@63Z=W$3?$2//6>A$3@$65>$

=BC6B2>$D@A$>S0>23>@=>$/K$65/?>$;5/$3@6>202>6$D@A$

0B8C3?5$65>$2>?BC6?I

$ X?$D$2>?BC6$/K$0D?6$A3?=B??3/@?$D@A$A>8D6>?$

;3653@$65>$Z>CAW$=/@6><0/2D21$<>A3=DC$D@652/0/C/41$

3?$>JB300>A$6/$?>>$8>1/@A$65>$>?6D8C3?5>A$KD=6/23DC$

</A>C$/K$A3?>D?>I$L3<3CD2$A3?=B??3/@?$5DF>$6DQ>@$

0CD=>$ 3@$ <>A3=DC$ D@652/0/C/41$ ?B=5$ D?$ 65/?>$

?B22/B@A3@4$65>$.D26>?3D@$ABDC3?<$0D2DA34<I$:53?$

3?$D$A3=5/6/<1$8>6;>>@$65>$<3@A$D@A$65>$8/A1$/K$

an individual. This worldview is characterized by a

<>=5D@3?63=$F3>;$/K$A3?>D?>$>63/C/41W$F>21$?3<3CD2$6/$

65D6$3@$65>$KD=6/23DC$</A>CI$:5>$.D26>?3D@$0D2DA34<$

=/@63@B>?$6/$8>$B?>A$3@$;>?6>2@$83/<>A3=3@>$D@A$;D?$

D==>06>A$3@$<>A3=DC$D@652/0/C/41$K/2$<D@1$1>D2?I$

N@C1$2>=>@6C1W$B@A>2$65>$=/@6>S6$/K$65>$T@>;U$=2363=DC$

F>2?3/@$/K$<>A3=DC$D@652/0/C/41W$5D?$653?$=/@=>06$

=/<>$B@A>2$65>$<3=2/?=/0>I$L=5>0>2,PB45>?$D@A$

a/=Q$ D24B>$ K/2$ 65>$ @>>A$ 6/$ 02/8C><D63^>$ ?B=5$ D$

?>><3@4C1$?3<0C>$ABDC3?<I$:5>1$=CD3<$65D6$36$3?$@/6$

D?$?62D3456K/2;D2A$D@$3??B>$D?$36$<D1$?>><I$:5>1$

=5DCC>@4>$ M<>A3=DC$ D@652/0/C/43?6?$ D@A$ =C3@3=3D@?$

6/$F3>;$5B<D@?$D@A$65>$>S0>23>@=>$/K$3CC@>??$D@A$

?BKK>23@4$K2/<$D@$3@6>42D6>A$0>2?0>=63F>O$)L=5>0>2,

PB45>?$D@A$a/=Q$'&*I$

$ [53C>$36$<D1$8>$D24B>A$65D6$=C3@3=3D@?$5DF>$

5>CA$/@$6/$M65>$.D26>?3D@$a>4D=1WO$D@652/0/C/43?6?$

5DF>$ 8>>@$ ;/2Q3@4$ K/2$ 1>D2?$ D6$ A>F>C/03@4$ ?B=5$

D@$3@6>42D6>A$0>2?0>=63F>I$">A3=DC$D@652/0/C/43?6?$

=D@$=/@6238B6>$?34@3Z=D@6C1$ 6/$0B8C3=$5>DC65$0/C3=1$

81$ 02/F3A3@4$ 653?$ 0>2?0>=63F>$ 6/$ D3A$ 81$ 02/F3A3@4$

D@$DC6>2@D63F>$6/$65>$>@62>@=5>A$KD=6/23DC$</A>C$/K$

A3?>D?>$3@$65>$;/2CA$/K$0B8C3=$5>DC65I

B – Holism

$ :5>$@>;$<>A3=DC$D@652/0/C/41U?$M3@=CB?3/@$

/K$T65>$;5/C>UO$)`/26>2$'(\*$3?$D@/65>2$3<0/26D@6$6//C$

65D6$5D?$65>$0/6>@63DC$6/$8>$/K$42>D6$B?>$3@$0/C3=1$

A>F>C/0<>@6I$ X@652/0/C/41$ 3?$ 3@F/CF>A$ 3@$ ?>>3@4$

65>$ >@632>$ ?36BD63/@$ 3@$ D$ 43F>@$ =/<<B@361I$ :53?$

3@F/CF>?$0D263=30D@6$/8?>2FD63/@$3@$/2A>2$6/$=D06B2>$

65>$ ?<DCC>?6$ A>6D3C?$ 3@$ 65>$ >F>@6?$ /K$ 3@A3F3ABDC?U$

$ _6$ ;/BCA$ ?>><$ 65D6$ A>?036>$ 42>D6$

D@652/0/C/41U?$0/6>@63DC$K/2$3@K/2<3@4$5>DC65$0/C3=1W$

36?$D=6BDC$=/@6238B63/@$3?$JB36>$?<DCC$R$?>>3@4$65D6$36$

3?$42/B0>A$;365$D$5DCK,A/^>@$8>5DF3/B2DC$?=3>@=>?$

D?$ /@>$ /K$ 65>$ ZF>$ 3@K/2<D@6?$ /K$ 0/C3=1<DQ3@4I$

:5>$ 2>D?/@$ K/2$ D@652/0/C/41U?$ <3@3<3^>A$ 2/C>$ 3@$

5>DC65$ 0/C3=1$ A>F>C/0<>@6$ 3?$ C3Q>C1$ K/B@A>A$ 3@$ 36?$

023<D21$ <>65/A/C/43=DC$ D002/D=5+$ >65@/42D051I$

Thanks to an unabashed focus on individuals

D@A$ ?<DCC$ 42/B0?W$ <D@1$ 3@F/CF>A$ 3@$ 65>$ 02/=>??$

/K$ 0/C3=1<DQ3@4$ 5DF>$ D24B>A$ 65D6$ 65>$ AD6D$ 65D6$$

4>@>2D6>A$ 81$ D@652/0/C/43=DC$ 2>?>D2=5$ 3?$ C>??$

valuable because it does not lend itself to broad

T?=3>@63Z=U$ >S62D0/CD63/@W$ D?$ A/>?$ >03A><3/C/43=DC$

AD6DI$ G65@/42D053=$ 2>?>D2=5$ 3@F/CF>?$ /8?>2F3@4$

D@A$ =/@AB=63@4$ 3@6>2F3>;?$ ;365$ D$ ?<DCC$ 42/B0$ /K$

0>/0C>I$ [365$ ?B=5$ ?<DCC$ @B<8>2?W$ 36$ 3?$ 0/??38C>$

to argue that these individuals could easily be

B@2>02>?>@6D63F>$/K$65>$4>@>2DC$0/0BCD63/@I

$ E>?036>$ 65>$ B053CC$ 8D66C>$ 65D6$ KD=>?$

D@652/0/C/43?6?$ 3@$ 65>$ 0B8C3=$ 5>DC65$ ?>=6/2W$ 36$ 3?$

3<0>2D63F>$ 6/$=/@63@B>$65>$;/2QW$D?$>65@/42D053=$

3@JB321$5D?$65>$0/6>@63DC$6/$4>@>2D6>$D$42>D6$A>DC$

/K$ 23=5$ 3@K/2<D63/@$ ;53=5$ =D@$ 3@bB>@=>$ 0/C3=1$

A>F>C/0<>@6I$_@$65>$K/CC/;3@4$?>=63/@W$_$;3CC$A>?=238>$

K/B2$;D1?$D@652/0/C/41$=D@$3@bB>@=>$0B8C3=$5>DC65$

0/C3=1$3@$;D1?$65D6$>03A><3/C/41$/2$/65>2$<>65/A?$

=D@@/6I$)X*$:5>$D83C361$6/$?>>$=BC6B2>$3@$36?$02/0>2$

context in the social world and how culture affects

DCC$2>?>D2=5I$)d*$:5>$D83C361$ 6/$03=Q$B0$/@$<3@B6>$

D@A$?>><3@4C1$322>C>FD@6$A>6D3C?I$).*$_@A>0>@A>@=>$

K2/<$ 83/<>A3=DC$ 4/DC?$ D@A$ 5>4></@1$ DCC/;?$

<>A3=DC$D@652/0/C/43?6?$6/$DAA$D$=2363=DC$F/3=>$6/$65>$

0B8C3=$5>DC65$A3?=/B2?>I$)E*$`2/F3?3/@$/K$/8e>=63F>W$

JBDC36D63F>$AD6D$3@$D@$/65>2;3?>$JBD@636D63F>$Z>CAI

WHAT DOES ANTHROPOLOGY BRING TO

PUBLIC HEALTH POLICY DEVELOPMENT?

