Discourses of social movements about the privatization of Catalan health services

Directory of Open Access Journals (Sweden)

Lutiane de Lara

2015-07-01

Full Text Available In this paper, we discuss the discourses about the health privatization from the analysis of interviews and manifests of three Catalan movements: Centre d’Anàlisis i Programes Sanitaris (Caps, Grup de Defensa de Sanitat Pública (15MBCNSalut and Plataforma Pel Dret a la Salut (PDS. The content analysis has been adopted as methodology. The analysis has evidenced a dichotomy between public and private systems as a duality that structures discourses favoring the public model and the great efforts made by the movements to guarantee that model. This has shaped the movements as a revolutionary force that defends the public system from private threats by assuming that it essentially represents the people’s ideals. The debate between the traditional and the new in social action has been central to the analysis, as well as the problem of coexistence of different models of action.

Changing market values? Tensions of contradicting public management discourses

DEFF Research Database (Denmark)

Plotnikof, Mie

2016-01-01

that the discursive tensions between such value-laden practices indicate a changing marketization associated with collaboration and trust, yet also competition. Research limitations/implications To research it becomes critical to advance theoretical and empirical knowledge on the constitutive effects of such complex......The purpose of this paper is to address studies of New Public Governance (NPG) as a post-New Public Management (NPM) tendency. Although NPG is considered a contrast to NPM and its market incentives, it argues that the practices emerging in tensions of NPM and NPG discourses indicate not a clear......-cut shift away from NPM, but rather changes that combine competition with collaboration and trust. Design/methodology/approach It offers a discourse approach to advance the theorizing and empirical unfolding of the tensions of contradicting, yet co-existing discourses of NPM and NPG and their effects...

Critical Discourse Analysis from Public Policy of Sexual Diversity in Chile

OpenAIRE

Echeverría, Genoveva; Universidad Academia de Humanismo Cristiano; Maturana, José Martín; Universidad Academia de Humanismo Cristiano

2016-01-01

This research analyzes recent public policy measures related to sexual diversity generated in Chile in the last five years. Power positions, versions of sexuality, normativity and gender stereotypes that remain present in this policies are reviewed. From a qualitative perspective, the Critical Discourse Analysis is used to analyze four initiatives generated in the health sector, in the education sector, and in the citizen rights sector. The results show the clear presence of the heteronormati...

Considering virtue: public health and clinical ethics.

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Meagher, Karen M

2011-10-01

As bioethicists increasingly turn their attention to the profession of public health, many candidate frameworks have been proposed, often with an eye toward articulating the values and foundational concepts that distinguish this practice from curative clinical medicine. First, I will argue that while these suggestions for a distinct ethics of public health are promising, they arise from problems within contemporary bioethics that must be taken into account. Without such cognizance of the impetus for public health ethics, we risk developing a set of ethical resources meant exclusively for public health professionals, thereby neglecting implications for curative medical ethics and the practice of bioethics more broadly. Second, I will present reasons for thinking some of the critiques of dominant contemporary bioethics can be met by a virtue ethics approach. I present a virtue ethics response to criticisms that concern (1) increased rigor in bioethics discourse; (2) the ability of normative theory to accommodate context; and (3) explicit attention to the nature of ethical conflict. I conclude that a virtue ethics approach is a viable avenue for further inquiry, one that leads us away from developing ethics of public health in a vacuum and has the potential for overcoming certain pitfalls of contemporary bioethics discourse. © 2011 Blackwell Publishing Ltd.

Blood, Stress, and Fears: Public Discourse about Polycystic Ovary Syndrome as Metamedical Commentary on Globalizing India

DEFF Research Database (Denmark)

Pathak, Gauri Sanjeev

In India, menstrual cycles have always been a matter of concern. Conventionally, a menstruating woman was deemed impure, and her actions could endanger the ritual purity of the household. Menstruation is also important to indigenous Indian frameworks of health, which deem regularity in bodily...... to degeneration in the physical, social, and political environments. Thus, afflicted bodies come to represent issues in sociocultural and political–economic dimensions, and menstrual cycles in particular are not just about household ritual health and the health of individual women but also about the health...... larger social and political economic shifts in the country. In this paper, I explore public discourses about and representations of PCOS—as an issue related to women’s menstrual, reproductive, and hormonal health—and examine the concerns that these discourses index. Through these representations, I also...

Identity Management and Mental Health Discourse in Social Media.

Science.gov (United States)

Pavalanathan, Umashanthi; De Choudhury, Munmun

2015-05-01

Social media is increasingly being adopted in health discourse. We examine the role played by identity in supporting discourse on socially stigmatized conditions. Specifically, we focus on mental health communities on reddit. We investigate the characteristics of mental health discourse manifested through reddit's characteristic 'throwaway' accounts, which are used as proxies of anonymity. For the purpose, we propose affective, cognitive, social, and linguistic style measures, drawing from literature in psychology. We observe that mental health discourse from throwaways is considerably disinhibiting and exhibits increased negativity, cognitive bias and self-attentional focus, and lowered self-esteem. Throwaways also seem to be six times more prevalent as an identity choice on mental health forums, compared to other reddit communities. We discuss the implications of our work in guiding mental health interventions, and in the design of online communities that can better cater to the needs of vulnerable populations. We conclude with thoughts on the role of identity manifestation on social media in behavioral therapy.

Ambivalent helpers and unhealthy choices: public health practitioners' narratives of Indigenous ill-health.

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Kowal, Emma; Paradies, Yin

2005-03-01

Public health practitioners in Australian indigenous health work in a complex political environment. Public health training is limited in providing them with conceptual tools needed to unpack the postcolonial nexus of 'fourth-world' health. A workshop was designed by the authors to facilitate critical reflection on how the concepts of race and culture are used in constructions of indigenous ill-health. It was attended by researchers, students, clinicians and bureaucrats working in public health in northern Australia. A thematic analysis of the workshop minutes provided insight into public health practitioners' narratives of Indigenous ill-health. The major themes that emerged included tension between structure and agency and between sameness and difference, and ambivalence surrounding the 'helper' identity of public health practitioners. We suggest that these narratives can be understood as attempts to maintain the moral integrity of both Indigenous people and practitioners. This task is necessitated by the specter of cultural relativism intrinsic to contemporary liberal discourses of multiculturalism that attempt to reconcile the universal rights of the citizen with the special rights of minority groups. We argue that the concepts of self-determination and neocolonialism mark the spaces where universal and particular discourses overlap and clash. Practitioners who seek to escape neocolonialism must inhabit only the discursive space of public health congruent with self-determination, leaving them in a bind common to many postcolonial situations. They must relieve the ill-health of indigenous people without acting upon them; change them without declaring that change is required.

Mind the Gap: Social Media Engagement by Public Health Researchers

OpenAIRE

Keller, Brett; Labrique, Alain; Jain, Kriti M; Pekosz, Andrew; Levine, Orin

2014-01-01

Background The traditional vertical system of sharing information from sources of scientific authority passed down to the public through local health authorities and clinicians risks being made obsolete by emerging technologies that facilitate rapid horizontal information sharing. The rise of Public Health 2.0 requires professional acknowledgment that a new and substantive forum of public discourse about public health exists on social media, such as forums, blogs, Facebook, and Twitter. Objec...

Assumptions about culture in discourse on ethnic minority health

DEFF Research Database (Denmark)

Jæger, Kirsten

2014-01-01

as contributing to low levels of knowledge about health and to adverse health behavior. Thus, the texts present cultural beliefs and practices as contributing to the high prevalence of lifestyle diseases among ethnic minority population groups. The analysis, however, demonstrates that a more nuanced discourse......This paper is interested in the way the concept of culture is deployed in documents aimed at investigating, informing on and promoting aspects of ethnic minority health. Within a health-political discourse focusing increasingly on individual lifestyles, ethnic minority health became subject...... to increased political and professional interest in the last decades of the twentieth and the first decade of the twenty-first century. Analysis of the discourse on ethnic minority health emerging in five texts addressing health professionals shows that the culture of ethnic minority citizens is primarily seen...

Postneoliberal Public Health Care Reforms: Neoliberalism, Social Medicine, and Persistent Health Inequalities in Latin America.

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Hartmann, Christopher

2016-12-01

Several Latin American countries are implementing a suite of so-called "postneoliberal" social and political economic policies to counter neoliberal models that emerged in the 1980s. This article considers the influence of postneoliberalism on public health discourses, policies, institutions, and practices in Bolivia, Ecuador, and Venezuela. Social medicine and neoliberal public health models are antecedents of postneoliberal public health care models. Postneoliberal public health governance models neither fully incorporate social medicine nor completely reject neoliberal models. Postneoliberal reforms may provide an alternative means of reducing health inequalities and improving population health.

Making the Blue Zones: Neoliberalism and nudges in public health promotion.

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Carter, Eric D

2015-05-01

This paper evaluates the ideological and political origins of a place-based and commercial health promotion effort, the Blue Zones Project (BZP), launched in Iowa in 2011. Through critical discourse analysis, I argue that the BZP does reflect a neoliberalization of public health, but as an "actually existing neoliberalism" it emerges from a specific policy context, including dramatic health sector policy changes due to the national Affordable Care Act, also known as Obamacare; a media discourse of health crisis for an aging Midwestern population; and an effort to refashion Iowa cities as sites of healthy and active living, to retain and attract a creative class of young entrepreneurs. The BZP employs many well-known mechanisms of neoliberal governance: the public-private partnership; competition among communities for "public" funds; promotion of an apolitical discourse on individual responsibility and ownership of health; decentralizing governance to the "community" level; and marketing, branding, and corporate sponsorship of public projects. The BZP exemplifies the process of "neoliberal governmentality," by which individuals learn to govern themselves and their "life projects" in line with a market-based rationality. However, with its emphasis on "nudging" individuals towards healthy behaviors through small changes in the local environment, the BZP reflects the rise of "libertarian paternalism," a variant of neoliberalism, as a dominant ideology underlying contemporary health promotion efforts. Copyright © 2015 Elsevier Ltd. All rights reserved.

Discourse with Visual Health Data: Design of Human-Data Interaction

Directory of Open Access Journals (Sweden)

Oluwakemi Ola

2018-03-01

Full Text Available Previous work has suggested that large repositories of data can revolutionize healthcare activities; however, there remains a disconnection between data collection and its effective usage. The way in which users interact with data strongly impacts their ability to not only complete tasks but also capitalize on the purported benefits of such data. Interactive visualizations can provide a means by which many data-driven tasks can be performed. Recent surveys, however, suggest that many visualizations mostly enable users to perform simple manipulations, thus limiting their ability to complete tasks. Researchers have called for tools that allow for richer discourse with data. Nonetheless, systematic design of human-data interaction for visualization tools is a non-trivial task. It requires taking into consideration a myriad of issues. Creation of visualization tools that incorporate rich human-data discourse would benefit from the use of design frameworks. In this paper, we examine and present a design process that is based on a conceptual human-data interaction framework. We discuss and describe the design of interaction for a visualization tool intended for sensemaking of public health data. We demonstrate the utility of systematic interaction design in two ways. First, we use scenarios to highlight how our design approach supports a rich and meaningful discourse with data. Second, we present results from a study that details how users were able to perform various tasks with health data and learn about global health trends.

When discourses collide: creationism and evolution in the public sphere

Science.gov (United States)

Dávila, Denise

2014-12-01

This review essay focuses on Özgür Taşkın's discussion of the theory of evolution (TOE), intelligent design (ID) and the convictions of fundamentalist science educators and students in his paper entitled: An exploratory examination of Islamic values in science education: Islamization of science teaching and learning via constructivism. It examines the competing social discourses of evolution and creationism in the United States, which is partially maintained by national public opinion polls and states' legislation about the TOE in the science curricula. The examination of US social discourses presented here is framed by James Gee's (2008) theory that Discourses with a capital "D," are unconscious and uncritical socially accepted ways of speaking/listening and writing/reading that are merged with "distinctive ways of acting, interacting, valuing, feeling, dressing, thinking, [and] believing…so as to enact specific socially recognizable identities…" (p. 155). Such Discourses identify insiders of and outsiders to religious affiliations and other social or cultural groups. The context of this examination is unique in that is draws from the national conversation about the inclusion of ID alongside of the TOE in the public school science programs. Gee's (2011) concept that Discourses serve as tools of inquiry guides the analysis of video recorded public messages from Bill Nye and Lawrence Krauss as well as Creation Museum president Ken Ham. The analysis and discussion of the national conversation about creationism and public education suggests that the education community must consider the global landscape of science literacy both locally and internationally. It also indicates that preservice and practicing science educators may require special training and support. In order to provide unbiased, religious-resistant, evidence-based science instruction, science educators must understand how to separate church from state regardless of their personal beliefs. They

Our health and theirs: forced migration, othering, and public health.

Science.gov (United States)

Grove, Natalie J; Zwi, Anthony B

2006-04-01

This paper uses 'othering' theory to explore how forced migrants are received in developed countries and considers the implications of this for public health. It identifies a variety of mechanisms by which refugees, asylum seekers and irregular migrants are positioned as 'the other' and are defined and treated as separate, distant and disconnected from the host communities in receiving countries. The paper examines how this process has the potential to affect health outcomes both for individuals and communities and concludes that public health must engage with and challenge this othering discourse. It argues that public health practitioners have a critical role to play in reframing thinking about health services and health policies for forced migrants, by promoting inclusion and by helping shape a narrative which integrates and values the experiences of this population.

Managing Quality, Identity and Adversaries in Public Discourse with Machine Learning

Science.gov (United States)

Brennan, Michael

2012-01-01

Automation can mitigate issues when scaling and managing quality and identity in public discourse on the web. Discourse needs to be curated and filtered. Anonymous speech has to be supported while handling adversaries. Reliance on human curators or analysts does not scale and content can be missed. These scaling and management issues include the…

Addressing the Question of Homophobia in Jordanian Public Discourse

Directory of Open Access Journals (Sweden)

Ahmad El-Sharif

2016-11-01

Full Text Available This article investigates the question of homosexuality, homosexuals, and homophobia in the Jordanian public debate in the aftermath of an LGBTQIA meeting that was held secretly in Amman in May 2015. The main purpose of the article is to demonstrate the constituents and arguments which reproduce the public discourse on anti-homosexuality and anti-homosexuals and homophobia in Jordan. This purpose is reached by analysing 35 journal articles written in Standard Arabic in Jordanian public and open-access media. The analysis involves the qualitative analysis of the argument, processes, and themes used to represent homosexuality and homosexuals by the discourse producers. The analysis reveals that the question of homosexuality and homosexuals in Jordan can be addressed in terms of seven angles: the public anti-homosexuality and anti-homosexuals’ calls, the (Islamic religious argument, protecting and reinforcing law and order, the argument of (homosexually-transmitted diseases, the calls of pro-homosexuality and pro-homosexuals and LGBTQIA’s rights activists, the homosexuals’ own self-representation, and the neutral scientific account and representation.

Assumptions about culture in discourse on ethnic minority health.

Science.gov (United States)

Jaeger, Kirsten

2013-01-01

This paper is interested in the way the concept of culture is deployed in documents aimed at investigating, informing on and promoting aspects of ethnic minority health. Within a health-political discourse focusing increasingly on individual lifestyles, ethnic minority health became subject to increased political and professional interest in the last decades of the twentieth and the first decade of the twenty-first century. Analysis of the discourse on ethnic minority health emerging in five texts addressing health professionals shows that the culture of ethnic minority citizens is primarily seen as contributing to low levels of knowledge about health and to adverse health behavior. Thus, the texts present cultural beliefs and practices as contributing to the high prevalence of lifestyle diseases among ethnic minority population groups. The analysis, however, demonstrates that a more nuanced discourse is evolving, taking the complexity of the culture concept into account. In accordance with Danish health-political priorities, the most recent text analyzed in this study promotes an individualistic approach to both ethnic minority and Danish ethnic majority citizens.

Management accounting versus medical profession discourse

DEFF Research Database (Denmark)

Malmmose, Margit

2015-01-01

This study uses discourse, ideology and hegemony as a theoretical foundation to investigate the development of the polarised discourses of management accounting and the medical profession during the introduction of a NPM reform in the public health care debate, using Denmark as a case study. 194...... newspaper articles and 73 medical profession articles from 2002 to 2008 are analysed, using critical discourse analysis. The analysis shows that the management accounting discourse becomes the dominating ideology which is embedded in the public rhetorical debate. There are three peculiar outcomes...... perspective of a patient oriented focus to a quantitative focus through strong rationalised arguments. This puts the medical profession in a dilemma concerning their ideological Hippocratic Oath versus the NPM efficiency focus. However, they choose to gradually adopt management accounting terms in their own...

The Grit in the Oyster:Professionalism, Managerialism and Leaderism as Discourses of UK Public Services Modernization

OpenAIRE

O'Reilly, Dermot; Reed, Michael

2011-01-01

The representation of organizational agency in UK policy discourse on public service modernization is analysed in order to disclose the legitimation of elite organizational centres and the structuring of organizational peripheries and their potential for resistance. Three discourses are identified and explored: the residual, but still potent, discourse of professionalism; the dominant discourse of managerialism; and the emergent discourse of leaderism. The emergent discourse of leaderism is s...

Public Discourse versus Public Policy: Latinas/os, Affirmative Action, and the Court of Public Opinion

Science.gov (United States)

Ledesma, María C.

2015-01-01

The purpose of this article is to highlight the power of popular discourse in shaping public policy debates concerning educational access and opportunity for historically marginalized and minoritized students, especially for Latinas/os. I argue that proponents of race-conscious policies would do well to challenge the elimination of affirmative…

Speaking of Users: On User Discourses in the Field of Public Libraries

Science.gov (United States)

Hedemark, Ase; Hedman, Jenny; Sundin, Olof

2005-01-01

Introduction: The aim of the study reported is to examine user discourses identified in the Swedish public library field. The following questions are posed: What user discourses can be found and what characterises them? How are users categorised and what does this categorisation imply? The departure point in this paper is that the ways users are…

[Public water supply fluoridation in Brazil according to health sector leaders].

Science.gov (United States)

Ferreira, Regina Glaucia Lucena Aguiar; Bógus, Cláudia Maria; Marques, Regina Auxiliadora de Amorim; Menezes, Léa Maria Bezerra de; Narvai, Paulo Capel

2014-09-01

Various groups have opposed water supply fluoridation in Brazil, while others have supported the measure based on scientific evidence. This article describes the perceptions of delegates to the 13th National Health Conference on mandatory fluoridation of the country's public water supply. Interviews were processed using collective subject discourse analysis. A certain degree of misinformation persists regarding basic characteristics of water fluoridation, which is frequently confused with chlorination. The delegates' discourses showed a continuing need for public awareness-raising regarding fluoridation and the delegates' desire that the National Congress not take measures impacting public health without consulting society's stakeholders. However, most of the interviewees agreed that to repeal mandatory water fluoridation or loosen the control of its implementation could increase the incidence of tooth decay in the population.

Discourse analysis: A useful methodology for health-care system researches.

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Yazdannik, Ahmadreza; Yousefy, Alireza; Mohammadi, Sepideh

2017-01-01

Discourse analysis (DA) is an interdisciplinary field of inquiry and becoming an increasingly popular research strategy for researchers in various disciplines which has been little employed by health-care researchers. The methodology involves a focus on the sociocultural and political context in which text and talk occur. DA adds a linguistic approach to an understanding of the relationship between language and ideology, exploring the way in which theories of reality and relations of power are encoded in such aspects as the syntax, style, and rhetorical devices used in texts. DA is a useful and productive qualitative methodology but has been underutilized within health-care system research. Without a clear understanding of discourse theory and DA it is difficult to comprehend important research findings and impossible to use DA as a research strategy. To redress this deficiency, in this article, represents an introduction to concepts of discourse and DA, DA history, Philosophical background, DA types and analysis strategy. Finally, we discuss how affect to the ideological dimension of such phenomena discourse in health-care system, health beliefs and intra-disciplinary relationship in health-care system.

Mind the gap: social media engagement by public health researchers.

Science.gov (United States)

Keller, Brett; Labrique, Alain; Jain, Kriti M; Pekosz, Andrew; Levine, Orin

2014-01-14

The traditional vertical system of sharing information from sources of scientific authority passed down to the public through local health authorities and clinicians risks being made obsolete by emerging technologies that facilitate rapid horizontal information sharing. The rise of Public Health 2.0 requires professional acknowledgment that a new and substantive forum of public discourse about public health exists on social media, such as forums, blogs, Facebook, and Twitter. Some public health professionals have used social media in innovative ways: to surveil populations, gauge public opinion, disseminate health information, and promote mutually beneficial interactions between public health professionals and the lay public. Although innovation is on the rise, most in the public health establishment remain skeptical of this rapidly evolving landscape or are unclear about how it could be used. We sought to evaluate the extent to which public health professionals are engaged in these spaces. We conducted a survey of professorial- and scientist-track faculty at the Johns Hopkins Bloomberg School of Public Health in Baltimore, Maryland, USA. We asked all available faculty via email to complete a 30-question survey about respondent characteristics, beliefs about social media, and usage of specific technologies, including blogs, Facebook, Twitter, and YouTube. A total of 181 (19.8%) of 912 professor- and scientist-track faculty provided usable responses. The majority of respondents rarely used major social media platforms. Of these 181 respondents, 97 (53.6%) had used YouTube, 84 (46.4%) had used Facebook, 55 (30.4%) had read blogs, and 12 (6.6%) had used Twitter in the prior month. More recent degree completion was the best predictor of higher usage of social media. In all, 122 (67.4%) agreed that social media is important for disseminating information, whereas only 55 (30.4%) agreed that social media is useful for their research. In all, 43 (23.8%) said social media

Bullet Points, New Writing, and the Marketization of Public Discourse

DEFF Research Database (Denmark)

van Leeuwen, Theo; Djonov, Emilia

2014-01-01

Bullet lists epitomize both new writing practices, which are promoted through ubiquitous software such as Microsoft's PowerPoint, and the marketization of public discourse. The argument is illustrated with an analysis of the recontextualization of the Australian Treasurer's Budget speech...

Public sector austerity cuts in Britain and the changing discourse of work-life balance

OpenAIRE

Lewis, Suzan; Anderson, Deirdre; Lyonette, Clare; Payne, Nicola; Wood, Stephen; ,

2017-01-01

The relative importance of economic and other motives for employers to provide support for work- life balance (WLB) is debated within different literatures. However, discourses of WLB can be sensitive to changing economic contexts. This article draws on in-depth interviews with senior HR professionals in British public sector organisations to examine shifting discourses of WLB in an austerity context. Three main discourses were identified: WLB practices as organisationally embedded amid finan...

Guns, Culture or Mental Health? Framing Mass Shootings as a Public Health Crisis.

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DeFoster, Ruth; Swalve, Natashia

2017-08-25

In recent years, public health scholars and policymakers have been calling for increased research on the public health implications of gun violence. However, scientific research on this issue has been stifled by a 1996 budget rider that eliminated Centers for Disease Control and Prevention's (CDC) funding for gun research. In this study, we examined newspaper coverage of three mass shootings that took place over a 20-year period before and after the passage of this budget rider. We found that sources and frames provided by news media to contextualize gun violence shifted markedly over time, progressing from episodic and individual-level frames to broader thematic societal-level concerns, with increased discussion of mental health but limited discourse explicitly related to public health.

Health discourse in Swedish television food advertising during children's peak viewing times.

Science.gov (United States)

Prell, Hillevi; Palmblad, Eva; Lissner, Lauren; Berg, Christina M

2011-06-01

Food marketing influences children's food preferences and consumption and is important to consider in the prevention of child obesity. In this paper, health messages in commercials during children's peak viewing times were analysed by examining how food is articulated in the health discourse. In total, 82 food commercials from 66h of television recordings of the most popular commercial channels with children in Sweden (TV3, TV4 and Channel 5) were analysed with discourse theoretical tools according to Laclau and Mouffe and with a focus on rhetoric. Physical, mental and social health aspects were present in 71% of the commercials. Three health discourse types; a medical (food as protection and treatment), a hedonic (food as feeling good) and a social discourse type (food as caring) were discerned. In relation to these, the heart symbol, lifestyle associations and nature/the natural were elements that could be interpreted in different ways. Moreover, foods carrying unhealthy associations were promoted in the health discourse and presented as especially healthy by offensive rhetoric. The analysis raises awareness of the prevailing health messages in food marketing. Children and parents should be encouraged to develop their critical thinking about television food advertising and how it may influence social norms and dietary practices. Copyright © 2011 Elsevier Ltd. All rights reserved.

A discourse activist approach to studying IT-security practices in Danish public organizations

DEFF Research Database (Denmark)

Bager, Ann Starbæk; Holmgreen, Lise-Lotte

plurivocality and dialogue in organizational and leadership development practices: Discussion and close up discourse analysis of dialogic practices in a leadership development forum. PhD thesis. University of Aalborg, Denmark. Deetz, S (2001): Conceptual Foundations. In: New Handbook of Organizational......With the threat of personal and organizational details being compromised through e.g. hacking, IT security is fast becoming a major concern in many organizations. In the presentation, the authors explore the potential of applying a discourse based methodological approach to the study and change...... of IT-security practices in Danish public organizations. The approach contributes to the field of Organizational Discourse Studies (ODS), in which discourse scholars are actively involved in dealing with local organizational challenges and fostering organizational change (cf. Grant & Iedema, 2005...

The Struggle for the Soul of Public Health.

Science.gov (United States)

Wiley, Lindsay F

2016-12-01

Prevention has become a central focus for health care payers, providers, policy makers, and the general public. Given the centrality of prevention to public health science, practice, and law, it would seem that conditions are ripe for the public health law renaissance to expand beyond legal and scientific circles to permeate the general consciousness. Yet, public health law and policy interventions continue to face considerable political and legal opposition. The population perspective-which emphasizes the social determinants of health, collective action to create healthier communities, and communitarian rationales for prioritizing health-is as important to public health problem-solving as the prevention orientation. But it conflicts with the individualistic orientation that dominates American legal, cultural, and social discourse. This article suggests that public health law and policy debates offer important opportunities for public health advocates to reach across silos to promote the population perspective that unites the field. The article explores contrasting explanations for disease, injury, premature death, and health disparities offered by the population perspective and the individualistic orientation; political and cultural barriers that stand in the way of innovative law and policy interventions; and normative tensions between the communitarian population perspective and self-interested rationales for investment in prevention. Copyright © 2016 by Duke University Press.

[Health care models for users of alcohol and other drugs: political discourse, knowledge, and practices].

Science.gov (United States)

Alves, Vânia Sampaio

2009-11-01

This article aims to characterize health care models for users of alcohol and other drugs in the Brazilian context. Discourse analysis was performed on public drug policy in Brazil from the 1970s. This analysis was contextualized by a brief digression on the main political positions identified in several countries of the world in relation to drug use problems. Beginning in the current decade, drug policies in Brazil have been receptive to harm reduction approaches, resulting in reorientation of the health care model. In conclusion, the structuring and strengthening of a network of care for users of alcohol and other drugs and their families, based on community care and the harm reduction approach and combined with other social and health services, is now a key public health challenge for the country.

What is the Meaning of Public Sector Health?

DEFF Research Database (Denmark)

Waldorff, Susanne Boch

2013-01-01

This study explores the dynamics involved in establishing discourses necessary for constructing organizational change within the public sector. Drawing upon critical discourse analysis, the study identifies two competing discourses – a ‘patient’ and a ‘healthy citizen’ discourse, which exist...... in the context of public sector change. First, the study shows that discourses not only provide different senses of meaning and warrant particular social actors a louder voice than others, but that these actors also develop discursive legitimizing strategies and translate particular meanings...... into the organization and organizational practices. Second, when the strategies make a discourse resonate with the local context, in this case a highly political context, then specific organizational practices become more legitimate than others, and the discourse is more inclined to become manifest. Finally...

Synthetic Biology between Self-Regulation and Public Discourse: Ethical Issues and the Many Roles of the Ethicist.

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Arnason, Gardar

2017-04-01

This article discusses the roles of ethicists in the governance of synthetic biology. I am particularly concerned with the idea of self-regulation of bioscience and its relationship to public discourse about ethical issues in bioscience. I will look at the role of philosophical ethicists at different levels and loci, from the "embedded ethicist" in the laboratory or research project, to ethicists' impact on policy and public discourse. In a democratic society, the development of governance frameworks for emerging technologies, such as synthetic biology, needs to be guided by a well-informed public discourse. In the case of synthetic biology, the public discourse has to go further than merely considering technical issues of biosafety and biosecurity, or risk management, to consider more philosophical issues concerning the meaning and value of "life" between the natural and the synthetic. I argue that ethicists have moral expertise to bring to the public arena, which consists not only in guiding the debate but also in evaluating arguments and moral positions and making normative judgments. When ethicists make normative claims or moral judgments, they must be transparent about their theoretical positions and basic moral standpoints.

Parents' discursive resources: analysis of discourses in Swedish, Danish and Norwegian health care guidelines for children with diabetes type 1.

