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Full-Text Articles in Social and Behavioral Sciences

Skeptics And “The White Stuff” : Promotion Of Cows’ Milk And Other Nonhuman Animal Products In The Skeptic Community As Normative Whiteness, Corey Lee Wrenn Jun 2017

Skeptics And “The White Stuff” : Promotion Of Cows’ Milk And Other Nonhuman Animal Products In The Skeptic Community As Normative Whiteness, Corey Lee Wrenn

Dietary Choice and Foods of Animal Origin Collection

This article discusses a dairy advertising campaign featuring skeptic Derren Brown. I explore the various health claims made in the ads as well as a report Brown featured on his website that claimed consumption of cow’s milk is linked to longevity. I discuss how dairy consumption is largely linked to race and ethnicity. It is a practice enjoyed primarily by European whites as most nonwhites are lactose intolerant. Lactose intolerance is a normal biological process associated with weaning, but it is medicalized and made deviant because it is not part of the white experience. I also mention comments made by …


Environmental Health, Tessa Oliaro May 2017

Environmental Health, Tessa Oliaro

Student Scholar Symposium Abstracts and Posters

There is a very important intersection between the environment, public health, and socioeconomic factors (Braveman, 2014). These include waste disposal, water use and quality, road safety, ecosystem services, and many more. Environmental health stresses, “the health impacts of physical, chemical, and biological agents in the environment and workplace, and learns to develop strategies to measure and control major environmental health problems both locally…and in settings around the globe” (UC Berkeley School of Public Health, 2017). This overarching umbrella can have emphases in environmental epidemiology, exposure science, climate change, ergonomics, home and industrial hygiene, and molecular epidemiology. Exploring each of these …


Future Directions In Personality, Occupational And Medical Selection: Myths, Misunderstandings, Measurement, And Suggestions, Eamonn Ferguson, Filip Lievens May 2017

Future Directions In Personality, Occupational And Medical Selection: Myths, Misunderstandings, Measurement, And Suggestions, Eamonn Ferguson, Filip Lievens

Research Collection Lee Kong Chian School Of Business

This paper has two objectives: (1) presenting recent advances in personality theory whereby personality traits are conceptualized within a framework that focuses on the dynamic interactions of behaviour, biology, context, and states, and (2) discussing the implications of these developments for measurement and medical selection. We start by presenting evidence that traits are no longer regarded as stable deterministic predictors of behaviour. Instead, traits are found to change across generations, the life span, and in response to environmental contingencies. Thus, there is an urgent need to explore how traits change as function of medical education. Second, drawing on recent theory …


¿Querías Salir Embarazada?: La Cultura Y La Salud De Las Embarazadas En Puerto Bello / Did You Want To Get Pregnant?: The Culture And Health Of Pregnant Women In Puerto Bello, Jessie Malone Friedman Apr 2017

¿Querías Salir Embarazada?: La Cultura Y La Salud De Las Embarazadas En Puerto Bello / Did You Want To Get Pregnant?: The Culture And Health Of Pregnant Women In Puerto Bello, Jessie Malone Friedman

Independent Study Project (ISP) Collection

Las mujeres embarazadas ya son, según la perspectiva del médico, pacientes en riesgo. Hay diferentes niveles de riesgo: con algunas clasificadas “en bajo riesgo obstétrico, algunas en alto riesgo obstétrico; incluso, bajo riesgo obstétrico evoluciona a alto riesgo obstétrico.” Por eso, ambos a nivel del médico de alguna embarazada y a nivel nacional de la salud pública, las embarazadas son un enfoque especial de la atención médica, en cualquier caso. En Nicaragua, hay muchas mujeres embarazadas y aún más mujeres que podrían salir embarazadas en cualquier momento. En 2005, las mujeres con capacidad fértil representaron el 41.5% de la población …


Defensive Investments And The Demand For Air Quality: Evidence From The Nox Budget Program, Olivier Deschenes, Michael Greenstone, Joseph S. Shapiro Apr 2017

Defensive Investments And The Demand For Air Quality: Evidence From The Nox Budget Program, Olivier Deschenes, Michael Greenstone, Joseph S. Shapiro

Cowles Foundation Discussion Papers

The demand for air quality depends on health impacts and defensive investments, but little research assesses the empirical importance of defenses. A rich quasi-experiment suggests that the Nitrogen Oxides (NOx) Budget Program (NBP), a cap-and-trade market, decreased NOx emissions, ambient ozone concentrations, pharmaceutical expenditures, and mortality rates. The annual reductions in pharmaceutical purchases, a key defensive investment, and mortality are valued at about $800 million and $1.1 billion, respectively, suggesting that defenses are over one-third of willingness-to-pay for reductions in NOx emissions. Further, estimates indicate that the NBP’s benefits easily exceed its costs and that NOx reductions have substantial benefits.