A – Integrated Perspective of Culture

When striving to understand disease

>63/C/41$ D</@4$ D$ 43F>@$ 0/0BCD63/@W$ 0B8C3=$ 5>DC65$

?0>=3DC3?6?$ D@A$ 5B<D@$ >=/C/43?6?$ /K6>@$ B?>$ D$

T<BC63KD=6/23DC$ </A>C$ /K$ A3?>D?>U$ ).B2@/;$ D@A$

L<365*I$:53?$3?$D$</A>C$3@$;53=5$65>2>$D2>$D$@B<8>2$

of distinct factors that are thought to contribute

6/$ A3?>D?>$ 3@$ 65>$ 0/0BCD63/@I$ .BC6B2>$ 3?$ /@>$ /K$

65>?>$ KD=6/2?W$ DC/@4?3A>$ <D@1$ /65>2?W$ 3@=CBA3@4+$

4>@>63=?W$ >@F32/@<>@6$ D@A$ ?/$ K/265I$ :5>$ KD=6/23DC$

</A>C$ ?>><?$ =/@?3?6>@6$ ;365$ >D2C3>2$ <>A3=DC$

D@652/0/C/43=DC$2>?>D2=5W$2>CD63@4$6/$65>$<>65/A$/K$

65>$ =C3@3=DCC1$ D00C3>A$ D@652/0/C/43?6I$ d1$ 3@F/CF3@4$

D@652/0/C/43?6?$/@$D$=C3@3=DC$C>F>C$36$ 3?$0/??38C>$6/$

2>AB=>$65>$3<0D=6$/K$65>$=BC6B2>$TKD=6/2U$/@$A3?>D?>$

02>FDC>@=>I

\i/CI$'($j/I$' X@652/0/C/41

D@A$ ?B8e>=63@4$ >03?6></C/43>?$ 65D6$ 2>02>?>@6$

0/;>2KBCW$0/C363=DC$3@6>2>?6?$6/$/00/?363/@DC$653@Q3@4O$

)M:52>>$̀ 2/0/?363/@?O$'\!*I$:53?$610>$/K$/00/?363/@DC$

653@Q3@4$ 3?$ 3<0/26D@6$ 3@$ 4>@>2D63@4$ @>;$ 65>/23>?$

D@A$3@$02/</63@4$@>=>??D21$A3?=/B2?>$6/$>KK>=6BD6>$

<B=5$@>>A>A$=5D@4>$3@$0B8C3=$5>DC65$?1?6><?I

To this day, one often hears allegations

D4D3@?6$ D@652/0/C/41$ K/2$ 36?$ 0D?6$ D?$ 65>$

T5D@A<D3A>@U$/K$=/C/@3DC3?<I$X?$D$2>?BC6$/K$5DF3@4$

6/$A>K>@A$36?>CK$K2/<$65>?>$=CD3<?W$65>$A3?=30C3@>$5D?$

8>=/<>$F>21$=2363=DC$/K$5>4></@3=$0/;>2$?62B=6B2>?$

65D6$D2>$3@F/CF>A$3@$@>/,=/C/@3DC$/002>??3/@$/K$65>$

DKb3=6>A$ D@A$ B@A>2023F3C>4>AI$ d3/<>A3=3@>$ 3?$ D$

=CD??3=$ >SD<0C>$ /K$ ?B=5$ D$ 0/6>@63DCC1$ /002>??3F>$

structure. Several accounts exist that describe

5/;$ M65>$ A/=6/2$ 5D?$ 2>0CD=>A$ 65>$ 023>?6$ D?$ 65>$

=B?6/A3D@$ /K$ ?/=3DC$ FDCB>?O$ ):B2@>2$ ( ,(-*I$ h/2$

>SD<0C>W$/@>$DB65/2$;236>?$D$A>6D3C>A$D==/B@6$/K$

5/;$65>$`B8C3=$P>DC65$3@?636B63/@$3@$65>$`53C3003@>?$

KB@=63/@?$D?$D@$><3??D21$/K$65>$?6D6>$3@$?B8e>=63@4$

0>/0C>$ 6/$ K/2>34@$ 02D=63=>?$ 3@$ /2A>2$ 6/$ >KK>=6BD6>$

=/@62/C$D@A$A/<3@D63/@$/F>2$65>$0B8C3=$)X@A>2?/@*I$

X@652/0/C/41U?$ 3@;D2A$ C//Q3@4$ =2363=DC$ 0>2?0>=63F>$

/K$<>A3=3@>$D@A$0B8C3=$5>DC65$<DQ>?$65>$AD6D$65D6$

36$ 4>@>2D6>?$ F>21$ 3<0/26D@6$ 6/$ 65>$ A>F>C/0<>@6$

/K$KB265>2$0/C3=1I$L=5>0>2,PB45>?$?6D6>?$65D6$ 36$ 3?$

M3<0>2D63F>$ 6/$ 0/?363/@$ /B2?>CF>?$ ?JBD2>C1$ /@$ 65>$