Science.gov (United States)

Boman, Ase; Borup, Ina; Povlsen, Lene; Dahlborg-Lyckhage, Elisabeth

2012-06-01

The incidence of diabetes type 1 in children, the most common metabolic disorder in childhood, increases worldwide, with highest incidence in Scandinavia. Having diabetes means demands in everyday life, and the outcome of the child's treatment highly depends on parents' engagement and involvement. The aim of this study was to explore and describe discourses in health care guidelines for children with diabetes type 1, in Sweden, Norway and Denmark during 2007-2010, with a focus on how parents were positioned. As method a Foucauldian approach to discourse analysis was applied, and a six-stage model was used to perform the analysis. The findings shows a Medical, a Pedagogic and a Public Health discourse embedded in the hegemonic Expert discourse. The Expert discourse positioned parents as dependent on expert knowledge, as recipients of education, as valuable and responsible for their child's health through practicing medical skills. This positioning may place parents on a continuum from being deprived of their own initiatives to being invited to take an active part and could result in feelings of guilt and uncertainty, but also of security and significance. From this study we conclude that guidelines rooted in the Expert discourse may reduce opportunities for parents' voices to be heard and may overlook their knowledge. By broadening the selection of authors of the guidelines to include patients and all professionals in the team, new discourses could emerge and the parents' voice might be more prominent. © 2011 The Authors. Scandinavian Journal of Caring Sciences © 2011 Nordic College of Caring Science.

Disciplining Professionals: A Feminist Discourse Analysis of Public Preschool Teachers

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Sisson, Jamie Huff; Iverson, Susan V.

2014-01-01

Educational reforms across the globe have had implications for the work of preschool teachers and thus their professional identities. This article draws on a feminist discourse lens to examine data collected from a recent narrative inquiry focused on understanding the professional identities of five public preschool teachers in the USA. This…

CREATION OF THE SHUGHNANI DISCOURSE OF PUBLIC SPHERE IN THE MEDIA AND SOCIAL NETWORKS

Directory of Open Access Journals (Sweden)

П Ш Абдулхамидова

2017-12-01

Full Text Available Shughnani, one of the Pamiri languages of Tajikistan, is a minority language, and has no written script. Socio-economic and political changes in the lives of language speakers have affected the functioning of this small language, which was previously devoid of social significance. In the late 1980s, ideas began to emerge about the expansion of its functions, and attempts were made to use it in print media, television and radio. Observation of the functional development of Shugnani in these media led to the hypothesis of the emergence of a public sphere discourse, where it is possible to raise problems of social importance, and discuss them to search for eventual solutions. The main purpose of the article is to study attempts to create a discourse of the public sphere for Shugnani, in media and on the Facebook social network. The theoretical and methodological approaches of the study are based on the concept of the pub-lic sphere of Habermas, using the Critical Discourse Analysis paradigm (Fairclough. The data for the study were taken from Shughnani print media, from speeches on television and radio, and from postings by members of Shughnani Facebook groups. The findings reveal that the Shughnani presence in the media is limited, and construction of public opinion is more successfully carried out via Shughnani groups on Facebook. Analysis of the discursive practices involved shows that, despite the slow development of a media presence, the establishment of public discourse occurs through the creation of verbal units which have a journalistic character. Shugnani-speaking groups on Facebook contribute to the strengthening of the posi-tion of the language, through the formulation and discussion of issues relevant to members of the language community and the creation of language units that enhance confidence in the use of non-written Shugnani in the public sphere.

“De-centre-ing” sexual difference in public and ecclesial discourses ...

African Journals Online (AJOL)

de-centreing” of sexual difference in the theology of marriage. This postmodern option pleads for a respect for privacy with regard to sexual intimacy, also in ecclesial and public discourse. HTS Theological Studies Vol. 64 (2) 2008: pp. 715-738 ...

Homophobic Slurs and Public Apologies: The Discursive Struggle over "Fag/Maricon" in Public Discourse

Science.gov (United States)

Cashman, Holly R.

2012-01-01

A handful of recent incidents hints at an ideological struggle over the use of the English word "fag(got)" and the Spanish word "maricon" in public discourse. This article examines the discursive and ideological struggle over the terms through the comparison of two cases in which Spanish/English bilingual Latinos in the U. S. use what might be…

The Dominant Obesity Discourse Versus Children's Conceptualizations of Health: A Comparison Through Dialogue and Drawings.

Science.gov (United States)

Bhagat, Krishna; Howard, Donna E

2018-06-01

The emphasis on childhood obesity reduction has been attributed to the dominant obesity discourse. However, some researchers argue that this discourse may be ineffective and even harmful for children. From a post-structuralist perspective, the dominant obesity discourse has the power to shape children's subjectivities, though subjectivities may also be influenced by personal experiences and other knowledge about bodies and health. There is limited research which explores how children's conceptualizations of health are informed by the dominant obesity discourse. To address this knowledge gap, qualitative data were collected from 8- to 11-year-old children ( n = 29) regarding their conceptualizations of health, healthy bodies, and health practices. Results suggest that children's conceptualizations reflected arguments embedded within the dominant obesity discourse, but at times, also contradicted or deviated from it. Study findings can be applied toward children's health promotion programming to offer a more holistic and inclusive perspective on health and well-being.

"A good spot": Health promotion discourse, healthy cities and heterogeneity in contemporary Denmark.

Science.gov (United States)

Larsen, Eva Ladekjaer; Manderson, Lenore

2009-06-01

Health promotion at a community level has gained popularity in recent decades within and outside academic environments. The health promotion discourse is part of a wider political discourse, aimed at empowering individuals to take control of their own lives and enabling them to be engaged, responsible and active citizens in their own communities. Key values of the discourse, deriving from a democratic and individualistic culture, are evident in how local authorities develop and implement policies aimed at promoting population health and wellbeing. In this article, we draw on data from a relatively poor multicultural Danish community incorporated in the WHO Healthy Cities Programme. We explore how key terms of the health promoting discourse are constructed, operationalized and resisted by different subgroups. The contradictions that emerge challenge how we comprehend communities in relation to safety and harmony, and how people within defined communities are involved in common community life.

Why consider patients' preferences? A discourse analysis of clinical practice guideline developers.

Science.gov (United States)

Boivin, Antoine; Green, Judith; van der Meulen, Jan; Légaré, France; Nolte, Ellen

2009-08-01

Several organizations are advocating for patients' preferences to be considered in clinical practice guideline development and implementation. However, lack of agreement on the goal and meaning of this policy curtails evaluation and development of patient involvement programs. To describe guideline developers' discourses on the goal of considering patients' preferences. Qualitative study using discourse analysis. 18 participants (patients, health professionals, and public health experts) from 2 groups of British guideline developers. Template analysis of semi-structured individual interviews was strengthened by active search for deviant cases, team debriefing, and member checking. All respondents supported the idea of taking account of patients' preferences in guidelines. Divergences with the goal and meaning of considering preferences were structured in 4 discourses: (1) The Governance discourse constructs guideline development as a rational process of synthesizing population data-including evidence on patients' preferences-to maximize public health within the constraints of available resources; (2) the Informed Decision discourse aims at fostering patients' choice by providing tailored information on the risks and benefits of interventions; (3) the Professional Care discourse insists on basing professionals' recommendations on the individual characteristics of patients; (4) The Consumer Advocacy discourse argues for greater political power and influence over guideline development and clinical decision making. The identified discourses provide a set of hypothesis on how patient involvement programs are expected to work, which could help clarify the goals pursued by guideline organizations and anchor further evaluation efforts.

Health risks, social relations and class: an analysis of occupational health discourse in Finnish newspaper and women's magazine articles 1961-2008.

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Varje, Pekka; Väänänen, Ari

2016-03-01

In this article we examine the treatment of psychosocial risks in public occupational health discourse in Finnish newspaper and magazine articles between the 1960s and 2000s, using discourse analysis. Building on class theories, our aim is to investigate how class expectations have been linked with the redefinition of occupational health risks during this period. Our results suggest that as social relations at the workplace became problematised in the occupational health discussions after the 1970s, the image of the hierarchical and naturally conflictual organisation was replaced by idealised middle-class notions of smoothly functioning, harmonious organisations that offered rewarding work experiences. However, this same period since the late 1970s has also been characterised by increasing economic competition and neoliberal market ideology. We conclude that the concern about work-related psychosocial risks and health problems expressed in Finnish newspaper and magazine articles during the last three decades has been shaped in many respects by a collision between the dominant middle-class expectations of harmony and equality and the neoliberal production of competition and inequality. © 2015 Foundation for the Sociology of Health & Illness.

In the shadow of a new smoke free policy: A discourse analysis of health care providers' engagement in tobacco control in community mental health

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Malchy Leslie A

2010-07-01

Full Text Available Abstract Background The prevalence of tobacco use among individuals with mental illness remains a serious public health concern. Tobacco control has received little attention in community mental health despite the fact that many individuals with mental illness are heavy smokers and experience undue tobacco-related health consequences. Methods This qualitative study used methods of discourse analysis to examine the perceptions of health care providers, both professionals and paraprofessionals, in relation to their roles in tobacco control in the community mental health system. Tobacco control is best conceptualised as a suite of policies and practices directed at supporting smoke free premises, smoking cessation counselling and limiting access to tobacco products. The study took place following the establishment of a new policy that restricted tobacco smoking inside all mental health facilities and on their grounds. Ninety one health care providers participated in open-ended interviews in which they described their role in tobacco control. The interview data were analyzed discursively by asking questions such as: what assumptions underlie what is being said about tobacco? Results Five separate yet overlapping discursive frames were identified in which providers described their roles. Managing a smoke free environment emphasised the need to police and monitor the smoke free environment. Tobacco is therapeutic was a discourse that underscored the putative value of smoking for clients. Tobacco use is an individual choice located the decision to smoke with individual clients thereby negating a role in tobacco control for providers. It's someone else's role was a discourse that placed responsibility for tobacco control with others. Finally, the discourse of tobacco control as health promotion located tobacco control in a range of activities that are used to support the health of clients. Conclusions This study provides insights into the complex

Geovisual Analytics Approach to Exploring Public Political Discourse on Twitter

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Jonathan K. Nelson

2015-03-01

Full Text Available We introduce spatial patterns of Tweets visualization (SPoTvis, a web-based geovisual analytics tool for exploring messages on Twitter (or “tweets” collected about political discourse, and illustrate the potential of the approach with a case study focused on a set of linked political events in the United States. In October 2013, the U.S. Congressional debate over the allocation of funds to the Patient Protection and Affordable Care Act (commonly known as the ACA or “Obamacare” culminated in a 16-day government shutdown. Meanwhile the online health insurance marketplace related to the ACA was making a public debut hampered by performance and functionality problems. Messages on Twitter during this time period included sharply divided opinions about these events, with many people angry about the shutdown and others supporting the delay of the ACA implementation. SPoTvis supports the analysis of these events using an interactive map connected dynamically to a term polarity plot; through the SPoTvis interface, users can compare the dominant subthemes of Tweets in any two states or congressional districts. Demographic attributes and political information on the display, coupled with functionality to show (dissimilar features, enrich users’ understandings of the units being compared. Relationships among places, politics and discourse on Twitter are quantified using statistical analyses and explored visually using SPoTvis. A two-part user study evaluates SPoTvis’ ability to enable insight discovery, as well as the tool’s design, functionality and applicability to other contexts.

Gender differences in public perceptions on National Health Insurance

African Journals Online (AJOL)

... current two-tiered system. Support for NHI has increased since similar studies in 2005 and 2008, with the simultaneous growth of public discourse on the policy. More females than males support NHI, reflecting the potential of the NHI system to have a positive impact on gender equality and the health of women and girls.

Heckling in Hyde Park: Verbal Audience Participation in Popular Public Discourse

DEFF Research Database (Denmark)

McIlvenny, Paul

1996-01-01

Speakers' Corner is a multicultural setting in a London park at which the general public can actively participate in popular debate. A successful 'soap-box' orator should attract and keep an audience, elicit support from the crowd and gain applause; indeed, a mastery of the crowd, the discourse...

The invisibilization of health promotion in Australian public health initiatives.

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O'Hara, Lily; Taylor, Jane; Barnes, Margaret

2018-02-01

The field of health promotion has arguably shifted over the past thirty years from being socially proactive to biomedically defensive. In many countries this has been accompanied by a gradual decline, or in some cases the almost complete removal of health promotion designated positions within Government health departments. The language or discourse used to describe the practice and discipline of health promotion is reflective of such changes. In this study, critical discourse analysis was used to determine the representation of health promotion as a practice and a discipline within 10 Australian Government weight-related public health initiatives. The analysis revealed the invisibilization of critical health promotion in favour of an agenda described as 'preventive health'. This was achieved primarily through the textual practices of overlexicalization and lexical suppression. Excluding document titles, there were 437 uses of the terms health promotion, illness prevention, disease prevention, preventive health, preventative health in the documents analysed. The term 'health promotion' was used sparingly (16% of total terms), and in many instances was coupled with the term 'illness prevention'. Conversely, the terms 'preventive health' and 'preventative health' were used extensively, and primarily used alone. The progressive invisibilization of critical health promotion has implications for the perceptions and practice of those identifying as health promotion professionals and for people with whom we work to address the social and structural determinants of health and wellbeing. Language matters, and the language and intent of critical health promotion will struggle to survive if its speakers are professionally unidentifiable or invisible. © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

THE ROLE OF PUBLIC DISCOURSE IN THREAT FRAMING: THE CASE OF ISLAMOPHOBIA IN CZECH REPUBLIC

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Donatella BONANSINGA

2015-12-01

Full Text Available Perception and interpretation of risks do not always come from a direct experience but are filtered by the mass media and political discourse. The message they spread and the interpretations of reality they suggest have a profound impact on the (misperceptions developed by citizens. Currently all over the European Union the Islamic threat, as linked to terrorism, is conceived and perceived as a fundamental threat to security. But is there a real threat? By means of a discursive analysis, this paper aims at exploring the dynamics of threat construction as related to the framing of Islam as an issue of security concern, by focusing on the role of public discourse and by providing some insights from Czech Republic (CZ. Czech Republic is an interesting case to study misperceptions, insecurity complexes and the manipulation of public discourse, as the percentage of Muslim population in the country is tantamount to zero but Islamophobic feelings are gathering momentum and rising consistently. The fundamental question driving the research aims at explaining why a country with a numerically negligible Muslim minority is experiencing growing public hostility, manifested through the raising mobilization of citizens against Islam. The hypothesis suggests that the exposure of public opinion to specific media representations and political rhetoric may induce misperception and the development of Islamophobic sentiments. The paper will firstly go through an overview of the literature on the topic; it will then analyze the general trends in Islamophobic discourse in CZ, through the lens of the securitization theory.

Forum-ing: Signature practice for public theological discourse

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Edward P. Wimberly

2014-05-01

Full Text Available This article introduces a unique model for public theological conversation and discourse, which was developed by the Concerned Black Clergy of Atlanta (CBC. It was a model developed in response to the problems of poverty, homelessness, and the ‘missing and murdered children’ victimised in Atlanta, Georgia in the United States of America in the early 1980s. It was originally organised to respond to the economic, financial, spiritual, emotional, employment, housing and resource needs of the underserved poor. This unique practice is called forum-ing. The forum meets every Monday morning, except when there is a national holiday. It has operated 30 consecutive years. The forum has a series of presentations, including the opening prayer, self-introductions of each person, a report of the executive director, special presentations from selected community groups, reports, and then questions and answers. The end result is that those attending engage in a process of discourse that enables them to internalise new ideas, approaches, and activities for addressing poverty and injustice in the community. Key to forum-ing for the 21st century is that it is a form of public practical theology rooted and grounded in non-violence growing out of the civil rights movement of the 1950s and 1960s in the United States. The overall purpose of this article is to contribute to the effort of the Faculty of Theology at the University of Pretoria (South Africa to identify those variables that will assist religious leaders in South Africa to develop public conversational spaces to enhance democratic participation. This article presents one model from the African American community in Atlanta, Georgia. The hope is to lift up key variables that might assist in the practical and pastoral theological conversation taking place in South Africa at present.

A glass half empty: Latina reproduction and public discourse

OpenAIRE

Chavez, LR

2004-01-01

Latina reproduction and fertility have become ground zero in a political war-not just of words, but of public policies and laws. This article builds on a theoretical framework that includes issues of stratified reproduction, which characterize some women as reproductive threats to society. From an examination of the discourse found in 10 national magazines over a 35-year period, beginning in 1965, emerge three interrelated themes concerning Latina reproductive threat: 1) high fertility and po...

What did the Go4Health policy research project contribute to the policy discourse on the sustainable development goals? A reflexive review.

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Te, Vannarath; Floden, Nadia; Hussain, Sameera; Brolan, Claire E; Hill, Peter S

2018-05-16

In 2012, the European Commission funded Go4Health-Goals and Governance for Global Health, a consortium of 13 academic research and human rights institutions from both Global North and South-to track the evolution of the Sustainable Development Goals (SDGs), and provide ongoing policy advice. This paper reviews the research outputs published between 2012 and 2016, analyzing the thematic content of the publications, and the influence on global health and development discourse through citation metrics. Analysis of the 54 published papers showed 6 dominant themes related to the SDGs: the formulation process for the SDG health goal; the right to health; Universal Health Coverage; voices of marginalized peoples; global health governance; and the integration of health across the other SDGs. The papers combined advocacy---particularly for the right to health and its potential embodiment in Universal Health Coverage-with qualitative research and analysis of policy and stakeholders. Go4Health's publications on the right to health, global health governance and the voices of marginalized peoples in relation to the SDGs represented a substantial proportion of papers published for these topics. Go4Health analysis of the right to health clarified its elements and their application to Universal Health Coverage, global health governance, financing the SDGs and access to medicines. Qualitative research identified correspondence between perceptions of marginalized peoples and right to health principles, and reluctance among multilateral organizations to explicitly represent the right to health in the goals, despite their acknowledgement of their importance. Citation metrics analysis confirmed an average of 5.5 citations per paper, with a field-weighted citation impact of 2.24 for the 43 peer reviewed publications. Citations in the academic literature and UN policy documents confirmed the impact of Go4Health on the global discourse around the SDGs, but within the Go4Health consortium

Health Care "as Usual": The Insertion of Positive Psychology in Canadian Mental Health Discourse

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Jhangiani, Surita Jassal; Vadeboncoeur, Jennifer A.

2010-01-01

The recent shift to a "positive psychological" approach that emphasizes a "health model," rather than a "disease model," in mental health discourses is intended both to reduce the stigma around mental health issues and to enable people to play a role in monitoring their own mental health. As a component of a larger…

[Health and gender relations: a reflection on the challenges for the implementation of public policies for health care for indigenous women].

Science.gov (United States)

Ferreira, Luciane Ouriques

2013-04-01

This article presents some contrasts that exist between the discourses of public policies concerning women's health care, especially with respect to indigenous women, and the ethnological discourse which emphasizes the specificity of gender relations within indigenous societies. We worked on the assumption that the development of these public policies as well as the organization of health care services offered, which in fact are necessary, have a transforming effect on prevailing gender relations within Amerindian Societies. On the one hand, gender relations between indigenous people are associated with the domains of kinship and corporeality. On the other hand, the process of creating public policies, by means of biomedical intervention and the medicalization of the female body, constitutes a powerful tool for body modeling and the construction of subjectivities contributing to making women worthy of citizenship. The female gender is under discussion and its content is being negotiated.

Health discourse, sexual slang and ideological contradictions among Mozambican youth

DEFF Research Database (Denmark)

Groes-Green, Christian

2009-01-01

. Young people's resistance to enquiry, the paper argues, is due to ideological contradictions between their sexual culture and slang, on the one hand, and Western health discourses associated with colonial and post-colonial opposition to traditional culture and languages, on the other. Mixing colloquial...... Portuguese and changana sexual slang is constructed around ideas of safedeza and pleasure, while dominant health discourses address sexuality as both ‘risky' and ‘dangerous'. In order to gain a deeper understanding of sexual cultures and to make HIV prevention efforts relevant to young people...

The concept of citizenship in Danish public discourse

DEFF Research Database (Denmark)

Jakobsen, Uffe

2005-01-01

The article traces the uses of the concept of citizenship in Danish public discourse in light of the theoretical framework of conceptual history. The author draws upon parliamentary debates, media articles, and debates on political subjects that are part of the textual corpus that served to create...... The Danish Dictionary in order not only to identify the different usages and conceptual changes of “citizenship” but also to identify the actors using the concept. In addition to mapping the use of “citizenship” in its traditional meanings, such as the entitlement to rights, political identity, civic virtue...

Understanding the health of lorry drivers in context: A critical discourse analysis.

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Caddick, Nick; Varela-Mato, Veronica; Nimmo, Myra A; Clemes, Stacey; Yates, Tom; King, James A

2017-01-01

This article moves beyond previous attempts to understand health problems in the lives of professional lorry drivers by placing the study of drivers' health in a wider social and cultural context. A combination of methods including focus groups, interviews and observations were used to collect data from a group of 24 lorry drivers working at a large transport company in the United Kingdom. Employing a critical discourse analysis, we identified the dominant discourses and subject positions shaping the formation of drivers' health and lifestyle choices. This analysis was systematically combined with an exploration of the gendered ways in which an almost exclusively male workforce talked about health. Findings revealed that drivers were constituted within a neoliberal economic discourse, which is reflective of the broader social structure, and which partly restricted drivers' opportunities for healthy living. Concurrently, drivers adopted the subject position of 'average man' as a way of defending their personal and masculine status in regards to health and to justify jettisoning approaches to healthy living that were deemed too extreme or irrational in the face of the constraints of their working lives. Suggestions for driver health promotion include refocusing on the social and cultural - rather than individual - underpinnings of driver health issues and a move away from moralistic approaches to health promotion.

Disclosing discourses: biomedical and hospitality discourses in patient education materials.

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Öresland, Stina; Friberg, Febe; Määttä, Sylvia; Öhlen, Joakim

2015-09-01

Patient education materials have the potential to strengthen the health literacy of patients. Previous studies indicate that readability and suitability may be improved. The aim of this study was to explore and analyze discourses inherent in patient education materials since analysis of discourses could illuminate values and norms inherent in them. Clinics in Sweden that provided colorectal cancer surgery allowed access to written information and 'welcome letters' sent to patients. The material was analysed by means of discourse analysis, embedded in Derrida's approach of deconstruction. The analysis revealed a biomedical discourse and a hospitality discourse. In the biomedical discourse, the subject position of the personnel was interpreted as the messenger of medical information while that of the patients as the carrier of diagnoses and recipients of biomedical information. In the hospitality discourse, the subject position of the personnel was interpreted as hosts who invite and welcome the patients as guests. The study highlights the need to eliminate paternalism and fosters a critical reflective stance among professionals regarding power and paternalism inherent in health care communication. © 2015 John Wiley & Sons Ltd.

The discourse of health managers on aspects related to the delay in tuberculosis diagnosis

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Lenilde Duarte de Sa

2013-10-01

Full Text Available The aim of this study was to analyze the discourse of health managers on aspects related to delay in tuberculosis diagnosis. This was a qualitative research study, conducted with 16 Family Health Unit managers. The empirical data were obtained through semi-structured interviews. The analysis was based on the theoretical framework of the French school of discourse analysis. According to the managers’ statements, the delay in tuberculosis diagnosis is related to patient and health service aspects. As for patient aspects, managers report fear, prejudice and lack of information as factors that may promote a delayed diagnosis. Regarding health service aspects, structural problems and lack of professional skills were reported. The discourse of managers should be considered to qualify tuberculosis control actions and to prevent delays in diagnosis.

Reducing health inequities: the contribution of core public health services in BC

Science.gov (United States)

2013-01-01

Background Within Canada, many public health leaders have long identified the importance of improving the health of all Canadians especially those who face social and economic disadvantages. Future improvements in population health will be achieved by promoting health equity through action on the social determinants of health. Many Canadian documents, endorsed by government and public health leaders, describe commitments to improving overall health and promoting health equity. Public health has an important role to play in strengthening action on the social determinants and promoting health equity. Currently, public health services in British Columbia are being reorganized and there is a unique opportunity to study the application of an equity lens in public health and the contribution of public health to reducing health inequities. Where applicable, we have chosen mental health promotion, prevention of mental disorders and harms of substance use as exemplars within which to examine specific application of an equity lens. Methods/design This research protocol is informed by three theoretical perspectives: complex adaptive systems, critical social justice, and intersectionality. In this program of research, there are four inter-related research projects with an emphasis on both integrated and end of grant knowledge translation. Within an overarching collaborative and participatory approach to research, we use a multiple comparative case study research design and are incorporating multiple methods such as discourse analysis, situational analysis, social network analysis, concept mapping and grounded theory. Discussion An important aim of this work is to help ensure a strong public health system that supports public health providers to have the knowledge, skills, tools and resources to undertake the promotion of health equity. This research will contribute to increasing the effectiveness and contributions of public health in reducing unfair and inequitable differences

Discourse of power as a subject of philosophical inquiry: between discursive practices and linguistic discourse

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C. R. Karpenko

2014-07-01

Demonstrated the discrepancy between verbal and textual content of discussions between public and non­public meaning of utterances government entities, which serves a key feature of the power discourse regarding mass consciousness and pragmatic discourse in practical situations of the masses being.

Open science initiatives: challenges for public health promotion.

Science.gov (United States)

Holzmeyer, Cheryl

2018-03-07

While academic open access, open data and open science initiatives have proliferated in recent years, facilitating new research resources for health promotion, open initiatives are not one-size-fits-all. Health research particularly illustrates how open initiatives may serve various interests and ends. Open initiatives not only foster new pathways of research access; they also discipline research in new ways, especially when associated with new regimes of research use and peer review, while participating in innovation ecosystems that often perpetuate existing systemic biases toward commercial biomedicine. Currently, many open initiatives are more oriented toward biomedical research paradigms than paradigms associated with public health promotion, such as social determinants of health research. Moreover, open initiatives too often dovetail with, rather than challenge, neoliberal policy paradigms. Such initiatives are unlikely to transform existing health research landscapes and redress health inequities. In this context, attunement to social determinants of health research and community-based local knowledge is vital to orient open initiatives toward public health promotion and health equity. Such an approach calls for discourses, norms and innovation ecosystems that contest neoliberal policy frameworks and foster upstream interventions to promote health, beyond biomedical paradigms. This analysis highlights challenges and possibilities for leveraging open initiatives on behalf of a wider range of health research stakeholders, while emphasizing public health promotion, health equity and social justice as benchmarks of transformation.

Scientific advice and public policy: expert advisers' and policymakers' discourses on boundary work

NARCIS (Netherlands)

Hoppe, Robertus

2008-01-01

This article reports on considerable variety and diversity among discourses on their own jobs of boundary workers of several major Dutch institutes for science-based policy advice. Except for enlightenment, all types of boundary arrangements/work in the Wittrock-typology (Social knowledge and public

Right Relation and Right Recognition in Public Health Ethics: Thinking Through the Republic of Health.

Science.gov (United States)

Jennings, Bruce

2016-07-01

The further development of public health ethics will be assisted by a more direct engagement with political theory. In this way, the moral vocabulary of the liberal tradition should be supplemented-but not supplanted-by different conceptual and normative resources available from other traditions of political and social thought. This article discusses four lines of further development that the normative conceptual discourse of public health ethics might take. (i) The relational turn. The implications for public health ethics of the new 'ecological' or 'relational' interpretation that is emerging for concepts such as agency, self-identity, autonomy, liberty and justice. (ii) Governing the health commons. The framework of collective action problems is giving way to notions of democratic governance and management of common resources. (iii) The concept of membership. Membership is specified by the notions of equal respect and parity of voice and agency. (iv) The concept of mutuality. Mutuality is specified by the notions of interdependent concern and care.

'Why don’t they just do what we tell them?’ Different alcohol prevention discourses in Denmark

DEFF Research Database (Denmark)

Elmeland, Karen; Kolind, Torsten

2012-01-01

In recent decades great focus has been placed on the excessive consumption of alcohol by young Danes. In this connection, Danish parents have been called upon by the national health authorities to function as prevention workers with a view to reducing their children’s alcohol intake. Parallel...... the prevention field: a public alcohol prevention discourse and an everyday discourse, respectively. The analysis is based on alcohol legislation, public health programmes and national alcohol recommendations, as well as on a qualitative study of a special Danish phenomenon: parties for young people organized...... by parents. In the two discourses alcohol consumption is presented differently. However, traditionally liberal Danish alcohol policy plays an important role in both: the central feature of this policy relies on individual control rather than on public regulation....

Female sexuality and consent in public discourse: James Burt's "love surgery".

