scholarly journals They Are Not My Problem: A Content and Framing Analysis of References to the Social Determinants of Health within Canadian News Media, 1993-2014

2016 ◽  
Vol 41 (4) ◽  
Author(s):  
Kelsey Lucyk

As public support is essential for implementing policies that act on the underlying social determinants of health (SDOH), it is important to consider how the public is exposed to this issue. This article explores how the SDOH have been represented in Canadian news media articles from 1993 to 2014. Of the 113 articles that explicitly included SDOH, housing (12.9%), income (10.5%), and poverty (9.3%) were most frequently reported. Over time, the reporting of SDOH increased, with peaks of coverage occurring at different times for different determinants (e.g., housing in 2005, income in 2009). A framing analysis revealed that the SDOH are presented in multiple ways: as an actionable issue and responsibility of government, a moral responsibility, and—problematically—as an issue that only affects disadvantaged groups.L’appui du public est essentiel pour mettre en œuvre des politiques portant sur les déterminants sociaux de la santé (DSS). Il est donc important de tenir compte de la manière dont on informe le public sur cette question. Cet article explore comment des articles parus dans des journaux canadiens ont représenté les DSS de 1993 à 2014. Dans les 113 articles se rapportant explicitement aux DSS, les trois thèmes suivants étaient prédominants : logement (12,9%), revenu (10,5%) et pauvreté (9,3%). Au fil du temps, le nombre d’articles sur les DSS a augmenté, atteignant des sommets à des moments différents pour des thèmes différents (par exemple, logement en 2005, revenu en 2009). Une analyse des cadres a montré que les médias représentent les DSS de manières diverses : en tant que question recevable et responsabilité du gouvernement, en tant que responsabilité morale et—de manière problématique—en tant que problème qui touche seulement les groupes défavorisés.

Evaluation ◽  
2018 ◽  
Vol 25 (2) ◽  
pp. 224-244 ◽  
Author(s):  
Ebenezer Owusu-Addo ◽  
Andre M. N. Renzaho ◽  
Ben J. Smith

Cash transfers are a widely adopted social policy initiative for addressing poverty and vulnerability. Cash transfers’ exponential growth in low- and middle-income countries provides a unique opportunity to advance our understanding of how they work to impact the social determinants of health. This article reports on a realist qualitative approach to developing an initial program theory about the role of cash transfers in tackling the social determinants of health. A set of 12 initial hypotheses regarding how cash transfers might work to address the social determinants of health were developed from the data. Cash transfer key mechanisms of change found in the study included political will and leadership and news media framing at the macro level, collaboration and intersectoral working at the meso level, and household motivation, empowerment, choice making, awareness raising and risk-taking behaviour at the micro level. This study has developed initial hypotheses that can be tested and refined in future studies using a realist approach.


2019 ◽  
Vol 101 (4) ◽  
pp. 357-395 ◽  
Author(s):  
Saty Satya-Murti ◽  
Jennifer Gutierrez

The Los Angeles Plaza Community Center (PCC), an early twentieth-century Los Angeles community center and clinic, published El Mexicano, a quarterly newsletter, from 1913 to 1925. The newsletter’s reports reveal how the PCC combined walk-in medical visits with broader efforts to address the overall wellness of its attendees. Available records, some with occasional clinical details, reveal the general spectrum of illnesses treated over a twelve-year span. Placed in today’s context, the medical care given at this center was simple and minimal. The social support it provided, however, was multifaceted. The center’s caring extended beyond providing medical attention to helping with education, nutrition, employment, transportation, and moral support. Thus, the social determinants of health (SDH), a prominent concern of present-day public health, was a concept already realized and practiced by these early twentieth-century Los Angeles Plaza community leaders. Such practices, although not yet nominally identified as SDH, had their beginnings in the late nineteenth- and early twentieth-century social activism movement aiming to mitigate the social ills and inequities of emerging industrial nations. The PCC was one of the pioneers in this effort. Its concerns and successes in this area were sophisticated enough to be comparable to our current intentions and aspirations.


Author(s):  
Sridhar Venkatapuram

The term health disparities (also called health inequalities) refers to the differences in health outcomes and related events across individuals and social groups. Social determinants of health, meanwhile, refers to certain types of causes of ill health in individuals, including lack of early infant care and stimulation, lack of safe and secure employment, poor housing conditions, discrimination, lack of self-respect, poor personal relationships, low community cohesion, and income inequality. These social determinants stand in contrast to others, such as individual biology, behaviors, and proximate exposures to harmful agents. This chapter presents some of the revolutionary findings of social epidemiology and the science of social determinants of health, and shows how health disparities and social determinants raise profound questions in public health ethics and social/global justice philosophy.


Author(s):  
Kristen A. Berg ◽  
Jarrod E. Dalton ◽  
Douglas D. Gunzler ◽  
Claudia J. Coulton ◽  
Darcy A. Freedman ◽  
...  

2007 ◽  
Vol 84 (S1) ◽  
pp. 164-173 ◽  
Author(s):  
Franςoise Barten ◽  
Diana Mitlin ◽  
Catherine Mulholland ◽  
Ana Hardoy ◽  
Ruth Stern

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