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Written by epidemiologists, ethicists and legal scholars, this bookprovides an in-depth account of the moral problems that often confrontepidemiologists, including both theoretical and practical issues. The topicscovered include informed consent, privacy and confidentiality protection, thebalancing of risks and benefits, ethical issues in the study of vulnerablepopulations, the institutional review board system, and professional education.The solid, up-to-date analyses of these issues will be very helpful toepidemiologists in their practice, research and teaching. They encourage thelatest developments in the field and include detailed bibliographies.
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Drug use in the workplace, its effect on performance and safety, and the role of workplace drug testing has received much attention in the popular press. But what do we actually know about this troubling issue? With an extensive and readable overview of the literature, the committee presents what we do know by examining the major issues: The extent and severity of drug use on and off the job. The strengths and weaknesses of methods for detecting drug use through standard drug tests. The effect of drug use on behavior, including the results of both laboratory and field studies that have examined work-related behavior and worker productivity. The effectiveness of interventions to deal with drug use, such as employee assistance programs, health promotion programs, and treatment programs for substance abuse. This volume will be of practical interest to human resource and employee assistance program managers, policymakers, and investigators.
This book provides a unique study in social and cultural psychiatry, carried out in an African-American community in the rural South. Using a combination of concepts and methods from anthropology and social epidemiology, the specific social and psychological risk factors for depression are examined. The author places special emphasis on how that risk is modified by the social and historical context of the Black community in the United States, and suggests a new basis for the sociocultural comparative study of health and disease.