scholarly journals Health in cities: Getting out and about as we age

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
T Ma ◽  
R Ivers ◽  
E de Leeuw ◽  
K Clapham ◽  
C Kobel
Keyword(s):  
Older People ◽  
Policy Making ◽  
Urban System ◽  
Transportation Systems ◽  
Social Contexts ◽  
Urban Systems ◽  
Activity Levels ◽  
The Public ◽  
Housing Developments ◽  
Health Community

Abstract Transportation influences health through its effects on people's access to goods, services, and life chance opportunities; social interactions; physical activity levels; air pollution exposures; and road injury risks. Given the ageing of populations, it is essential that decisions about land use and transportation systems are appropriate to meet the mobility needs of older people and support healthy ageing. Not all transportation options, however, may be accessible to older people. Factors that affect accessibility relate to the spatial and physical characteristics of places, personal and social contexts of individuals, and rules and norms underpinning planning and policy making. This research aimed to understand how different parts and processes of urban systems interact to influence transportation options for older people. Using the Greater Sydney area as a case, we drew on key informant interviews and public policy documents to identify the considerations that inform planning and policy making as they pertain to the nature of cities and the opportunities of older people to get out and about. We compared and integrated these findings with peer-reviewed literature of similar urban growth areas. Our analysis mapped the factors of the human-urban system that are central to enabling transportation mobility for older people, articulated their interrelationships, and identified the actors that influence them. Our results point to the involvement of actors from the public health, community development, transportation, and urban planning sectors at multiple levels of government. Each of these actors operate within their own remit to influence a part of the urban system relevant to older people's transportation, such as the zoning of land, the approval of housing developments, and the location of bus stops. However, these individual actions are constrained by others in the system. We interpret this complexity with a governance lens. Key messages Efforts to promote mobility in old age should move beyond ‘single solutions to single issues’ approaches toward those that reflect the complexity of cities and the ways that people move within them. For sustained realization of desired outcomes, age-friendly initiatives cannot occur in isolation, but rather must take into account the behaviours and dynamics of the urban system.

Navigating the Ethics of Big Data in Public Health

2019 ◽  
pp. 353-367
Author(s):  
Effy Vayena ◽  
Lawrence Madoff
Keyword(s):  
Public Health ◽  
Big Data ◽  
Credit Card ◽  
Health Sector ◽  
Public Health Research ◽  
Ethical Challenges ◽  
The Public ◽  
Health Community ◽  
Digital Disease Detection ◽  
The Public Sphere

“Big data,” which encompasses massive amounts of information from both within the health sector (such as electronic health records) and outside the health sector (social media, search queries, cell phone metadata, credit card expenditures), is increasingly envisioned as a rich source to inform public health research and practice. This chapter examines the enormous range of sources, the highly varied nature of these data, and the differing motivations for their collection, which together challenge the public health community in ethically mining and exploiting big data. Ethical challenges revolve around the blurring of three previously clearer boundaries: between personal health data and nonhealth data; between the private and the public sphere in the online world; and, finally, between the powers and responsibilities of state and nonstate actors in relation to big data. Considerations include the implications for privacy, control and sharing of data, fair distribution of benefits and burdens, civic empowerment, accountability, and digital disease detection.

The SORS Decision-Making Support System: A statistical tool for better policy making in the Republic of Serbia

2021 ◽  
pp. 1-11
Author(s):  
Miladin Kovačević ◽  
Katarina Stančić
Keyword(s):  
Policy Making ◽  
Modern Society ◽  
Monitoring And Evaluation ◽  
Public Debate ◽  
Statistical Tool ◽  
The Public ◽  
System A ◽  
The Republic ◽  
Trusted Data

Modern society is witnessing a data revolution which necessarily entails changes to the overall behavior of citizens, governments and companies. This is a big challenge and an opportunity for National Statistics Offices (NSOs). Especially after the outbreak of COVID-19, when the public debate about the number of mortalities and tested and infected persons escalated, trusted data is required more than ever. Which data can modern society trust? Are modern societies being subjected to opinion rather than fact? This paper introduces a new statistical tool to facilitate policy-making based on trusted statistics. Using economic indicators to illustrate implementation, the new statistical tool is shown to be a flexible instrument for analysis, monitoring and evaluation of the economic situation in the Republic of Serbia. By taking a role in public policy management, the tool can be used to transform the NSO’s role in the statistical system into an active participant in public debate in contrast to the previous traditional, usually passive role of collecting, processing and publishing data. The tool supports the integration of statistics into public policies and connects the knowledge and expertise of official statisticians on one side with political decision makers on the other.