?3A>$ /K$ 5B<D@$ ?BKK>23@4O$ )M:52>>$ `2/0/?363/@?O$

'\!*I$ X@652/0/C/43?6?$ 5DF>$ 4/@>$ K2/<$ 8>3@4$ 65>$

5D@A<D3A>@?$/K$=/C/@3DC$0/;>2$6/$DAF/=D6>?$K/2$65>$

DKb3=6>A$D@A$?BKK>23@4I$"D@1$/K$65>$/65>2$?=3>@=>?$

65D6$=/@6238B6>$6/$5>DC65$0/C3=1$?5D2>$83/<>A3=3@>U?$

<>=5D@3?63=$ 0D2DA34<I$ .2363=3?<$ 3?$ @>=>??D21$ 6/$

?63<BCD6>$3<02/F><>@6?$3@$?62B=6B2>?$/2$02/42D<?$

65D6$D2>$DC2>DA1$Z2<C1$>@62>@=5>AI$.2363=DC$<>A3=DC$

D@652/0/C/41$ 3?$ D8C>$ 6/$ 02/F3A>$ 653?$ B@3JB>$

0>2?0>=63F>$6/$65>$Z>CA$/K$0B8C3=$5>DC65I

$ _@$ /2A>2$ 6/$ 2><D3@$ 3@$ D$ 4//A$ 0/?363/@$

6/$ =2363=3JB>$ 83/<>A3=3@>W$ 36$ 3?$ 3<0/26D@6$ 65D6$

D@652/0/C/41$ <D3@6D3@$ 36?$ A3?6D@=>$ K2/<$ 65>$

83D?>?$ D@A$ 053C/?/053>?$ /K$ ;>?6>2@$ <>A3=3@>I$

"D@1$ <>A3=DC$ D@652/0/C/43?6?$ 2><D3@$ =2363=DC$ /K$

D@652/0/C/43=DC$2>?>D2=5$65D6$3?$KB@A>A$81$3@6>2>?6?$

F>?6>A$ 3@$ 83/<>A3=3@>I$ :53?$ 610>$ /K$ KB@A3@4$

D22D@4><>@6$02/53836?$D$KBCC1$=2363=DC$3@6>202>6D63/@$

D@A$65B?$M=/<02/<3?>?$;5D6$D@652/0/C/41$5D?$6/$

/KK>2$D?$D$A3?=30C3@>O$)`D2Q>2$D@A$PD20>2$%*I

D – Qualitative Analysis

$ :5>$ K/B265$ ?34@3Z=D@6$ =/@6238B63/@$ 65D6$

D@652/0/C/41$<DQ>?$6/$65>$A>F>C/0<>@6$/K$0B8C3=$

5>DC65$ 0/C3=1$ 3?$ 36?$ JBDC36D63F>$ D002/D=5$ 6/$ AD6D$

=/CC>=63/@I$:53?$3?$DC?/$B@3JB>$6/$D@652/0/C/41$D</@4$

DCC$/K$65>$?=3>@=>?$65D6$3@K/2<$0B8C3=$5>DC65$0/C3=1I$:5>$

JBDC36D63F>$<>65/A/C/41$/K$>65@/42D051$?>0D2D6>?$

C3F>?I$:53?$ DC?/$ 3@F/CF>?$ ?6BA1$ /K$ 65>$ <D=2/,C>F>C$

K/2=>?$D@A$?62B=6B2>?$65D6$D2>$D=63@4$/@$0>/0C>$65D6$

=DB?>$65><$6/$8>5DF>$65>$;D1$65>1$A/I

$ :5>$ 3<0/26D@=>$ /K$ D@652/0/C/41U?$ 5/C3?<$

DC?/$2>CD6>?$6/$A3?0>CC3@4$65>$@/63/@$/K$65>$KD=6/23DC$

</A>CI$:5>$KD=6/23DC$</A>C$?>>?$=BC6B2>$3@$3?/CD63/@$

K2/<$DCC$/65>2$KD=6/2?I$:53?$610>$/K$2>D?/@3@4$=D@$

C>DA$ 6/$ ;5D6$ P>C<D@$ =DCC?$ TF3=63<$ 8CD<3@4UI$ :5>$

?D<>$ 0D66>2@$ =D@$ 8>$ /8?>2F>A$ 3@$ 0B8C3=$ 5>DC65$

0/C3=1$3K$=BC6B2>$3?$=/@?3A>2>A$3?/CD6>A$K2/<$0/C363=DCW$

?/=3DC$ D@A$ >=/@/<3=$ KD=6/2?I$ P>DCA$ 02/F3A>?$ D@$

>SD<0C>$K2/<$5>2$2>?>D2=5$/@$P_ikX_EL$0/C3=1$3@$

d/6?;D@D+

a366C>$ </@>1$ ;D?$ 0C>A4>A$ 6/$

65>$ A>F>C/0<>@6$ /K$ <>A3=DC$

3@K2D?62B=6B2>?l$3@?6>DAW$D$AD@4>2/B?C1$

3@K>=63/B?$ A3?>D?>$ ;D?$ =/<8D6>A$ /@C1$

81$02/42D<<>?$65D6$B24>A$3@A3F3ABDC?$6/$

try and avoid it as best as they could in

D$?36BD63/@$;5>2>$65>2>$;D?$@/$<>D@?$/K$

