The health behaviors of cancer survivors are an important research agenda in light of mounting evidence that aspects of health such as diet and exercise have salutary effects both mentally and physically for cancer survivors, a rapidly growing population in the United States and elsewhere. This paper analyzes data from the Health and Retirement Study 2000–2010 to determine if religious salience impacts the likelihood of obesity, changes in body mass index, and weekly vigorous activity. Two theories propose different hypotheses about the relationship. The health belief model would suggest the more religious may have the perception that healthy behaviors are positive and will be more likely to have a healthy body weight and get exercise. Conversely, high religious salience may signify a God locus of health control, leading to lesser likelihood of engagement in preventive health behaviors. Using logistic and regression analysis controlling for health behaviors at baseline (2000), these theories are tested, in addition to the explanatory power of lifestyle as a potential mechanism in the relationship of religiousness to body weight. Results show that high levels of religious salience may correspond to greater likelihood of obesity and lesser likelihood of getting regular exercise. Policy implications may include a greater emphasis on diet and physical activity in religious settings that may instead stress other health behaviors such as abstinence from smoking and alcohol.
Burnout in health care employees and leaders is at an all-time high. Strategies to address burnout can fall short of addressing the broad range of underlying causes, including both organizational culture and personal factors. The National Academies of Medicine has set forth recommendations to address health care burnout from a leadership-based systems level that focuses on the whole employee, body, mind, and spirit. Across generations and societies, there is a growing trend toward spirituality and meaning as a critical component of both personal life and work. Among the working-age millennials, values of purpose and greater societal good take precedent and impact work choices and behaviors. Spiritually based values such as a sense of purpose, the transcendence of the self and ego, and the acknowledgment of something greater than our collective selves, are present in both popular culture and research on transcendental models of leadership. This article presents a model of holistic transcendental leadership that can be leveraged in the health care workplace to enhance innovation and creativity, while placing a novel emphasis on the physical, emotional, and spiritual well-being at the individual, group, and organizational level.
This paper examines the potential for theory to adapt to changing contexts of health in the western world. The commoditization of health and the ideology of biomedicine affects social life in creating dependency, social control, and vast inequalities. At the same time, increased access and diversity of consumer health knowledge as evidenced by the use of the Internet and the sharp rise in alternative medicine point to a different dialectic between doctor and patient and the potential for transforming diagnostic, treatment, and economic components of health care. Recent trends suggest increasing patient autonomy and the possibility of a re‐emergence of medical pluralism. New theoretical directions should be considered by social scientists in order to more fully understand these changes.
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