scholarly journals Sustainable public health partnerships: Results from 41 European, Asian and American regions

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Ese ◽  
C Ihlebak
Keyword(s):  
Public Health ◽  
Public Sector ◽  
Social Contexts ◽  
Research Literature ◽  
Person Fit ◽  
Time Data ◽  
Incentive Schemes ◽  
The Public ◽  
Health Partnerships ◽  
Group Interviews

Abstract Background Public health problems often constitute so called “wicked problems”, and the importance of involving multiple stakeholders in order to address such problems is acknowledged, for instance through the SDG17 guidelines. Partnerships between academia and the public sector have been deemed especially promising. However, sustainable partnerships might be difficult due to divergent understandings and interests. Although there is a substantial research literature on academic-public partnerships in general, partnerships addressing public health specifically are less investigated. The aim of the project was therefore to identify enablers for sustainable public health partnerships between academia and the public sector. Methods A mixed methods design was used. A survey regarding partnerships was sent to 41 European, Asian and American regions, with a response rate of 72 %. Based on survey data, an interview guide was developed and four best cases (Canada, Bulgaria, the Netherlands and Norway) were identified. Site visits and group interviews with representatives from stakeholders of the partnerships were conducted. Interview data and answers to open ended questions from questionnaires were analysed. Results Three main findings became apparent through the analysis. Important enablers were: 1) person-to-person fit between individuals, 2) national incentive schemes for collaboration, and 3) formal partnership agreements that provided a framework that allowed for manoeuvring. The enablers identified are on a macro, miso and micro level. Furthermore, they can be categorised as political, organisational, and social. Conclusions The data support the notion that partnerships are complex social structures that need to be initiated and managed on different levels and with different measures. At the same time, data demonstrate that across different geographical, political, and social contexts the same enablers are reappearing as important for sustaining public health partnerships. Key messages Similar enablers for sustaining public health partnerships are found across geographical, political, and social contexts. Important enablers for partnerships are person-to-person fit, national incentive schemes, and formal agreements.

An Ounce of Prevention: Identifying Cues to (In)Action for Maternal Vaccine Refusal

2018 ◽  
Vol 28 (14) ◽  
pp. 2183-2194 ◽  
Author(s):  
Melissa L. Carrion
Keyword(s):  
Health Care Professionals ◽  
Health Belief ◽  
The Public ◽  
Decision Context ◽  
Vaccine Refusal ◽  
Health Community ◽  
Childhood Vaccine ◽  
Belief Model ◽  
The Health Belief Model

Recent increases in childhood vaccine exemption rates are a source of concern within the public health community. Drawing from the health belief model and in-depth interviews with 50 mothers ( n = 50) who refused one or more vaccine, the aim of this study was to identify the specific reasons and the broader decision context(s) that underscored participants’ vaccine refusal. Results indicate that the vast majority of participants supported vaccination until a particular cue motivated them to consider otherwise, and qualitative analysis identified three main categories into which these cues fell: perceived adverse reactions, endorsements from health care professionals, and perceived contradiction among expert-endorsed messages. These categories point to the central role of health communication in motivating vaccine refusal. Better understanding these cues can inform vaccine communication scholarship and practice, and also lend theoretical insight into the intertextual nature of controversial health messages and decisions.

scholarly journals DataStorm: Coupled, Continuous Simulations for Complex Urban Environments

2021 ◽  
Vol 2 (3) ◽  
pp. 1-37
Author(s):  
Hans Walter Behrens ◽  
K. Selçuk Candan ◽  
Xilun Chen ◽  
Yash Garg ◽  
Mao-Lin Li ◽  
...  
Keyword(s):  
Parameter Space ◽  
Simulation Analysis ◽  
Urban System ◽  
Decision Criterion ◽  
Urban Environments ◽  
Parallel Execution ◽  
Effective Density ◽  
Urban Systems ◽  
Space Partitioning ◽  
Imperfect Knowledge

