"This volume is the first to examine how public policy aimed at education, income support, welfare, housing, civil rights, and employment may affect health. Since the existing strategy of devoting an increasing share of resources to medical care is at the point of diminishing returns and cannot be sustained in the long run, the approach promoted by this seminal collection deserves and is certain to receive growing attention."
-CHOICE

"In the next fifteen years, baby boomers will enter the elderly population and the number of people over sixty-five in the United States will have doubled, a crisis that will dramatically overwhelm our medical care system. Making Americans Healthier offers crucially important ideas about how we must deal with this challenge."
-S. LEONARD SYME, emeritus professor of epidemiology and community health, School of Public Health, University of California, Berkeley

"This is an absolute must-read book for anyone interested in how government policies can improve population health and reduce health disparities. Throughout most of the twentieth century, developed nations focused almost exclusively on the development of health care services, drugs and technology to cure acute illnesses and chronic disease. In contrast, the twenty-first century promises a much more deliberative effort to understand, endorse, and disseminate social and economic policy to promote health and prevent the onset of illness. Making Americans Healthier provides the keys for opening that prevention door by providing an up-to-date critique and thorough examination of how non-health policies targeted on social and economic problems have impacted population health."
-COLLEEN M. GROGAN, associate professor, School of Social Service Administration, and academic dean, Graduate Program in Health Administration and Policy, University of Chicago

The United States spends billions of dollars annually on social and economic policies aimed at improving the lives of its citizens, but the health consequences associated with these policies are rarely considered. In Making Americans Healthier, a group of multidisciplinary experts shows how social and economic policies seemingly unrelated to medical well-being have dramatic consequences for the health of the American people.

Most previous research concerning problems with health and healthcare in the United States has focused narrowly on issues of medical care and insurance coverage, but Making Americans Healthier demonstrates the important health consequences that policymakers overlook in traditional cost-benefit evaluations of social policy. The contributors examine six critical policy areas: civil rights, education, income support, employment, welfare, and neighborhood and housing. Among the important findings in this book, David Cutler and Adriana Lleras-Muney document the robust relationship between educational attainment and health, and estimate that the health benefits of education may exceed even the well-documented financial returns of education. Pamela Herd, James House, and Robert Schoeni discover notable health benefits associated with the Supplemental Security Income Program, which provides financial support for elderly and disabled Americans. George Kaplan, Nalini Ranjit, and Sarah Burgard document a large and unanticipated improvement in the health of African-American women following the enactment of civil rights legislation in the 1960s.

Making Americans Healthier presents ground-breaking evidence that the health impact of many social policies is substantial. The important findings in this book pave the way for promising new avenues for intervention and convincingly demonstrate that ultimately social and economic policy is health policy.
 

ROBERT F. SCHOENI is professor of public policy and economics, the University of Michigan.

JAMES S. HOUSE is Angus Campbell Collegiate Professor of Sociology and Survey Research, the University of Michigan.

GEORGE A. KAPLAN is the Thomas Francis Collegiate Professor of Public Health, the University of Michigan.

HAROLD POLLACK is associate professor of social service administration, University of Chicago.

CONTRIBUTORS: Marianne P. Bitler, Jeanne Brooks-Gunn, Sarah A. Burgard, Janet Currie, David M. Cutler, Rebecca C. Fauth, Irv Garfinkel. Ben B. Hansen, Pamela Herd, Hilary Hoynes, Daniel Keating, Jean Knab, Adriana Lleras-Muney, Sara McLanahan, Jeffrey D. Morenoff, Enrico Moretti, Theresa L. Osypuk, Richard H. Price,  Nalini Ranjit, Ana V. Diez Roux, Christopher J. Ruhm, Sharon Z. Simonton.

A Volume in the National Poverty Center Series on Poverty and Public Policy

Represents the first integrated effort to deal with age as a crucial variable in the social system. Of special interest to sociologists for whom the sociology of age seems destined to become a special field.

MATILDA WHITE RILEY, MARILYN JOHNSON, and ANNE FONER are in the Department of Sociology at Rutgers University.

CONTRIBUTORS: John A. Clausen, Richard Cohn, Anne Foner, Beth Hess, Marilyn Johnson, Robert K. Merton, Edward E. Nelson, Talcott Parsons, Gerald Platt, Matilda White Riley, Norman B. Ryder, Harris Schrank, Bernice C. Starr, and Harriet Zuckerman
 

Interprets the research findings on aging for professionals concerned with the prevention and treatment of problems associated with aging. Each chapter, written by an expert, deals with the field within the broad context of aging in contemporary society.