Attachment As Affirmation To Inhibit Health Risk Information Avoidance, Elizabeth C. Mccrary Apr 2017

Attachment As Affirmation To Inhibit Health Risk Information Avoidance, Elizabeth C. Mccrary

Masters Theses & Specialist Projects

Previous research on information avoidance has revealed that people choose to avoid negative health information, but that this effect is interrupted by self-affirmation (Howell & Shepperd, 2013). The current study aimed to contribute to the field’s understanding of the conditions under which self-affirmation reduces information avoidance by using a unique affirmation: secure attachment figures. I hypothesized that activating a secure attachment would serve as the affirmation necessary for participants to choose to view their risk information for a fictitious enzyme deficiency. However, when given a choice, participants in both the experimental and control conditions chose to view this information. At …


No. 07: Household Food Security And Access To Medical Care In Maputo, Mozambique, Cameron Mccordic Mar 2017

No. 07: Household Food Security And Access To Medical Care In Maputo, Mozambique, Cameron Mccordic

Hungry Cities Partnership

The relationship between household access to medical care and food security is a potentially circuitous and challenging relationship to model. This discussion paper uses multiple modelling techniques to determine the quality of the relationships between these variables using household survey data collected by the Hungry Cities Partnership in 2014 in Maputo, Mozambique. The results of the investigation are framed according to the Sustainable Livelihood Framework and indicate a predictive relationship between household food security status and consistent household medical care access among the sampled households. The results also identify potential conditional independence in the relationship between other demographic variables and …


The Impact Of A Civic Service Program On Biopsychosocial Outcomes Of Post 9/11 U.S. Military Veterans, Monica M. Matthieu, Karen A. Lawrence, Emma Robertson-Blackmore Feb 2017

The Impact Of A Civic Service Program On Biopsychosocial Outcomes Of Post 9/11 U.S. Military Veterans, Monica M. Matthieu, Karen A. Lawrence, Emma Robertson-Blackmore

Social Work Faculty Publications

Volunteering as a health promotion intervention, improves physical health, mental health, and social outcomes particularly in older adults, yet limited research exists for veterans. We conducted a preliminary study to explore whether volunteering impacts a variety of biopsychosocial outcomes, including symptoms of post-traumatic stress disorder (PTSD) and depression, among returning military veterans from Iraq and Afghanistan. A survey enrolling a prospective cohort of United States (U.S.) veterans who served in the military after 11 September 2001 and who participated in a national civic service program was conducted. A total of 346 veterans completed standardized health, mental health, and psychosocial self-report …


Using Natural Experiments To Identify The Effects Of Snap On Child And Adult Health, Daniel P. Miller, Taryn W. Morrissey Jan 2017

Using Natural Experiments To Identify The Effects Of Snap On Child And Adult Health, Daniel P. Miller, Taryn W. Morrissey

University of Kentucky Center for Poverty Research Discussion Paper Series

The Supplemental Nutrition Assistance Program (SNAP; formerly known as food stamps) can have important impacts that extend beyond its intended aims to improve food security and nutrition, particularly for health and health care use. This project examined the impact of SNAP receipt and benefit level on the health of adults and children using two natural experiments to address selection bias: 1) state policy variation in SNAP in an instrumental variables (IV) analysis; and, 2) the temporary expansion of SNAP benefits and eligibility provided through the American Recovery and Reinvestment Act (ARRA) in a difference-in-difference (DD) approach. We used restricted data …


Policy Recommendations For Meeting The Grand Challenge To Close The Health Gap, Michael S. Spencer, Karina L. Walters, John D. Clapp Jan 2017

Policy Recommendations For Meeting The Grand Challenge To Close The Health Gap, Michael S. Spencer, Karina L. Walters, John D. Clapp

Center for Social Development Research

This brief was created forSocial Innovation for America’s Renewal, a policy conference organized by the Center for Social Development in collaboration with the American Academy of Social Work & Social Welfare, which is leading theGrand Challenges for Social Work initiative to champion social progress. The conference site includes links to speeches, presentations, and a full list of the policy briefs.