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Rodriguez, Sarah B

2013-04-01

Beginning in the mid-1960s, gynecologist and obstetrician James Burt developed what he called "love surgery" on unknowing women after they gave birth. It was, he later told them, a modification of episiotomy repair. In the mid-1970s, Burt began promoting love surgery as an elective sexual enhancement surgery and women came to his clinic in hopes of a surgically-enabled better sex life. But though Burt now offered love surgery, he continued to perform it on patients who did not come to him for it through the late 1980s. Over the course of more than two decades, discourse on love surgery occurred twice nationally. In the late 1970s, feminists and sex therapists attacked love surgery as altering a woman's body for male sexual pleasure. Though Burt never hid his continued use of love surgery on women who had not elected for it, the public discourse at this time focused on love surgery as a reflection of larger cultural ideas about female sexuality. In the late 1980s, when Burt's love surgery again appeared in the national media, the issue of informed consent, largely absent from the discourse about love surgery in the late 1970s, moved to the center. Though significant activity happened within the local medical and legal communities beginning in the mid-1970s regarding Burt and his practice of love surgery, my interest here is on these two periods when the discourse regarding love surgery, female sexuality, and informed consent occurred within a national frame.

Masculinities, 'guy talk' and 'manning up': a discourse analysis of how young men talk about sexual health.

Science.gov (United States)

Knight, Rod; Shoveller, Jean A; Oliffe, John L; Gilbert, Mark; Frank, Blye; Ogilvie, Gina

2012-11-01

Sexually transmitted infection testing rates among young men remain low, and their disengagement from sexual health services has been linked to enactments of masculinity that prohibit or truncate discussions of sexual health. Understanding how men align with multiple masculinities is therefore important for tailoring interventions that appropriately respond to their needs. We draw on 32 in-depth interviews with 15-24-year-old men to explore the discourses that facilitate or shut down sexual health communication with peers and sex partners. We employ a critical discourse analysis to explore how men's conversations about sexual health are constituted by masculine hierarchies (such as the ways in which masculinities influence men's ability to construct or challenge and contest dominant discourses about sexual health). Men's conversations about sexual health focused primarily around their sexual encounters - something frequently referred to as 'guy talk'. Also described were situations whereby participants employed a discourse of 'manning up' to (i) exert power over others with disregard for potential repercussions and (ii) deploy power to affirm and reify their own hyper-masculine identities, while using their personal (masculine) power to help others (who are subordinate in the social ordering of men). By better understanding how masculine discourses are employed by men, their sexual health needs can be advanced. © 2012 The Authors. Sociology of Health & Illness © 2012 Foundation for the Sociology of Health & Illness/Blackwell Publishing Ltd.

Mostly empty words--what the discourse of "choice" in health care does.

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Nordgren, Lars

2010-01-01

This paper has two purposes: one is to analyse how the policy of freedom of choice emerged and was formed in the Swedish health care discourse; the second is related to how free choice influences the discourse in health care and how subjects are formed within the field, i.e. what the language of choice in health care does. The research strategy is inspired by a combined theoretical framework borrowed from Michel Foucault's concepts of "discursive formation" and "subjectivization" completed with Judith Butler's concept of performativity. The language of "freedom of choice" calls to mind the rhetoric of promises, i.e. that the patient should be free and responsible, in his or her relation to health care. Since patients seem to be insufficiently informed and supported about the actual benefits of possibilities and limitations associated with the severely restricted reform of free choice, the statements concerning opportunities to make personal health decisions will lose their significance. The advocacy of discourses of freedom of choice seems therefore mostly like empty words, as they are producing weak patients instead of free and empowered people. As the reform was initiated in the beginning of 2000 it is rather fresh. The paper produces insights into the rhetoric of political promises and the limitations of the reform dealing with freedom of choice in health care.

[Current and future competencies for public health professionals].

Science.gov (United States)

Rodríguez, Dolors; Berenguera, Anna; Pujol-Ribera, Enriqueta; Capella, Jordina; Peray, Josep Lluís de; Roma, Josep

2013-01-01

To identify current and future competencies (managers and technicians) for public health professionals in Catalonia (Spain). Qualitative research with a phenomenological approach. Between November 2009 and February 2010, 31 semistructured interviews were completed with public health professionals working in Catalonia. We purposely used a theoretical sample to include the maximum multiplicity of discourses. We conducted a thematic content analysis. We obtained a wide range of current professional competencies, as well as those required for the future, classified according to professional profile. The participants highlighted transversal competencies, such as the importance of sharing a general theoretical framework of the discipline and the institution. Among the most frequently reported competencies were knowledge management, communication skills, teamwork, multidisciplinary and intersectoral orientation, legal knowledge, computer skills and languages, particularly English. It was also important for individual professionals to have specific skills in their areas of activity. In terms of differences between managers and technicians, the study showed that technicians prioritize management skills concerning human and material resources, while managers emphasize organizational and professional public health expertise. There is a need for transversal and specific competencies in distinct areas. Public health is a multidisciplinary field, which collaborates with a wide range of professionals and organizations. Copyright © 2012 SESPAS. Published by Elsevier Espana. All rights reserved.

Studies of Discourse and Governmentality

DEFF Research Database (Denmark)

have attempted to critically rethink Foucault’s ideas. This is the first volume that attempts to revisit and expand studies of governmentality by connecting it to the theories and methods of discourse analysis. The volume draws on different theoretical stances and methodological approaches including...... critical discourse analysis, conversation analysis, dialogic analysis, multimodal discourse analysis, the discourse-historical approach, corpus analysis and French discourse analysis. The volume is relevant to students and scholars in the fields of critical discourse studies, conversation analysis......, international studies, environmental studies, political science, public policy and organisation studies....

The Cuban experience in public health: does political will have a role?

Science.gov (United States)

Pagliccia, Nino; Alvarez Pérez, Adolfo

2012-01-01

The role of political will in public health has been largely ignored. In Cuba, however, for the past 50 years, political will has been the ultimate, encompassing intersectoral action in public health. The excellent achievements in population health in Cuba during these 50 years have been widely recognized. Researchers have sought to explain this "Cuban paradox" by focusing on a large array of public health factors, including health promotion, primary care activities, and intersectoral action on health determinants. These factors constitute necessary but not sufficient conditions to achieve good health outcomes. This article defines political will and uses the experience of Cuba to illustrate the potential role of political will in public health. The authors suggest a framework for the evaluation of political will aimed at achieving good health, examining the "Five R's of political will," five observable features that may provide systematic information on the direction and realization of political will: (1) renewal of commitment, (2) reform of the system, (3) resource development, (4) review of performance, and (5) responsible management. These five features focus the spotlight on the consistency between health goals and public discourse and action.

["No" for stacked young bodybuilders, "yes" for manthers: the biomedical discourse on anabolic steroids and health].

Science.gov (United States)

Moraes, Danielle Ribeiro de; Castiel, Luis David; Ribeiro, Ana Paula Pereira da Gama Alves

2015-06-01

The article addresses the use of anabolic androgenic steroids (AAS), synthetic drugs whose abuse has been characterized as a public health problem, operated in the opposition between "medical" and "non-medical" uses. A qualitative approach was used to analyze the text in 76 biomedical articles published from 2002 to 2012. The discourse shows a persistent ban on non-medically regulated use of AAS by young people, while the limits on clinically qualified use appear to expand among older people, even given the contradictions straining the argument on the prevention of health risks. Moralizing biopolitical stances appear, based on gender distinctions or under the aegis of criminalizing drug use.

Post-ecological discourse in the making.

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Zeyer, Albert; Roth, Wolff-Michael

2013-01-01

This article analyses the discourse of 15- to16-year-old Swiss junior high school students in order to understand public discourse on the environment and environmental protection. Discourse analysis reveals four interpretive repertoires as the building blocks for the so-called post-ecological discourse, which can be used to describe important aspects of current ways of talking about ecological issues in Europe. We show that 10 theoretically identifiable dimensions of this discourse can be understood in terms of a mutual interplay between the four interpretive repertoires. Post-ecological discourse in today's (Swiss) society appears to be at its core a loss-of-control-discourse, which leads (in our students) to a latent eco-depression. Thus, the public understanding of science can be affected by unintended consequences of the talk itself (in this case an unintended environmental depression), that is, by the inherent characteristics of the involved repertoires, here especially the so-called folk science repertoire. Fostering public understanding of science is thus not merely a question of providing the public with scientific 'facts'. It is also an issue of paying attention to the available discursive repertoires. If necessary, viable alternative repertoires may have to be offered. In school, for example, conversations about the nature of science, and about complexity and applied ethics might help students learn new interpretive repertoires and how to mobilize these in talking about the environment and environmental protection.

The Ethics of Belief, Cognition, and Climate Change Pseudoskepticism: Implications for Public Discourse.

Science.gov (United States)

Torcello, Lawrence

2016-01-01

The relationship between knowledge, belief, and ethics is an inaugural theme in philosophy; more recently, under the title "ethics of belief" philosophers have worked to develop the appropriate methodology for studying the nexus of epistemology, ethics, and psychology. The title "ethics of belief" comes from a 19th-century paper written by British philosopher and mathematician W.K. Clifford. Clifford argues that we are morally responsible for our beliefs because (a) each belief that we form creates the cognitive circumstances for related beliefs to follow, and (b) we inevitably influence each other through those beliefs. This study argues that recent cognitive research supports Cliffordian insights regarding patterns of belief formation and social influence. From the confirmation offered by such research, it follows that informational accuracy holds serious ethical significance in public discourse. Although scientific and epistemological matters are not always thought to be linked to normative morality, this study builds on Clifford's initial insights to show their linkage is fundamental to inquiry itself. In turn, Clifford's ethical and epistemic outline can inform a framework grounded in "public reason" under which seemingly opposed science communication strategies (e.g., "information deficit" and "cultural cognition" models) are philosophically united. With public discourse on climate change as the key example, empirically informed and grounded strategies for science communication in the public sphere are considered. Copyright © 2016 Cognitive Science Society, Inc.

Discourses in stroke rehabilitation as they present themselves in current physiotherapy and occupational therapy.

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Kristensen, Hanne Kaae; Præstegaard, Jeanette; Ytterberg, Charlotte

2017-02-01

Aim This study aims to discuss current perceptions of rehabilitation and how present rehabilitation practice is affected by dominating discourses in Danish society by exploring discourses expressed in official publications and the constructed journal notes of occupational and physiotherapists' practice of stroke rehabilitation. Method The frame of reference is Fairclough's critical discourse analysis. The analysis comprises seven official documents relevant to stroke rehabilitation provided in Danish health services in 2012-2013. Also, notes written by occupational therapists and physiotherapists in medical records of 10 patients with a stroke diagnosis admitted to hospital in 2012. The documents included were read thoroughly. The texts were analyzed deductively, focusing on discursive practice on articulated understandings of rehabilitation, health practice approaches, and social practice. Results The dominating discourses seem to be Western neoliberalism organizational, medical and ethical discourses. The macro level of discourses consisted of political documents addressing rehabilitation nationally. The meso level mainly concerned medical discourses within stroke rehabilitation whereas the micro level represented local medical and ethical discourses. Conclusion The neoliberal discourse supports the medical discourse with strong emphasis on evidence-based interventions. In contrast to ethical discourses, documentation of rehabilitation practice marked more attention being paid to facilitating the patient's independence than to enabling the regaining of meaningful activities and participation. Implications for Rehabilitation Individualized rehabilitation must be organized with flexibility as it is a complex process Critical reflectiveness among health professionals is needed to provide individualized rehabilitation of high quality A broader range of stake holders, including patient organizations, are in demand within health policy making The discourses that

“De-centre-ing” sexual difference in public and ecclesial discourses on marriage

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Yolanda Dreyer

2008-01-01

Full Text Available Public and ecclesial discourses influence opinions on the institution of heteronormative marriage. The term “discourse” indicates that private knowledge and experiences are made known in the public sphere. Against this background the article focuses on three postmodern approaches to a theology of marriage with regard to the significance or insignificance of the biological difference between femaleness and maleness. The first approach is that of marriage as a linguistic expression of intimacy in a relationship. According to this view, heterosexual marriage is not seen as the only possibility for expressing the intimate relationship between God and human beings. The second approach assumes that love and caring, supposedly inherent to heterosexual marriage, can also exist in other relationships. This implies that marriage as institution should also be available to people in relationships other than heterosexual. The third approach emphasizes marriage and sexuality as being embedded in community. Such a view makes sexual difference and procreation peripheral to sexual ethics. The aim of this article is to suggest a further option for consideration, namely the “de-centreing” of sexual difference in the theology of marriage. This postmodern option pleads for a respect for privacy with regard to sexual intimacy, also in ecclesial and public discourse.

From the Totalitarian Language to the Informative Discourse. A Romanian Media Discourse Analysis During the '90s

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LUMINIŢA ROŞCA

2013-05-01

Full Text Available This study aims at emphasizing the institutional transformations that occurred in the public environment following the events in December 1989 in Romania, focusing on the dismantling of mechanisms that marked the transition from the national-communist propaganda discourse to the informative discourse, which laid the foundation of the public sphere in post-totalitarian Romania. The hypothesis we start from is that Romanian media was slow in abandoning the communist press model, which explains the manichaeist discourse of nowadays media, the involvement of politics in media business and, last but not least, the extremely poor market - the poorest in Eastern Europe, as showed by the latest studies. The analysis has two components: the context analysis (historical, political, ideological and the media discourse analysis (cf. P. Charaudeau, R. Fowler, John Hartley, in line with the view of certain authors (C. Sparks with respect to the transitions in Eastern Europe and the role media played in these processes. Also, we permanently referred to the theories of the public sphere explained by J. Habermas. The discourse procedures of the totalitarian language were emphasized by investigating a corpus formed of the main publications of the printed press before and after 1989.

Mental health service utilization in sub-Saharan Africa: is public mental health literacy the problem? Setting the perspectives right.

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Atilola, Olayinka

2016-06-01

The severely constrained resources for mental health service in less-developed regions like sub-Saharan Africa underscore the need for good public mental health literacy as a potential additional mental health resource. Several studies examining the level of public knowledge about the nature and dynamics of mental illness in sub-Saharan Africa in the last decade had concluded that such knowledge was poor and had called for further public enlightenment. What was thought to be mental health 'ignorance' has also been blamed for poor mainstream service utilization. These views however assume that non-alignment of the views of community dwellers in sub-Saharan Africa with the biomedical understanding of mental illness connotes 'ignorance', and that correcting such 'ignorance' will translate to improvements in service utilization. Within the framework of contemporary thinking in mental health literacy, this paper argues that such assumptions are not culturally nuanced and may have overrated the usefulness of de-contextualized public engagement in enhancing mental health service utilization in the region. The paper concludes with a discourse on how to contextualize public mental health enlightenment in the region and the wider policy initiatives that can improve mental health service utilization. © The Author(s) 2015.

In the search of identity: the Romanian journalistic discourse and the function of Europeanization of the public sphere

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Gabriela GOUDENHOOFT

2014-11-01

Full Text Available This paper represents an introduction in the ongoing research on the search of identity of the journalistic discourse, identity able to contribute to the development of national public sphere and to its Europeanization. I presented some of the ideas and theories on modern and postmodern communication and public sphere trying to see how they create place to European issues and what status they have in contemporary journalistic discourse. Media interaction with national public spheres and the role of media in their transnationalization process is a complex one. In research of representations about EU and about major European themes and issues, which media create or transmit is important to emphasyse the role these representations play both in public discourse and in the comprehension process. This is an ongoing research and I have chosen only one example of representations, that of personalization, the antopomorphism of Europe image, the analogy with a human body, with its strengths and weaknesses, but also a body able to act in distress under the influence of diseases with significant effects on our lives. Romanian media is looking for its own identity linked to the European communication flow while European issues hardly make their way to our public space where the actors are aware of the lack of popularity of this topics, a deficit explained almost by their technicality and by the lack of a genuine European public.

Public health promotion of "local food": Constituting the self-governing citizen-consumer.

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Derkatch, Colleen; Spoel, Philippa

2017-03-01

This article explores how the recent and growing promotion of local foods by public health units in Ontario, Canada, rhetorically interpellates the "good" health citizen as someone who not only takes responsibility for personal health but, through the consumption and support of "local food," also accepts and fulfills her responsibilities to care for the local economy, the community's well-being, and the natural environment. Drawing on Charland's concept of constitutive rhetoric, we analyze a selection of public health unit documents about local food to develop a textured account of the complex, multifaceted forms of health citizenship they constitute. Our analysis reveals that, despite their appeals to environmental sustainability and community well-being, these materials primarily characterize the ideal health citizen as an informed consumer who supports the interests of the neoliberal state through individualized lifestyle behaviors, consuming goods produced and distributed through private enterprise. By exhorting individuals to "buy local," public health discourse therefore frames responsible health citizenship principally in consumerist terms that constrain the range of available options for citizens to engage in meaningful action vis-à-vis their food systems.

Governing citizens and health professionals at a distance: A critical discourse analysis of policies of intersectorial collaboration in Danish health-care

DEFF Research Database (Denmark)

Andersen, Anne Bendix; Frederiksen, Kirsten; Kolbæk, Raymond

2017-01-01

of intersectorial collaboration. The premises of intersectorial collaboration are maintained through a specific presentation of actors leaving little room for discussion, where professionals are constructed as actors who are expected to develop ways of collaborating according to the Triple Aim approach in order...... policies as powerful actors and explores how effects of a concrete policy are adapted for intersectorial collaboration in Danish healthcare. The paper is based on a critical discourse analysis of a central policy document in Danish health-care known as the ‘Health Agreements’. Using Fairclough’s three......-dimensional model for discourse analysis, we explored the document to clarify the construction of actors participating in intersectorial collaboration. The analysis revealed the Health Agreement as a ‘negotiated text’, appearing as an overriding document legitimising one possible discourse regarding the premises...

Physical Education for Health and Wellbeing: A Discourse Analysis of Scottish Physical Education Curricular Documentation

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McEvilly, Nollaig; Verheul, Martine; Atencio, Matthew; Jess, Mike

2014-01-01

This paper provides an analysis of the discourses associated with physical education in Scotland's "Curriculum for Excellence". We implement a poststructural perspective in order to identify the discourses that underpin the physical education sections of the "Curriculum for Excellence" "health and well-being"…

Digital Ecologies of Youth Mental Health: Apps, Therapeutic Publics and Pedagogy as Affective Arrangements

OpenAIRE

Fullagar, Simone; Rich, Emma; Francombe-Webb, Jessica; Maturo, Antonio

2017-01-01

In this paper, we offer a new conceptual approach to analyzing the interrelations between formal and informal pedagogical sites for learning about youth mental (ill) health with a specific focus on digital health technologies. Our approach builds on an understanding of public pedagogy to examine the pedagogical modes of address (Ellsworth 1997) that are (i) produced through ‘expert’ discourses of mental health literacy for young people; and (ii) include digital practices created by young peop...

Social constructionism, discourse analysis and mental health nursing: a natural synergy.

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Leishman, June L

2003-09-01

This paper has been developed to identify the natural synergy between social constructionism, discourse analysis and mental health research. It is based on research undertaken to explore mental health nurses' identity. The proposal is that nurses' identities are rhetorically constructed in the language they use to account for and justify their work in the practice context.

Oral Academic Discourse Socialisation: Challenges Faced by International Undergraduate Students in a Malaysian Public University

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Mahfoodh, Omer Hassan Ali

2014-01-01

This paper reports a qualitative study which examines the challenges faced by six international undergraduate students in their socialisation of oral academic discourse in a Malaysian public university. Data were collected employing interviews. Students' presentations were also collected. Semi-structured interviews were transcribed verbatim and…

[Health Centers: science and ideology in the re-organization of public health in the twentieth century].

Science.gov (United States)

Mello, Guilherme Arantes; Viana, Ana Luiza d'Ávila

2011-12-01

Health Centers appeared in the United States around 1910. They provided social assistance in conjunction with some type of medical care. Their original separation between preventive and curative medicine was superseded by the concept of whole health in the 1940s, when Health Center discourse became part of medical education. In the 1960s, the notion of community medicine arose out of the war on poverty. These ideas spread through Brazil in the 1920s and were strengthened under the Vargas policy of national construction, but it was the Serviço Especial de Saúde Pública (Special Public Health Service) that was primarily responsible for lending them their practical and conceptual shape in this country.

Healthy nutrition and health-washing corporate discourses across three organizations in the fast food and soft drinks industry

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Mara Stan

2017-08-01

Full Text Available The study inquires about the means by which corporate discourse formulates, invokes and challenges scientific research by examining three case studies of organizations in the fast food and soft drinks industry. Critical discourse analysis carried out on corporate sections dedicated to healthy lifestyles reveals all three explored discursive streams acknowledge customers’ changing needs and consumption patterns. They introduce healthy lifestyles up on the corporate agenda, as cornerstone for their identity and governance strategy of fast-food and soft drinks producers. As overall discursive pattern, corporate public relations jargon constantly employs disclaimers and generic terms such as “evolution”, “development”, “strategy”, “partnership”, “transparency”, without providing specific assessment criteria to map down the intended intervention. The article provides rhetoric illustrations enacted through omission, disclaimers, backgrounding and reframing effects. The overriding discursive rationale implies that healthy diets are still low-priority for leading food and drinks producers. The documented companies indicate in their PR communication two strategies of fighting against the scientifically proven negative impact of their traded products: the individual choice paradigm and the social compensation strategy or health-washing. The article highlights some of the inconsistencies of discourses on healthy food that apparently are counter-intuitive enough to undermine corporate interests, while such discourses peddle on the idea of sincerity, transparency and ethical conduct. All three case studied corporations strive to safeguard their threatened reputation across discursive practices by acknowledging their weaknesses as sign of honesty. Further reflection on critical discourse analysts’ mandate and implications for practice are explored.

Health discourse, sexual slang and ideological contradictions among Mozambican youth: implications for method.

Science.gov (United States)

Groes-Green, Christian

2009-08-01

Despite the urgency of improving an understanding of sexual cultures in the face of a globally devastating HIV epidemic, methodological reflection and innovation has been conspicuously absent from qualitative research in recent years. Findings from fieldwork on condom use among young people in Mozambique confirm the need to remain alert to the ideological and linguistic bias of applied methods. Interviewing young people about their sexuality using a conventional health discourse resulted in incorrect or socially acceptable answers rather than accurate information about their sexual behaviour. Young people's resistance to enquiry, the paper argues, is due to ideological contradictions between their sexual culture and slang, on the one hand, and Western health discourses associated with colonial and post-colonial opposition to traditional culture and languages, on the other. Mixing colloquial Portuguese and changana sexual slang is constructed around ideas of safedeza and pleasure, while dominant health discourses address sexuality as both 'risky' and 'dangerous'. In order to gain a deeper understanding of sexual cultures and to make HIV prevention efforts relevant to young people, it is suggested that researchers and policy makers approach respondents with a language that is sensitive to the local ideological and linguistic context.

FROM THE TOTALITARIAN LANGUAGE TO THE INFORMATIVE DISCOURSE. A ROMANIAN MEDIA DISCOURSE ANALYSIS DURING THE ’90S

Directory of Open Access Journals (Sweden)

LUMINIŢA ROŞCA

2013-01-01

Full Text Available This study aims at emphasizing the institutional transformations that occurred in the public environment following the events in December 1989 in Romania, focusing on the dismantling of mechanisms that marked the transition from the national communist propaganda discourse to the informative discourse, which laid the foundation of the public sphere in post-totalitarian Romania. The hypothesis is that Romanian media was slow in abandoning the communist press model, which explains the manichaeist discourse of nowadays media, the involvement of politics in media business and, last but not least, the extremely poor market – the poorest in Eastern Europe, as showed by the latest studies. The analysis has two components: the context analysis (historical, political, and ideological and the media discourse analysis, in line with the view of certain authors (C. Sparks with respect to the transitions in Eastern Europe and the role the media played in these processes. The discourse procedures of the totalitarian language were emphasized by investigating a corpus formed of the main publications of the printed press before and after 1989.

'Vulnerability is universal': considering the place of 'security' and 'vulnerability' within contemporary global health discourse.

Science.gov (United States)

Brown, Tim

2011-02-01

The question of global health has, at least since 9/11, (re)emerged as one of the world's key geopolitical issues and, as many scholars have noted, this increased attention to the state of world health is especially focused on questions of national security and vulnerability. Despite its prominence in political, health policy and scholarly circles, health geographers have tended to overlook this particular aspect of global health discourse. This paper seeks to redress this lacuna. It does so for three reasons. The first lies in the idea that this discourse is inherently geographical; after all, it is in essence concerned with the flows of human and non-human agents within and, more importantly here, across, national borders. It is also of interest because a focus on vulnerability allows for an analysis that goes beyond the current fixation with emerging and re-emerging infectious diseases. Although it is certainly true that the concern with such diseases dominates, and the recent focus upon H1N1 swine flu is testament to that, there is also a suggestion that the processes associated with the enhanced threat posed by these diseases are similar to those that have caused non-communicable diseases to become a global health problem too. A third reason for focussing on this aspect of the global health discourse is that the subsequent search for 'security' is highly problematic; especially if we consider the question of "who is to be protected, and from what". The aim of the paper is, then, to offer a critical review of the international discourse on global health and to highlight its relevance to scholars that self-identify as health and medical geographers. Copyright © 2010 Elsevier Ltd. All rights reserved.

[Legitimizing and responsibilities of public health reports: public health reports or social court reports?].

Science.gov (United States)

Borgers, D; Streich, W

1996-11-01

Since 1970 various initiatives have been taken to improve the information bases of health reporting. However, the efforts made up to now by the Länder, the Federal Government and its corporate bodies are characterised by a lack of experience and shortage of resources; moreover, they are viewed with a critical eye by the public and in the political area. In this contribution the authors describe various topics and delimitations of a health reporting system which go far beyond health statistics and health programmes altogether. The chances of a national health reporting system are based on the assumption that an objective judgement based on expert knowledge and science will be possible and that beyond all particularistic interests, expert knowledge can be organised in a democratic process. Public health reporting varies between two extremes: On the one hand, the current reporting in the media on health-related subjects which is characterised by disagreement among experts, particularistic interests and emotions, and on the other hand the national health reporting, which, on the platform of policy marketing and political image shaping, is suspected of degenerating to a kind of "royal court reporting". A health reporting system based on expert knowledge and characterised by topics with relevance to health policy, expert quality of its information and neutrality to particularistic interests, should go beyond these two extremes. Given the political conditions of budgeting and distribution conflicts, health reporting has to deal with two main aspects: effectiveness and efficiency of employed resources and with the problems of a fair distribution of these resources to provide equal chances in the health sector. What cannot be solved, by questions of procedure, however, is the problem of truth and objective knowledge as well as the problem of confidence. If the general public lacks confidence in national expert knowledge, a society discourse will not lead to political

Does public health advocacy seek to redress health inequities? A scoping review.

Science.gov (United States)

Cohen, Benita E; Marshall, Shelley G

2017-03-01

The public health (PH) sector is ideally situated to take a lead advocacy role in catalysing and guiding multi-sectoral action to address social determinants of health inequities, but evidence suggests that PH's advocacy role has not been fully realised. The purpose of this review was to determine the extent to which the PH advocacy literature addresses the goal of reducing health and social inequities, and to increase understanding of contextual factors shaping the discourse and practice of PH advocacy. We employed scoping review methods to systematically examine and chart peer-reviewed and grey literature on PH advocacy published from January 1, 2000 to June 30, 2015. Databases and search engines used included: PubMed, CINAHL, PsycINFO, Social Sciences Citation Index, Google Scholar, Google, Google Books, ProQuest Dissertations and Theses, Grey Literature Report. A total of 183 documents were charted, and included in the final analysis. Thematic analysis was both inductive and deductive according to the objectives. Although PH advocacy to address root causes of health inequities is supported theoretically and through professional practice standards, the empirical literature does not reflect that this is occurring widely in PH practice. Tensions within the discourse were noted and multiple barriers to engaging in PH advocacy for health equity were identified, including a preoccupation with individual responsibilities for healthy lifestyles and behaviours, consistent with the emergence of neoliberal governance. If the PH sector is to fulfil its advocacy role in catalysing action to reduce health inequities, it will be necessary to address advocacy barriers at multiple levels, promote multi-sectoral efforts that implicate the state and corporations in the production of health inequities, and rally state involvement to redress these injustices. © 2016 John Wiley & Sons Ltd.

Beyond a lesbian space? An investigation on the intergenerational discourse surrounding lesbian public social places in Amsterdam.

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Fobear, Katherine

2012-01-01

This article investigates intergenerational discourse on public lesbian social spaces within Amsterdam, Netherlands. The author seeks to address how lesbian women from different generations talk about lesbian social spaces in Amsterdam through anthropological ethnographic research and semistructured interviews with 20 lesbian women who have or currently are attending these places. The author also addresses the gradual decline of lesbian specific spaces in the city and the current belief that lesbian women are beyond having a public social space that services only the lesbian community. The rise in popularity of mixed gay- and lesbian-friendly bars and girl circuit parties will be identified as a key area where generational tensions and discourse are being played out. Issues pertaining to generational disagreements over lesbian identity, visibility, and space will be addressed.

