Edited by D o w n lo Judith Green & John Browne ad e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e Principles of rsity 5 .6 2 .1 5 6 .8 6 ] a Social Research t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . UNDERSTANDING PUBLIC HEALTH D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d e d b y [ F a c u lty Principles of Social Research of N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d e d b Understanding Public Health y [ F a c u Series editors: Nick Black and Rosalind Raine, London School of Hygiene & Tropical Medicine lty o f N u Thhearoltuhgyh sooucti etthiees iws ogrrlodw, irnegc.o Tgnhiet iaocnh ioevf etmhee nitms poof rptaunbcliec ohfe apltuhb liinc nhienaelttehe ntoth -scuesntatiunrayb Eleu,r osapfee waenrde rsing for much of the twentieth century overshadowed by advances in personal care, in particular in , Ch hospital care. Now, with the dawning of a new century, there is increasing understanding of the ian g inevitable limits of individual health care and of the need to complement such services with effective m a public health strategies. Major improvements in people’s health will come from controlling com- i U n municable diseases, eradicating environmental hazards, improving people’s diets and enhancing the iv e availability and quality of effective health care. To achieve this, every country needs a cadre of know- rsity ledgeable public health practitioners with social, political and organizational skills to lead and bring 5 .6 about changes at international, national and local levels. 2 .1 5 6 This is one of a series of 20 books that provides a foundation for those wishing to join in and .8 6 contribute to the twenty-first-century regeneration of public health, helping to put the concerns and ] a perspectives of public health at the heart of policy-making and service provision. While each book t [0 7 stands alone, together they provide a comprehensive account of the three main aims of public health: /1 8 protecting the public from environmental hazards, improving the health of the public and ensuring /1 6 high quality health services are available to all. Some of the books focus on methods, others on key ]. C topics. They have been written by staff at the London School of Hygiene & Tropical Medicine with op y considerable experience of teaching public health to students from low, middle and high income rig h countries. Much of the material has been developed and tested with postgraduate students both in t © face-to-face teaching and through distance learning. M c G The books are designed for self-directed learning. Each chapter has explicit learning objectives, key ra w terms are highlighted and the text contains many activities to enable the reader to test their own -H understanding of the ideas and material covered. Written in a clear and accessible style, the series will ill G be essential reading for students taking postgraduate courses in public health and will also be of lo b interest to public health practitioners and policy-makers. al E d Titles in the series uc a tio Analytical models for decision making: Colin Sanderson and Reinhold Gruen n H Controlling communicable disease: Norman Noah old Economic analysis for management and policy: Stephen Jan, Lilani Kumaranayake, ing Jenny Roberts, Kara Hanson and Kate Archibald s, L L Economic evaluation: Julia Fox-Rushby and John Cairns (eds) C Environmental epidemiology: Paul Wilkinson (ed) . N o Environment, health and sustainable development: Megan Landon t to Environmental health policy: Megan Landon and Tony Fletcher be Financial management in health services: Reinhold Gruen and Anne Howarth red GHleoabltahl ccharaen egvea alunadt hioena:l tSha:r Kahel Slemy iLthee, Danodn JSeifnf cClaoilrl,i nR o(esadlsi)nd Raine and Barnaby Reeves istribu te Health promotion practice: Maggie Davies, Wendy Macdowall and Chris Bonell (eds) d o Health promotion theory: Maggie Davies and Wendy Macdowall (eds) r m Introduction to epidemiology: Lucianne Bailey, Katerina Vardulaki, Julia Langham and od Daniel Chandramohan ifie d Introduction to health economics: David Wonderling, Reinhold Gruen and Nick Black in a Issues in public health: Joceline Pomerleau and Martin McKee (eds) ny Making health policy: Kent Buse, Nicholas Mays and Gill Walt w a y Managing health services: Nick Goodwin, Reinhold Gruen and Valerie Iles w Medical anthropology: Robert Pool and Wenzel Geissler ith o Principles of social research: Judith Green and John Browne (eds) ut p Understanding health services: Nick Black and Reinhold Gruen erm issio n . D o w n lo a d e d b y [ F a c u lty Principles of of N u rsin g Social Research , C h ia n g m a i U n iv e rsity 5 .6 2 .1 Edited by Judith Green and John Browne 56 .8 6 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p Open University Press erm issio n . D o w n lo a d e d b OMpceGnr aUwn-iHvielrl sEitdyu Pcraetsiosn y [ Fa c u McGraw-Hill House lty Shoppenhangers Road of N Maidenhead u Berkshire rsing England , C h SL6 2QL ian g m a email: [email protected] i U world wide web: www.openup.co.uk niv e and Two Penn Plaza, New York, NY 10121-2289, USA rsity 5 .6 2 .1 5 6 First published 2005 .8 6 ] a Copyright © Nick Black, Rosalind Raine, Judith Green and John Browne t [0 7 /1 All rights reserved. Except for the quotation of short passages for the purposes of 8 /1 criticism and review, no part of this publication may be reproduced, stored in a 6]. C retrieval system, or transmitted, in any form, or by any means, electronic, o p mechanical, photocopying, recording or otherwise, without the prior permission yrig of the publisher or a licence from the Copyright Licensing Agency Limited. Details ht © of such licences (for reprographic reproduction) may be obtained from the M c Copyright Licensing Agency Ltd of 90 Tottenham Court Road, London, W1T 4LP. G ra w A catalogue record of this book is available from the British Library -H ill G ISBN–10: 0 335 21835 0 lo b ISBN–13: 978 0 335 21835 6 al E d Library of Congress Cataloguing-in-Publication Data uc a CIP data applied for tio n H Typeset by RefineCatch Ltd, Bungay, Suffolk old Printed in the UK by Bell and Bain ing s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d e d Contents b y [ F a c u lty o f N u rsin g , C h ia n g m Overview of the book 1 a i U n iv Section 1: Introduction 5 ersity 1 Introduction to social research 7 5.6 2 Judith Green and John Browne .1 5 2 Science and social science 15 6.8 6 Judith Green and John Browne ] a 3 Framing a research question 23 t [0 7 Judith Green and John Browne /18 4 Research design 32 /16 Judith Green and John Browne ]. C o p y rig Section 2: Qualitative methods 43 ht © M 5 Introduction to qualitative methods 45 c G Judith Green ra w 6 Qualitative interviewing 53 -H Judith Green ill G 7 Focus groups and other group methods 63 lob a Judith Green l E d 8 Analysing qualitative data 75 uc a Judith Green tio n 9 Practical: using qualitative methods 90 H o Judith Green ldin g s, L L Section 3: Quantitative methods 93 C . N o 10 Measurement in the social sciences 95 t to John Browne and Judith Green b e 11 Questionnaire design 108 red John Browne istrib 12 Survey design 116 ute d John Browne o 13 Practical: designing a questionnaire 128 r m o d John Browne ifie d in Section 4: Social science disciplines in public health 133 any w 14 Introduction to applied medical anthropology 135 ay w Karina Kielmann ith o 15 Introduction to history in health 145 ut p Virginia Berridge erm issio n . D o w 6 Contents n lo a d e d b 16 MJuduitlhti G-mreeenthod and multi-disciplinary approaches 156 y [ Fa c u lty Glossary 165 of N Index 169 u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d e d Acknowledgements b y [ F a c u lty o f N u rsin g , C h ia n g m Open University Press and the London School of Hygiene and Tropical Medicine have a made every effort to obtain permission from copyright holders to reproduce material in i U n this book and to acknowledge these sources correctly. Any omissions brought to our iv e attention will be remedied in future editions. rsity 5 .6 We would like to express our grateful thanks to the following copyright holders for 2.1 granting permission to reproduce material in this book. 56 .8 6 page64 Coreil J, ‘Group Interview Methods in Community Health Research,’ ] at [0 Medical Anthropology, 16: 193–210 (1995). © Taylor & Francis Ltd. Journals 7 /1 website: http:/www.tandf.co.uk/journals 8/1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n .