Social Networks, Health & Hispanic Gay Men Living In South Florida, Victor Christian Vila Jan 2017

Social Networks, Health & Hispanic Gay Men Living In South Florida, Victor Christian Vila

FIU Electronic Theses and Dissertations

Aging Hispanic populations are expected to increase in the United States (U.S.) to 21.5 million by 2060 according to the National Council on Aging (NCA) (2014). Although actual estimates vary, Gates (2013) asserts that over one million Hispanics identify as gay or bisexual and their unique needs must be explored (Clover, 2006; Cohn & Taylor, 2010; Fenkl, 2014). Unfortunately, few studies examine aging Hispanic men who identify as gay or bisexual according to the National Hispanic Council on Aging (NHCOA) (2013). The objective of the current study was to extend the limited research on aging gay/bisexual men in the southeastern …


Policy Recommendations For Meeting The Grand Challenge To Ensure Healthy Development For All Youth, J.David Hawkins, Jeffery M. Jenson, Jordan Devylder, Richard F. Catalano, Gilbert J. Botvin, Mark Fraser, Kimberly A. Bender, Valerie A. Shapiro, Brian Bumbarger Jan 2017

Policy Recommendations For Meeting The Grand Challenge To Ensure Healthy Development For All Youth, J.David Hawkins, Jeffery M. Jenson, Jordan Devylder, Richard F. Catalano, Gilbert J. Botvin, Mark Fraser, Kimberly A. Bender, Valerie A. Shapiro, Brian Bumbarger

Center for Social Development Research

This brief was created forSocial Innovation for America’s Renewal, a policy conference organized by the Center for Social Development in collaboration with the American Academy of Social Work & Social Welfare, which is leading theGrand Challenges for Social Work initiative to champion social progress. The conference site includes links to speeches, presentations, and a full list of the policy briefs.


Transgender Noninclusive Healthcare And Delaying Care Because Of Fear: Connections To General Health And Mental Health Among Transgender Adults, Kristie L. Seelman, Matthew J.P. Colón-Diaz, Rebecca H. Lecroix, Marik Xavier-Brier, Leonardo Kattari Jan 2017

Transgender Noninclusive Healthcare And Delaying Care Because Of Fear: Connections To General Health And Mental Health Among Transgender Adults, Kristie L. Seelman, Matthew J.P. Colón-Diaz, Rebecca H. Lecroix, Marik Xavier-Brier, Leonardo Kattari

SW Publications

Purpose: There are many barriers to reliable healthcare for transgender people that often contribute to delaying or avoiding needed medical care. Yet, few studies have examined whether noninclusive healthcare and delaying needed medical care because of fear of discrimination are associated with poorer health among transgender adults. This study aims to address these gaps in the knowledge base.

Methods: This study analyzed secondary data from a statewide survey of 417 transgender adults in the Rocky Mountain region of the United States. Independent variables included noninclusive healthcare from a primary care provider (PCP) and delay of needed medical care because of …


Coping Strategies Used By Lgb Older Adults In Facing And Anticipating Health Challenges: A Narrative Analysis, Kristie L. Seelman, Terri Lewinson, Lily Engleman, Olivia Maley, Alex Allen Jan 2017

Coping Strategies Used By Lgb Older Adults In Facing And Anticipating Health Challenges: A Narrative Analysis, Kristie L. Seelman, Terri Lewinson, Lily Engleman, Olivia Maley, Alex Allen

SW Publications

Given that lesbian, gay, and bisexual (LGB) older adults face notable health disparities compared to their heterosexual counterparts, there is a need for understanding how LGB adults cope with health challenges in late life. The current study analyzes narratives from nine LGB adults age 65 and older living in an urban area in the Southeast U.S. Participants spoke of coping strategies related to health promotion behaviors, shifting perspectives of health and body, trusting in spirituality for comfort, and accepting the end of life. We discuss implications for social services professionals who work with older LGB adults and for future research.