Public health and health promotion capacity at national and regional level: a review of conceptual frameworks

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Christoph Aluttis

2014-04-01

Full Text Available The concept of capacity building for public health has gained much attention during the last decade. National as well as international organizations increasingly focus their efforts on capacity building to improve performance in the health sector. During the past two decades, a variety of conceptual frameworks have been developed which describe relevant dimensions for public health capacity. Notably, these frameworks differ in design and conceptualization. This paper therefore reviews the existing conceptual frameworks and integrates them into one framework, which contains the most relevant dimensions for public health capacity at the country or regional level. A comprehensive literature search was performed to identify frameworks addressing public health capacity building at the national or regional level. We content-analysed these frameworks to identify the core dimensions of public health capacity. The dimensions were subsequently synthesized into a set of thematic areas to construct a conceptual framework which describes the most relevant dimensions for capacities at the national or regional level. The systematic review resulted in the identification of seven core domains for public health capacity: resources, organizational structures, workforce, partnerships, leadership and governance, knowledge development and country specific context. Accordingly, these dimensions were used to construct a framework, which describes these core domains more in detail. Our research shows that although there is no generally agreed upon model of public health capacity, a number of key domains for public health and health promotion capacity are consistently recurring in existing frameworks, regardless of their geographical location or thematic area. As only little work on the core concepts of public health capacities has yet taken place, this study adds value to the discourse by identifying these consistencies across existing frameworks and by synthesising

"Hell no, they'll think you're mad as a hatter": Illness discourses and their implications for patients in mental health practice.

Science.gov (United States)

Ringer, Agnes; Holen, Mari

2016-03-01

This article examines how discourses on mental illness are negotiated in mental health practice and their implications for the subjective experiences of psychiatric patients. Based on a Foucauldian analysis of ethnographic data from two mental health institutions in Denmark--an outpatient clinic and an inpatient ward--this article identifies three discourses in the institutions: the instability discourse, the discourse of "really ill," and the lack of insight discourse. This article indicates that patients were required to develop a finely tuned and precise sense of the discourses and ways to appear in front of professionals if they wished to have a say in their treatment. We suggest that the extent to which an individual patient was positioned as ill seemed to rely more on his or her ability to navigate the discourses and the psychiatric setting than on any objective diagnostic criteria. Thus, we argue that illness discourses in mental health practice are not just materialized as static biomedical understandings, but are complex and diverse--and have implications for patients' possibilities to understand themselves and become understandable to professionals. © The Author(s) 2015.

Public Health Nurses and Mothers Challenge and Shift the Meaning of Health Outcomes

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Megan Aston

2016-02-01

Full Text Available Maternal, child, and newborn health is a priority area in Canada and around the world. The work of public health nurses (PHNs is often invisible and misunderstood. The purpose of this qualitative research project was to explore how universal and targeted home visiting programs for mothers and babies were organized, delivered, and experienced through the everyday practices of PHNs ( n = 16 and mothers ( n = 16 in Nova Scotia, Canada. Feminist poststructuralism and discourse analysis were used to analyze interviews. Concepts of relations of power enabled an understanding of how health outcomes had been socially and institutionally constructed through binary relations. PHNs and mothers spoke about the importance of “softer” health outcomes, including maternal self-confidence and empowerment that had been constructed as less important than health outcomes that were seen to be more tangible and physical. Findings from this research could be used to guide practice and planning of postpartum home visiting programs.

Digital Ecologies of Youth Mental Health: Apps, Therapeutic Publics and Pedagogy as Affective Arrangements

Directory of Open Access Journals (Sweden)

Simone Fullagar

2017-11-01

Full Text Available In this paper, we offer a new conceptual approach to analyzing the interrelations between formal and informal pedagogical sites for learning about youth mental (ill health with a specific focus on digital health technologies. Our approach builds on an understanding of public pedagogy to examine the pedagogical modes of address (Ellsworth 1997 that are (i produced through ‘expert’ discourses of mental health literacy for young people; and (ii include digital practices created by young people as they seek to publicly address mental ill health through social media platforms. We trace the pedagogic modes of address that are evident in examples of digital mental health practices and the creation of what we call therapeutic publics. Through an analysis of mental health apps, we examine how these modes of address are implicated in the affective process of learning about mental (ill health, and the affective arrangements through which embodied distress is rendered culturally intelligible. In doing so, we situate the use of individual mental health apps within a broader digital ecology that is mediated by therapeutic expertise and offer original contributions to the theorization of public pedagogy.

Positioning pharmacists' roles in primary health care: a discourse analysis of the compensation plan in Alberta, Canada.

Science.gov (United States)

Hughes, Christine A; Breault, Rene R; Hicks, Deborah; Schindel, Theresa J

2017-11-23

A comprehensive Compensation Plan for pharmacy services delivered by community pharmacists was implemented in Alberta, Canada in July 2012. Services covered by the Compensation Plan include care planning services, prescribing services such as adapting prescriptions, and administering a drug or publicly-funded vaccine by injection. Understanding how the Compensation Plan was framed and communicated provides insight into the roles of pharmacists and the potential influence of language on the implementation of services covered by the Compensation Plan by Albertan pharmacists. The objective of this study is to examine the positioning of pharmacists' roles in documents used to communicate the Compensation Plan to Albertan pharmacists and other audiences. Publicly available documents related to the Compensation Plan, such as news releases or reports, published between January 2012 and December 2015 were obtained from websites such as the Government of Alberta, Alberta Blue Cross, the Alberta College of Pharmacists, the Alberta Pharmacists' Association, and the Blueprint for Pharmacy. Searches of the Canadian Newsstand database and Google identified additional documents. Discourse analysis was performed using social positioning theory to explore how pharmacists' roles were constructed in communications about the Compensation Plan. In total, 65 publicly available documents were included in the analysis. The Compensation Plan was put forward as a framework for payment for professional services and formal legitimization of pharmacists' changing professional roles. The discourse associated with the Compensation Plan positioned pharmacists' roles as: (1) expanding to include services such as medication management for chronic diseases, (2) contributing to primary health care by providing access to services such as prescription renewals and immunizations, and (3) collaborating with other health care team members. Pharmacists' changing roles were positioned in alignment with the

Positioning pharmacists’ roles in primary health care: a discourse analysis of the compensation plan in Alberta, Canada

Directory of Open Access Journals (Sweden)

Christine A. Hughes

2017-11-01

Full Text Available Abstract Background A comprehensive Compensation Plan for pharmacy services delivered by community pharmacists was implemented in Alberta, Canada in July 2012. Services covered by the Compensation Plan include care planning services, prescribing services such as adapting prescriptions, and administering a drug or publicly-funded vaccine by injection. Understanding how the Compensation Plan was framed and communicated provides insight into the roles of pharmacists and the potential influence of language on the implementation of services covered by the Compensation Plan by Albertan pharmacists. The objective of this study is to examine the positioning of pharmacists’ roles in documents used to communicate the Compensation Plan to Albertan pharmacists and other audiences. Methods Publicly available documents related to the Compensation Plan, such as news releases or reports, published between January 2012 and December 2015 were obtained from websites such as the Government of Alberta, Alberta Blue Cross, the Alberta College of Pharmacists, the Alberta Pharmacists’ Association, and the Blueprint for Pharmacy. Searches of the Canadian Newsstand database and Google identified additional documents. Discourse analysis was performed using social positioning theory to explore how pharmacists’ roles were constructed in communications about the Compensation Plan. Results In total, 65 publicly available documents were included in the analysis. The Compensation Plan was put forward as a framework for payment for professional services and formal legitimization of pharmacists’ changing professional roles. The discourse associated with the Compensation Plan positioned pharmacists’ roles as: (1 expanding to include services such as medication management for chronic diseases, (2 contributing to primary health care by providing access to services such as prescription renewals and immunizations, and (3 collaborating with other health care team members

Human Rights Discourse in the Sustainable Development Agenda Avoids Obligations and Entitlements Comment on "Rights Language in the Sustainable Development Agenda: Has Right to Health Discourse and Norms Shaped Health Goals?".

Science.gov (United States)

Williams, Carmel; Blaiklock, Alison

2016-03-05

Our commentary on Forman et al paper explores their thesis that right to health language can frame global health policy responses. We examined human rights discourse in the outcome documents from three 2015 United Nations (UN) summits and found rights-related terms are used in all three. However, a deeper examination of the discourse finds the documents do not convey the obligations and entitlements of human rights and international human rights law. The documents contain little that can be used to empower the participation of those already left behind and to hold States and the private sector to account for their human rights duties. This is especially worrying in a neoliberal era. © 2016 by Kerman University of Medical Sciences.

Consuming America : A Data-Driven Analysis of the United States as a Reference Culture in Dutch Public Discourse on Consumer Goods, 1890-1990

OpenAIRE

Wevers, M.J.H.F.

2017-01-01

Consuming America offers a data-driven, longitudinal analysis of the historical dynamics that have underpinned a long-term, layered cultural-historical process: the emergence of the United States as a dominant reference culture in Dutch public discourse on consumer goods between 1890 and 1990. The ideas, values, and practices associated with the United States in public discourse remained relatively steady over time, which might explain the country’s longevity as a reference culture and its po...

Democratic Public Discourse in the Coming Autarchic Communities

Directory of Open Access Journals (Sweden)

Gheorghe-Ilie Farte

2010-12-01

Full Text Available The main purpose of this article is to tackle the problem of living together – as dignified human beings – in a certain territory in the field of social philosophy, on the theoretical grounding ensured by some remarkable exponents of the Austrian School − and by means of the praxeologic method. Because political tools diminish the human nature not only of those who use them, but also of those who undergo their effects, people can live a life worthy of a human being only as members of some autarchic or self-governing communities. As a spontaneous order, every autarchic community is inherently democratic, inasmuch as it makes possible free involvement, peaceful coordination, free expression and the free reproduction of ideas. The members of autarchic communities are moral individuals who avoid aggression, practice self-control, seek a dynamical efficiency and establish (together with their fellow human beings a democratic public discourse.

Disagreements with implications: diverging discourses on the ethics of non-medical use of methylphenidate for performance enhancement.

Science.gov (United States)

Forlini, Cynthia; Racine, Eric

2009-07-06

There is substantial evidence that methylphenidate (MPH; Ritalin), is being used by healthy university students for non-medical motives such as the improvement of concentration, alertness, and academic performance. The scope and potential consequences of the non-medical use of MPH upon healthcare and society bring about many points of view. To gain insight into key ethical and social issues on the non-medical use of MPH, we examined discourses in the print media, bioethics literature, and public health literature. Our study identified three diverging paradigms with varying perspectives on the nature of performance enhancement. The beneficial effects of MPH on normal cognition were generally portrayed enthusiastically in the print media and bioethics discourses but supported by scant information on associated risks. Overall, we found a variety of perspectives regarding ethical, legal and social issues related to the non-medical use of MPH for performance enhancement and its impact upon social practices and institutions. The exception to this was public health discourse which took a strong stance against the non-medical use of MPH typically viewed as a form of prescription abuse or misuse. Wide-ranging recommendations for prevention of further non-medical use of MPH included legislation and increased public education. Some positive portrayals of the non-medical use of MPH for performance enhancement in the print media and bioethics discourses could entice further uses. Medicine and society need to prepare for more prevalent non-medical uses of neuropharmaceuticals by fostering better informed public debates.

Dominant Health Discourses in Action: Constructing People with Disabilities as the "Inadmissible Other" in Canadian Immigration

Directory of Open Access Journals (Sweden)

Yahya El-Lahib

2016-08-01

Full Text Available This paper reports on a Critical Discourse Analysis study situated within a postcolonial theoretical framework and informed by Foucauldian analysis and the lens of governmentality.  The study examined official Canadian immigration documents and guidelines.  Findings suggest that discourses of risk and protection are used to mask dominant health discourses that construct immigration applicants with disabilities as the "inadmissible Other".  Implications for social work and other helping professions involved in facilitating immigration and settlement for newcomers with disabilities are discussed, and suggestions for future directions in research are offered.

The emerging public discourse on state legalization of marijuana for recreational use in the US: Analysis of news media coverage, 2010-2014.

Science.gov (United States)

McGinty, Emma E; Samples, Hillary; Bandara, Sachini N; Saloner, Brendan; Bachhuber, Marcus A; Barry, Colleen L

2016-09-01

US states have begun to legalize marijuana for recreational use. In the absence of clear scientific evidence regarding the likely public health consequences of legalization, it is important to understand how the risks and benefits of this policy are being discussed in the national dialogue. To assess the public discourse on recreational marijuana policy, we assessed the volume and content of US news media coverage of the topic. We analyzed the content of a 20% random sample of news stories published/aired in high circulation/viewership print, television, and Internet news sources from 2010 to 2014 (N=610). News media coverage of recreational marijuana policy was heavily concentrated in news outlets from the four states (AK, CO, OR, WA) and DC that legalized marijuana for recreational use during the study period. Overall, 53% of news stories mentioned pro-legalization arguments and 47% mentioned anti-legalization arguments. The most frequent pro-legalization arguments posited that legalization would reduce criminal justice involvement/costs (20% of news stories) and increase tax revenue (19%). Anti-legalization arguments centered on adverse public health consequences, such as detriments to youth health and well-being (22%) and marijuana-impaired driving (6%). Some evidence-informed public health regulatory options, like marketing and packaging restrictions, were mentioned in 5% of news stories or fewer. As additional states continue to debate legalization of marijuana for recreational use, it is critical for the public health community to develop communication strategies that accurately convey the rapidly evolving research evidence regarding recreational marijuana policy. Copyright © 2016 Elsevier Inc. All rights reserved.

Arab Media Discourse: Breaking Taboos

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El Mustapha Lahlali

2016-01-01

Full Text Available This paper examines the development and change of Arab media discourse since mid-1990s. The paper looks at how the production and consumption of media discourse have changed dramatically in the Arab world over the last decade or so, notably in relation to taboos such as religion, governance and gender. The paper argues that transnational Arab media, particularly al-Jazeera, have contributed to this change by adopting a liberal and critical approach when dealing with Arab taboos. This change is clearly reflected in the new discourse adopted by both the Arab public and Arab media. Such a discourse practice shapes and is shaped by a new Arab social, cultural and political practice.

Paradox place: discourse line of nuclear sector

International Nuclear Information System (INIS)

Ponce, Iona

2002-05-01

This thesis examines the relationship between the public acceptance and image of nuclear energy and the discourse and arguments commonly employed by the nuclear institutions. In doing so, the Critical Discourse Analysis, the French Discourse Analysis and Pragmatics theories were used to evaluate important variables involved in the construction of the nuclear discourse such as social memory, intertextualilty and image construction. The analysis performed shows that the discourse in favor of the nuclear energy is in fact imbedded by the anti-nuclear discourse. As a consequence, the negative image of the nuclear sector is being reinforced at the same time that its public acceptance becomes more difficult. The core of this analysis consists of two sets of information. The first one is the Internet site of the Brazilian National Nuclear Energy Commission (CNEN). CNEN is the federal nuclear regulatory and research and development agency of Brazil. In this analysis it represents the discourse in favor of nuclear energy. The second set of information used in this thesis is composed by a number of texts displayed in the open literature such as newspapers, magazines and Internet sites, all of them expressing anti-nuclear positions. A careful comparison of both sets shows that the discourse of CNEN, instead of showing new ideas and issues related to nuclear energy, in fact, stays mainly in a reactive position as if it were trying to defend itself from the arguments posed by the anti-nuclear discourse. It was concluded that the discourse of CNEN is constrained within a complex field of non positive expressions, arguments and ideas mostly encountered in the anti-nuclear discourse which brings obvious difficulties to explain the benefits of nuclear energy as a whole. To overcome such situation a more detailed study of the CNEN discourse is suggested. (author)

Lost in translation: Discourses, boundaries and legitimacy in the public understanding of science in the UK

Science.gov (United States)

Lock, Simon Jay

2008-07-01

This thesis documents the historical development of debates around the public understanding of science in the UK from 1985 until 2005. Testimonies from key actors involved in the evolution of the recent public understanding of science arena, and an examination of documentary evidence, have been used to map out how this issue was problematised by scientists in the mid-1980s, and how it has developed into a contested field of activity, political interest and academic research. I propose that this historical period can be broadly understood in four phases each characterised by a dominant discourse of the public understanding of science. I examine how, within each phase, the various groups involved have engaged in boundary work: rhetorically constructing, and mobilising, ideas of 'science', 'the public', and the perceived 'problem' in the relationship between the two, in the pursuit of defining and legitimating themselves and these definitions of the relationship between science and public. Phase I is characterised as a rhetorical re-framing of earlier 'problems' of the public understanding of science by scientists and scientific institutions in the context of the 1980s. Phase II is dominated by the boundary work between scientists and social scientists as they contended for legitimacy and authority over competing discourses of public understanding of science and the institutionalisation of PUS activity and research. Phase III is characterised by a variety of discursive formulations of the 'problem' of PUS following the House of Lords report (2000) and a subsequent change in the rhetoric of public understanding of science to one of public engagement. Phase IV is dominated by the language of 'upstream engagement' and identifies the political interest in managing science's relationship with the public and the social scientific responses to this.

Human Rights Discourse in the Sustainable Development Agenda Avoids Obligations and Entitlements Comment on “Rights Language in the Sustainable Development Agenda: Has Right to Health Discourse and Norms Shaped Health Goals?”

Directory of Open Access Journals (Sweden)

Carmel Williams

2016-06-01

Full Text Available Our commentary on Forman et al paper explores their thesis that right to health language can frame global health policy responses. We examined human rights discourse in the outcome documents from three 2015 United Nations (UN summits and found rights-related terms are used in all three. However, a deeper examination of the discourse finds the documents do not convey the obligations and entitlements of human rights and international human rights law. The documents contain little that can be used to empower the participation of those already left behind and to hold States and the private sector to account for their human rights duties. This is especially worrying in a neoliberal era.

What Is the Greater Good? The Discourse on Public and Private Roles of Higher Education in the New Economy

Science.gov (United States)

Hensley, Brad; Galilee-Belfer, Mika; Lee, Jenny J.

2013-01-01

This study examined the ways that the "public good" of higher education is being conceptualised as economic benefits and cost/benefit rationalities in the current economic downturn. Based on the case of Arizona in the United States, a discourse analysis of speeches was performed on the way public, state and institutional leaders…

Food health branding:Public discourse and health associations

OpenAIRE

Chrysochou, Polymeros

2010-01-01

Healthy eating plays a fundamental role in the promotion and maintenance of good health throughout the entire course of life. Healthy eating has been said to be related to a number of common chronic diseases, including cardiovascular disease, certain cancers, hypertension, diabetes, overweight and obesity, as well as a number of other diseases. In recent years, the prevalence of such dietary-related diseases has increased. Therefore, measures to encourage consumers to eat more healthily are c...

The ethics of communicative process: Discourse, otherness, and public space

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Ângela Cristina Salgueiro Marques

2011-09-01

Full Text Available The aim of this paper is to reflect on ethical-moral questions that are present in different dimensions of the contemporary communicative processes. At a first moment, I explain how Habermas defines the concept of discourse ethics witch is capable to allow the articulation and negotiation among the plurality of points of view and citizens in the current societies. In addition, I confer prominence to the role media play in the interconnection of different audiences and dispersed speeches in order to guarantee possibilities of renewal of collective debates in the public sphere. I therefore propose that an ethics of communication instead of be restrained to media devices and its operative dynamics, should consider their connections with citizens’ concrete practices and experiences.

Organ donation as transition work: Policy discourse and clinical practice in The Netherlands.

Science.gov (United States)

Paul, Katharina T; Avezaat, Cees J J; Ijzermans, Jan N; Friele, Roland D; Bal, Roland A

2014-07-01

An increasing number of patients become eligible for organ transplants. In the Netherlands, at the level of policy discourse, growing waiting lists are often referred to as a persistent "shortage" of organs, producing a "public health crisis." In this way, organ donation is presented as an ethical, social, and medical necessity. Likewise, policy discourse offers a range of seemingly unambiguous solutions: improving logistical infrastructure at the level of hospitals, developing organizational and legal protocols, as well as public information campaigns. Instead of taking these problem and solution definitions as given, we critically examine the relationship between policy discourse and clinical practice. Based on a historical review, first, we trace the key moments of transformation where organ donation became naturalized in Dutch policy discourse, particularly in its altruistic connotation. Second, based on in-depth interviews with medical professionals, we show how those involved in organ donation continue to struggle with the controversial nature of their clinical practice. More specifically, we highlight their use of different forms of knowledge that underlie clinicians' "transition work": from losing a patient to "gaining" a donor. © The Author(s) 2013.

[Primary healthcare and the construction of meanings of oral health: a social constructionist interpretation of discourses of the elderly].

Science.gov (United States)

Bulgarelli, Alexandre Favero; Pinto, Ione Carvalho; Lorenzi, Carla Guanaes; Villa, Teresa Cristina Scatena; Mestriner, Soraya Fernandes; Silva, Rosalina Carvalho da

2012-05-01

Dentistry currently reveals itself to be open to new ideas about the construction of meanings for oral health. This openness leads to the social production of health revealing the contextualization of the social and historical aspects of the sundry knowledge in the development of oral health for different communities. With this research, we seek to build meanings for oral health with a group of elderly people. With this objective in mind, we propose an approximation between discourses on oral health mentioned by the elderly and the Social Constructionist discourse. We interviewed 14 elderly people enrolled in a Family Health Unit in Ribeirão Preto, State of São Paulo, in the first semester of 2010, and identified two interpretative repertoires through Discourse Analysis, which showed the relationship between 1 - Lack of information and dental assistance in childhood, and 2 - Primary Health Care building the meaning of oral health. We concluded that Social Constructionism works epistemologically for the construction of meanings for oral health and that primary health is essential for appreciation and health care that enables the construction of meanings in oral health by the elderly that create conditions for self-care and healthy attitudes.

Paradox place by nuclear sector discourse line

International Nuclear Information System (INIS)

Pereira, Iona Ponce

2002-01-01

This article, taking into consideration the Critical Discourse Analysis and the French Discourse Analysis, examines the relationship between the public image and the acceptance of nuclear energy and the discourse and arguments commonly employed by the nuclear institutions, in Brazil, in favor of a widespread use of nuclear energy by the society. In doing so, the article discusses aspects such as the social memory, intertextuality and image construction and shows that the pro-nuclear arguments and the discourse produced by the institutions of the nuclear sector, in its essence, carries much of the ideas and concepts frequently utilized by the anti-nuclear entities. This fact, instead of providing a positive view, or even a correct understanding of the nuclear area, reinforces the negative image of nuclear energy witch is reflected in its public acceptance by the society. (author)

Emerging Therapeutic Enhancement Enabling Health Technologies and Their Discourses: What Is Discussed within the Health Domain?

Science.gov (United States)

Wolbring, Gregor; Diep, Lucy; Yumakulov, Sophya; Ball, Natalie; Leopatra, Verlyn; Yergens, Dean

2013-01-01

So far, the very meaning of health and therefore, treatment and rehabilitation is benchmarked to the normal or species-typical body. We expect certain abilities in members of a species; we expect humans to walk but not to fly, but a bird we expect to fly. However, increasingly therapeutic interventions have the potential to give recipients beyond species-typical body related abilities (therapeutic enhancements, TE). We believe that the perfect storm of TE, the shift in ability expectations toward beyond species-typical body abilities, and the increasing desire of health consumers to shape the health system will increasingly influence various aspects of health care practice, policy, and scholarship. We employed qualitative and quantitative methods to investigate among others how human enhancement, neuro/cognitive enhancement, brain machine interfaces, and social robot discourses cover (a) healthcare, healthcare policy, and healthcare ethics, (b) disability and (c) health consumers and how visible various assessment fields are within Neuro/Cogno/Human enhancement and within the BMI and social robotics discourse. We found that health care, as such, is little discussed, as are health care policy and ethics; that the term consumers (but not health consumers) is used; that technology, impact and needs assessment is absent; and that the imagery of disabled people is primarily a medical one. We submit that now, at this early stage, is the time to gain a good understanding of what drives the push for the enhancement agenda and enhancement-enabling devices, and the dynamics around acceptance and diffusion of therapeutic enhancements. PMID:27429129

Emerging Therapeutic Enhancement Enabling Health Technologies and Their Discourses: What Is Discussed within the Health Domain?

Directory of Open Access Journals (Sweden)

Gregor Wolbring

2013-07-01

Full Text Available So far, the very meaning of health and therefore, treatment and rehabilitation is benchmarked to the normal or species-typical body. We expect certain abilities in members of a species; we expect humans to walk but not to fly, but a bird we expect to fly. However, increasingly therapeutic interventions have the potential to give recipients beyond species-typical body related abilities (therapeutic enhancements, TE. We believe that the perfect storm of TE, the shift in ability expectations toward beyond species-typical body abilities, and the increasing desire of health consumers to shape the health system will increasingly influence various aspects of health care practice, policy, and scholarship. We employed qualitative and quantitative methods to investigate among others how human enhancement, neuro/cognitive enhancement, brain machine interfaces, and social robot discourses cover (a healthcare, healthcare policy, and healthcare ethics, (b disability and (c health consumers and how visible various assessment fields are within Neuro/Cogno/ Human enhancement and within the BMI and social robotics discourse. We found that health care, as such, is little discussed, as are health care policy and ethics; that the term consumers (but not health consumers is used; that technology, impact and needs assessment is absent; and that the imagery of disabled people is primarily a medical one. We submit that now, at this early stage, is the time to gain a good understanding of what drives the push for the enhancement agenda and enhancement-enabling devices, and the dynamics around acceptance and diffusion of therapeutic enhancements.

Pedophilia discourses in Denmark

DEFF Research Database (Denmark)

Landstrøm, Eva Koblauch; Jeppesen, Sofie Høj; Demant, Jakob Johan

2017-01-01

This study contributes novel digital mixed methods and findings on how fear of pedophilia affects parents and children’s bodily relations. We explore how norms for appropriate behavior between parents and children are constructed in the public debate on a specific case, where a mom has playful...... innocence. However, we find openness within the discourses on how to define respectively healthy and damaging parental behavior towards children....... contact with her son’s genitals. The case triggered a public debate with both negative and positive reactions. A Laclau and Mouffe-inspired analytical framework and Internet-specific tools for data collection as well as processing contribute to the development of a new form of discourse analysis. This new...

Children as agents of their own health: exploratory analysis of child discourse in Spain.

Science.gov (United States)

Davó-Blanes, María Carmen; La Parra, Daniel

2013-09-01

The promotion of children's decision-making is one of the principles of health-promoting schools, and the empowerment of children means that they are enabled to influence their lifestyles and living conditions. The aim of this study was to find out the suggestions of Spanish school pupils in Year 3 and Year 6 of primary education to promote their own health and the health of the people closer to them, through their ideas about health. We analyse the discourse on health in the school environment from focus groups of primary school pupils aged around 8 and 12 of five schools in the town of Alicante (Spain). The groups were organized according to the type of school (public, private), the socioeconomic status of the neighbourhood (residential, working-class) and gender (single-sex, mixed groups) to ensure both the highest intergroup diversity and intra-group homogeneity. The findings show that primary school pupils have a wide and diverse notion of health. The application of the focus group technique has proved useful in eliciting information from groups of primary school pupils, and involving students in health-promoting programmes because it allows them to identify the social and interpersonal determinants of health. There is a firm basis to consider school pupils as health agents, particularly regarding interventions within the school environment itself. With the support of teachers, it is possible to train school pupils as community health agents, and increase their control over their own health.

The Power of Discourse: Reflections on the Obstacles to Social Inclusion of Roma in Serbia

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Jelena Vidojević

2015-09-01

Full Text Available The authors explore the discourses around the exclusion of the Roma in Serbia in two dimensions: social welfare sector and media reports. The paper is structured around the presentation of dimensions contributing to multiple deprivation of Roma in society (from education to labor market participation, social welfare and health care, as well as housing; a review of public policies directed toward the improvement of their position; and analysis of the discourses on Roma within the contexts of the social welfare sector and media reporting. A review of related literature and public policy documents was followed by a qualitative analysis of media reports as well as a review of the secondary sources regarding media discourses on the Roma. This was followed by evidence gathered from semi-structured interviews and discussions with stakeholders in the social welfare sector. The main conclusions of the paper point to the mutual reinforcement of the discourses on the Roma in the social welfare sector and media reports, with their subsequent mutual contribution to social exclusion.

Competing motivational discourses for weight loss: means to ends and the nexus of beauty and health.

Science.gov (United States)

Kwan, Samantha

2009-09-01

Western cultural discourses generally deem fat unhealthy and unattractive, providing strong motivation for body nonconformists to lose weight. Semistructured interviews with 42 overweight and obese participants illuminate how individuals understand health and beauty weight-loss motivations and the relationship between the two. Interviews indicate that health and beauty motivate because they are seen as means to various ends. Specifically, participants aspire to health to fulfill various social roles and to live long, meaningful lives. Moreover, they aspire to conventional beauty ideals hoping that aesthetic conformity will elicit benefits, both psychological and social. Interviews also illustrate an intertwining of discourses in which participants conflate beauty and health in three ways: indicating that depictions of the beauty ideal are depictions of the health ideal; using beauty indicators as health indicators; and employing beauty as a motivator for health goals. This article concludes with a discussion of the health, social, and policy implications of these findings.