MATILDA WHITE RILEY and MARILYN E. JOHNSON, Department of Sociology, Rutgers University.

JOHN W. RILEY, JR. is vice president and director of Social Research for the Equitable Life Assurance Society of the United States.

CONTRIBUTORS: Faye G. Abdellah, Reubin Andres, Walter M. Beattie Jr., Merton C. Bernstein, Glenn H. Beyer, Herman B. Brotman, Esther Lucille Brown, W. Phillips Davison, Lowell Eklund, Ellen Fahy, Robert L. Geddes, Andrew M. Greeley, James M. Gustafson, Phillip E. Hammond, Huson Jackson, Marilyn E. Johnson, Juanita M. Kreps, Louis Lasaga, Frances Cook Macgregor, John Madge, Geneva Mathiasen, Ernest E. McMahon, Walter J. McNamara, Robert Morris, Charles E. Odell, Margery T. Overholser, Arthur J. Patek Jr., Ollie A. Randall, Max Rheinstein, John W. Riley Jr., Matilda White Riley, Sverre Roang, George Rosen, Doris R. Schwartz, Alvin L. Schorr, Wilbur Schramm, Harold L. Sheppard, DeWitt Stetten Jr., Mervyn Susser, Manfred H. Vogel, Thurman White, and Frederick D. Zeman
 

Aging and Society summarizes the results of social science research on middle-aged and older people and interprets this knowledge in terms of sociological theory and professional practice. Its three volumes are addressed to social scientists and teachers engaged in research and education on the aging practice and to practitioners concerned with prevention and treatment of problems associated with aging. Volume one summarizes research findings on this topic. It selects, condenses, and organizes social science findings on human beings in their middle and later years. It is a reference work to be used as a tool for advancing theoretical understanding and enhancing professional practice.

MATILDA WHITE RILEY and ANNE FONER are members of the Department of Sociology at Rutgers University.

CONTRIBUTORS: Anne Foner, Beth Hess, Marilyn E. Johnson, Mary E. Moore, Matilda White Riley, Barbara K. Roth, and Virginia E. Schein
 

Social Diagnosis is the classic in social work literature. In it Miss Richmond first established a technique of social casework. She discusses the nature and uses of social evidence, its tests and their practical application, and summarizes the lessons to be learned from history, science, and the law. While other aids in diagnosis have been added to the caseworker's equipment, the assembling of social evidence is still an important discipline of the profession, to which this volume continues to make a significant contribution. No revision of the book has ever been made nor does any later book take its place.

MARY RICHMOND was the director of the Charity Organization Department at the Russell Sage Foundation.

"To study the life course is a life-long commitment. Where do the ideas that motivate longitudinal research come from? How do indefatigable investigators find the energy and resources to sustain longitudinal studies? The chapters in Looking at Lives reveal the genius, passion, and dedication that lie behind some of the most important longitudinal studies of human development ever conducted."
-Avshalom Caspi, Institute of Psychiatry, London, and University of Wisconsin, Madison

"This book is a watershed event in the scientific study of human development. It demonstrates in singularly compelling ways the precise methodological details that are required to conduct exemplary longitudinal research and that are involved in exploiting for new purposes existing longitudinal data archives."
-Richard M. Lerner, Tufts University

"Looking at Lives is a must-read for all of us involved in landmark longitudinal studies of the twentieth century. Some of the real pioneers in the long-term developmental study of humans are here as authors, describing the important details of their personal involvement in their work as well as the substance of their studies. Among other things, this volume could easily provide core reading for courses in research methods for longitudinal studies."
-Lewis Lipsitt, Brown University

The impact of long-term longitudinal studies on the landscape of 20th century social and behavioral science cannot be overstated. The field of life course studies has grown exponentially since its inception in the 1950s, and now influences methodologies as well as expectations for all academic research. Looking at Lives offers an unprecedented "insider's view" into the intentions, methods, and findings of researchers engaged in some of the twentieth century's landmark studies. In this volume, eminent American scholars—many of them pioneers in longitudinal studies—provide frank and illuminating insights into the difficulties and the unique scientific benefits of mounting studies that track people's lives over a long period of time.