knowing who was infected and who was

@/6$D@AW$3@$65>$<D3@W$@/$;D1$/K$Z@A3@4$

/B6$)(&*I

$ "D3@6D3@3@4$ 3@0B6$K2/<$D@$D@652/0/C/43=DC$

0>2?0>=63F>$3?$3<0/26D@6$3@$/2A>2$6/$DF/3A$653?$Q3@A$

/K$ =/B@6>2,02/AB=63F>$ 0/C3=1$ 8>3@4$ A>F>C/0>AI$

_6$ 3?$ 3<0/26D@6$ 6/$ B63C3^>$ D$ 5/C3?63=$ D002/D=5$ 6/$

3CC@>??$ 3@$ /2A>2$ 6/$ 3A>@63K1$ DCC$ 0>263@>@6$ KD=6/2?$

65D6$=/@6238B6>$6/$D$43F>@$0D@A><3=I$#/5@$`/26>2W$

D@$ >03A><3/C/43?6W$ 5D?$ ?D3A$ /K$ D@652/0/C/41+$

M:5>$ A3?=30C3@>$ =/@=>@62D6>?$ /@$ ;5D6$ 3?$ D=6BDCC1$

5D00>@3@4$D@A$C//Q?$6/$T65>$2//6U$/K$;5>2>$653@4?$

=/<>$K2/<O$)`/26>2*I$[5>65>2$653?$T2//6U$D6$65>$C>F>C$

of social interactions between individuals, a cultural

@BD@=>$/2$65>$<D=2/=/?<3=$?62B=6B2>?$65D6$3<0D=6$

D$ 43F>@$ 0/0BCD63/@W$ D@652/0/C/43=DC$ <>65/A?$ /K$

3@F>?634D63/@$5DF>$02/F>@$2>C3D8C>$3@$3A>@63K13@4$36I$

C – Critical Perspective

$ :5>$6532A$K>D6B2>$B@3JB>$6/$65>$@>;$<>A3=DC$

D@652/0/C/41$ <DQ3@4$ 36$ D$ FDCBD8C>$ =/@6238B6/2$ 6/$

0B8C3=$5>DC65$02D=63=>$3?$36?$K2>>A/<$K2/<$65>$65>/23>?$

D@A$ F3>;?$ /K$ ;>?6>2@$ 83/<>A3=3@>I$ d3/<>A3=3@>W$

>03A><3/C/41$D@A$65>$/65>2$=/@6238B63@4$?=3>@=>?$

are inherently reductionist and hence have a very

@D22/;$?=/0>$3@$;53=5$6/$F3>;$65>$05>@/<>@/@$/K$

3CC@>??$/2$>03A><3=I$GF>21653@4$3?$>S0>=6>A$6/$5DF>$

D@$>S0CD@D63/@$42/B@A>A$3@$83/C/41$/2$T?=3>@=>UI$

One of the distinguishing features of the

@>;$ <>A3=DC$ D@652/0/C/41$ 3?$ 36?$ 6>@A>@=1$ 6/$ 8>$

=2363=DC$R$>?0>=3DCC1$/K$65>$5>4></@3=$?62B=6B2>$/K$

83/<>A3=3@>I$L=5>0>2,PB45>?$?6D6>?$65D6+$M/B2$;/2Q$

?5/BCA$ 8>$ D6$ 65>$ <D243@?W$ JB>?63/@3@4$ 02><3?>?W$

-& X@652/0/C/41 %&'&

JBDC36D63F>$D@652/0/C/43=DC$2>?>D2=5$<>65/A/C/43>?$

DCC/;$ 53<$ 6/$ A3?=/F>2$ 653?$ F/3=>$ R$ 65>$ F/3=>$ /K$

M65/?>$ ;5/$ D2>$ @/2<DCC1$ B@5>D2A$ 3@$ 65>$ =B22>@6$

3@6>2@D63/@DC$0/C363=DC$=C3<D6>O$)'(\*I$

THE APPLICATION OF CMA TO PUBLIC HEALTH

RESEARCH

Thus far, this article has sought to

B@A>2?=/2>$65>$3<0/26D@=>$/K$65>$A>F>C/0<>@6$/K$

65>$ =2363=DC$ 0>2?0>=63F>$ 3@$ <>A3=DC$ D@652/0/C/41I$

As has been described above, this is a crucial

=/<0/@>@6$/K$<>A3=DC$D@652/0/C/41U?$=/@6238B63/@$

6/$0B8C3=$5>DC65I$

$ E>?036>$ D@652/0/C/41U?$ ?62>@465?$ /B6C3@>A$

D8/F>W$D$=/<</@$=2363JB>$/K$."X$3?$65D6$36$3?$/F>2C1$

idealized and not in line with the realities of the world.