From smallpox eradication to contemporary global health initiatives: enhancing human capacity towards a global public health goal.

Science.gov (United States)

Tarantola, Daniel; Foster, Stanley O

2011-12-30

The eradication of smallpox owes its success first and foremost to the thousands of lay health workers and community members who, throughout the campaign and across continents, took on the roles of advocates, educators, vaccinators, care providers and contributors to epidemic surveillance and containment. Bangladesh provides a good example where smallpox eradication and the capacity enhancement needed to achieve this goal resulted in a two-way mutually beneficial process. Smallpox-dedicated staff provided community members with information guidance, support and tools. In turn, communities not only created the enabling environment for smallpox program staff to perform their work but acquired the capacity to perform essential eradication tasks. Contemporary global health programmes can learn much from these core lessons including: the pivotal importance of supporting community aspirations, capacity and resilience; the critical need to enhance commitment, capacity and accountability across the workforce; and the high value of attentive human resources management and support. We owe to subsequent global disease control, elimination and eradication ventures recognition of the need for social and behavioural science to inform public health strategies; the essential roles that civil society organizations and public-private partnerships can play in public health discourse and action; the overall necessity of investing in broad-based health system strengthening; and the utility of applying human rights principles, norms and standards to public health policy and practice. Crown Copyright © 2011. Published by Elsevier Ltd. All rights reserved.

Disagreements with implications: diverging discourses on the ethics of non-medical use of methylphenidate for performance enhancement

Science.gov (United States)

Forlini, Cynthia; Racine, Eric

2009-01-01

Background There is substantial evidence that methylphenidate (MPH; Ritalin), is being used by healthy university students for non-medical motives such as the improvement of concentration, alertness, and academic performance. The scope and potential consequences of the non-medical use of MPH upon healthcare and society bring about many points of view. Methods To gain insight into key ethical and social issues on the non-medical use of MPH, we examined discourses in the print media, bioethics literature, and public health literature. Results Our study identified three diverging paradigms with varying perspectives on the nature of performance enhancement. The beneficial effects of MPH on normal cognition were generally portrayed enthusiastically in the print media and bioethics discourses but supported by scant information on associated risks. Overall, we found a variety of perspectives regarding ethical, legal and social issues related to the non-medical use of MPH for performance enhancement and its impact upon social practices and institutions. The exception to this was public health discourse which took a strong stance against the non-medical use of MPH typically viewed as a form of prescription abuse or misuse. Wide-ranging recommendations for prevention of further non-medical use of MPH included legislation and increased public education. Conclusion Some positive portrayals of the non-medical use of MPH for performance enhancement in the print media and bioethics discourses could entice further uses. Medicine and society need to prepare for more prevalent non-medical uses of neuropharmaceuticals by fostering better informed public debates. PMID:19580661

Disagreements with implications: diverging discourses on the ethics of non-medical use of methylphenidate for performance enhancement

Directory of Open Access Journals (Sweden)

Racine Eric

2009-07-01

Full Text Available Abstract Background There is substantial evidence that methylphenidate (MPH; Ritalin, is being used by healthy university students for non-medical motives such as the improvement of concentration, alertness, and academic performance. The scope and potential consequences of the non-medical use of MPH upon healthcare and society bring about many points of view. Methods To gain insight into key ethical and social issues on the non-medical use of MPH, we examined discourses in the print media, bioethics literature, and public health literature. Results Our study identified three diverging paradigms with varying perspectives on the nature of performance enhancement. The beneficial effects of MPH on normal cognition were generally portrayed enthusiastically in the print media and bioethics discourses but supported by scant information on associated risks. Overall, we found a variety of perspectives regarding ethical, legal and social issues related to the non-medical use of MPH for performance enhancement and its impact upon social practices and institutions. The exception to this was public health discourse which took a strong stance against the non-medical use of MPH typically viewed as a form of prescription abuse or misuse. Wide-ranging recommendations for prevention of further non-medical use of MPH included legislation and increased public education. Conclusion Some positive portrayals of the non-medical use of MPH for performance enhancement in the print media and bioethics discourses could entice further uses. Medicine and society need to prepare for more prevalent non-medical uses of neuropharmaceuticals by fostering better informed public debates.

[Health services research for the public health service (PHS) and the public health system].

Science.gov (United States)

Hollederer, A; Wildner, M

2015-03-01

There is a great need for health services research in the public health system and in the German public health service. However, the public health service is underrepresented in health services research in Germany. This has several structural, historical and disciplinary-related reasons. The public health service is characterised by a broad range of activities, high qualification requirements and changing framework conditions. The concept of health services research is similar to that of the public health service and public health system, because it includes the principles of multidisciplinarity, multiprofessionalism and daily routine orientation. This article focuses on a specified system theory based model of health services research for the public health system and public health service. The model is based on established models of the health services research and health system research, which are further developed according to specific requirements of the public health service. It provides a theoretical foundation for health services research on the macro-, meso- and microlevels in public health service and the public health system. Prospects for public health service are seen in the development from "old public health" to "new public health" as well as in the integration of health services research and health system research. There is a significant potential for development in a better linkage between university research and public health service as is the case for the "Pettenkofer School of Public Health Munich". © Georg Thieme Verlag KG Stuttgart · New York.

Challenging Anti-Immigration Discourses in School and Community Contexts

Science.gov (United States)

Allexsaht-Snider, Martha; Buxton, Cory A.; Harman, Ruth

2012-01-01

Rapid migration shifts, anti-immigrant discourses in the public sphere, and harsh immigration policies have posed daunting challenges for immigrant students, their families, their teachers, and their communities in the 21st century. Trends in public discourse and law enforcement in the United States mirror developments in European countries with…

Contemporary journalistic texts of Latvia in the discoursively cognitive aspect

OpenAIRE

Milevich, I.

2010-01-01

In article the questions devoted to methods of studying of modern publicism of Latvia are considered. The most effective method now admits discoursive various versions – discoursive functional, discoursive cognitive, and comparative discoursive cognitive a method of studying which answers problems of cognitive and pragmatical linguistics. The research of contrastive cognitive journalistic discourse corresponds with the assignments of the cognitive and pragmatic linguistic direction in describ...

[Primary healthcare and the construction of meanings for oral health: a social constructionist interpretation of discourses by the elderly].

Science.gov (United States)

Bulgarelli, Alexandre Favero; Lorenzi, Carla Guanáes; Silva, Rosalina Carvalho da; Mestriner, Soraya Fernandes; Villa, Teresa Cristina Scatena; Pinto, Ione Carvalho

2012-08-01

Dentistry is nowadays open to new ideas about the constructions of meanings for oral health. This openness tallies with the social production of health and shows the need to contextualize the social, historical and sundry knowledge in the development of oral health for different communities. The scope of this research is to build meanings for oral health with a group of elderly people. With this in mind, we propose an approximation between the discourses of the elderly on oral health and the Social Constructionist discourse. Thus, we interviewed 14 elderly people registered with a Family Health Unit in Ribeirão Preto in the State of São Paulo in the first semester of 2010. This enabled us to identify two Interpretative Repertoires with the use of Discourse Analysis, which showed the relationship between: 1 - Lack of dental information and assistance in childhood; and 2 - Primary Healthcare constructing meaning for oral health. We concluded that Social Constructionism assists epistemologically for the construction of meaning for oral health and that Primary Healthcare is essential for valuing healthcare for the construction of meaning for oral health on the part of the elderly by fostering conditions for self care and healthy attitudes.

[Discourses about health risk behaviour and the moralization of the everyday life].

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Bagrichevsky, Marcos; Castiel, Luis David; Vasconcellos-Silva, Paulo Roberto; Estevão, Adriana

2010-06-01

The text analyses critically the polarity between discourses about healthy life styles and the sedentariness in the context of new technologies for health information research and dissemination. We argue that the techno-scientific rationality has grown an 'economy of trues' which, on the perspective of conducting to safe life styles, has prescribed a normative ideal of self discipline which tends to generate distress and consumerism of artifacts of burning calories. In the hegemonic production of systems of truth, sedentariness has been seen as a kind of unhealthy behavior that is ranked as moral failure. Emphasis is given about the multiple discourses embracing life styles and risk, taken as biopolitics devices imbricated in the communication processes in health, which has to be lightened up for their ethics and politics implications. The spectacularization of life styles associated to the consumption and the production of narratives that have badly influenced our culture, making bigger the distance of a socially possible notion of health. We discussed the regulatory essence of such a symbolic reference in the construction of knowledge systems that have been (re)defined what is to be healthy, normal and unhealthy.

Constructing the 'gender-specific body': A critical discourse analysis of publications in the field of gender-specific medicine.

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Annandale, Ellen; Hammarström, Anne

2011-11-01

Gender-specific medicine, a new and increasingly influential ethos within medical research and practice, has received little critical attention to date. The objective of this article is to critically examine the attributes of gender-specific medicine as imparted by its advocates. Through a critical discourse analysis of its two leading academic journals, we identify five interrelated discourses: of male/female difference; of hegemonic biology; of men's disadvantages; of biological and social reductionism; and of the fragmented body. Together these comprise a master discourse of the 'gender-specific body'. The discourse of the 'gender-specific body' is discussed in relation to the current neoliberal political agenda which frames healthcare as a market good and locates health and illness in individual bodies rather than in the wider social arrangements of society. We argue that the 'gender-specific body' threatens not only to turn back the clock to a vision of the biological body as fixed and determinate, but to extend this ever deeper into the social imagination. Lost in the process is any meaningful sense of the human body as a relatively open system which develops in interaction with its social world. We propose that, as it gains momentum, the 'gender-specific body' is likely progressively to circumscribe our thinking about the health of women and men in potentially problematic ways.

The international perception of scientific discourse about the climate threat by public in six countries: South Africa, Brazil, China, United States, France, India. Investigation report

International Nuclear Information System (INIS)

Baecher, Cedric; Dutreix, Nicolas; Buick, Rebecca; Ioualalen, Romain; Guyot, Paul; Campagne, Jean-Charles; Collomb, Etienne

2012-01-01

Based on a bibliographic study, a web-based study, qualitative interviews, a quantitative field survey, a study of some results from the ScenaRio 2012 project, this investigation aimed at highlighting the perception that people of different countries and cultural backgrounds (South Africa, Brazil, China, United States, France, India) have from the scientific discourse on climate change threat. The authors first give an overview of the sources of scientific discourse on climate change (primary sources like scientific institutions, GIEC, secondary sources), then analyse how this discourse is relayed by the media (media operation principles, recent trends, Internet, messages and tools to communicate with public opinions). They analyse and comment the behaviour of the different public opinions, outline the determining factors of public opinions, the diversity of noticed profiles, and the behaviour of young generations. They also propose a comparison between countries and a synthesis of results for each country

Public sentiment and discourse about Zika virus on Instagram.

Science.gov (United States)

Seltzer, E K; Horst-Martz, E; Lu, M; Merchant, R M

2017-09-01

Social media have strongly influenced the awareness and perceptions of public health emergencies, and a considerable amount of social media content is now shared through images, rather than text alone. This content can impact preparedness and response due to the popularity and real-time nature of social media platforms. We sought to explore how the image-sharing platform Instagram is used for information dissemination and conversation during the current Zika outbreak. This was a retrospective review of publicly posted images about Zika on Instagram. Using the keyword '#zika' we identified 500 images posted on Instagram from May to August 2016. Images were coded by three reviewers and contextual information was collected for each image about sentiment, image type, content, audience, geography, reliability, and engagement. Of 500 images tagged with #zika, 342 (68%) contained content actually related to Zika. Of the 342 Zika-specific images, 299 were coded as 'health' and 193 were coded 'public interest'. Some images had multiple 'health' and 'public interest' codes. Health images tagged with #zika were primarily related to transmission (43%, 129/299) and prevention (48%, 145/299). Transmission-related posts were more often mosquito-human transmission (73%, 94/129) than human-human transmission (27%, 35/129). Mosquito bite prevention posts outnumbered safe sex prevention; (84%, 122/145) and (16%, 23/145) respectively. Images with a target audience were primarily aimed at women (95%, 36/38). Many posts (60%, 61/101) included misleading, incomplete, or unclear information about the virus. Additionally, many images expressed fear and negative sentiment, (79/156, 51%). Instagram can be used to characterize public sentiment and highlight areas of focus for public health, such as correcting misleading or incomplete information or expanding messages to reach diverse audiences. Copyright © 2017 The Royal Society for Public Health. Published by Elsevier Ltd. All rights

Public health emergencies and the public health/managed care challenge.

Science.gov (United States)

Rosenbaum, Sara; Skivington, Skip; Praeger, Sandra

2002-01-01

The relationship between insurance and public health is an enduring topic in public health policy and practice. Insurers share certain attributes with public health. But public health agencies operate in relation to the entire community that they are empowered by public law to serve and without regard to the insurance status of community residents; on the other hand, insurers (whether managed care or otherwise) are risk-bearing entities whose obligations are contractually defined and limited to enrolled members and sponsors. Public insurers such as Medicare and Medicaid operate under similar constraints. The fundamental characteristics that distinguish managed care-style insurance and public health become particularly evident during periods of public health emergency, when a public health agency's basic obligations to act with speed and flexibility may come face to face with the constraints on available financing that are inherent in the structure of insurance. Because more than 70% of all personal health care in the United States is financed through insurance, public health agencies effectively depend on insurers to finance necessary care and provide essential patient-level data to the public health system. Critical issues of state and federal policy arise in the context of the public health/insurance relations during public health emergencies. These issues focus on coverage and the power to make coverage decisions, as well as the power to define service networks and classify certain data as exempt from public reporting. The extent to which a formal regulatory approach may become necessary is significantly affected by the extent to which private entities themselves respond to the problem with active efforts to redesign their services and operations to include capabilities and accountability in the realm of public health emergency response.

Training public health superheroes: five talents for public health leadership.

Science.gov (United States)

Day, Matthew; Shickle, Darren; Smith, Kevin; Zakariasen, Ken; Moskol, Jacob; Oliver, Thomas

2014-12-01

Public health leaders have been criticized for their policy stances, relationships with governments and failure to train the next generation. New approaches to the identification and training of public health leaders may be required. To inform these, lessons can be drawn from public health 'superheroes'; public health leaders perceived to be the most admired and effective by their peers. Members and Fellows of the UK Faculty of Public Health were contacted via e-newsletter and magazine and asked to nominate their 'Public Health Superhero'. Twenty-six responses were received, nominating 40 different people. Twelve semi-structured interviews were conducted. Thematic analysis, based on 'grounded theory', was conducted. Five leadership 'talents' for public health were identified: mentoring-nurturing, shaping-organizing, networking-connecting, knowing-interpreting and advocating-impacting. Talent-based approaches have been effective for leadership development in other sectors. These talents are the first specific to the practice of public health and align with some aspects of existing frameworks. An increased focus on identifying and developing talents during public health training, as opposed to 'competency'-based approaches, may be effective in strengthening public health leadership. Further research to understand the combination and intensity of talents across a larger sample of public health leaders is required. © The Author 2014. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

[Public health services between "new public health" and "new public management"].

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Oppen, M

1996-04-01

Today, a substantial reorientation of the Public Health services in the Federal Republic of Germany is broadly seen necessary. Patterns of functional and organisational restructuring of Public Health services on the regional and the communal level are closely linked with concepts of prevention and health promotion. Hence, a number of agencies have already adopted new tasks and functions like comprehensive and transorganizational planning, coordination and evaluation as well as the establishment of new reporting systems. Presently, the transformation process from the bureaucratic mode of administering matters of health to a new Public Health orientation receives new impacts from the international "New Public Management" movement. Comparatively late, with the beginning of the 1990s, a growing number of German municipalities has introduced new concepts of administration. Local government administrations, of which the Public Health services are a part, follow the model of modern service organizations producing services in a more efficient, professionalized and consumer-oriented way. Specific elements of economising modernisation programmes like re-distribution of tasks, de-centralisation, extension of managerial capacities, setting of stimulating working conditions that provide employees with greater independence of action as well as career opportunities, are at the same time prerequisites for innovative strategies of health protection and coordination policies of Public Health services.

An Ethico-Aesthetic Paradigm as an Alternative Discourse to the Quality Assurance Discourse

Science.gov (United States)

Dahlberg, Gunilla

2016-01-01

This article analyses the discourse and practices of quality assurance and quality control through the lens of neo-liberal governing as expressed in economic rationalities such as new public management, total quality management, public choice and human capital. As an alternative to this form of governing, an ethico-aesthetic paradigm is enacted,…

Organ donation as transition work: policy discourse and clinical practice in The Netherlands.

NARCIS (Netherlands)

Paul, K.T.; Avezaat, C.J.J.; Friele, R.D.; IJzermans, J.N.; Bal, R.A.

2014-01-01

An increasing number of patients become eligible for organ transplants. In the Netherlands, at the level of policy discourse, growing waiting lists are often referred to as a persistent “shortage” of organs, producing a “public health crisis.” In this way, organ donation is presented as an ethical,

Leprosy: International Public Health Policies and Public Health Eras

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Niyi Awofeso

2011-09-01

Full Text Available Public health policies continue to play important roles in national and international health reforms. However, the influence and legacies of the public health eras during which such policies are formulated remain largely underappreciated. The limited appreciation of this relationship may hinder consistent adoption of public health policies by nation-states, and encumber disinvestment from ineffective or anachronistic policies. This article reviews seven public health eras and highlights how each era has influenced international policy formulation for leprosy control—“the fertile soil for policy learning”. The author reiterates the role of health leadership and health activism in facilitating consistency in international health policy formulation and implementation for leprosy control.

Partisan Responses to Public Health Messages: Motivated Reasoning and Sugary Drink Taxes.

Science.gov (United States)

Gollust, Sarah E; Barry, Colleen L; Niederdeppe, Jeff

2017-12-01

This study examines the public's motivated reasoning of competitive messages about sugary drink taxes, a public health policy approach attempted with some recent success in the United States. In an experiment embedded in a nationally representative survey fielded in the fall of 2012, we randomized participants ( N  = 5,147) to receive one of four messages: control, a strong protax message, a two-sided message, or a message refuting arguments made in soda company antitax messages. The protax message showed no effects on tax support, while the two-sided message depressed Republicans' support. The refutation message boosted independents' support but produced backlash among Republicans. This motivated response was pronounced among Republicans who were plausibly previously exposed to the sugary drink tax debate. These findings reinforce the communication challenges in an increasingly politicized US health policy discourse. Copyright © 2017 by Duke University Press.

[The actions of the Public Prosecution Service in the field of health in prisons].

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Puppim, Érika Bastos Targino

2016-06-01

In the violent, insalubrious and overpopulated prison environment in which the concerns of penitentiary managers are predominantly focused on security, several actors of the legal world work incessantly to ensure that prisoners enjoy living conditions and access to health care in accordance with their constitutional rights. However, their discourses only appear infrequently in academic research and studies on health in prisons. We decided to ask for the opinion of a District Attorney of the State Public Prosecution Office, Dr. Érika Puppim to share with readers her view and the difficulties in her role in the protection of prisoners.

Digital Health Communication and Global Public Influence: A Study of the Ebola Epidemic.

Science.gov (United States)

Roberts, Hal; Seymour, Brittany; Fish, Sands Alden; Robinson, Emily; Zuckerman, Ethan

2017-01-01

Scientists and health communication professionals expressed frustration over the relationship between misinformation circulating on the Internet and global public perceptions of and responses to the Ebola epidemic originating in West Africa. Using the big data platform Media Cloud, we analyzed all English-language stories about keyword "Ebola" published from 1 July 2014 to 17 November 2014 from the media sets U.S. Mainstream Media, U.S. Regional Media, U.S. Political Blogs, U.S. Popular Blogs, Europe Media Monitor, and Global Voices to understand how social network theory and models of the networked global public may have contributed to health communication efforts. 109,400 stories met our inclusion criteria. The CDC and WHO were the two media sources with the most inlinks (hyperlinks directed to their sites). Twitter was fourth Significantly more public engagement on social media globally was directed toward stories about risks of U.S. domestic Ebola infections than toward stories focused on Ebola infections in West Africa or on science-based information. Corresponding public sentiments about Ebola were reflected in the policy responses of the international community, including violations of the International Health Regulations and the treatment of potentially exposed individuals. The digitally networked global public may have influenced the discourse, sentiment, and response to the Ebola epidemic.

Perceived unfairness in working conditions: The case of public health services in Tanzania

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Massay Deodatus

2011-02-01

Full Text Available Abstract Background The focus on the determinants of the quality of health services in low-income countries is increasing. Health workers' motivation has emerged as a topic of substantial interest in this context. The main objective of this article is to explore health workers' experience of working conditions, linked to motivation to work. Working conditions have been pointed out as a key factor in ensuring a motivated and well performing staff. The empirical focus is on rural public health services in Tanzania. The study aims to situate the results in a broader historical context in order to enhance our understanding of the health worker discourse on working conditions. Methods The study has a qualitative study design to elicit detailed information on health workers' experience of their working conditions. The data comprise focus group discussions (FGDs and in-depth interviews (IDIs with administrators, clinicians and nursing staff in the public health services in a rural district in Tanzania. The study has an ethnographic backdrop based on earlier long-term fieldwork in the same part of Tanzania. Results The article provides insights into health workers' understanding and assessment of their working conditions. An experience of unsatisfactory working conditions as well as a perceived lack of fundamental fairness dominated the FGDs and IDIs. Informants reported unfairness with reference to factors such as salary, promotion, recognition of work experience, allocation of allowances and access to training as well as to human resource management. The study also revealed that many health workers lack information or knowledge about factors that influence their working conditions. Conclusions The article calls for attention to the importance of locating the discourse of unfairness related to working conditions in a broader historical/political context. Tanzanian history has been characterised by an ambiguous and shifting landscape of state regulation

Discourse, More Discourse!

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Lara N. Sinelnikova

2017-10-01

Full Text Available The article is an analytical review of three volumes of the Bulletin of the Russian University of Friendship of Peoples on the problem of discourse. The author has formed a number of headings, the complex of which allows to judge the priority areas of modern scientific knowledge, an essential part of which is discourse. The heading «Pragmatics and metapragmatics of discourse» was formed mainly on the basis of the articles of famous foreign researchers. In each article there are curious ideas, and the generalization of the thesis can be as follows: the evaluation category has a direct relation to the pragmatics, and the estimated semantics of the word is manifested in communication. In the section «Synchronization of paradigmatic relations: text, discourse, style, utterance, speech act, genre» the articles are presented, the material of which is important for revealing the paradigmatic relations between the phenomena named in the heading, including the culturally conditioned features. In the heading “Institutional discourses and problems of hybridization of discourses”, the material of articles of both Russian and foreign researchers is summarized, which makes it possible to identify both the general (even universal orientation of discourse studies and specific approaches and characteristics due to the peculiarities of social processes and national cultural codes . The heading «Identity in its relation to the language / discursive personality» focuses on understanding the close relationship of the category of identity with the problems of discourse and various types of communication. Many authors of the articles present a retrospective of the development of the concepts under consideration, describe the path of their development from the moment they enter the scientific space to the present. At the same time, ways of coordination and integration of methods and approaches are outlined, which is necessary for understanding the prospects

Public Discourse in Energy Policy Decision-Making: Final Report

Energy Technology Data Exchange (ETDEWEB)

Idaho Citizen; Eileen DeShazo; John Freemuth; Tina Giannini; Troy Hall; Ann Hunter; Jeffrey C. Joe; Michael Louis; Carole Nemnich; Jennie Newman; Steven J. Piet; Stephen Sorensen; Paulina Starkey; Kendelle Vogt; Patrick Wilson

2010-08-01

The ground is littered with projects that failed because of strong public opposition, including natural gas and coal power plants proposed in Idaho over the past several years. This joint project , of the Idaho National Laboratory, Boise State University, Idaho State University and University of Idaho has aimed to add to the tool box to reduce project risk through encouraging the public to engage in more critical thought and be more actively involved in public or social issues. Early in a project, project managers and decision-makers can talk with no one, pro and con stakeholder groups, or members of the public. Experience has shown that talking with no one outside of the project incurs high risk because opposition stakeholders have many means to stop most (if not all) energy projects. Talking with organized stakeholder groups provides some risk reduction from mutual learning, but organized groups tend not to change positions except under conditions of a negotiated settlement. Achieving a negotiated settlement may be impossible. Furthermore, opposition often arises outside pre-existing groups. Standard public polling provides some information but does not reveal underlying motivations, intensity of attitudes, etc. Improved methods are needed that probe deeper into stakeholder (organized groups and members of the public) values and beliefs/heuristics to increase the potential for change of opinions and/or out-of-box solutions. The term “heuristics” refers to the mental short-cuts, underlying beliefs, and paradigms that everyone uses to filter and interpret information, to interpret what is around us, and to guide our actions and decisions. This document is the final report of a 3-year effort to test different public discourse methods in the subject area of energy policy decision-making. We analyzed 504 mail-in surveys and 80 participants in groups on the Boise State University campus for their preference, financial support, and evaluations of eight attributes

Try to be healthy, but don't forgo your masculinity: deconstructing men's health discourse in the media.

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Gough, Brendan

2006-11-01

The emergence of discourse around men's health has been evident now for at least 10 years across academic, policy and media texts. However, recent research has begun to question some of the assumptions presented concerning masculinity and men's health, particularly within popular media representations. The present paper builds on previous research by interrogating the construction of men's health presented in a recent special feature of a UK national newspaper (The Observer, November 27, 2005). The dataset was subjected to intensive scrutiny using techniques from discourse analysis. Several inter-related discursive patterns were identified which drew upon essentialist notions of masculinity, unquestioned differences between men and women, and constructions of men as naïve, passive and in need of dedicated help. The implications of such representations for health promotion are discussed.

Institutional discourse analysis: educational discourse

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Б В Пеньков

2009-12-01

Full Text Available The author examines discourse parameters for the administrative, teachers and students discourse varieties in American high school. The study identifies the discourse markers, their relationships and functions.

Meat in the post-truth era: Mass media discourses on health and disease in the attention economy.

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Leroy, Frédéric; Brengman, Malaika; Ryckbosch, Wouter; Scholliers, Peter

2018-06-01

The debate on meat's role in health and disease is a rowdy and dissonant one. This study uses the health section of the online version of The Daily Mail as a case study to carry out a quantitative and qualitative reflection on the related discourses in mass media during the first fifteen years of the 21st century. This period ranged from the fall-out of the bovine spongiform encephalopathy (BSE) crisis and its associated food safety anxieties, over the Atkins diet-craze in 2003 and the avian flu episode in 2007, to the highly influential publication of the report on colon cancer by the International Agency for Research on Cancer (IARC) in 2015. A variety of conflicting news items was discernible, whereby moments of crisis, depicting the potential hazards of meat eating, seemed to generate reassuring counter-reactions stressing the benefits of meat as a rich source of nutrients. In contrast, when the popularity of meat-rich diets was on the rise due to diets stressing the role of protein in weight control, several warnings were issued. Meat's long-standing and semiotic connotations of vitality, strength, and fertility were either confirmed, rejected or inverted. Often this was achieved through scientification or medicalisation, with references to nutritional studies. The holistic role of meat within human diets and health was thus mostly reduced to a focus on specific food components and isolated biological mechanisms. The narratives were often histrionic and displayed serious contradictions. Since several interests were at play, involving a variety of input from dieticians, (health) authorities, the food industry, vegan or vegetarian movements, and celebrities, the overall discourse was highly heterogeneous. Copyright © 2018 Elsevier Ltd. All rights reserved.

EXPLORING INTENTIONALITY. IDEOLOGICAL ROMANIAN MEDIA DISCOURSE

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LUMINIŢA ROŞCA

2014-05-01

Full Text Available This study examines the discursive practices of media “transition” from Romania 80’s and early 90’s in order to identify a pattern of the ideological discourse of transition. The pragmatic analysis is in line with recent studies that discuss media discourses in post-communist countries or “in transition” which led to new approaches and nuances of classical theories of the public sphere which we consider very important in the context of contemporary Romanian social discourse. The analysis of how to make the transition from “wooden language” to “informative discourse” of the Romanian media discourse focuses on intentionality describe in text linguistic as discursive component able to realize thematic choices, media discourse and attitude of media instances during the media process production. We also consider intentionality because it introduces in the discourse the component of journalist personality, with all that this may include: attitudes, training, professional conscience, and moral values. Understanding the mechanisms of intentionality in the media discourse production can lead to a more nuanced an complex understanding of the role of media in the production of meanings and the role of the journalist’s personality in media production

Forum-ing: Signature practice for public theological discourse

African Journals Online (AJOL)

2014-05-14

May 14, 2014 ... response to the problems of poverty, homelessness, and the 'missing and murdered children' ... virtual poor: Reimaging a discourse of reconciliation and social cohesion in South Africa', .... The reality is that God is engaged.