Looking at Lives includes studies from a range of disciplines, including psychology, sociology, and education, which together cover a span of more than fifty years. The contributors pay particular attention to the changing historical, cultural, and scientific context of their work, as well as the theoretical and methodological changes that have occurred in their fields over decades. What emerges is a clear indication of the often unexpected effects these studies have had on public policies and public opinion—especially as they relate to such issues as the connection between poverty and criminal behavior, or the consequences of teen-age pregnancy and drug use for inner-city youth. For example, David Weikart reveals how his long-term research on preschool intervention projects, begun in 1959, permitted him to show how surprisingly effective preschool education can be in improving the lives of disadvantaged children. In another study, John Laub and Robert Sampson build on findings from a groundbreaking study begun by Sheldon and Eleanor Glueck in the 1950s to reveal the myriad ways in which juvenile delinquency can predict criminal behavior in adults. And Arland Thornton, Ronald Freedman, and William Axinn employ an intergenerational study of women and their children begun in 1962 to examine the substantial relaxation of social mores for family and individual behavior in the latter decades of the 20th century.

Looking at Lives is full of striking testimony to the importance of long-term, longitudinal studies. As a unique chronicle of the origins and development of longitudinal studies in America, this collection will be an invaluable aid to 21st century investigators who seek to build on the successes and the experiences of the pioneers in life-course studies.

ERIN PHELPS is associate director, Murray Research Center, Radcliffe Institute for Advanced Study, Harvard University.

FRANK F. FURSTENBERG, JR. is the Zellerbach Family Professor of Sociology, University of Pennsylvania.

ANNE COLBY is senior scholar, Carnegie Foundation for the Advancement of Teaching.

CONTRIBUTORS: Karl L. Alexander, William G. Axinn, Ann F. Brunswick, Beverly D. Cairns, Robert B. Cairns, Greg J. Duncan, Glen H. Elder Jr., Doris Entwisle, Ronald Freedman, Janet Zollinger Giele, John H. Laub, John Modell, Frank L. Mott, Linda Steffel Olson, Robert J. Sampson, Arland Thornton, George E. Vaillant, David P. Weikart, Emmy E. Werner.

This casebook documents public reactions to health programs and health situations in sixteen widely differing communities of the world. Some of the studies record successes, others failures. Of interest to anyone concerned with preventive medicine, public health, community betterment, or cultural problems involving peoples of different backgrounds and beliefs.

BENJAMIN D. PAUL is professor of anthropology and director of the program in medicine and behavioral sciences at Stanford University.

Inequality in income, earnings, and wealth has risen dramatically in the United States over the past three decades. Most research into this issue has focused on the causes—global trade, new technology, and economic policy—rather than the consequences of inequality. In Social Inequality, a group of the nation’s leading social scientists opens a wide-ranging inquiry into the social implications of rising economic inequality. Beginning with a critical evaluation of the existing research, they assess whether the recent run-up in economic inequality has been accompanied by rising inequality in social domains such as the quality of family and neighborhood life, equal access to education and health care, job satisfaction, and political participation.

Marcia Meyers and colleagues find that many low-income mothers cannot afford market-based child care, which contributes to inequality both at the present time—by reducing maternal employment and family income—and through the long-term consequences of informal or low-quality care on children’s educational achievement. At the other end of the educational spectrum, Thomas Kane links the growing inequality in college attendance to rising tuition and cuts in financial aid. Neil Fligstein and Taek-Jin Shin show how both job security and job satisfaction have decreased for low-wage workers compared with their higher-paid counterparts. Those who fall behind economically may also suffer diminished access to essential social resources like health care. John Mullahy, Stephanie Robert, and Barbara Wolfe discuss why higher inequality may lead to poorer health: wider inequality might mean increased stress-related ailments for the poor, and it might also be associated with public health care policies that favor the privileged. On the political front, Richard Freeman concludes that political participation has become more stratified as incomes have become more unequal. Workers at the bottom of the income scale may simply be too hard-pressed or too demoralized to care about political participation. Social Inequality concludes with a comprehensive section on the methodological problems involved in disentangling the effects of inequality from other economic factors, which will be of great benefit to future investigators.

While today’s widening inequality may be a temporary episode, the danger is that the current economic divisions may set in motion a self-perpetuating cycle of social disadvantage. The most comprehensive review of this quandary to date, Social Inequality maps out a new agenda for research on inequality in America with important implications for public policy.

KATHRYN NECKERMAN is associate director of the Institute for Social and Economic Research and Policy, Columbia University.