P/;>F>2W$ `>D=/=Q$ ?6D6>?$ 65D6$ M02D4<D63?<$ D@A$

?>D2=53@4$=2363JB>$@>>A$@/6$8>$<B6BDCC1$>S=CB?3F>O$

)'%*I$m1CQ/,dDB>2$>6$DCI$=/@6>@A$65D6$D@652/0/C/41U?$

KB6B2>$ F3D83C361$ D?$ D$ A3?=30C3@>$ C3>?$ 3@$ 36?$ D83C361$ 6/$

=/@63@B>$D00C13@4$=2363=DC$@/63/@?$3@$65>$K/2<BCD63/@$

/K$ 02D4<D63=$ ?/CB63/@?I$ :5>1$ =CD3<$ 65D6$ M02D=63=>$

3?$0D26$/K$65>$A3?=30C3@>U?$A>?63@1$D@A$@>>A?$6/$8>$

D6$65>$=>@62>$/K$A3?=B??3/@?$D8/B6$D@652/0/C/41U?$

KB6B2>O$)'- *I$:5>1$@/6$/@C1$?62>??$5/;$3<0/26D@6$

36$3?$K/2$D@652/0/C/41$6/$6DQ>$D$02D=63=DC$?6D@=>W$8B6$

KB265>2$>CD8/2D6>$5/;$?B=5$3?$0/??38C>+$

X$ <>D@3@4KBC$ =/@F>24>@=>$ /K$

<>65/A/C/43=DCC1$ ?/B@AW$ =2363=DCW$

2>b>S3F>W$D@A$>@4D4>A$D@652/0/C/41$R$D$

convergence that builds on and learns

K2/<$ 65>$ >S6>@?3F>$ 0D?6$ >S0>23>@=>$ /K$

0B663@4$D@652/0/C/41$6/$B?>$R$;3CC$K2>>$B?$

B0$6/$K/=B?$/@$A3KK>2>@=>?$65D6$D=6BDCC1$

A/$<D66>2$3@$65>$2>DC$;/2CAI$)'- *

$ :5>$ A3?=30C3@>$ /K$ 0B8C3=$ 5>DC65$ 3?$ D6$ 65>$

0/3@6$/K$<DQ3@4$D$<De/2$A>=3?3/@W$CD24>C1$8>=DB?>$

/K$D$0B8C3=D63/@$Q@/;@$D?$65>$dCD=Q$m>0/26W$;53=5$

showed a very strong correlation between the

3@=/<>$D@A$5>DC65$/K$D$0/0BCD63/@$)PD<C3@*I$

`B8C3=$5>DC65$2><D3@?$D6$D$=2/??2/DA?I$

The choice is between a narrow focus

on health service issues and the health

02/8C><?$/K$3@A3F3ABDC?$/@$65>$/@>$5D@AW$

/2$ D$ 2>K/=B?$ /@$ 65>$ <De/2$ B@A>2C13@4$

=DB?>?$/K$0/0BCD63/@$5>DC65$/@$65>$/65>2I$

)d>D4C>5/C>$D@A$d/@36D$%,(*

$ X@652/0/C/41$ 3?$ ;>CC,0/?363/@>A$ 6/$ 0CD1$ D$

Q>1$2/C>$3@$65>$3@K/2<3@4$/K$5>DC65$0/C3=1$6/$DAA2>??$

these issues. This article has focused on the

D@652/0/C/41$K2/<$DCC$/K$65>$@D6B2DC$?=3>@=>?$D@A$

<D@1$/K$65>$?/=3DC$?=3>@=>?I$_D@$PD=Q3@4$>S0CD3@?$

;51$JBDC36D63F>$AD6D$3?$?/$3<0/26D@6$3@$53?$=2363JB>$

/K$?6D63?63=DC$AD6D+$M:5>$K>63?53?63=$=/CC>=63/@$/K$/F>26$

?6D63?63=DC$AD6D$D8/B6$D$0/0BCD63/@$5D?$D?$36?$</66/$

T3@K/2<D63/@$ D@A$ =/@62/CU$ 8B6$ 36$ ;/BCA$ </2>$ 62BC1$

8>$ TA3?3@K/2<D63/@$ D@A$ <3?<D@D4><>@6UO$ )%-&*I$

P3?$ 02><3?>$ 3?$ 65D6$ JBD@636D63F>$ D@DC1?3?$ 2>JB32>?$

extensive categorization. Many of the categories

that are used are in essence constructs of the

investigators and do not even exist in the worldview

/K$65>$3@K/2<D@6I$:53?$=2>D6>?$D$KDC?>$0>2=>063/@$/K$

2>DC361$3@$65>$<3@A?$/K$0/C3=1<DQ>2?$65D6$=D@@/6$8>$

DF/3A>A$652/B45$?62B=6B2>AW$JBD@636D63F>$D@DC1?3?I

