scholarly journals Place, health and dis/advantage: A sociomaterial analysis

Author(s):  
Nick J. Fox ◽  
Katie Powell

The substantial literature on interactions between places/spaces and well-being/health often differentiate between physical and social aspects of geographical location. This paper sidesteps this dualism, instead considering places as sociomaterial assemblages of human and non-human materialities. It uses this posthuman and ‘new materialist’ perspective to explore how place-assemblages affect human capacities, in terms of both health and social dis/advantage. Based on secondary analysis of interview data on human/place interactions, it analyses the physical, sociocultural, psychological and emotional effects of place-assemblages, assessing how these produce opportunities for, and constraints upon human bodies. It than assesses how these emergent capacities affect both social dis/advantage and well-being. This analysis of how place-assemblages contribute positively or negatively to health and dis/advantage offers possibilities for further research and for social and public health policy.

2017 ◽  
Vol 20 (16) ◽  
pp. 3019-3028 ◽  
Author(s):  
Catherine Helson ◽  
Ruth Walker ◽  
Claire Palermo ◽  
Kim Rounsefell ◽  
Yudit Aron ◽  
...  

AbstractObjectiveThe present study aimed to explore how Australian local governments prioritise the health and well-being of Aboriginal populations and the extent to which nutrition is addressed by local government health policy.DesignIn the state of Victoria, Australia, all seventy-nine local governments’ public health policy documents were retrieved. Inclusion of Aboriginal health and nutrition in policy documents was analysed using quantitative content analysis. Representation of Aboriginal nutrition ‘problems’ and ‘solutions’ was examined using qualitative framing analysis. The socio-ecological framework was used to classify the types of Aboriginal nutrition issues and strategies within policy documents.SettingVictoria, Australia.SubjectsLocal governments’ public health policy documents (n79).ResultsA small proportion (14 %,n11) of local governments addressed Aboriginal health and well-being in terms of nutrition. Where strategies aimed at nutrition existed, they mostly focused on individual factors rather than the broader macroenvironment.ConclusionsA limited number of Victorian local governments address nutrition as a health issue for their Aboriginal populations in policy documents. Nutrition needs to be addressed as a community and social responsibility rather than merely an individual ‘behaviour’. Partnerships are required to ensure Aboriginal people lead government policy development.


2009 ◽  
Vol 42 (2) ◽  
pp. 217-232 ◽  
Author(s):  
Marianna Fotaki

The transition ‘from planned to market economy’ in the former Soviet Union and in several countries in post-communist Europe is one of the most sweeping social transformations of the second half of the 20th century. It is widely accepted that this transformation was driven by a shared belief in the market’s superior ability to deliver economic growth, to create wealth and contribute to the well-being of the populations after the demise of the defunct socialist ideology. However, the element of utopian fantasy undergirding the grand projects of socialism and the market is usually ignored, often with detrimental results. The study draws on Freudian and Lacanian psychoanalysis to propose an alternative reading of the process of transition, as an exchange of one powerful fantasy for another. My key contention is that as long as the common utopian dream of social harmony underlying both projects will not be recognised for what it is, which is in itself an unattainable desire of the human psyche, the illusory dreamlands will continue to exist and so will their violent political consequences. The study uses the example of public health policy development in the Soviet Union and post-Soviet Russia to illustrate how unacknowledged fantasy leads to violent utilitarianism as it was manifested in socialism, and is now repeated differently but no less tyrannically in the market. In conclusion, I argue for integrating fantasy as a constitutive element of political projects and explore the possibility of the autonomous (self-determined) mode of governance that Cornelius Castoriadis (1987/2005) theorised on and juxtaposed to the heteronomous ways of organising ruled by master signifiers present in various ideologies.


2019 ◽  
Vol 42 (4) ◽  
pp. e477-e481
Author(s):  
Una P Canning

ABSTRACT Background This work explores the concept of morality as self-governing autonomy that has its origins in Immanuel Kant’s ethics. It investigates how a mistaken view of Kant’s ethics underpins a strand of debate in public health policy that is used to justify individual responsibility for health and well-being. Method Literature review. Results Applying a mistaken view of Kant’s ethics to current day public health problems is inappropriate. The work discusses the social determinants of health and the call by some in the field to adopt a Kantian approach to tackle the problems of poor health resulting from lifestyle choices. Conclusion The paper ends by arguing for a public health policy that is grounded in collaboration and for the adoption of Health in All Policies (HiAP).


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  

Abstract Many of today's most pressing public health challenges have a strong behavioural component. Behavioural, psychosocial, and environmental factors play a major role in the development and progression of chronic diseases. Eliminating those risks would make it possible to prevent at least 80% of cardiovascular diseases, 75% of diabetes, and 40% of cancers. Behavioural insights provide an empirically informed perspective on how individuals make decisions, including the important recognition that even subtle changes in the environment can have meaningful impacts on behaviour. This workshop will provide examples from the literature and recent government initiatives that incorporate concepts from behavioural sciences in order to improve health, decision-making, and government efficiency. The examples highlight the potential for behavioural sciences to improve the effectiveness of public health policy at low cost. Although incorporating insights from behavioural sciences into public health policy has the potential to improve population health, its integration into government public health programs and policies requires careful design and continual evaluation of such interventions. Limitations and drawbacks of the approach will be discussed. The aim of this workshop is to broaden our understanding of measures that have originated from behavioural sciences and have a lot to offer to public health. This workshop also seeks to contribute to capacity building in knowledge translation and evidence-informed decision-making in public health. The workshop will consist of five presentations providing an overview of topical issues in the field of behaviour change and knowledge translation, followed by an interactive audience discussion. The first presentations will provide insights into current behaviour change theories. The second presentation will discuss the possibilities of using behaviour change principles in the development and adoption of health policies showcasing the recently adopted Canadian Association of Cardiovascular Prevention and Rehabilitation Guide and the Food Guide. The third presentation will highlight the challenges in tackling physician's ability to effectively conduct behaviour change counselling with their patients in the context of chronic disease prevention. The fourth presentation will introduce the free academic meta-search engine - Motrial, which has a great potential in evaluating the randomized controlled trials and fuelling meta-analyses and systematic reviews in return of better quality. The fifth presentation will introduce a novel WHO/Europe guide on brief interventions for NCDs risk factors. Further to the reflection on the current knowledge base, an audience discussion will give attendees the opportunity to share their opinions regarding challenges and opportunities in behaviour change and knowledge translation to improve people's health and well-being. Key messages The application of behavioural insights into public health has its opportunities and challenges. Because behavioural insights is a very promising, yet a relatively new field, the research literature remains thin, and policy can sometimes get ahead of science.


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

2005 ◽  
Author(s):  
Leslie A. Crimin ◽  
Carol T. Miller

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