The Effect Of Health Care Entrepreneurship On Local Health: The Case Of Medexpress In Appalachia, Amir B. Neto, Joshua C. Hall Jan 2017

The Effect Of Health Care Entrepreneurship On Local Health: The Case Of Medexpress In Appalachia, Amir B. Neto, Joshua C. Hall

Economics Faculty Working Papers Series

We test the hypothesis that the opening of an Urgent Care Center (UCC) has positive impacts on the local community. There are several mechanisms through which a UCC can have an impact: lower health care costs, emergency room decongestion, and improved access to medical information. We examine the entry of MedExpress into Appalachian counties between 2001 and 2013. Employing data from Health Resources Files, which provides information for all counties for specific years, we use Propensity Score Matching to create a year 2000 control group for the counties “treated” by MedExpress entry beginning in 2001. We then employ a standard …


Detroit Food Metrics Report 2017, Alex B. Hill, Amy Kuras Jan 2017

Detroit Food Metrics Report 2017, Alex B. Hill, Amy Kuras

Urban Studies and Planning Faculty Research Publications

This report provides a snapshot of data and information on Detroit’s food system as well as trends over time. The report includes a broad range of programs and initiatives that local organizations, the Detroit Food Policy Council, and the City of Detroit are undertaking to address food insecurity, increase healthy food access and awareness, and support a more sustainable and just food system.


Health And Recreation Perceptions Of Adults With Developmental Disabilities, Brooke N. Burk, Iryna Sharaievska Jan 2017

Health And Recreation Perceptions Of Adults With Developmental Disabilities, Brooke N. Burk, Iryna Sharaievska

Publications

Because of the high rates of obesity among people with developmental disabilities (DD) and our limited knowledge about their perceptions of what it means to live a healthy lifestyle, it is imperative that we conduct research to expand our understanding of their attitudes towards and engagement in active recreation and healthy eating practices. Therefore, the objectives of this study were to explore (a) adults’ with DD attitudes toward healthy eating and active recreation; (b) adults’ with DD intentions and interests for active recreation; and (c) barriers to active recreation and healthy eating. Eighteen adults with DD (16 of whom were …


Nepal : Healthcare And Sanitation Issues Resulting From Frequent Natural Disasters In Nepal, Jake Lauderdale Jan 2017

Nepal : Healthcare And Sanitation Issues Resulting From Frequent Natural Disasters In Nepal, Jake Lauderdale

Global Public Health

This Public Health Brief calls to attention the issues plaguing Nepal as a result of both frequent natural disasters and poor healthcare infrastructure. The geographic characteristics of Nepal are shown to be a major factor in the damage and aftermath of natural disasters such as earthquakes. Due to its status as a poor and economically weakened country, Nepal must rely heavily on outside aid in order to alleviate the pressure of frequently occurring natural disasters. Despite work being done by several Non-Governmental Organizations, Nepal has a long way to go before they are able to independently manage the outcomes of …


Liberia : Maternal Health & Ebola, Chelsey Hernandez Jan 2017

Liberia : Maternal Health & Ebola, Chelsey Hernandez

Global Public Health

Throughout the world, many low-income countries suffer from poor nutrition, lack of health resources, and little to no access to other valuable resources. Previous research has demonstrated the poor state of health in Liberia as a result of these various socioeconomic factors. Although Liberia faces many public health issues, the 2014 Ebola epidemic reversed whatever progress was made. Maternal and child health in particular has severely decreased, especially in recent years. This brief focuses on the impact of the 2014 Ebola epidemic had on maternal health.


Past, Present, And Future: Analyzing The Relationship Between Indian Women And Cultural Traditions, Jacqueline Kwasigroch Jan 2017

Past, Present, And Future: Analyzing The Relationship Between Indian Women And Cultural Traditions, Jacqueline Kwasigroch

Political Science: Student Scholarship & Creative Works

No abstract provided.


Whole Grain Intake Of Australians Estimated From A Cross-Sectional Analysis Of Dietary Intake Data From The 2011-13 Australian Health Survey, Leanne M. Galea, Eleanor J. Beck, Yasmine Probst, Chris Cashman Jan 2017

Whole Grain Intake Of Australians Estimated From A Cross-Sectional Analysis Of Dietary Intake Data From The 2011-13 Australian Health Survey, Leanne M. Galea, Eleanor J. Beck, Yasmine Probst, Chris Cashman