$ X$ ?3<3CD2$ =2363JB>$ ;D?$ F/3=>A$ 81$ `D2Q>2$

D@A$ PD20>2W$ D8/B6$ ?B00/?>A$ JBDC36D63F>$ 2>?>D2=5$

=/@AB=6>A$ 81$ <D@1$ 62DA363/@DCC1$ JBD@636D63F>C1,

oriented social scientists.

P>DF1$ 2>C3D@=>$ B0/@$ 02>,A>?34@>A$

JB>?63/@?W$ =/<83@>A$ ;365$ ?0>@A3@4$

C3<36>A$ 0>23/A?$ /K$ 63<>$ 3@$ 65>$ Z>CAW$

3@>F36D8C1$ ?62B=6B2>?$ 65>$ TJBDC36D63F>U$ 3@$

6>2<?$A>Z@>A$81$65>$2>?>D2=5>2$2D65>2$

65D@$65>$2>?>D2=5>AY$D@A$653?$<D1$;>CC$

8>$D6$65>$>S0>@?>$/K$B@A>2?6D@A3@4$65>$

F>21$0>/0C>$65>1$?>>Q$6/$D??3?6$)(*I

$ :2B>$>65@/42D053=$AD6D$?623F>?$6/$?3A>?6>0$

65>?>$ <3?B@A>2?6D@A3@4?$ D@A$ <3?2>02>?>@6D63/@?$

81$=/<3@4$6/$D@$B@A>2?6D@A3@4$/K$65>$;/2CAF3>;?$

/K$ 36?$ 0D263=30D@6?I$ :53?$ 3?$ 3@$ =/@62D?6$ 62DA363/@DC$

0B8C3=$ 5>DC65$ 2>?>D2=5W$ ;53=5$ 3<0/?>?$ D$ K/2>34@$

F3>;$B0/@$3@K/2<D@6?W$/2$=/B@6?$65><$D@A$3@$A/3@4$

?/$ =D6>4/23^>?$ 65><$ 3@6/$ =BC6B2DCC1$ =/@?62B=6>A$

42/B0?$65D6$?B00/26$65>$2>?>D2=5>2?U$/;@$D4>@ADI$

PD20>2$?6D6>?+$M/@>$/K$65>$8>?6$;D1?$6/$B@A>2?6D@A$

D$ ?36BD63/@$ 3?$ 6/$ ?0>@A$ >S6>@A>A$ 0>23/A?$ /K$ 63<>$

3@6>2D=63@4$ ;365$ 65/?>$ 3@F/CF>AO$ )]\*I$ d>K/2>$

D002/023D6>$ 0/C3=1$ =D@$ 8>$ A>F>C/0>A$ 36$ 3?$ =2B=3DC$

to gain a solid understanding of the situation and

</2>$3<0/26D@6C1W$5/;$65/?>$DKK>=6>A$653@Q$D@A$K>>C$

about the situation. This understanding can only be

4D3@>A$652/B45$>65@/42D053=$3@JB321I

$ `/26>2$$>S0CD3@?$65>$3<0/26D@=>$/K$JBDC36D63F>$

>65@/42D053=$ 2>?>D2=5$ 3@$ 0/C3=1$ A>F>C/0<>@6$

652/B45$ 65>$ B?>$ /K$ 65>$ ?6D63?63=DC$ =/@=>06$ /K$ 65>$

/B6C3>2I$P>$?6D6>?$65D6$D?$D@$>03A><3/C/43?6W$/B6C3>2?$

?Q>;$AD6D$3@$;D1?$65D6$A/@U6$?>><$6/$<DQ>$?>@?>I$

:5>2>K/2>$/K6>@63<>?$>03A><3/C/43?6?$;3CC$?>>Q$K/2$

2D63/@DCW$>S0CD3@D8C>$2>D?/@?$6/$>S=CBA>$/B6C3>2?$K2/<$

AD6D?>6?I$P>$4/>?$/@$6/$>S0CD3@$65D6$36$3?$3<0/26D@6$

6/$C//Q$MK/2$;D1?$/K$?B00/263@4$65>$/B6C3>2$6/$?0>DQO$

)'V&*I$P>$5D?$K/B@A$65D6$@D22D63F>?$A>23F>A$652/B45$

-'i/CI$'($j/I$' X@652/0/C/41

c3<W$#W$>6$DCI$E13@4$K/2$n2/;65+$nC/8DC$_@>JBDC361$D@A$65>$P>DC65$/K$65>$

`//2I$"/@2/>W$"G+$./<</@$./B2D4>$`2>??W$%&&&I$`23@6I

cC>3@<D@W$ X265B2I$ M./@=>06?$ D@A$ D$ "/A>C$ K/2$ 65>$ ./<0D23?/@$ /K$

">A3=DC$L1?6><?$D?$.BC6B2DC$L1?6><?IO$Social Science and Medicine

'%$$)'\ -*+$-],\(I$`23@6I

a>;3?I$ M:5>$ "3?2>02>?>@6D63/@$ /K$ X@652/0/C/41$ D@A$ _6?$

./@?>JB>@=>?IO$ X<>23=D@$ X@652/0/C/43?6$ '&&$ ($ )'\\-*+$ '!,('I$

Print.