Urban systems are characterized by complexity and dynamicity. Data-driven simulations represent a promising approach in understanding and predicting complex dynamic processes in the presence of shifting demands of urban systems. Yet, today’s silo-based, de-coupled simulation engines fail to provide an end-to-end view of the complex urban system, preventing informed decision-making. In this article, we present DataStorm to support integration of existing simulation, analysis and visualization components into integrated workflows. DataStorm provides a flow engine, DataStorm-FE , for coordinating data and decision flows among multiple actors (each representing a model, analytic operation, or a decision criterion) and enables ensemble planning and optimization across cloud resources. DataStorm provides native support for simulation ensemble creation through parameter space sampling to decide which simulations to run, as well as distributed instantiation and parallel execution of simulation instances on cluster resources. Recognizing that simulation ensembles are inherently sparse relative to the potential parameter space, we also present a density-boosting partition-stitch sampling scheme to increase the effective density of the simulation ensemble through a sub-space partitioning scheme, complemented with an efficient stitching mechanism that leverages partial and imperfect knowledge from partial dynamical systems to effectively obtain a global view of the complex urban process being simulated.

Muriel Spark's Early Fiction

2021 ◽  
Author(s):  
James Bailey
Keyword(s):  
Short Stories ◽  
Critical Analysis ◽  
Social Contexts ◽  
Public Image ◽  
Critical Study ◽  
Social Critique ◽  
The Public ◽  
The Social ◽  
Stage Play ◽  
Insight Into

This book presents a detailed critical analysis of a period of significant formal and thematic innovation in Muriel Spark’s literary career. Spanning the mid-1950s to the mid-1970s, it identifies formative instances of literary experimentation in texts including The Comforters, The Driver’s Seat and The Public Image, with an emphasis on metafiction and the influence of the nouveau roman. As the first critical study to draw extensively on Spark’s vast archives of correspondence, manuscripts and research, it provides a unique insight into the social contexts and personal concerns that dictated her fiction. Offering a distinctive reappraisal of Spark’s fiction, the book challenges the rigid critical framework that has long been applied to her writing. In doing so, it interrogates how Spark’s literary innovations work to facilitate moments of subversive satire and gendered social critique. As well as presenting nuanced re-readings major works like The Prime of Miss Jean Brodie, it draws unprecedented attention to lesser-discussed texts such as her only stage play, Doctors of Philosophy, and early short stories.

scholarly journals The Public Domain: Surveillance in Everyday Life

2012 ◽  
Vol 9 (4) ◽  
pp. 378-393 ◽  
Author(s):  
Alice Marwick
Keyword(s):  
Social Media ◽  
Personal Information ◽  
Social Contexts ◽  
Social Boundaries ◽  
Power Relationships ◽  
The Public ◽  
Ethnographic Studies ◽  
Power Differentials ◽  
And Behavior ◽  
Traditional Surveillance

People create profiles on social network sites and Twitter accounts against the background of an audience. This paper argues that closely examining content created by others and looking at one’s own content through other people’s eyes, a common part of social media use, should be framed as social surveillance. While social surveillance is distinguished from traditional surveillance along three axes (power, hierarchy, and reciprocity), its effects and behavior modification is common to traditional surveillance. Drawing on ethnographic studies of United States populations, I look at social surveillance, how it is practiced, and its impact on people who engage in it. I use Foucault’s concept of capillaries of power to demonstrate that social surveillance assumes the power differentials evident in everyday interactions rather than the hierarchical power relationships assumed in much of the surveillance literature. Social media involves a collapse of social contexts and social roles, complicating boundary work but facilitating social surveillance. Individuals strategically reveal, disclose and conceal personal information to create connections with others and tend social boundaries. These processes are normal parts of day-to-day life in communities that are highly connected through social media.

scholarly journals “Ag-Gag” Laws: Evolution, Resurgence, and Public Health Implications

2018 ◽  
Vol 28 (4) ◽  
pp. 664-682 ◽  
Author(s):  
Caitlin A. Ceryes ◽  
Christopher D. Heaney
Keyword(s):  
Occupational Health ◽  
Critical Evaluation ◽  
The United States ◽  
Animal Production ◽  
Public Access ◽  
State Laws ◽  
The Public ◽  
Food Animal ◽  
Health Community ◽  
History Of

The term “ag-gag” refers to state laws that intentionally limit public access to information about agricultural production practices, particularly livestock production. Originally created in the 1990s, these laws have recently experienced a resurgence in state legislatures. We discuss the recent history of ag-gag laws in the United States and question whether such ag-gag laws create a “chilling effect” on reporting and investigation of occupational health, community health, and food safety concerns related to industrial food animal production. We conclude with a discussion of the role of environmental and occupational health professionals to encourage critical evaluation of how ag-gag laws might influence the health, safety, and interests of day-to-day agricultural laborers and the public living proximal to industrial food animal production.

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