Faculty of Science, Medicine and Health - Papers: part A

Objective: The Australian Dietary Guidelines recommend Australians choose mostly whole-grain and/or high-fibre varieties within the grains (cereal) foods category, with other groups specifying a whole grain Daily Target Intake of 48 g for Australians aged 9 years or above. The USA and UK report estimates of whole grain intake that are low and declining, and no comprehensive studies on whole grain intake in the Australian population are available. The present study aimed to determine national estimates of whole grain intake, compared with current recommendations. Design: A recently updated whole grain database was applied to the most current population dietary intake …


A Multidisciplinary Learning Experience Contributing To Mental Health Rehabilitation, Lorna Moxham, Christopher F. Patterson, Ellie K. Taylor, Dana J. Perlman, Susan Sumskis, Renee M. Brighton Jan 2017

A Multidisciplinary Learning Experience Contributing To Mental Health Rehabilitation, Lorna Moxham, Christopher F. Patterson, Ellie K. Taylor, Dana J. Perlman, Susan Sumskis, Renee M. Brighton

Faculty of Science, Medicine and Health - Papers: part A

Purpose People who access health services often have a range of needs that require the involvement of members from a multidisciplinary team. Teaching future health professionals about the importance of a multidisciplinary approach can be challenging. The aim of this paper is to describe a project called Recovery Camp that enhanced multidisciplinary health education through experiential and immersive engagement with people experiencing mental illness.

Method Future health professionals and people with a lived experience of mental illness took part in Recovery Camp - an innovative five-day therapeutic recreation initiative in the Australian bush. Results are presented in a case study …


Personality Disorder: A Mental Health Priority Area, Brin F. S Grenyer, Fiona Y. Ng, Michelle L. Townsend, Sathya Rao Jan 2017

Personality Disorder: A Mental Health Priority Area, Brin F. S Grenyer, Fiona Y. Ng, Michelle L. Townsend, Sathya Rao

Faculty of Social Sciences - Papers (Archive)

Personality disorders have received limited recognition as a public health priority, despite the publication of treatment guidelines and reviews showing effective treatments are available. Inclusive approaches to understanding and servicing personality disorder are required that integrate different service providers. This viewpoint paper identifies pertinent issues surrounding early intervention, treatment needs, consumer and carer experiences, and the need for accurate and representative data collection in personality disorder as starting points in mental health care reform.


Impact Of A Type 2 Diabetes Diagnosis On Mental Health, Quality Of Life, And Social Contacts: A Longitudinal Study, Xiaoqi Feng, Thomas E. Astell-Burt Jan 2017

Impact Of A Type 2 Diabetes Diagnosis On Mental Health, Quality Of Life, And Social Contacts: A Longitudinal Study, Xiaoqi Feng, Thomas E. Astell-Burt

Faculty of Social Sciences - Papers (Archive)

Aims The aim was to examine whether a type 2 diabetes mellitus (T2DM) diagnosis increases the odds of psychological distress, a worsening in overall quality of life, and a potential reduction in social contacts.

Method Longitudinal data were obtained from the 45 and Up Study (baseline 2006–2008; 3.4±0.95 years follow-up time). Fixed effects logistic and negative binomial regression models were fitted on a complete case on outcome sample that did not report T2DM at baseline (N=26 344), adjusted for time-varying confounders. The key exposure was doctor-diagnosed T2DM at follow-up. Outcome variables examined included the Kessler Psychological Distress Scale, self-rated quality …


Mental Health Workers' Values And Thier Congruency With Recovery Principles, Bianca Glajz, Frank P. Deane, Virginia Williams Jan 2017

Mental Health Workers' Values And Thier Congruency With Recovery Principles, Bianca Glajz, Frank P. Deane, Virginia Williams

Faculty of Social Sciences - Papers (Archive)

Recovery in mental health emphasises the empowerment of clients to discover and develop hope and a more satisfying life often in presence of ongoing symptoms of mental health.


