Responsibility in Health and Risk Messaging

Author(s):  
Amber K. Worthington

Health risk messages may appeal to the responsibility of individuals or members of interdependent dyads for their own or others’ health using many different message strategies. Health messages may also emphasize society’s responsibility for population health outcomes in order to raise support for health policy changes, and these, too, take many different forms. Message designers are inherently interested in whether these appeals to personal, interdependent, and societal responsibility are persuasive. The central question of interest is therefore whether perceptions of responsibility that result from these messages lead to the desired message outcomes. A growing body of empirical research does suggest that there is a direct persuasive effect of perceptions of personal responsibility and interdependent responsibility on health intentions or behaviors, as well as indirect persuasive effects of responsibility on intentions or behaviors via anticipated emotions, specifically regret, guilt, and pride. Research also suggests that perceptions of societal responsibility increase support for public health policy (i.e., the desired message outcome in societal responsibility messages). Important to this area of research is a conceptual definition of responsibility that lends itself toward identifying specific message features that elicit perceptions of responsibility. Specifically, attributions of causation and solution, obligation, and agency are identified as effect-independent message features of responsibility.

Author(s):  
Deborah Lupton

This chapter explores the use of digital health technologies in health promotion endeavors. This “digitized health promotion” is the latest stage in the trajectory of health promotion ideology and practice over the past four decades in wealthy Anglophone nations. Lupton argues that over this period the individualistic approach to good health commonly espoused in medicine and public health was challenged by advocates arguing for a greater focus on social justice and social epidemiology. The individualistic approach to health promotion never disappeared, however, and has gathered momentum in the current economic, political, and technological climate. While many health promotion workers still champion the ideals of “health for all,” public health policy in the context of digitized health promotion has begun to return to emphasizing personal responsibility for health.


2021 ◽  
pp. 1-22
Author(s):  
James Wilson

This chapter introduces the book’s main themes. It explains why public health policy matters, and why public policy requires ethical and philosophical reflection. It introduces debates around the definition of disease and illness, and debates about the definition of public health. It examines why public health was initially largely excluded from the purview of medical ethics and bioethics in the 1960s and following decades, and some of the drivers behind the rise of ethical reflection on public health since 2000. It also briefly introduces the structure of the rest of the book.


Author(s):  
Paul Cairney ◽  
Emily St Denny

Health policy is the traditional home of prevention policies. Public health is at the heart of policies designed to improve population health, and perhaps reduce health inequalities, often through changes in behaviour at an early age. Public health policy tends to be a hub for advocates of EBPM. In theory, healthcare and public health are symbiotic, particularly if early public health interventions reduce demand for acute healthcare. However, in practice, public health is an exemplar of the wide gap between expectations for ‘evidence-based’ prevention policy and actual outcomes. To demonstrate, first, we apply our theoretical approach, outlined in Chapters 1 to 3, to present a broad examination of health policy and the role of prevention within it, considering what a window of opportunity for prevention policy within a complex system means in relation to health and public health policy. Second, we show that the UK and Scottish governments have described different policy styles, but faced and addressed the ambiguity and complexity of preventive health policy in similar ways. Third, our comparison of broad prevention versus specific tobacco policies shows why substantive policy change is more apparent in the latter: there is a clearer definition of the policy problem, a more supportive environment for meaningful policy change, and more windows of opportunity for specific policy changes. These three conditions are not yet fulfilled in the broader prevention agenda.


2021 ◽  
pp. 161-183
Author(s):  
James Wilson

Public health policy requires decisions about how to distribute the burdens and benefits of reducing health-related risks. This chapter argues that responsibility should be assigned on the basis of the values that the health system is aiming to promote or respect, rather than by treating personal responsibility as an extrinsic ethical requirement on health system design. A health system’s answer to the question of whom to hold accountable, and how to do so, should be framed within the context of the right to public health. Where claims of irresponsibility are levelled, these should in the first instance be directed towards those who violate the right to public health, either through government or corporate agency, rather than at isolated individuals.


2021 ◽  
Vol 21 (2) ◽  
pp. 365-376
Author(s):  
I. V. Trotsuk

One of the fundamental challenges for sociology is the interpretation of its key terms, which is determined by the fact that many words of everyday language and scientific discourse are the same despite implying a much higher level of generalization as sociological categories. Certainly, such challenges are more typical for the empirical research - when sociologists turn their theoretical concepts into sets of empirical indicators which have to be clear enough for the respondent to understand and answer the questionnaire and for the sociologist to interpret these answers correctly. Nevertheless, the lack of generally recognized conceptual definitions is no less important, because the general picture of social reality is necessarily made of them (the society is described as either fair, consisting of trustworthy institutions that provide opportunities for being happy, or in the opposite statements). The article presents a possible reconstruction of the strategy that sociologists use in the search for conceptual definitions for such complex concepts with varying connotations as love, happiness, trust and justice. This strategy consists of two steps: focus on the macro-sociological dimension of the phenomena under study as determining its various manifestations and everyday interpretations (the key step in the study of love and happiness); and identification of objective and subjective indicators of the phenomenon under study (the key step in the study of trust and justice). For instance, in the study of love and happiness, there is the obvious micro-sociological perspective that implies personal responsibility for being happy and loved, and the hidden macro-sociological perspective that implies social standards for identifying and achieving love and happiness; trust is defined as a source of social order, cooperation, institutional, organizational and everyday interactions, which reduces the level of uncertainty; in the searches for the conceptual definition of justice, there are two main approaches - the first approach considers justice as one of many grounds for developing some theoretical model; the second approach reconstructs justice either as an ideal political-philosophical model of social order or as a means of the comparative analysis of its practical implementations.


2019 ◽  
Author(s):  
Olga Krylova ◽  
David J.D. Earn

AbstractSmallpox is unique among infectious diseases in the degree to which it devasted human populations, its long history of control interventions, and the fact that it has been successfully eradicated. Mortality from smallpox in London, England, was carefully documented, weekly, for nearly 300 years, providing a rare and valuable source for the study of ecology and evolution of infectious disease. We describe and analyze smallpox mortality in London from 1664 to 1930. We digitized the weekly records published in the London Bills of Mortality and the Registrar General’s Weekly Returns. We annotated the resulting time series with a sequence of historical events that appear to have influenced smallpox dynamics in London. We present a spectral analysis that reveals how periodicities in smallpox dynamics changed over decades and centuries, and how these changes were related to control interventions and public health policy changes. We also examine how the seasonality of smallpox epidemics changed from the 17th to 20th centuries in London.


2001 ◽  
Vol 9 (6) ◽  
pp. 507-509 ◽  
Author(s):  
Rob Baggott ◽  
David J Hunter

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