"=GC2/1W$ XI$ M">A3=DC$ X@652/0/C/41IO$ G@=1=C/0>A3D$ /K$ .BC6B2DC$

X@652/0/C/41I$GA?I$a>F3@?/@W$E$D@A$"$G<8>2I$j>;$o/2Q+$P>@21$P/C6W$

'\\!I$`23@6I

`D2Q>2W$ "IW$ D@A$ _I$ PD20>2I$ M:5>$ X@652/0/C/41$ /K$ `B8C3=$ P>DC65IO$

#/B2@DC$/K$d3/?/=3DC$L=3>@=>?$(-$$)%&&]*+$',]I$`23@6I

`>D=/=QW$ #D<>?I$ M:5>$ hB6B2>$ /K$ X@652/0/C/41IO$ X<>23=D@$

X@652/0/C/43?6$\\$'$)'\\ *+$\,' I$`23@6I

`>C?W$`>6>2W$D@A$N?=D2$LDC><3@AI$M_@62/AB=63/@IO$./C/@3DC$LB8e>=6?+$

G??D1?$/@$65>$`2D=63=DC$P3?6/21$/K$X@652/0/C/41I$GA?I$`>C?W$`>6>2$D@A$

N?=D2$LDC><3@AI$X@@$X28/2W$"_+$p@3F>2?361$/K$"3=534D@$`2>??W$'\\\I$

Print.