Knowledge And Attitudes To Sexual Health And Sti Testing For Students At An Australian Regional University: A Cross-Sectional Study, Catherine L. Mac Phail, Tinashe Dune, Gina Dillon, Saifur Rahman, Rasheda Khanam, Laura Jenkins, Marnie Britton, Bernie Green, Christine Edwards, Annette Stevenson Jan 2017

Knowledge And Attitudes To Sexual Health And Sti Testing For Students At An Australian Regional University: A Cross-Sectional Study, Catherine L. Mac Phail, Tinashe Dune, Gina Dillon, Saifur Rahman, Rasheda Khanam, Laura Jenkins, Marnie Britton, Bernie Green, Christine Edwards, Annette Stevenson

Faculty of Social Sciences - Papers (Archive)

Notifications for sexually transmitted diseases in young people in Australia are increasing. Young people are a priority population within the National Sexually Transmissible Infections Strategy, yet their knowledge of sexual health issues is limited. In the context of Health-Promoting Universities, we examined sexual health knowledge and access to care of both on and off-campus students at a regional university. In late 2012, 418 tertiary students aged 18-29 years completed an online baseline survey on their recent sexual behaviours and attitudes. In mid-2014, 956 students aged 18-31 years, of which 105 had completed the 2012 survey, completed the same or "endline" …


The Delaying Effect Of Stigma On Mental Health Help-Seeking In Sri Lanka, Sunera M. Fernando, Frank P. Deane, Hamish J. Mcleod Jan 2017

The Delaying Effect Of Stigma On Mental Health Help-Seeking In Sri Lanka, Sunera M. Fernando, Frank P. Deane, Hamish J. Mcleod

Faculty of Social Sciences - Papers (Archive)

Background: Mental health stigma has been associated with delays in seeking treatment. Aims: To describe perceived stigma experienced by patients and carers in Sri Lanka and to determine the effects of stigma on help-seeking delay. Methods: Survey of outpatients and family carers (n = 118 dyads) attending two psychiatric hospitals in Sri Lanka, using the Disclosure and Discrimination subscales of the Stigma Scale. Results: Stigma was positively related to help-seeking delay for carers but not patients. Public stigma experienced by carers accounted for 23% of the variance in help-seeking delay. Conclusion: Reducing stigma may reduce help-seeking delays during the course …


Editorial: Modelling And Simulation In Health Care Systems, Nagesh Shukla, Pascal Perez, Manoj K. Tiwari, Darek Ceglarek, Joana M. Dias Jan 2017

Editorial: Modelling And Simulation In Health Care Systems, Nagesh Shukla, Pascal Perez, Manoj K. Tiwari, Darek Ceglarek, Joana M. Dias

Faculty of Engineering and Information Sciences - Papers: Part A

Increasingly, changes in population demography, technological and medical advancements, and others, have affected the paradigm of health and social care systems worldwide. These changes have direct effect on organisation and working of health care systems whether they are hospitals, general practitioners or long-term care. An efficient and effective health care system is crucial for high quality of the life in the society. In recent times, major challenges faced by health care systems are accurate diagnosis, operational issues (such as bottlenecks, low throughput, low resource utilisation), hospital redesign, workforce planning and scheduling, streamlining of patient flow, performance management, disease monitoring, and …


Design And Implementation Of A Novel Web-Based E-Learning Tool For Education Of Health Professionals On The Antibiotic Vancomycin, Stuart Bond, Shelley P. Crowther, Suman Adhikari, Ping Yu, Jay P. Bochard, Craig S. Boutlis, Wilfred W. Yeo, Spiros Miyakis Jan 2017

Design And Implementation Of A Novel Web-Based E-Learning Tool For Education Of Health Professionals On The Antibiotic Vancomycin, Stuart Bond, Shelley P. Crowther, Suman Adhikari, Ping Yu, Jay P. Bochard, Craig S. Boutlis, Wilfred W. Yeo, Spiros Miyakis

Faculty of Engineering and Information Sciences - Papers: Part B

No abstract provided.


A General Framework For Secure Sharing Of Personal Health Records In Cloud System, Man Ho Au, Tsz Hon Yuen, Joseph K. Liu, Willy Susilo, Xinyi Huang, Zoe L. Jiang Jan 2017

A General Framework For Secure Sharing Of Personal Health Records In Cloud System, Man Ho Au, Tsz Hon Yuen, Joseph K. Liu, Willy Susilo, Xinyi Huang, Zoe L. Jiang

Faculty of Engineering and Information Sciences - Papers: Part B

Personal Health Record (PHR) has been developed as a promising solution that allows patient-doctors interactions in a very effective way. Cloud technology has been seen as the prominent candidate to store the sensitive medical record in PHR, but to date, the security protection provided is yet inadequate without impacting the practicality of the system. In this paper, we provide an affirmative answer to this problem by proposing a general framework for secure sharing of PHRs. Our system enables patients to securely store and share their PHR in the cloud server (for example, to their carers), and furthermore the treating doctors …