CONTRIBUTORS: Suzanne Bianchi,  Henry E. Brady,  Coral Celeste,  Tiffani Chin,  Philip N. Cohen,  Sean Corcoran,  Janet Currie,  Paul DiMaggio,  Christine E. Eibner,  David T. Ellwood,  William N. Evans,  Neil Fligstein, Richard B. Freeman,  Jennifer Godwin,  Eszter Hargittai, Robert M. Hauser,  Robert Haveman, V. Joseph Hotz,  Michael Hout,  Christopher Jencks, Thomas J. Kane,  Meredith Kleykamp,  Gabriel S. Lenz,  Kara Levine,  Steven P. Martin,  Susan E. Mayer,  Marcia K. Meyers,  John Mullahy, Sheila E. Murray, Kei Nomaguchi, Lars Osberg, Anne R. Pebley, Meredith Phillips,  Sara Raley, Stephanie Robert,  Dan Rosenbaum,  Jake Rosenfeld, Howard Rosenthal,  Christopher Ruhm,  Gary Sandefur,  Narayan Sastry, Kay Lehman Schlozman,  John Karl Scholz,  Robert M. Schwab, Jonathan Schwabish, Steven Shafer.  Taek-Jin Shin,  Theda Skocpol, Timothy M. Smeeding,  Sidney Verba,  Andrea Voyer,  Jane Waldfogel,  Bruce Western,  Barbara Wolfe.

"Our commitment to the elimination of health disparities in the United States is greatly challenged by the impact of social and political forces on public health policy and implemen tation discussed so vividly in Disease Prevention as Social Change. Our success will depend upon our ability to better manage these forces."
-DAVID SATCHER, Poussaint-Satcher-Cosby Chair in Mental Health, director of the Center of Excellence on Health Disparities, Morehouse School of Medicine, and former Surgeon General of the United States

"Constance A. Nathanson illuminates how history, politics, ideology, and key actors shaped the varying responses to four major health threats over time in the United States, Britain, Canada, and France. Professionals, students, and other informed readers will gain from this ambitious and insightful book."
-DAVID MECHANIC, director and Rene Dubos University Professor, Institute for Health, Health Care Policy, and Aging Research, Rutgers

"A big, bold, riveting analysis of how communities respond to disease. Constance Nathanson's narrative sweeps across time and place, politics and culture, illness and public health. Disease Prevention as Social Change is required reading for scholars, professionals, and citizens interested in the health of nations."
-JAMES A. MORONE, professor of political science and urban studies, Brown University

From mad-cow disease and E. coli-tainted spinach in the food supply to anthrax scares and fears of a bird flu pandemic, national health threats are a perennial fact of American life. Yet not all crises receive the level of attention they seem to merit. The marked contrast between the U.S. government’s rapid response to the anthrax outbreak of 2001 and years of federal inaction on the spread of AIDS among gay men and intravenous drug users underscores the influence of politics and public attitudes in shaping the nation’s response to health threats. In Disease Prevention as Social Change, sociologist Constance Nathanson argues that public health is inherently political, and explores the social struggles behind public health interventions by the governments of four industrialized democracies.

Nathanson shows how public health policies emerge out of battles over power and ideology, in which social reformers clash with powerful interests, from dairy farmers to tobacco lobbyists to the Catholic Church. Comparing the history of four public health dilemmas—tuberculosis and infant mortality at the turn of the last century, and more recently smoking and AIDS—in the United States, France, Britain, and Canada, Nathanson examines the cultural and institutional factors that shaped reform movements and led each government to respond differently to the same health challenges. She finds that concentrated political power is no guarantee of government intervention in the public health domain. France, an archetypical strong state, has consistently been decades behind other industrialized countries in implementing public health measures, in part because political centralization has afforded little opportunity for the development of grassroots health reform movements. In contrast, less government centralization in America has led to unusually active citizen-based social movements that campaigned effectively to reduce infant mortality and restrict smoking. Public perceptions of health risks are also shaped by politics, not just science. Infant mortality crusades took off in the late nineteenth century not because of any sudden rise in infant mortality rates, but because of elite anxieties about the quantity and quality of working-class populations. Disease Prevention as Social Change also documents how culture and hierarchies of race, class, and gender have affected governmental action—and inaction—against particular diseases.

Informed by extensive historical research and contemporary fieldwork, Disease Prevention as Social Change weaves compelling narratives of the political and social movements behind modern public health policies. By comparing the vastly different outcomes of these movements in different historical and cultural contexts, this path-breaking book advances our knowledge of the conditions in which social activists can succeed in battles over public health.

CONSTANCE A. NATHANSON is a professor in the Department of Sociomedical Sciences at the Mailman School of Public Health, Columbia University.

Examines the dramatic changes in the philanthropic behavior of business corporations in their support of education, health, welfare, and the arts. This analysis shows how traditional patterns of corporate philanthropy have undergone changes across the years, and how, presently, a favorable attitude exists toward giving. The author traces these shifts through periods of depression, war, and peace. He examines economic and non-economic reasons for the growth of corporate giving, and treats the innovative role of company-sponsored foundations.

RALPH L. NELSON is professor of economics at Queens College, City University of New York.