Rights Language in the Sustainable Development Agenda: Has Right to Health Discourse and Norms Shaped Health Goals?

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Lisa Forman

2015-12-01

Full Text Available While the right to health is increasingly referenced in Sustainable Development Goal (SDG discussions, its contribution to global health and development remains subject to considerable debate. This hypothesis explores the potential influence of the right to health on the formulation of health goals in 4 major SDG reports. We analyse these reports through a social constructivist lens which views the use of rights rhetoric as an important indicator of the extent to which a norm is being adopted and/or internalized. Our analysis seeks to assess the influence of this language on goals chosen, and to consider accordingly the potential for rights discourse to promote more equitable global health policy in the future.

A Discourse Analysis of Denmark´s Public Health Policy Concerning Overweight among Pregnant Women

DEFF Research Database (Denmark)

Toxvig, Lene; Bak, Carsten Kronborg; Kristiansen, Tine Mechlenborg

2017-01-01

. Health care professionals’ approach to governing overweight pregnant women is affected by this breach in the discursive field. Thus, overweight pregnant women have become an issue for medical experts, who are encouraged to use stricter rhetoric when addressing them. This shift also renders pregnant women......A recent Danish public health report classified being overweight during pregnancy as a chronic disease, marking a discursive shift from its previous classification as a risk factor for complications in maternal and foetal health. This discursive shift is considered a breach in the discursive field...... subject to interventions by medical experts. The aim of this article is to critically analyse recommendations for how health professionals should govern these highrisk individuals and to discuss the implications of such governance for overweight pregnant women. In this study, overweight is classified...

Partners in Public Health: Public Health Collaborations With Schools of Pharmacy, 2015.

Science.gov (United States)

DiPietro Mager, Natalie A; Ochs, Leslie; Ranelli, Paul L; Kahaleh, Abby A; Lahoz, Monina R; Patel, Radha V; Garza, Oscar W; Isaacs, Diana; Clark, Suzanne

To collect data on public health collaborations with schools of pharmacy, we sent a short electronic survey to accredited and preaccredited pharmacy programs in 2015. We categorized public health collaborations as working or partnering with local and/or state public health departments, local and/or state public health organizations, academic schools or programs of public health, and other public health collaborations. Of 134 schools, 65 responded (49% response rate). Forty-six (71%) responding institutions indicated collaborations with local and/or state public health departments, 34 (52%) with schools or programs of public health, and 24 (37%) with local and/or state public health organizations. Common themes of collaborations included educational programs, community outreach, research, and teaching in areas such as tobacco control, emergency preparedness, chronic disease, drug abuse, immunizations, and medication therapy management. Interdisciplinary public health collaborations with schools of pharmacy provide additional resources for ensuring the health of communities and expose student pharmacists to opportunities to use their training and abilities to affect public health. Examples of these partnerships may stimulate additional ideas for possible collaborations between public health organizations and schools of pharmacy.

"Racism still exists": a public health intervention using racism "countermarketing" outdoor advertising in a Black neighborhood.

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Kwate, Naa Oyo A

2014-10-01

The negative health effects of racism have been well documented, but how to intervene to redress these effects has been little studied. This study reports on RISE (Racism Still Exists), a high-risk, high-reward public health intervention that used outdoor advertising to disseminate a "countermarketing" campaign in New York City (NYC). Over 6 months, the campaign advertised stark facts about the persistence of racism in the USA. A probability sample of N = 144 participants from two predominantly Black NYC neighborhoods completed measures of health status, health behaviors, and social attitudes. Three months postintervention, statistically significant declines in psychological distress were seen among study participants who were exposed to the campaign compared to those who were not. There were no changes in other hypothesized outcomes. The campaign also generated significant public discourse, particularly in social media. The results suggest that racism countermarketing campaigns may have promise as a community-based intervention to address health inequalities.

Undergraduate Public Health Majors: Why They Choose Public Health or Medicine?

Science.gov (United States)

Hilton, Warren

2013-01-01

This mixed methods study examined the relationship between the motivations for attending college of undergraduate students with a focus on students with a public health major, and their desire to pursue graduate training in public health and subsequently, public health careers. The study highlighted the current public health workforce shortage and…

Keeping the "public" in schools of public health.

Science.gov (United States)

Freudenberg, Nicholas; Klitzman, Susan; Diamond, Catherine; El-Mohandes, Ayman

2015-03-01

In this article, we compared the characteristics of public and private accredited public health training programs. We analyzed the distinct opportunities and challenges that publicly funded schools of public health face in preparing the nation's public health workforce. Using our experience in creating a new, collaborative public school of public health in the nation's largest urban public university system, we described efforts to use our public status and mission to develop new approaches to educating a workforce that meets the health needs of our region and contributes to the goal of reducing health inequalities. Finally, we considered policies that could protect and strengthen the distinct contributions that public schools of public health make to improving population health and reducing health inequalities.

Overcoming regulatory fear of public perceptions of mobile phone health risks

International Nuclear Information System (INIS)

Mercer, D.

2001-01-01

In the following discussion I will critique the images of the public, the mass media and science that permeate much of the regulatory discourse on RF and risk. These images are sometimes explicitly articulated but on other occasions merely implied. These images can be described as the mythical RF triad. Some examples are provided illustrating why the current approach represents a misleading oversimplification of the social and scientific context relevant to formulating a fair and scientifically accountable RF health policy. a number of suggestions are made for broadening the regulatory imagination and stimulate constructive debate on the RF question. Copyright (2001) Australasian Radiation Protection Society Inc

Rights Language in the Sustainable Development Agenda: Has Right to Health Discourse and Norms Shaped Health Goals?

Science.gov (United States)

Forman, Lisa; Ooms, Gorik; Brolan, Claire E

2015-09-29

While the right to health is increasingly referenced in Sustainable Development Goal (SDG) discussions, its contribution to global health and development remains subject to considerable debate. This hypothesis explores the potential influence of the right to health on the formulation of health goals in 4 major SDG reports. We analyse these reports through a social constructivist lens which views the use of rights rhetoric as an important indicator of the extent to which a norm is being adopted and/or internalized. Our analysis seeks to assess the influence of this language on goals chosen, and to consider accordingly the potential for rights discourse to promote more equitable global health policy in the future. © 2015 by Kerman University of Medical Sciences.

The Power of Photographs of Buildings in the Dresden Urban Discourse. Towards a Visual Discourse Analysis

Directory of Open Access Journals (Sweden)

Gabriela B. Christmann

2008-09-01

Full Text Available "Old Dresden" which is known worldwide as a symbol for inept destruction in World War II stopped existing in its physical form in February 1945. The image of "old Dresden," however, has been maintained in the minds of its citizens. This is as results of the visualization of historical buildings. Buildings are artifacts that can be experienced visually and aesthetically. Thus, it is not surprising that in the context of public discourses they "demand" an appropriate representation in a visual and in an aesthetic respect. In the urban discourse of Dresden the visualization of buildings plays an important role. In the article the author exemplifies her methodical approach to visual discourse analysis. She acts on the assumption that three levels of analyzing images must be taken into consideration: 1. the composition of the image, with its content and design, 2. the context of production and publication, including the horizon of historic events, and 3. the mode of reception, with respect to communicative processes. URN: urn:nbn:de:0114-fqs0803115

A discourse analysis of male sexuality in the magazine Intimacy.

Science.gov (United States)

du Plessis, Rory

2015-03-19

The World Health Organization's publication, Developing sexual health programmes, states that the media is an important source of information about sexuality. Although the media can promote awareness of sexual health issues, it also acts as a vehicle for defining and regulating sex norms. In other words, the standards of 'normal' sex are in part defined by the media. Accordingly, it has become imperative to analyse the media's construction of sexual norms in order to reveal how they are related to specific ideological views. For the purposes of this study, the focus will be limited to analysing the South African publication Intimacy. The study aims to reveal how the sex advice articles written in Intimacy for women in regard to their male partner's sexuality reflect patriarchal and phallocentric ideologies. A discourse analysis of the sex advice articles in the magazine Intimacy was conducted. It was informed by feminist theories of sexuality that seek to examine the ways in which texts are associated with male-centred versions of sexual pleasure. The discourse analysis identified a number of key themes regarding male sexuality. These include: (1) biological accounts of male sexuality; (2) phallocentric scripting of the sex act; and (3) the melodramatic penis. Constructions of male sexuality require the inclusion of alternative modes of male erotic pleasure. This requires texts that encourage men to explore and also to experiment with pleasurable feelings associated with non-genital erogenous zones of the body.

Introduction: Discourse Analysis and Policy Discourse

NARCIS (Netherlands)

D.R. Gasper (Des); R.J. Apthorpe (Raymond)

1996-01-01

markdownabstractAbstract: As introduction to a collection on policy discourses and patterns of argumentation in international development, this paper clarifies different meanings of `discourse' and 'discourse analysis', including as applied in development studies, and explains why effective

Synthesizing evidences for policy translation: a public health discourse on rotavirus vaccine in India.

Science.gov (United States)

Panda, Samiran; Das, Aritra; Samanta, Saheli

2014-08-11

The debate on the relevance of rotavirus vaccine to immunization program in India, where 27 million children are born every year, rages on. We synthesized the issues raised during these debates and reviewed the current literature to identify themes that could inform public health policy decision. The paradigm we used integrated disease burden data, host and environmental factors, vaccine efficacy, immunization program issues, and economic considerations. Our synthesis reveals that substantive country specific information on disease burden and economic impact of rotavirus illness in India is constrained by lack of public discussion and qualitative studies on mothers' perceptions of the vaccine in concern. The need to improve the performance of current immunization program against six major vaccine preventable diseases (tuberculosis, diphtheria, tetanus, pertussis, polio, and measles) is often cited as a priority over introduction of rotavirus vaccine. Health in India being a state subject, we emphasize that the states which are in a position to reap the benefit of rotavirus vaccine, due to their good immunization program performance, should not be restrained from doing so. Meanwhile, the poorly performing states should step up their vaccination program and increase immunization coverage. Scientific, ethical and societal concerns captured through multiple sources indicate that the introduction of rotavirus vaccine would be a good investment for India. Copyright © 2014. Published by Elsevier Ltd.

The discourses of incidents: Cougars on Mt. Elden and in Sabino Canyon, Arizona

Science.gov (United States)

Mattson, David J.; Clark, Susan G.

2012-01-01

Incidents are relatively short periods of intensified discourse that arise from public responses to symbolically important actions by public officials, and an important part of the conflict that increasingly surrounds state wildlife management in the West. In an effort to better understand incidents as a facet of this conflict, we analyzed the discourses of two incidents in Arizona that were precipitated by the intended removal of cougars by managers in response to public safety concerns. We used newspaper content, 1999–2007, to elucidate seminal patterns of public discourses and discourse coalitions as well as differences in discursive focus between incident periods and background periods. Cougars were mentioned in newspaper articles 13–33 times more often during incidents compared with background periods. State wildlife agency commissioners and hunters were part of a discourse coalition that advocated killing cougars to solve problems, blamed cougars and those who promoted the animals’ intrinsic value and sought to retain power to define and solve cougar-related problems. Personnel from affected state and federal agencies expressed a similar discourse. Environmentalists, animal protection activists, and some elected officials were of a coalition that defined “the problem” primarily in terms of people’s behaviors, including behaviors associated with current institutional arrangements. This discourse advocated decentralizing power over cougar management. The discourses reflected different preferences for the allocations of power and use of lethal versus non-lethal methods, which aligned with apparent core beliefs and participants’ enfranchisement or disenfranchisement by current state-level management power arrangements.

Drug addiction and social discourses

Directory of Open Access Journals (Sweden)

Rita de Cássia dos Santos Canabarro

2012-09-01

Full Text Available This article analyzes the various discursive positions found in the phenomenon of addiction. The relations these discursive positions establish with the discourses of the master, the hysteric, the university and the capitalist are discussed. By analyzing material from clinical listening at a public outpatient drug and alcohol rehab center, it was seen that addiction can be described in different discourses. This article shows that the shift of focus from the symptom to the discursive position of the subject is an indicator for the clinical treatment of addiction.

Public school teachers’ perceptions about mental health

Directory of Open Access Journals (Sweden)

Amanda Gonçalves Simões Soares

2014-12-01

Full Text Available OBJECTIVE To examine public school teachers’ perceptions about general health and mental health, and the way in which they obtained this information. METHODS Qualitative research was conducted with 31 primary and secondary school teachers at a state school in the municipality of Sao Paulo, SP, Southeastern Brazil, in 2010. The teachers responded to a questionnaire containing open-ended questions about mental health and general health. The following aspects were evaluated: Teachers’ understanding of the terms “health and “mental health,” the relevance of the need for information on the subject, the method preferred for obtaining information, their experience with different media regarding such matters, and perceptions about the extent to which this available information is sufficient to support their practice. The data were processed using the Qualiquantisoft software and analyzed according to the Discourse of the Collective Subject technique. RESULTS From the teachers’ perspective, general health is defined as the proper physiological functioning of the body and mental health is related to the balance between mind and body, as a requirement for happiness. Most of the teachers (80.6% showed great interest in acquiring knowledge about mental health and receiving educational materials on the subject. For these teachers, the lack of information creates insecurity and complicates the management of everyday situations involving mental disorders. For 61.3% of the teachers, television is the medium that provides the most information on the topic. CONCLUSIONS The data indicate that there is little information available on mental health for teachers, showing that strategies need to be developed to promote mental health in schools.

Destructiveness in Political Discourse

Directory of Open Access Journals (Sweden)

Яна Александровна Волкова

2016-12-01

Full Text Available Destructiveness is among the fundamental discourse categories that play a significant role in the organization of communicative interaction and define the pragmatics of discourse; its study helps to understand some mechanisms and principles of communication, identify strategies and tactics used by a destructive communicative personality. The relevance of this study is determined by the increasing aggressiveness in various types of discourse, and, accordingly, by the need to extend the knowledge of destructive behavior of a communicative personality. The study is based on the theory of discourse-analysis and theory of destructiveness (Z. Harris, T. van Dijk, A. Buss, E. Fromm, D. Ponton, K. Hacker, R. Wodak. N. Arutyunova, V. Karasik, M. Makarov, E. Sheigal et al. Developing the theory of destructiveness and relying on Erich Fromm’s research (1973, we specify the concept of “destructiveness” in relation to the political discourse and compare it with the related concept of aggressiveness. The paper analyses the category of destructiveness in modern US political discourse, using excerpts from the speeches of the candidates for presidency of 2016. Particular attention is paid to the dominant destructive intention - to harm the reputation of the opponent and reduce his political chances, as well as to the functions of verbal aggression: on the one hand - to discredit the opponent, bring accusations, on the other hand - to poison the audience mind against him/her and arouse the feeling of danger posed by a political opponent. The analysis of verbal and nonverbal means of destructiveness in the US political discourse is carried out. The article concludes that abusive remarks of politicians do not result from spontaneous emotional outburst, but from an elaborated destructive strategy where the agonistic nature of political discourse stipulates the use of instrumental aggression (Buss, 1971 for the sake of the conquest of power, lowering the

Human rights in patient care and public health-a common ground.

Science.gov (United States)

Peled-Raz, Maya

2017-01-01

Medical law and public health law have both served extensively as instruments of health protection and promotion-yet both are limited in their effect and scope and do not sufficiently cover nor supply a remedy to systematic, rather than anecdotal, mistreatments in the health care system. A possible solution to this deficiency may be found in the human rights in patient care legal approach. The concept of human rights in patient care is a reframing of international human rights law, as well as constitutional thought and tools, into a coherent approach aimed at the protection and furthering of both personal and communal health. It applies human rights discourse and human rights law onto the patient care setting while moving away from the narrow consumeristic view of health care delivery. By applying human rights in patient care approach, both national and international courts may and should serve as policy influencing instruments, protecting the rights of the most vulnerable and prejudiced against groups, which are want of a remedy through traditional patients' rights legal schemes.

Physical Education at Preschools: Practitioners' and Children's Engagements with Physical Activity and Health Discourses

Science.gov (United States)

McEvilly, Nollaig; Verheul, Martine; Atencio, Matthew

2015-01-01

This paper focuses on one aspect of a qualitative study concerned with investigating the place and meaning of "physical education" to practitioners and children at three preschools in Scotland. We examine the ways in which the participants engaged with discourses related to physical activity and health in order to construct their…

Climate Change Discourse in Mass Media: Application of Computer-Assisted Content Analysis

Science.gov (United States)

Kirilenko, Andrei P.; Stepchenkova, Svetlana O.

2012-01-01

Content analysis of mass media publications has become a major scientific method used to analyze public discourse on climate change. We propose a computer-assisted content analysis method to extract prevalent themes and analyze discourse changes over an extended period in an objective and quantifiable manner. The method includes the following: (1)…

Nutritional Sustainability: Aligning Priorities in Nutrition and Public Health with Agricultural Production.

Science.gov (United States)

Finley, John W; Dimick, Dennis; Marshall, Elizabeth; Nelson, Gerald Charles; Mein, Jonathan R; Gustafson, David I

2017-09-01

Nutrition science-based dietary advice urges changes that may have a great impact on agricultural systems. For example, the 2016 Dietary Guidelines for Americans (DGA) recommends greatly increased fruit and vegetable consumption, but the present domestic production is insufficient to accommodate large-scale adoption of these guidelines. Increasing production to the extent needed to meet the DGA will necessitate changes in an already stressed agriculture and food system and will require nutrition and agriculture professionals to come together in open and collegial discourse. All involved need to understand the stress placed on the food system by increasing populations, changing diets, and changing environments, and recognize the major diet-based public health challenges. Furthermore, there is a need to understand the intricate interplay of the myriad parts of the food system and the vast amount of work necessary to make even small changes. New systems approaches are needed, especially at the research level, where nutrition, public health, agriculture, and the food industry work together to solve interconnected problems. Future well-being depends on a sustainable food system that continues to deliver optimal health with minimal impact on the environment. © 2017 American Society for Nutrition.

Discourses and values underpin public debate on fracking in Spain: A case study at the crossroad

Science.gov (United States)

Hermelinda Lopera Pareja, Emilia; García Laso, Ana; Martín Sánchez, Domingo Alfonso

2015-04-01

and its underlying values as manifested in the Spanish traditional mass media and emerging social media such as Youtube. Results show that Spanish public discourse on fracking technology includes the costs-benefits analysis to communicate how natural resources from local communities may be affected by these facilities due to environmental, health and economic consequences. Furthermore, this technology is represented as a solution to the "demand of energy" according to the optimistic discourse while, from a pessimistic view, fracking is often framed as a source "environmental problems" and even natural disasters as possible earthquakes. In this latter case, this negative representation could have been influenced by the closure of a macro project to store injected natural gas in the Mediterranean Sea using the old facilities of an oil exploitation in Amposta (Proyecto Cástor). The closure of this project was due to the occurrence of earthquakes whose intensity was higher than the originally expected by the experts in the assessment stage of the project.

Bali: the discourse of Cultural Tourism.

Directory of Open Access Journals (Sweden)

Michel Picard

2010-04-01

Full Text Available This interaction between touristification and Indonesianization is legible in the discourse of Cultural Tourism. As we have seen, perhaps because it could not really be implemented, the slogan of Cultural Tourism gave way to a remarkable profusion of discourses and incited genuine fervor in Balinese public opinion. But it would be wrong to see this discursive frenzy as mere verbal gesticulation, as a confession of impotence on the part of the Balinese authorities. For to the extent that they ...

The Oregon Public Health Policy Institute: Building Competencies for Public Health Practice

Science.gov (United States)

Yoon, Jangho; Bernell, Stephanie; Tynan, Michael; Alvarado, Carla Sarai; Eversole, Tom; Mosbaek, Craig; Beathard, Candice

2015-01-01

The Oregon Public Health Policy Institute (PHPI) was designed to enhance public health policy competencies among state and local health department staff. The Oregon Health Authority funded the College of Public Health and Human Sciences at Oregon State University to develop the PHPI curriculum in 2012 and offer it to participants from 4 state public health programs and 5 local health departments in 2013. The curriculum interspersed short instructional sessions on policy development, implementation, and evaluation with longer hands-on team exercises in which participants applied these skills to policy topics their teams had selected. Panel discussions provided insights from legislators and senior Oregon health experts. Participants reported statistically significant increases in public health policy competencies and high satisfaction with PHPI overall. PMID:26066925

[Brazilian bibliographical output on public oral health in public health and dentistry journals].

Science.gov (United States)

Celeste, Roger Keller; Warmling, Cristine Maria

2014-06-01

The scope of this paper is to describe characteristics of the scientific output in the area of public oral health in journals on public health and dentistry nationwide. The Scopus database of abstracts and quotations was used and eight journals in public health, as well as ten in dentistry, dating from 1947 to 2011 were selected. A research strategy using key words regarding oral health in public health and key words about public health in dentistry was used to locate articles. The themes selected were based on the frequency of key words. Of the total number of articles, 4.7% (n = 642) were found in oral health journals and 6.8% (n = 245) in public health journals. Among the authors who published most, only 12% published in both fields. There was a percentile growth of public oral health publications in dentistry journals, though not in public health journals. In dentistry, only studies indexed as being on the topic of epidemiology showed an increase. In the area of public health, planning was predominant in all the phases studied. Research to evaluate the impact of research and postgraduate policies in scientific production is required.

Discourses of culture and illness in South African mental health care and indigenous healing, Part I: Western psychiatric power.

Science.gov (United States)

Yen, Jeffery; Wilbraham, Lindy

2003-12-01

This discourse analytic study explores constructions of culture and illness in the talk of psychiatrists, psychologists and indigenous healers as they discuss possibilities for collaboration in South African mental health care. Versions of 'culture', and disputes over what constitutes 'disorder', are an important site for the negotiation of power relations between mental health practitioners and indigenous healers. The results of this study are presented in two parts. Part I explores discourses about western psychiatric/psychological professionalism, tensions in diagnosis between cultural relativism and psychiatric universalism, and how assertion of 'cultural differences' may be used to resist psychiatric power. Part II explores how discursive constructions of 'African culture' and 'African madness' work to marginalize indigenous healing in South African mental health care, despite repeated calls for collaboration.

Opportunities for Public Relations Research in Public Health.

Science.gov (United States)

Wise, Kurt

2001-01-01

Considers how communication researchers have developed a solid body of knowledge in the health field but know little about the activities of public relations practitioners in public health bodies. Suggests that public relations scholarship and practice have much to offer the field of public health in helping public health bodies meet their…

I'm Right and You're and Idiot — Jim Hoggan discusses the toxic state of public discourse and how to clean it up, by changing the communication climate

Science.gov (United States)

Hoggan, J. C.

2016-12-01

Just as the natural environment can be polluted, so too can public discourse. I'm Right and You're an Idiot: The Toxic State of Public Discourse and How to Clean it Up examines the sorry state of today's public square, showing how polluted, polarized conversations discourage people from taking action on critical issues such as climate change, and demonstrating how we can clear the air and become more powerful and effective communicators. The most urgent environmental threat today is not climate change, species extinction or the declining health of oceans. Author Jim Hoggan says the more pressing problem is resistance to change that results from pollution in the public square. A smog of adversarial rhetoric, propaganda and polarization that comes from all sides, is stifling discussion and our ability to solve problems collectively. Hoggan has investigated this troubling state of public dialogue and in his new book he asks leading intellectuals why, despite overwhelming scientific evidence, so little is being done to address today's critical environmental challenges. As chair of the David Suzuki Foundation and founder of one of Canada's most successful PR firms, he is uniquely positioned to probe this question. During Hoggan's 30 years in crisis management he has dealt with food poisonings, labour disputes, multi-million dollar bank fraud, sawmill explosions, even bodies disappearing from funeral homes. He also authored the bestseller Climate Cover-Up, which took a critical look at science propaganda and the widespread echo chamber of media and think tanks that magnifies it. How do we improve public discourse and curb over-the-top advocacy, corrupt conversations and propaganda. How do we counteract polarization and gridlock? Hoggan sought answers from more than 60 outstanding scholars, ranging from a NASA scientist to deep-sea oceanographer. He tapped the brains of cognitive researchers, political pundits, philosophers, moral psychologists, corporate analysts and

A discourse analysis of male sexuality in the magazine Intimacy

Directory of Open Access Journals (Sweden)

Rory du Plessis

2015-03-01

Full Text Available Background: The World Health Organization’s publication, Developing sexual health programmes, states that the media is an important source of information about sexuality. Although the media can promote awareness of sexual health issues, it also acts as a vehicle for defining and regulating sex norms. In other words, the standards of ‘normal’ sex are in part defined by the media. Accordingly, it has become imperative to analyse the media’s construction of sexual norms in order to reveal how they are related to specific ideological views. For the purposes of this study, the focus will be limited to analysing the South African publication Intimacy. Aim: The study aims to reveal how the sex advice articles written in Intimacyfor women in regard to their male partner’s sexuality reflect patriarchal and phallocentric ideologies. Method: A discourse analysis of the sex advice articles in the magazine Intimacy was conducted. It was informed by feminist theories of sexuality that seek to examine the ways in which texts are associated with male-centred versions of sexual pleasure. Results: The discourse analysis identified a number of key themes regarding male sexuality. These include: (1 biological accounts of male sexuality; (2 phallocentric scripting of the sex act; and (3 the melodramatic penis. Conclusion: Constructions of male sexuality require the inclusion of alternative modes of male erotic pleasure. This requires texts that encourage men to explore and also to experiment with pleasurable feelings associated with non-genital erogenous zones of the body.

Discourses of healthcare professionals about health surveillance actions for Tuberculosis control

Directory of Open Access Journals (Sweden)

Fernando Mitano

Full Text Available Abstract OBJECTIVE To analyze the meanings produced in the Health Surveillance actions for tuberculosis control, carried out by healthcare professionals in Mozambique. METHOD Qualitative study using the theoretical and methodological framework of the French Discourse Analysis. RESULTS A total of 15 healthcare professionals with more than one year of experience in disease control actions participated in the study. Four discursive blocks have emerged from the analysis: tuberculosis diagnosis process; meeting, communication and discussion of treatment; local strategies for tuberculosis control; involvement of family and community leaders in the tuberculosis control. CONCLUSION The statements of the healthcare professionals suggest, as Health Surveillance actions, practices that include collecting sputum in the patient's home and sending it to the laboratory; deployment of the medical team with a microscope for tuberculosis testing; and testing for diseases that may be associated with tuberculosis. In this context, the actions of Health Surveillance for tuberculosis control involve valuing all actors: family, community leaders, patients and health professionals.

New challenges of public health: bringing the future of personalised healthcare into focus.

Science.gov (United States)

Ricciardi, Walter; Boccia, Stefania

2017-10-01

The greater personalization of healthcare represents a driver of innovation for research, and for the healthcare systems and industries as a whole. Still policy-makers, healthcare professionals, citizens and private companies need to take some steps to realize the potential for such a radical shift. In this paper, we illustrate the challenges, the benefits and consequences that might accompany the implementation of personalized healthcare, and the steps that policy-makers and practitioners would need to take to realise its potential. Six main prerequisites for radical change in healthcare are presented, that include achieving better genetic literacy for professionals and for the public; engaging citizen in the discourse; improved governance, consent and trust in healthcare; feeding and harnessing the data-knowledge cycle for better health; adopting and adapting the Health Technology Assessment framework for the evaluation of the new technologies; and retaining humanity and community in health and care. Some of these concepts originate from a discussion on the future of health and healthcare, looking at least 15-20 years into the future, that we had at the end of 2016 at Ickworth with an international group of experts, under the aegis of the PHG Foundation. © The Author 2017. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

From Nutrients to Wellbeing Identifying Discourses of Food in Relation to Health in Syllabi

Science.gov (United States)

Oljans, Emma; Elmståhl, Helena; Mattsson Sydner, Ylva; Hjälmeskog, Karin

2018-01-01

Food and health have long had dominant position within the subject of Home Economics (HE) in Sweden. However, what constitutes a proper diet, and how it is associated with a healthy lifestyle changes over time. In this article, a discourse analytic approach combined with a didactic perspective are used as the theoretical frame. The aim is to…

Ethics in public health research: privacy and public health at risk: public health confidentiality in the digital age.

Science.gov (United States)

Myers, Julie; Frieden, Thomas R; Bherwani, Kamal M; Henning, Kelly J

2008-05-01

Public health agencies increasingly use electronic means to acquire, use, maintain, and store personal health information. Electronic data formats can improve performance of core public health functions, but potentially threaten privacy because they can be easily duplicated and transmitted to unauthorized people. Although such security breaches do occur, electronic data can be better secured than paper records, because authentication, authorization, auditing, and accountability can be facilitated. Public health professionals should collaborate with law and information technology colleagues to assess possible threats, implement updated policies, train staff, and develop preventive engineering measures to protect information. Tightened physical and electronic controls can prevent misuse of data, minimize the risk of security breaches, and help maintain the reputation and integrity of public health agencies.