`/26>2W$ #IEIPI$ MG03A><3/C/43=DC$ m>b>=63/@?$ /K$ 65>$ ./@6238B63/@$ /K$

X@652/0/C/41$ 6/$ `B8C3=$ P>DC65$ `/C3=1$ D@A$ `2D=63=>IO$ #/B2@DC$ /K$

d3/?/=3DC$L=3>@=>?$(-$$)%&&!*+$'((,VVI$`23@6I

m1CQ/,dDB>2W$dIW$"$L3@4>2W$D@A$#$iD@$[3CC34>@I$Mm>,.CD3<3@4$X00C3>A$

X@652/0/C/41+$_6?$`D?6W$`2>?>@6$D@A$hB6B2>IO$X<>23=D@$X@652/0/C/43?6$

'&-$'$)%&&!*+$' -,\&I$`23@6I

L=5>0>2,PB45>?W$ jD@=1I$ M./<3@4$ 6/$ NB2$ L>@?>?+$ .BC6B2DC$

X@652/0/C/41$D6$65>$"3CC>@3B<IO$:>D=53@4$X@652/0/C/41$ $%$)%&&&*+$

-,'(I$`23@6I

,,,I$M:52>>$`2/0/?363/@?$K/2$D$.2363=DCC1$X00C3>A$">A3=DC$X@652/0/C/41IO$

L/=3DC$L=3>@=>$3@$">A3=3@>$(&$%$)'\\&*+$'-\,\ I$`23@6I

L=5>0>2,PB45>?W$ jD@=1W$ D@A$ "D24D2>6$ a/=QI$ M:5>$ "3@AKBC$ d/A1+$

X$ `2/C>4/<@/@$ 6/$ hB6B2>$ [/2Q$ 3@$ ">A3=DC$X@652/0/C/41IO$ ">A3=DC$

X@652/0/C/41$qBD26>2C1$'$$)'\- *+$!,V'I$`23@6I

:B2@>2W$dI$">A3=DC$̀ /;>2$D@A$L/=3DC$c@/;C>A4>I$a/@A/@+$m/B6C>A4>W$

'\- I$`23@6I

:B2@/=QW$ d>2@D2A$ #I$ `B8C3=$ P>DC65+$ [5D6$ _6$ _?$ D@A$ P/;$ _6$ [/2Q?I$

d/?6/@+$#/@>?$D@A$dD26C>66$`B8C3?5>2?W$%&&VI$`23@6I

iD@$[3CC34>@W$#I$X00C3>A$X@652/0/C/41+$X@$_@62/AB=63/@I$[>?60/26W$.:+$

n2>>@;//AW$%&&%I$`23@6I

[3CC3D<?W$ P/CC1$ X@@I$ M.D23@4$ K/2$ :5/?>$ 3@$ .23?3?+$ _@6>42D63@4$

X@652/0/C/41$ D@A$ `B8C3=$ P>DC65$ 3@$ ./<0C>S$ PB<D@36D23D@$

G<>24>@=3>?IO$jD63/@DC$X??/=3D63/@$K/2$65>$`2D=63=>$/K$X@652/0/C/41$

dBCC>63@$'V$V$)%&&'*+$','!I$`23@6I

=5D@4>?$65D6$5DF>$/==B22>A$3@$<>A3=DC$D@652/0/C/41$

D@A$65>$D@652/0/C/41$/K$0B8C3=$5>DC65$65D6$DCC/;$36$6/$

8>$D$</A>2@$D@A$?34@3Z=D@6$=/@6238B63@4$A3?=30C3@>$

6/$0B8C3=$5>DC65$0/C3=1$A>F>C/0<>@6I$.2363=DC$<>A3=DC$

D@652/0/C/41$5D?$65>$0/6>@63DC$6/$8>$D$42>D6$K/2=>$

6/;D2A?$3@K/2<3@4$0B8C3=$5>DC65$0/C3=1$65D6$3?$K/=B?>A$

/@$65>$<D=2/,C>F>C$B@A>2C13@4$=DB?>?$/K$0//2$5>DC65$

3@$D$0/0BCD63/@I$X@652/0/C/41U?$A3?63@=6$=5D2D=6>2$D?$

3@6>42D6>AW$=2363=DCW$5/C3?63=$D@A$JBDC36D63F>$<DQ>?$36$

D$ F>21$ 0/6>@6$ K/2=>$ 3@$ >@=/B2D43@4$ 0B8C3=$ 5>DC65$

0/C3=1$3@$D$?3<3CD2C1$=2363=DC$A32>=63/@I

REFERENCES

X@A>2?/@W$[D2;3=QI$MGS=2><>@6DC$./C/@3DC3?<+$`B8C3=$P>DC65$D@A$65>$

`/>63=?$/K$`/CCB63/@IO$.2363=DC$_@JB321$%'$($)'\\]*+$!V&,!\I$`23@6I

dD>2W$ PD@?I$ M:5>$ `/??383C363>?$ D@A$ E3C><<D?$ /K$ dB3CA3@4$ d23A4>?$

8>6;>>@$.2363=DC$">A3=DC$X@652/0/C/41$D@A$.C3@3=DC$X@652/0/C/41+$X$

E3?=B??3/@IO$L/=3DC$L=3>@=>$/K$">A3=3@>$(&$\$)'\\&*+$'&'','(I$`23@6I

d>D4C>5/C>W$ mW$ D@A$ m$ d/@36DI$ `B8C3=$ P>DC65$ D6$ 65>$ .2/??2/DA?+$

X=53>F><>@6?$ D@A$ `2/?0>=6?I$ .D<823A4>+$ .D<823A4>$ p@3F>2?361$

`2>??W$%&&VI$`23@6I

dB66W$ aI$ M:5>$ LBKK>23@4$ L62D@4>2+$ ">A3=DC$ X@652/0/C/41$ D@A$

_@6>2@D63/@DC$"/2DC361IO$">A3=DC$X@652/0/C/41$%'$$)%&&%D*+$',%VI$`23@6I

.523?<D@W$jW$D@A$:$"D2>6^Q3I$.C3@3=3DCC1$X00C3>A$X@652/0/C/41I$j>;$

o/2Q+$L023@4>2W$'\-%I$`23@6I

.B2@/;W$mW$D@A$.$L<365I$M"BC63KD=6/23DC$"/A>C$K/2$hD<3C3DC$E3?>D?>?$

3@$"D@IO$#/B2@DC$/K$65>$m/1DC$L6D63?63=DC$L/=3>61$'(-$%$)'\ ]*+$'(',

!\I$`23@6I

hD2<>2W$ `DBCI$ _@K>=63/@?$ D@A$ _@>JBDC363>?+$ :5>$ "/A>2@$ `CD4B>?I$

d>2Q>C>1W$.X+$p@3F>2?361$/K$.DC3K/2@3D$`2>??W$'\\\I$`23@6I

PD=Q3@4W$ _D@I$ Md3/0/;>2$ D@A$ 65>$XFDCD@=5>$ /K$ `23@6>A$ jB<8>2?IO$

PB<D@363>?$3@$L/=3>61$]$$)'\-%*+$% \,\]I$`23@6I

PD<C3@W$.523?6/05>2I$M:5>$P3?6/21$D@A$E>F>C/0<>@6$/K$`B8C3=$P>DC65$

3@$ E>F>C/0>A$ ./B@623>?IO$ NSK/2A$ :>S68//Q$ /K$ `B8C3=$ P>DC65+$ :5>$

L=/0>$/K$`B8C3=$P>DC65I$GA?I$ED@3>C?W$mW$>6$DCI$i/CI$'I$NSK/2A+$NSK/2A$

p@3F>2?361$`2>??W$%&&%I$`23@6I

PD20>2W$ _I$ MX@652/0/C/41W$ E/6?$ D@A$ p@A>2?6D@A3@4$ :B8>2=BC/?3?$

./@62/C$3@$j>0DCIO$#/B2@DC$/K$d3/?/=3DC$L=3>@=>?$(-$$)%&&!*+$] ,! I$

Print.

P>DCAW$ LI$ MX8?6D3@$ /2$ E3>+$:5>$ E>F>C/0<>@6$ /K$ P3FkX3A?$ `/C3=1$ 3@$

d/6?;D@DIO$#/B2@DC$/K$d3/?/=3DC$L=3>@=>?$(-$$)%&&!*+$%\,V'I$`23@6I

P>C<D@W$.>=3CI$.BC6B2>W$P>DC65$D@A$_CC@>??I$%&& I$`23@6I

_2;3@W$XC>=W$>6$DCI$MLBKK>23@4W$"/2DC$.CD3<?$D@A$L=5/CD2C1$m>?0/@?383C361+$

X$m>?0/@?>$6/$a>?C3>$dB66IO$">A3=DC$X@652/0/C/41$%'$$)%&&%*+$%],(&I$

Print.