'You must not confuse poverty with laziness': a case study on the power of discourse to reproduce diabetes inequalities.

Science.gov (United States)

Chaufan, Claudia; Constantino, Sophia; Davis, Meagan

2013-01-01

The disproportionate impact of type 2 diabetes (T2DM) on low-income groups and the social and biological processes linking poverty and T2DM inequalities are well-documented. Moreover, millions of dollars are invested annually in programs aimed at reducing T2DM inequalities, yet these remain stubbornly high. Our article explores how public discourses influence T2DM and related health inequalities in a low-income neighborhood in Northern California, through a thematic analysis of interviews and focus groups of staff and clients at a non-governmental organization. We probe participants' beliefs vis-a-vis the causes of, and solutions to, T2DM inequalities and explore whether and how the discourses normalizing them are challenged. We find that staff identify the ultimate source of T2DM inequalities within health sufferers (i.e., their lifestyle choices, psychological makeup, or cultural preferences), even as they acknowledge the widespread poverty, unemployment, and other social determinants that present serious barriers to their health. Notably, we find this normalizing discourse .among clients themselves. While our study is empirical, its goal is primarily conceptual: to add to the evolving understanding of discourse as a social practice that may contribute both to status quo reproduction and to social change and resistance.

Discourse(s) of emotion within medical education: the ever-present absence.

Science.gov (United States)

McNaughton, Nancy

2013-01-01

Emotion in medical education rests between the idealised and the invisible, sitting uneasily at the intersection between objective fact and subjective values. Examining the different ways in which emotion is theorised within medical education is important for a number of reasons. Most significant is the possibility that ideas about emotion can inform a broader understanding of issues related to competency and professionalism. The current paper provides an overview of three prevailing discourses of emotion in medical education and the ways in which they activate particular professional expectations about emotion in practice. A Foucauldian critical discourse analysis of the medical education literature was carried out. Keywords, phrases and metaphors related to emotion were examined for their effects in shaping medical socialisation processes. Despite the increasing recognition over the last two decades of emotion as 'socially constructed', the view of emotion as individualised is deeply embedded in our language and conceptual frameworks. The discourses that inform our emotion talk and practice as teachers and health care professionals are important to consider for the effects they have on competence and professional identity, as well as on practitioner and patient well-being. Expanded knowledge of how emotion is 'put to work' within medical education can make visible the invisible and unexamined emotion schemas that serve to reproduce problematic professional behaviours. For this discussion, three main discourses of emotion will be identified: a physiological discourse in which emotion is described as located inside the individual as bodily states which are universally experienced; emotion as a form of competence related to skills and abilities, and a socio-cultural discourse which calls on conceptions from the humanities and social sciences and directs our attention to emotion's function in social exchanges and its role as a social, political and cultural mediator

[Terrorism, public health and health services].

Science.gov (United States)

Arcos González, Pedro; Castro Delgado, Rafael; Cuartas Alvarez, Tatiana; Pérez-Berrocal Alonso, Jorge

2009-01-01

Today the terrorism is a problem of global distribution and increasing interest for the international public health. The terrorism related violence affects the public health and the health care services in an important way and in different scopes, among them, increase mortality, morbidity and disability, generates a context of fear and anxiety that makes the psychopathological diseases very frequent, seriously alters the operation of the health care services and produces important social, political and economic damages. These effects are, in addition, especially intense when the phenomenon takes place on a chronic way in a community. The objective of this paper is to examine the relation between terrorism and public health, focusing on its effects on public health and the health care services, as well as to examine the possible frames to face the terrorism as a public health concern, with special reference to the situation in Spain. To face this problem, both the public health systems and the health care services, would have to especially adapt their approaches and operational methods in six high-priority areas related to: (1) the coordination between the different health and non health emergency response agencies; (2) the reinforcement of the epidemiological surveillance systems; (3) the improvement of the capacities of the public health laboratories and response emergency care systems to specific types of terrorism as the chemical or biological terrorism; (3) the mental health services; (4) the planning and coordination of the emergency response of the health services; (5) the relations with the population and mass media and, finally; (6) a greater transparency in the diffusion of the information and a greater degree of analysis of the carried out health actions in the scope of the emergency response.

Genetics, health care, and public policy: an introduction to public health genetics

National Research Council Canada - National Science Library

Stewart, Alison

2007-01-01

... initiative About this book Further reading and resources Principles of public health The emergence of public health genetics The human genome project and 'genomic medicine' Community genetics Current developments in public health genetics Genomics and global health 2 Genetic science and technology Basic molecular genetics Genes and the geno...

Towards a public health profession

DEFF Research Database (Denmark)

Foldspang, Anders

2015-01-01

in the theoretical as well as the practical potential of the public health professional. Thus, he and she must be able to perform, what WHO Europe has developed as Essential Public Health Operations (EPHOs).3 This, in turn, implies that the public health professional possesses the set of intellectual (knowledge...... endorsed by WHO Europe’s member states as the basis for the public health education in Europe.5 The sections of the lists include: Public health methods; Population health and: Its social and economic determinants, and: Its material environmental determinants; Man-made interventions and systems, namely...... Health policy, health economics, organizational theory, health legislation, and public health leadership and management; Health promotion—health education, health protection, disease prevention; public health ethics. This should form the central part of the basis for all public health professionals...

American Political Discourse: Irony in Pre-Election Campaign 2016

Directory of Open Access Journals (Sweden)

Анна Александровна Горностаева

2016-12-01

Full Text Available This article represents the analysis of American modern political discourse, mainly the field connected with the pre-election campaign 2016. It explores primary genres of political discourse (speeches, announcements, debates, party programmes, as well as secondary genres (commentaries, discussions, interpretation, political interviews. Owing to the fact that political communication embraces the whole range of informal political processes in society, the field of research includes the so-called informal political socializing. The aim of the paper is to study the use of irony and its functions in political discourse. The data used for the study were taken from candidates’ speeches, interviews with political and public figures, and recent witty sayings/comments. The study is based on the theory of critical discourse analysis (M. Bilig 2007, Teun A. van Dijk 2009, N. Fairclough 1996, P. Graham 2007, J. Lemke 2007, S. Scollon 2007, political discourse analysis (A. Beard 2001, D. Ponton 2011 etc. and theory of irony (L. Alba-Juez 2014, S. Attardo 2007, R. Giora 2001, 2003, L. Hutcheon 2005, B. Komlosi 2010 etc.. The analysis showed that irony is a frequent communicative strategy used by politicians in pre-election campaigns, it performs different functions, such as aggression, defense, entertainment and some others and plays a positive role in commucation with the audience. When used expertly, irony contributes to making political discourse more expressive and convincing. An ironic politician is a better manipulator of public opinion than one unable to use irony.

Dimensions, discourses and differences: trainees conceptualising health care leadership and followership.

Science.gov (United States)

Gordon, Lisi J; Rees, Charlotte E; Ker, Jean S; Cleland, Jennifer

2015-12-01

As doctors in all specialties are expected to undertake leadership within health care organisations, leadership development has become an inherent part of medical education. Whereas the leadership literature within medical education remains mostly focused on individual, hierarchical leadership, contemporary theory posits leadership as a group process, which should be distributed across all levels of health care organisation. This gap between theory and practice indicates that there is a need to understand what leadership and followership mean to medical trainees working in today's interprofessional health care workplace. Epistemologically grounded in social constructionism, this research involved 19 individual and 11 group interviews with 65 UK medical trainees across all stages of training and a range of specialties. Semi-structured interviewing techniques were employed to capture medical trainees' conceptualisations of leadership and followership. Interviews were audiotaped, transcribed verbatim and analysed using thematic framework analysis to identify leadership and followership dimensions which were subsequently mapped onto leadership discourses found in the literature. Although diversity existed in terms of medical trainees' understandings of leadership and followership, unsophisticated conceptualisations focusing on individual behaviours, hierarchy and personality were commonplace in trainees' understandings. This indicated the dominance of an individualist discourse. Patterns in understandings across all stages of training and specialties, and whether definitions were solicited or unsolicited, illustrated that context heavily influenced trainees' conceptualisations of leadership and followership. Our findings suggest that UK trainees typically hold traditional understandings of leadership and followership, which are clearly influenced by the organisational structures in which they work. Although education may change these understandings to some extent

Pigs in Public Health

DEFF Research Database (Denmark)

Svendsen, Mette N.

2017-01-01

of public health, made me re-evaluate both what ‘public’ and what ‘health’ means in public health. In this commentary I provide a short personal account of that intellectual journey. I argue that entanglements between species make it urgent that public health scholars investigate the moral, socio......Animals are rare topics in public health science texts and speech despite the fact that animal bodies and lives are woven into the health of human populations, and vice versa. Years of ethnographic and documentary research – following pigs and their humans in and out of biomedical research – made......-economic, material, and bacterial passages between humans and animals that constitute the various publics of public health and profoundly shape the health of human and animal populations in a globalized world....

It's just as well kids don't vote: the positioning of children through public discourse around national testing

Science.gov (United States)

Lange, Troels; Meaney, Tamsin

2014-06-01

The importance of mathematics or its alter ego `numeracy' is being cemented in the public's mind with the instigation of national, high-stakes testing in Australia. Discussions about national testing in press releases, online news articles and online public comments tacitly attribute importance to mathematics. In these discussions, children are positioned as commodities, with mathematics achievement being the value that can be added to them. Deficit language identified some children as being less valuable commodities and less likely to gain value from schooling. In the same public discourse, the value of the sort of mathematics that can be assessed in these tests appeared to be so accepted that it did not need to be mentioned. This has social justice implications.

The Risorgimento in 20th century Italian political discourse

DEFF Research Database (Denmark)

Thomassen, Bjørn; Forlenza, Rosario

2011-01-01

The aim of this paper is to understand both continuities and changes in the reference to the Risorgimento in 20th century political discourse. The narrative proceeds by analyzing historical “snapshots,” from the Liberal period to post-Cold War Italy, that allows us to spell out what has changed...... and what has remained constant in the memorization and actualization of the Risorgimento in the 20th century political discourse. We single out historical events, public rituals and public discourses unfolding in the context of symbolic years and anniversaries of the nation like 1911, 1932, and 1961 where...... the nexus between the Risorgimento past and the political present came to the fore with particular emphasis. In the contextual discussion of these memorization events, we discuss intellectual elaborations of Risorgimento memorization and indicate how such elaborations spread to wider layers of the populace...

Profile of Public Health Leadership.

Science.gov (United States)

Little, Ruth Gaskins; Greer, Annette; Clay, Maria; McFadden, Cheryl

2016-01-01

Public health leaders play pivotal roles in ensuring the population health for our nation. Since 2000, the number of schools of public health has almost doubled. The scholarly credentials for leaders of public health in academic and practice are important, as they make decisions that shape the future public health workforce and important public health policies. This research brief describes the educational degrees of deans of schools of public health and state health directors, as well as their demographic profiles, providing important information for future public health leadership planning. Data were extracted from a database containing information obtained from multiple Web sites including academic institution Web sites and state government Web sites. Variables describe 2 sets of public health leaders: academic deans of schools of public health and state health directors. Deans of schools of public health were 73% males and 27% females; the PhD degree was held by 40% deans, and the MD degree by 33% deans. Seventy percent of deans obtained their terminal degree more than 35 years ago. State health directors were 60% males and 40% females. Sixty percent of state health directors had an MD degree, 4% a PhD degree, and 26% no terminal degree at all. Sixty-four percent of state health directors received their terminal degree more than 25 years ago. In addition to terminal degrees, 56% of deans and 40% of state health directors held MPH degrees. The findings call into question competencies needed by future public health professionals and leadership and the need to clarify further the level of public health training and degree type that should be required for leadership qualifications in public health.

Public Health Departments

Data.gov (United States)

Department of Homeland Security — State and Local Public Health Departments in the United States Governmental public health departments are responsible for creating and maintaining conditions that...

Practical Elaborations. About the Development of Foucauldian Discourse Analysis in Germany

Directory of Open Access Journals (Sweden)

Rainer Diaz-Bone

2006-05-01

Full Text Available The German researcher of discourse Jürgen LINK and his team in the Bochumer (later Dortmunder "discourse workshop" are among the pioneers in the field of discourse analytic research in the social sciences. LINK founded the journal "kultuRRevolution" (Journal for Applied Discourse Analysis which has been in publication for 25 years contributions that discuss topics as Foucauldian discourse theory or the interdiscourse theory of PÊCHEUX as applied discourse analytic studies. In this interview LINK's own interdiscourse theory is portrayed; its uniqueness and distinction are discussed vis-à-vis the interdiscourse theory of PÊCHEUX. The interview was done via e-mail. It includes a discussion of the early stages of discourse research subsequent to FOUCAULT and PÊCHEUX. The interview begins with an overview of the academic career of Jürgen LINK, followed by an update on the current state of discourse analytic research in the area of the social sciences and the humanities. URN: urn:nbn:de:0114-fqs0603208

The Public Health Innovation Model: Merging Private Sector Processes with Public Health Strengths.

Science.gov (United States)

Lister, Cameron; Payne, Hannah; Hanson, Carl L; Barnes, Michael D; Davis, Siena F; Manwaring, Todd

2017-01-01

Public health enjoyed a number of successes over the twentieth century. However, public health agencies have arguably been ill equipped to sustain these successes and address the complex threats we face today, including morbidity and mortality associated with persistent chronic diseases and emerging infectious diseases, in the context of flat funding and new and changing health care legislation. Transformational leaders, who are not afraid of taking risks to develop innovative approaches to combat present-day threats, are needed within public health agencies. We propose the Public Health Innovation Model (PHIM) as a tool for public health leaders who wish to integrate innovation into public health practice. This model merges traditional public health program planning models with innovation principles adapted from the private sector, including design thinking, seeking funding from private sector entities, and more strongly emphasizing program outcomes. We also discuss principles that leaders should consider adopting when transitioning to the PHIM, including cross-collaboration, community buy-in, human-centered assessment, autonomy and creativity, rapid experimentation and prototyping, and accountability to outcomes.

The Public Health Innovation Model: Merging Private Sector Processes with Public Health Strengths

Directory of Open Access Journals (Sweden)

Cameron Lister

2017-08-01

Full Text Available Public health enjoyed a number of successes over the twentieth century. However, public health agencies have arguably been ill equipped to sustain these successes and address the complex threats we face today, including morbidity and mortality associated with persistent chronic diseases and emerging infectious diseases, in the context of flat funding and new and changing health care legislation. Transformational leaders, who are not afraid of taking risks to develop innovative approaches to combat present-day threats, are needed within public health agencies. We propose the Public Health Innovation Model (PHIM as a tool for public health leaders who wish to integrate innovation into public health practice. This model merges traditional public health program planning models with innovation principles adapted from the private sector, including design thinking, seeking funding from private sector entities, and more strongly emphasizing program outcomes. We also discuss principles that leaders should consider adopting when transitioning to the PHIM, including cross-collaboration, community buy-in, human-centered assessment, autonomy and creativity, rapid experimentation and prototyping, and accountability to outcomes.

Feminism and public health nursing: partners for health.

Science.gov (United States)

Leipert, B D

2001-01-01

It is a well-known fact that nursing and feminism have enjoyed an uneasy alliance. In recent years, however, nursing has begun to recognize the importance of feminism. Nevertheless, the literature still rarely addresses the relevance of feminism for public health nursing. In this article, I articulate the relevance of feminism for public health nursing knowledge and practice. First, I define and describe feminism and public health nursing and then I discuss the importance of feminism for public health nursing practice. The importance of feminism for the metaparadigm concepts of public health nursing is then reviewed. Finally, I examine several existing challenges relating to feminism and public health nursing research, education, and practice. The thesis of this article is that feminism is vitally important for the development of public health nursing and for public health care.

Power, discourse, and resistance: Poststructuralist influences in nursing.

Science.gov (United States)

Holmes, Dave; Gagnon, Marilou

2018-01-01

Based on our respective research programs (psychiatry, forensic psychiatry, public health, HIV/AIDS, harm reduction) this article aims to use purposely non-conventional means to present the substantial contribution of poststructuralist perspectives to knowledge development in nursing science in general and in our current research in particular. More specifically, we call on the work of Michel Foucault and Deleuze & Guattari to politicize nursing science using examples from our empirical research programs with marginal and often highly marginalized populations. We discuss the concepts of power, discourse, and resistance to illustrate the essential contribution of poststructuralism to marginal, even "nomadic", nursing research. © 2017 John Wiley & Sons Ltd.

The discourses on induced abortion in Ugandan daily newspapers: a discourse analysis.

Science.gov (United States)

Larsson, Sofia; Eliasson, Miriam; Klingberg Allvin, Marie; Faxelid, Elisabeth; Atuyambe, Lynn; Fritzell, Sara

2015-06-25

Ugandan law prohibits abortion under all circumstances except where there is a risk for the woman's life. However, it has been estimated that over 250 000 illegal abortions are being performed in the country yearly. Many of these abortions are carried out under unsafe conditions, being one of the most common reasons behind the nearly 5000 maternal deaths per year in Uganda. Little research has been conducted in relation to societal views on abortion within the Ugandan society. This study aims to analyze the discourse on abortion as expressed in the two main daily Ugandan newspapers. The conceptual content of 59 articles on abortion between years 2006-2012, from the two main daily English-speaking newspapers in Uganda, was studied using principles from critical discourse analysis. A religious discourse and a human rights discourse, together with medical and legal sub discourses frame the subject of abortion in Uganda, with consequences for who is portrayed as a victim and who is to blame for abortions taking place. It shows the strong presence of the Catholic Church within the medial debate on abortion. The results also demonstrate the absence of medial statements related to abortion made by political stakeholders. The Catholic Church has a strong position within the Ugandan society and their stance on abortion tends to have great influence on the way other actors and their activities are presented within the media, as well as how stakeholders choose to convey their message, or choose not to publicly debate the issue in question at all. To decrease the number of maternal deaths, we highlight the need for a more inclusive and varied debate that problematizes the current situation, especially from a gender perspective.

Examining Public Perceptions about Lead in School Drinking Water: A Mixed-Methods Analysis of Twitter Response to an Environmental Health Hazard.

Science.gov (United States)

Ekenga, Christine C; McElwain, Cora-Ann; Sprague, Nadav

2018-01-20

Exposure to lead has long been a community health concern in St. Louis, Missouri. The objective of this study was to examine public response to reports of elevated lead levels in school drinking water in St. Louis, Missouri via Twitter, a microblogging platform with over 320 million active users. We used a mixed-methods design to examine Twitter user status updates, known as "tweets," from 18 August to 31 December 2016. The number of tweets each day was recorded, and Twitter users were classified into five user types (General Public, Journalist/News, Health Professional/Academic, Politician/Government Official, and Non-Governmental Organization). A total of 492 tweets were identified during the study period. The majority of discourse on Twitter occurred during the two-week period after initial media reports and was driven by members of the General Public. Thematic analysis of tweets revealed four themes: Information Sharing, Health Concerns, Sociodemographic Disparities, and Outrage. Twitter users characterized lead in school drinking water as an issue of environmental inequity. The findings of this study provide evidence that social media platforms can be utilized as valuable tools for public health researchers and practitioners to gauge public sentiment about environmental health issues, identify emerging community concerns, and inform future communication and research strategies regarding environmental health hazards.

The organising vision for telehealth and telecare: discourse analysis.

Science.gov (United States)

Greenhalgh, Trisha; Procter, Rob; Wherton, Joe; Sugarhood, Paul; Shaw, Sara

2012-01-01

To (1) map how different stakeholders understand telehealth and telecare technologies and (2) explore the implications for development and implementation of telehealth and telecare services. Discourse analysis. 68 publications representing diverse perspectives (academic, policy, service, commercial and lay) on telehealth and telecare plus field notes from 10 knowledge-sharing events. Following a familiarisation phase (browsing and informal interviews), we studied a systematic sample of texts in detail. Through repeated close reading, we identified assumptions, metaphors, storylines, scenarios, practices and rhetorical positions. We added successive findings to an emerging picture of the whole. Telehealth and telecare technologies featured prominently in texts on chronic illness and ageing. There was no coherent organising vision. Rather, four conflicting discourses were evident and engaged only minimally with one another's arguments. Modernist discourse presented a futuristic utopian vision in which assistive technologies, implemented at scale, would enable society to meet its moral obligations to older people by creating a safe 'smart' home environment where help was always at hand, while generating efficiency savings. Humanist discourse emphasised the uniqueness and moral worth of the individual and tailoring to personal and family context; it considered that technologies were only sometimes fit for purpose and could create as well as solve problems. Political economy discourse envisaged a techno-economic complex of powerful vested interests driving commodification of healthcare and diversion of public funds into private business. Change management discourse recognised the complicatedness of large-scale technology programmes and emphasised good project management and organisational processes. Introduction of telehealth and telecare is hampered because different stakeholders hold different assumptions, values and world views, 'talk past' each other and compete for

Homophobia and hate speech in Serbian public discourse : how nationalist myths and stereotypes influence prejudices against the LGBT minority

OpenAIRE

Stakic, Isidora

2011-01-01

Human rights abuses targeted towards LGBT persons constitute a global pattern of serious concern. Despite the fact that discrimination on the basis of sexual orientation and gender identity is prohibited by various international, regional and national legal provisions, prejudices and stereotypes related to LGBT people significantly impede the implementation of non-discrimination laws. This study focuses on contemporary Serbia, and attempts to understand the role of public discourse in incitin...

The next public health revolution: public health information fusion and social networks.

Science.gov (United States)

Khan, Ali S; Fleischauer, Aaron; Casani, Julie; Groseclose, Samuel L

2010-07-01

Social, political, and economic disruptions caused by natural and human-caused public health emergencies have catalyzed public health efforts to expand the scope of biosurveillance and increase the timeliness, quality, and comprehensiveness of disease detection, alerting, response, and prediction. Unfortunately, efforts to acquire, render, and visualize the diversity of health intelligence information are hindered by its wide distribution across disparate fields, multiple levels of government, and the complex interagency environment. Achieving this new level of situation awareness within public health will require a fundamental cultural shift in methods of acquiring, analyzing, and disseminating information. The notion of information "fusion" may provide opportunities to expand data access, analysis, and information exchange to better inform public health action.

Feminism and public health ethics.

Science.gov (United States)

Rogers, W A

2006-06-01

This paper sketches an account of public health ethics drawing upon established scholarship in feminist ethics. Health inequities are one of the central problems in public health ethics; a feminist approach leads us to examine not only the connections between gender, disadvantage, and health, but also the distribution of power in the processes of public health, from policy making through to programme delivery. The complexity of public health demands investigation using multiple perspectives and an attention to detail that is capable of identifying the health issues that are important to women, and investigating ways to address these issues. Finally, a feminist account of public health ethics embraces rather than avoids the inescapable political dimensions of public health.

Public health and Plowshare

Energy Technology Data Exchange (ETDEWEB)

Terrill, Jr, J G [Consumer Protection and Environmental Health Service, U.S. PubIic Health Service, Washington, DC (United States)

1969-07-01

The protection of public health and safety is a principal area of concern in any application of nuclear energy. A health and safety analysis must be conducted and reviewed by appropriate agencies and the final results made available to interested agencies and groups, both public and private, prior to the application. This is especially important for the Plowshare Program - the peaceful uses of nuclear explosives - where the public is to be the ultimate beneficiary. Because public health must be a primary concern in the Plowshare Program, it is essential that the potential risk be weighed against the expected benefits to the public. Public health agencies must play an increasingly important role in the planning and operational stages of the peaceful applications of nuclear explosives and in the final stage of consumer use of Plowshare-generated products. There are many long term and long distance ramifications of the Plowshare Program, such a the potential radiological contamination of consumer products that may reach the consumer at long times after the event or at great distances from the site of the event. Criteria for evaluating public exposure to radiation from these products need to be developed based on sound scientific research. Standards for radioactivity in consumer products must be developed in relation to potential exposure of the public. Above all, a clear benefit to the public with a minimum of risk must be shown. The major purpose of this Symposium on the Public Health Aspects of Peaceful Uses of Nuclear-Explosives is to focus attention on the health and safety aspects, present the results of safety analyses accomplished to date and other information necessary to an understanding of the public health aspects, and to identify areas where additional research is required. A general overview of the total symposium content is presented with emphasis on the relationship of the topics to public health. (author)

Public health and Plowshare

International Nuclear Information System (INIS)

Terrill, J.G. Jr.

1969-01-01

The protection of public health and safety is a principal area of concern in any application of nuclear energy. A health and safety analysis must be conducted and reviewed by appropriate agencies and the final results made available to interested agencies and groups, both public and private, prior to the application. This is especially important for the Plowshare Program - the peaceful uses of nuclear explosives - where the public is to be the ultimate beneficiary. Because public health must be a primary concern in the Plowshare Program, it is essential that the potential risk be weighed against the expected benefits to the public. Public health agencies must play an increasingly important role in the planning and operational stages of the peaceful applications of nuclear explosives and in the final stage of consumer use of Plowshare-generated products. There are many long term and long distance ramifications of the Plowshare Program, such a the potential radiological contamination of consumer products that may reach the consumer at long times after the event or at great distances from the site of the event. Criteria for evaluating public exposure to radiation from these products need to be developed based on sound scientific research. Standards for radioactivity in consumer products must be developed in relation to potential exposure of the public. Above all, a clear benefit to the public with a minimum of risk must be shown. The major purpose of this Symposium on the Public Health Aspects of Peaceful Uses of Nuclear-Explosives is to focus attention on the health and safety aspects, present the results of safety analyses accomplished to date and other information necessary to an understanding of the public health aspects, and to identify areas where additional research is required. A general overview of the total symposium content is presented with emphasis on the relationship of the topics to public health. (author)

Consuming America : A Data-Driven Analysis of the United States as a Reference Culture in Dutch Public Discourse on Consumer Goods, 1890-1990

NARCIS (Netherlands)

Wevers, M.J.H.F.

2017-01-01

Consuming America offers a data-driven, longitudinal analysis of the historical dynamics that have underpinned a long-term, layered cultural-historical process: the emergence of the United States as a dominant reference culture in Dutch public discourse on consumer goods between 1890 and 1990. The

Gambling and the Health of the Public: Adopting a Public Health Perspective.

Science.gov (United States)

Korn, David A.; Shaffer, Howard J.

1999-01-01

During the last decade there has been an unprecedented expansion of legalized gambling throughout North America. Three primary forces appear to be motivating this growth: (1) the desire of governments to identify new sources of revenue without invoking new or higher taxes; (2) tourism entrepreneurs developing new destinations for entertainment and leisure; and (3) the rise of new technologies and forms of gambling (e.g., video lottery terminals, powerball mega-lotteries, and computer offshore gambling). Associated with this phenomenon, there has been an increase in the prevalence of problem and pathological gambling among the general adult population, as well as a sustained high level of gambling-related problems among youth. To date there has been little dialogue within the public health sector in particular, or among health care practitioners in general, about the potential health impact of gambling or gambling-related problems. This article encourages the adoption of a public health perspective towards gambling. More specifically, this discussion has four primary objectives:1. Create awareness among health professionals about gambling, its rapid expansion and its relationship with the health care system;2. Place gambling within a public health framework by examining it from several perspectives, including population health, human ecology and addictive behaviors;3. Outline the major public health issues about how gambling can affect individuals, families and communities;4. Propose an agenda for strengthening policy, prevention and treatment practices through greater public health involvement, using the framework of The Ottawa Charter for Health Promotion as a guide.By understanding gambling and its potential impacts on the public's health, policy makers and health practitioners can minimize gambling's negative impacts and appreciate its potential benefits.

An investigation of environmental and sustainability discourses associated with the substantive purposes of environmental assessment

Energy Technology Data Exchange (ETDEWEB)

Rozema, Jaap G., E-mail: j.rozema@uea.ac.uk [Science, Society and Sustainability Research Group, School of Environmental Sciences, University of East Anglia (UEA), Norwich, NR4 7TJ (United Kingdom); Bond, Alan J., E-mail: alan.bond@uea.ac.uk [Science, Society and Sustainability Research Group, School of Environmental Sciences, University of East Anglia (UEA), Norwich, NR4 7TJ (United Kingdom); Cashmore, Matthew, E-mail: cashmore@plan.aau.dk [Danish Centre for Environmental Assessment, Department of Development and Planning, Aalborg University, Fibigerstraede 13, 9220 Aalborg O (Denmark); Chilvers, Jason, E-mail: jason.chilvers@uea.ac.uk [Science, Society and Sustainability Research Group, School of Environmental Sciences, University of East Anglia (UEA), Norwich, NR4 7TJ (United Kingdom)

2012-02-15

This paper investigates the discursive construction of the substantive purposes of environmental assessment (EA). It addresses these purposes by exploring the complex and often multifaceted linkages between political factors and plural views of democracy, public participation, and the role of science that are embedded in environmental and sustainability discourses. The interaction between policy-making and public actors leads to the formulation of divergent and potentially competing rationales for public participation, and for social appraisal more generally. Participatory approaches have also given impetus to the development of several interpretations on the role of science in assessment procedures. Science is important in mediating public participation and the two are therefore reciprocally linked. This leads to discourses that become manifest in the construction of substantive purposes. Discourse analysis in EA is a relevant method for examining trends and patterns in sustainable development. It is argued that public participation is an important, if not decisive, variable in the articulation and civil legitimacy of certain purposes. A general proposition that results from this paper is that EA, although typically presented as an objective scientific tool, is an intrinsically normative process. Enhanced knowledge on the construction, and reconstruction over time, of substantive purposes is required if environmental and sustainability discourses are to be used and understood as meaningful analytical instruments to assess the socio-political implications of EA. - Highlights: Black-Right-Pointing-Pointer Substantive purposes related to environmental assessment may be best analyzed through discourse analysis. Black-Right-Pointing-Pointer Environmental and sustainability discourses are contingent on the level of participatory democracy and civic science. Black-Right-Pointing-Pointer Public participation is a decisive variable in the construction of the substantive

An investigation of environmental and sustainability discourses associated with the substantive purposes of environmental assessment

International Nuclear Information System (INIS)

Rozema, Jaap G.; Bond, Alan J.; Cashmore, Matthew; Chilvers, Jason

2012-01-01

This paper investigates the discursive construction of the substantive purposes of environmental assessment (EA). It addresses these purposes by exploring the complex and often multifaceted linkages between political factors and plural views of democracy, public participation, and the role of science that are embedded in environmental and sustainability discourses. The interaction between policy-making and public actors leads to the formulation of divergent and potentially competing rationales for public participation, and for social appraisal more generally. Participatory approaches have also given impetus to the development of several interpretations on the role of science in assessment procedures. Science is important in mediating public participation and the two are therefore reciprocally linked. This leads to discourses that become manifest in the construction of substantive purposes. Discourse analysis in EA is a relevant method for examining trends and patterns in sustainable development. It is argued that public participation is an important, if not decisive, variable in the articulation and civil legitimacy of certain purposes. A general proposition that results from this paper is that EA, although typically presented as an objective scientific tool, is an intrinsically normative process. Enhanced knowledge on the construction, and reconstruction over time, of substantive purposes is required if environmental and sustainability discourses are to be used and understood as meaningful analytical instruments to assess the socio-political implications of EA. - Highlights: ► Substantive purposes related to environmental assessment may be best analyzed through discourse analysis. ► Environmental and sustainability discourses are contingent on the level of participatory democracy and civic science. ► Public participation is a decisive variable in the construction of the substantive purpose of environmental assessment.

Examining the social construction of surveillance: A critical issue for health visitors and public health nurses working with mothers and children.

Science.gov (United States)

Peckover, Sue; Aston, Megan

2018-01-01

To critically examine surveillance practices of health visitors (HV) in the UK and public health nurses (PHNs) in Canada. The practice and meaning of surveillance shifts and changes depending on the context and intent of relationships between mothers and HVs or PHNs. We present the context and practice of HVs in the UK and PHNs in Canada and provide a comprehensive literature review regarding surveillance of mothers within public health systems. We then present our critique of the meaning and practice of surveillance across different settings. Concepts from Foucault and discourse analysis are used to critically examine and discuss the meaning of surveillance. Surveillance is a complex concept that shifts meaning and is socially and institutionally constructed through relations of power. Healthcare providers need to understand the different meanings and practices associated with surveillance to effectively inform practice. Healthcare providers should be aware of how their positions of expert and privilege within healthcare systems affect relationships with mothers. A more comprehensive understanding of personal, social and institutional aspects of surveillance will provide opportunities to reflect upon and change practices that are supportive of mothers and their families. © 2017 John Wiley & Sons Ltd.

Development of an online tool for public health: the European Public Health Law Network.

Science.gov (United States)

Basak, P

2011-09-01

The European Public Health Law Network was established in 2007 as part of the European Union (EU) co-funded Public Health Law Flu project. The aims of the website consisted of designing an interactive network of specialist information and encouraging an exchange of expertise amongst members. The website sought to appeal to academics, public health professionals and lawyers. The Public Health Law Flu project team designed and managed the website. Registered network members were recruited through publicity, advertising and word of mouth. Details of the network were sent to health organizations and universities throughout Europe. Corresponding website links attracted many new visitors. Publications, news, events and a pandemic glossary became popular features on the site. Although the website initially focused only on pandemic diseases it has grown into a multidisciplinary website covering a range of public health law topics. The network contains over 700 publications divided into 28 public health law categories. News, events, front page content, legislation and the francophone section are updated on a regular basis. Since 2007 the website has received over 15,000 views from 156 countries. Newsletter subscribers have risen to 304. There are now 723 followers on the associated Twitter site. The European Public Health Law Network has been a successful and innovative site in the area of public health law. Interest in the site continues to grow. Future funding can contribute to a bigger site with interactive features and pages in a wider variety of languages to attract a wider global audience. Copyright © 2011 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

Public health and peace.

Science.gov (United States)

Laaser, Ulrich; Donev, Donco; Bjegović, Vesna; Sarolli, Ylli

2002-04-01

The modern concept of public health, the New Public Health, carries a great potential for healthy and therefore less aggressive societies. Its core disciplines are health promotion, environmental health, and health care management based on advanced epidemiological methodologies. The main principles of living together in healthy societies can be summarized as four ethical concepts of the New Public Health essential to violence reduction equity, participation, subsidiarity, and sustainability. The following issues are discussed as violence determinants: the process of urbanization; type of neighborhood and accommodation, and consequent stigmatization; level of education; employment status; socialization of the family; women's status; alcohol and drug consumption; availability of the firearms; religious, ethnic, and racial prejudices; and poverty. Development of the health systems has to contribute to peace, since aggression, violence, and warfare are among the greatest risks for health and the economic welfare. This contribution can be described as follows: 1) full and indiscriminate access to all necessary services, 2) monitoring of their quality, 3) providing special support to vulnerable groups, and 4) constant scientific and public accountability of the evaluation of the epidemiological outcome. Violence can also destroy solidarity and social cohesion of groups, such as family, team, neighborhood, or any other social organization. Durkheim coined the term anomie for a state in which social disruption of the community results in health risks for individuals. Health professionals can make a threefold contribution to peace by 1) analyzing the causal interrelationships of violence phenomena, 2) curbing the determinants of violence according to the professional standards, and 3) training professionals for this increasingly important task. Because tolerance is an essential part of an amended definition of health, monitoring of the early signs of public intolerance is

Representations of people with HIV and hepatitis C in editorials of medical journals: discourses and interdiscursive relations.

Science.gov (United States)

Körner, Henrike; Treloar, Carla

2006-01-01

HIV and hepatitis C are blood-borne viruses that cause chronic diseases and affect (in parts of the developed world) predominantly groups that are marginalized and discriminated against: gay men and injecting drug users, respectively. This paper compares the representation of people with HIV and hepatitis C in editorials of medical journals between 1989 and 2001. Analysis is informed by critical discourse analysis and systemic functional linguistics. Hepatitis C editorials draw almost exclusively on the discourse of biomedicine, and patients are either absent or objects in medical procedures. In HIV editorials, a variety of other discourses are integrated into the discourse of biomedicine, thereby creating multidimensional representations of people with HIV as patients and agents in medical procedures, involved in decision making, affected by economic factors, social and cultural issues. The paper discusses the role of the gay community in discursive change and argues that discursive diversity in the representation of people infected with HIV and hepatitis C in medical journals is necessary for health policy, the professional development of healthcare providers, and media reporting to the general public.

Public Health's Falling Share of US Health Spending.

Science.gov (United States)

Himmelstein, David U; Woolhandler, Steffie

2016-01-01

We examined trends in US public health expenditures by analyzing historical and projected National Health Expenditure Accounts data. Per-capita public health spending (inflation-adjusted) rose from $39 in 1960 to $281 in 2008, and has fallen by 9.3% since then. Public health's share of total health expenditures rose from 1.36% in 1960 to 3.18% in 2002, then fell to 2.65% in 2014; it is projected to fall to 2.40% in 2023. Public health spending has declined, potentially undermining prevention and weakening responses to health inequalities and new health threats.

Transportation and public health.

Science.gov (United States)

Litman, Todd

2013-01-01

This article investigates various ways that transportation policy and planning decisions affect public health and better ways to incorporate public health objectives into transport planning. Conventional planning tends to consider some public health impacts, such as crash risk and pollution emissions measured per vehicle-kilometer, but generally ignores health problems resulting from less active transport (reduced walking and cycling activity) and the additional crashes and pollution caused by increased vehicle mileage. As a result, transport agencies tend to undervalue strategies that increase transport system diversity and reduce vehicle travel. This article identifies various win-win strategies that can help improve public health and other planning objectives.

A distinction of two discourses concerning wellbeing

DEFF Research Database (Denmark)

Wistoft, Karen; Qvortrup, Lars

2017-01-01

and behavioral mental health interventions, while the latter defines wellbeing in positive terms with a focus on wellbeing as the result of learning and with pedagogical interventions that only indirectly can support the individual’s learning activity. The former sees wellbeing as the result of a “wellbeing cure......The article concerns the current discourses concerning well-being with the point that it is important to make a distinction between a healthcare oriented discourse and a learning oriented discourse. The former defines wellbeing in negative terms and looks at causally oriented aspects of wellbeing......”, while the latter sees wellbeing as the result of wellbeing learning processes....

Public health systems under attack in Canada: Evidence on public health system performance challenges arbitrary reform.

Science.gov (United States)

Guyon, Ak'ingabe; Perreault, Robert

2016-10-20

Public health is currently being weakened in several Canadian jurisdictions. Unprecedented and arbitrary cuts to the public health budget in Quebec in 2015 were a striking example of this. In order to support public health leaders and citizens in their capacity to advocate for evidence-informed public health reforms, we propose a knowledge synthesis of elements of public health systems that are significantly associated with improved performance. Research consistently and significantly associates four elements of public health systems with improved productivity: 1) increased financial resources, 2) increased staffing per capita, 3) population size between 50,000 and 500,000, and 4) specific evidence-based organizational and administrative features. Furthermore, increased financial resources and increased staffing per capita are significantly associated with improved population health outcomes. We contend that any effort at optimization of public health systems should at least be guided by these four evidence-informed factors. Canada already has existing capacity in carrying out public health systems and services research. Further advancement of our academic and professional expertise on public health systems will allow Canadian public health jurisdictions to be inspired by the best public health models and become stronger advocates for public health's resources, interventions and outcomes when they need to be celebrated or defended.

The paradox of non-evidence based, publicly funded complementary alternative medicine in the English National Health Service: An explanation.

Science.gov (United States)

Sheppard, Maria K

2015-10-01

Despite the unproven effectiveness of many practices that are under the umbrella term 'complementary alternative medicine' (CAM), there is provision of CAM within the English National Health Service (NHS). Moreover, although the National Institute for Health and Care Excellence was established to promote scientifically validated medicine in the NHS, the paradox of publicly funded, non-evidence based CAM can be explained as linked with government policy of patient choice and specifically patient treatment choice. Patient choice is useful in the political and policy discourse as it is open to different interpretations and can be justified by policy-makers who rely on the traditional NHS values of equity and universality. Treatment choice finds expression in the policy of personalised healthcare linked with patient responsibilisation which finds resonance in the emphasis CAM places on self-care and self-management. More importantly, however, policy-makers also use patient choice and treatment choice as a policy initiative with the objective of encouraging destabilisation of the entrenched healthcare institutions and practices considered resistant to change. This political strategy of system reform has the unintended, paradoxical consequence of allowing for the emergence of non-evidence based, publicly funded CAM in the NHS. The political and policy discourse of patient choice thus trumps evidence based medicine, with patients that demand access to CAM becoming the unwitting beneficiaries. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Making snacking less sinful : (Counter-)moralizing obesity in the public discourse differentially affects food choices of individuals with high and low perceived body mass.

NARCIS (Netherlands)

Mulder, Laetitia; Rupp, Deborah; Dijkstra, Arie

2015-01-01

Objective: As public discourse surrounding obesity highlights the societal costs of obesity and individual's own responsibility for their weight, being overweight is often framed as immoral. Such 'moralizing' messages about being overweight may be a psychological threat for those with high body

Transitions in state public health law: comparative analysis of state public health law reform following the Turning Point Model State Public Health Act.

Science.gov (United States)

Meier, Benjamin Mason; Hodge, James G; Gebbie, Kristine M

2009-03-01

Given the public health importance of law modernization, we undertook a comparative analysis of policy efforts in 4 states (Alaska, South Carolina, Wisconsin, and Nebraska) that have considered public health law reform based on the Turning Point Model State Public Health Act. Through national legislative tracking and state case studies, we investigated how the Turning Point Act's model legal language has been considered for incorporation into state law and analyzed key facilitating and inhibiting factors for public health law reform. Our findings provide the practice community with a research base to facilitate further law reform and inform future scholarship on the role of law as a determinant of the public's health.

Herzl's Altneuland: Zionist utopia, medical science and public health.

Science.gov (United States)

Davidovitch, Nadav; Seidelman, Rhona

In this article we explore how the vision uniting Zionism, science, medicine and public health is depicted in Herzl's novel Altneuland (Old-New Land). Altneuland, which belongs to the genre of fin-de-siècle utopian novels, presents a modernistic vision of progress, integrating science with a humanistic society of equals. The remedy for the "psychopathology of the Jew" was believed by many Zionists to be a return to Palestine, and the establishment there of a healthy national Jewish home. Yet, Herzl's utopia, as depicted in Altneuland, is homogeneous, not allowing for other voices to be expressed, such as those of women and Arabs. Moreover, the belief that science and technology could solve social problems did not take into account the tensions that they would create in the society and environment. This vision of science and society, with its inherent tensions, will continue to inform the Zionist discourse of our present day.

Educating the future public health workforce: do schools of public health teach students about the private sector?

Science.gov (United States)

Rutkow, Lainie; Traub, Arielle; Howard, Rachel; Frattaroli, Shannon

2013-01-01

Recent surveys indicate that approximately 40% of graduates from schools of public health are employed within the private sector or have an employer charged with regulating the private sector. These data suggest that schools of public health should provide curricular opportunities for their students--the future public health workforce--to learn about the relationship between the private sector and the public's health. To identify opportunities for graduate students in schools of public health to select course work that educates them about the relationship between the private sector and public health. We systematically identified and analyzed data gathered from publicly available course titles and descriptions on the Web sites of accredited schools of public health. Data were collected in the United States. The sample consisted of accredited schools of public health. Descriptions of the number and types of courses that schools of public health offer about the private sector and identification of how course descriptions frame the private sector relative to public health. We identified 104 unique courses with content about the private sector's relationship to public health. More than 75% of accredited schools of public health offered at least 1 such course. Nearly 25% of identified courses focused exclusively on the health insurance industry. Qualitative analysis of the data revealed 5 frames used to describe the private sector, including its role as a stakeholder in the policy process. Schools of public health face a curricular gap, with relatively few course offerings that teach students about the relationship between the private sector and the public's health. By developing new courses or revising existing ones, schools of public health can expose the future public health workforce to the varied ways public health professionals interact with the private sector, and potentially influence students' career paths.

Why Do People Work in Public Health? Exploring Recruitment and Retention Among Public Health Workers.

Science.gov (United States)

Yeager, Valerie A; Wisniewski, Janna M; Amos, Kathleen; Bialek, Ron

2016-01-01

The public health workforce is critical to the functioning of the public health system and protection of the population's health. Ensuring a sufficient workforce depends on effectively recruiting and retaining workers. This study examines factors influencing decisions to take and remain in jobs within public health, particularly for workers employed in governmental public health. This cross-sectional study employed a secondary data set from a 2010 national survey of US public health workers. Survey respondents were included in this study if they responded to at least 1 survey item related to recruitment and retention. A total of 10 859 survey responses fit this criterion. Data examined demographics of public health workers and factors that influenced decisions to take jobs in and remain in public health. Job security (β = 0.42; 95% confidence interval [CI], 0.28-0.56) and competitive benefits (β = 0.49; 95% CI, 0.28-0.70) were significantly and positively associated with governmental employees' decisions to take positions with their current employers compared with public health workers employed by other types of organizations. The same finding held with regard to retention: job security (β = 0.40; 95% CI, 0.23-0.57) and competitive benefits (β = 0.53; 95% CI, 0.24-0.83). Two personal factors, personal commitment to public service (β = 0.30; 95% CI, 0.17-0.42) and wanted a job in the public health field (β = 0.44; 95% CI, 0.18-0.69), were significantly and positively related to governmental employees deciding to remain with their current employers. It is important to recognize the value of competitive benefits for both current and potential employees. Public health agencies should maintain these if possible and make the value of these benefits known to policy makers or other agencies setting these benefit policies. Job security associated with governmental public health jobs also appears to offer public health an advantage in recruiting and retaining employees.

Improving the Quality of Early Childhood Education in Chile: Tensions between Public Policy and Teacher Discourses over the Schoolarisation of Early Childhood Education

Science.gov (United States)

Pardo, Marcela; Woodrow, Christine

2014-01-01

This article problematises emerging tensions in Chile, in relation to the discourses of early childhood teachers and public policies aimed at improving the quality of early childhood education. The aim of the analysis is to contribute to developing more nuanced understandings of these tensions, through the analytical lenses provided by the…

Public mental health.

Science.gov (United States)

Lindert, Jutta; Bilsen, Johan; Jakubauskiene, Marija

2017-10-01

Public mental health (PMH) is a major challenge for public health research and practice. This article is organized in six parts. First, we will highlight the significance of PMH; second, we will define mental health and mental disorders; third, we identify and describe determinants of mental health and mental disorders on which we worked in the past 10 years since the establishment of the PMH section such as social determinants and violence. Fourth, we will describe the development of the EUPHA PMH section and provide details on vulnerable groups in the field of PMH, on violence as a main determinant and on suicide as an outcome which affects all countries in the European region. Fifth, we describe policy and practice implications of the development of PMH and highlight the European dimension of PMH. We will conclude this article by providing an outlook on potential further development of PMH as regards research and policy and practice. Finally, we hope that the EUPHA PMH section will contribute to public health in the next 25 years and we can contribute to improvement of PMH in Europe. © The Author 2017. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Introduction to U.S. health policy: the organization, financing, and delivery of health care in America

National Research Council Canada - National Science Library

Barr, Donald A

2011-01-01

Health care reform has dominated public discourse over the past several years, and the recent passage of the Affordable Care Act, rather than quell the rhetoric, has sparked even more debate. Donald...

Social media in public health.

Science.gov (United States)

Kass-Hout, Taha A; Alhinnawi, Hend

2013-01-01

While social media interactions are currently not fully understood, as individual health behaviors and outcomes are shared online, social media offers an increasingly clear picture of the dynamics of these processes. Social media is becoming an increasingly common platform among clinicians and public health officials to share information with the public, track or predict diseases. Social media can be used for engaging the public and communicating key public health interventions, while providing an important tool for public health surveillance. Social media has advantages over traditional public health surveillance, as well as limitations, such as poor specificity, that warrant additional study. Social media can provide timely, relevant and transparent information of public health importance; such as tracking or predicting the spread or severity of influenza, west nile virus or meningitis as they propagate in the community, and, in identifying disease outbreaks or clusters of chronic illnesses. Further work is needed on social media as a valid data source for detecting or predicting diseases or conditions. Also, whether or not it is an effective tool for communicating key public health messages and engaging both, the general public and policy-makers.

The Emergence of Viagra in the Brazilian Public Scenario: Discourses on Body, Gender and Sexuality in the Media

Directory of Open Access Journals (Sweden)

Mauro Brigeiro

2009-01-01

Full Text Available This work proposes an anthropological reflection on the images and discourses of the body and the sexuality in the Brazilian society, focusing on a particular social phenomenon: the emergence of the Viagra in the national public scenario. This article explores the connotations constructed and confirmed by the Brazilian media press about this drug. Two Brazilian newspapers belonging to the same publisher but aimed at different publics were analyzed from April 1998 to April 1999, period that corresponds to the beginning – and apex – of the debate on the Viagra in the country. The discussion focuses on the symbolism and discursive strategies utilized by the newspapers when presenting this medication to the general public. This article also draws the attention to an appeal to traditional logics of gender, despite a contemporary scenario of issues concerning the relationships among the sexes and the sexuality.

[ADHD in educational counselling--perspectives of discourse theory and empowerment at the interface between youth welfare, health care system and school system].

Science.gov (United States)

Fellner, Markus

2013-01-01

ADHD is a controversial concept, which provokes educational counselling to position in an explosive stress field of school system, health care system and youth welfare. This positioning could be sharpened by a discourse theoretical perspective and used for counselling in the sense of empowerment. Based on the clinical controversy of ADHD the institutional coherence of school system, youth welfare and health care system gets reconstructed as the societal basis of this clinical discourse, this for showing how the clinification of infantine experience and behaviour, connected with the ADHD-diagnosis, on the one hand is following the constriction of normality and on the other hand is aiming to assure equal opportunities.

Public Sphere as Digital Assemblage

DEFF Research Database (Denmark)

Salovaara-Moring, Inka

the 1990s onwards digitalization brought concepts of network and complexity into the theoretical discourse. This relational turn changed the social ontology of the public sphere into a dynamic and complex system, erasing the division between the fields of reality (the world), representation (discourse......Normative theories of public sphere have struggled with the topic of materiality. The historical narrative of the ‘public sphere’ situated the phenomenon in specific spaces, where practices (public deliberation) and language (discourse) constructed political agencies, and further publics. From......), and subjectivity (agency). This changed the public sphere into an assemblage consisting of both human and non-human actors interactingin a highly dynamic, networked environment. This paper proposes a framework for considering this new materiality in the field of the public sphere: the assemblage and complexity...

Assessing the public health impact of using poison center data for public health surveillance.

Science.gov (United States)

Wang, Alice; Law, Royal; Lyons, Rebecca; Choudhary, Ekta; Wolkin, Amy; Schier, Joshua

2017-12-13

The National Poison Data System (NPDS) is a database and surveillance system for US poison centers (PCs) call data. The Centers for Disease Control and Prevention (CDC) and American Association of Poison Control Centers (AAPCC) use NPDS to identify incidents of potential public health significance. State health departments are notified by CDC of incidents identified by NPDS to be of potential public health significance. Our objective was to describe the public health impact of CDC's notifications and the use of NPDS data for surveillance. We described how NPDS data informed three public health responses: the Deepwater Horizon incident, national exposures to laundry detergent pods, and national exposures to e-cigarettes. Additionally, we extracted survey results of state epidemiologists regarding NPDS incident notification follow-up from 1 January 2015 to 31 December 2016 to assess current public health application of NPDS data using Epi Info 7.2 and analyzed data using SAS 9.3. We assessed whether state health departments were aware of incidents before notification, what actions were taken, and whether CDC notifications contributed to actions. NPDS data provided evidence for industry changes to improve laundry detergent pod containers safety and highlighted the need to regulate e-cigarette sale and manufacturing. NPDS data were used to improve situational awareness during the 2010 Deepwater Horizon oil spill. Of 59 health departments and PCs who responded to CDC notifications about anomalies (response rate = 49.2%), 27 (46%) reported no previous awareness of the incident, and 20 (34%) said that notifications contributed to public health action. Monitoring NPDS data for anomalies can identify emerging public health threats and provide evidence-based science to support public health action and policy changes.

Mediating the media discourse of health with high school students

Directory of Open Access Journals (Sweden)

Angélica Caetano da Silva

2012-05-01

Full Text Available This research is the result of a completed dissertation held in the Physical Education Post Graduate Program at UFSC, in which goal was to reflect on the media discourse about health and physical activity among young high school students, in Physical Education, from a education intervention. The study was based on methodological elements of action research and was attended by 22 students. The intervention was carried out on the basis of school mediation strategies, along with the teacher who is responsible for the class. As a conclusion, the study indicates that media education can be associated to any knowledge of school culture, in a longitudinal basis, starting from students’ knowledge about the content transmitted by the media and the effort of a media education cannot be overlooked.

Discourses of Consumption in US-American Culture

Directory of Open Access Journals (Sweden)

Rita Turner

2010-07-01

Full Text Available This paper explores varieties and examples of discourses of consumption, focusing primarily on US-American cultural discourses. The international community has in recent years developed an extremely valuable body of literature examining strategies for facilitating sustainable consumption; economic ramifications of varying consumption behaviors; attitudes and social structures that encourage or discourage sustainable consumption; approaches to consumption as a component of a sustainable or “green” lifestyle; and considerations of consumption practices in relation to inequities between North and South. The United States has made relatively few contributions to this body of literature thus far. But although the U.S. has not been one of the primary sources of academic literature on sustainable consumption, several types of discourses on consumption have become prominent in U.S. popular culture. These types of discourses include examinations of the moral status of consumption; investigations of the environmental or health consequences of modern consumption behaviors; explorations and critiques of green consumerism; and discourses that either construct or critique the commodification of the nonhuman world to produce objects for consumption. Throughout this paper I outline and offer examples of these strains of popular discourse, drawing on a newly-emerging body of U.S. literature and critically analyzing instances of discourse about sustainable consumption in film, television, internet, and print media. I conclude by examining new perspectives on sustainable coexistence that offer transformative possibilities for establishing relationships with the more-than-human world that are not based primarily on consumption.

The impact of globalization on public health: implications for the UK Faculty of Public Health Medicine.

Science.gov (United States)

Lee, K

2000-09-01

There has been substantial discussion of globalization in the scholarly and popular press yet limited attention so far among public health professionals. This is so despite the many potential impacts of globalization on public health. Defining public health broadly, as focused on the collective health of populations requiring a range of intersectoral activities, globalization can be seen to have particular relevance. Globalization, in turn, can be defined as a process that is changing the nature of human interaction across a wide range of spheres and along at least three dimensions. Understanding public health and globalization in these ways suggests the urgent need for research to better understand the linkages between the two, and effective policy responses by a range of public health institutions, including the UK Faculty of Public Health Medicine. The paper is based on a review of secondary literature on globalization that led to the development of a conceptual framework for understanding potential impacts on the determinants of health and public health. The paper then discusses major areas of public health in relation to these potential impacts. It concludes with recommendations on how the UK Faculty of Public Health Medicine might contribute to addressing these impacts through its various activities. Although there is growing attention to the importance of globalization to public health, there has been limited research and policy development in the United Kingdom. The UK Faculty of Public Health Medicine needs to play an active role in bringing relevant issues to the attention of policy makers, and encourage its members to take up research, teaching and policy initiatives. The potential impacts of globalization support a broader understanding and practice of public health that embraces a wide range of health determinants.

Social discourses of healthy eating

DEFF Research Database (Denmark)

Chrysochou, Polymeros; Askegaard, Søren; Grunert, Klaus G.

2010-01-01

This paper proposes a framework of discourses regarding consumers' healthy eating as a useful conceptual scheme for market segmentation purposes. The objectives are: (a) to identify the appropriate number of health-related segments based on the underlying discursive subject positions of the frame...

The public health leadership certificate: a public health and primary care interprofessional training opportunity.

Science.gov (United States)

Matson, Christine C; Lake, Jeffrey L; Bradshaw, R Dana; Matson, David O

2014-03-01

This article describes a public health leadership certificate curriculum developed by the Commonwealth Public Health Training Center for employees in public health and medical trainees in primary care to share didactic and experiential learning. As part of the program, trainees are involved in improving the health of their communities and thus gain a blended perspective on the effectiveness of interprofessional teams in improving population health. The certificate curriculum includes eight one-credit-hour didactic courses offered through an MPH program and a two-credit-hour, community-based participatory research project conducted by teams of trainees under the mentorship of health district directors. Fiscal sustainability is achieved by sharing didactic courses with MPH degree students, thereby enabling trainees to take advantage of a reduced, continuing education tuition rate. Public health employee and primary care trainees jointly learn knowledge and skills required for community health improvement in interprofessional teams and gain an integrated perspective through opportunities to question assumptions and broaden disciplinary approaches. At the same time, the required community projects have benefited public health in Virginia.

Good, Bad or Absent: Discourses of Parents with Disabilities in Australian News Media

Science.gov (United States)

Fraser, Vikki; Llewellyn, Gwynnyth

2015-01-01

Background: News media frames public perceptions. As such, news media becomes a useful source of analysis to understand the presence (or otherwise) of people with disabilities, particularly intellectual disabilities, within parenting discourses in Australia. Method: Using Critical Discourse Analysis, this article examines major Australian…

An enquiry on poverty discourses in public theology for the calling of the church to respond to poverty: A case for the Africa Inland Church in Kenya

Directory of Open Access Journals (Sweden)

Noah K. Tenai

2016-08-01

Full Text Available As an emergent and rapidly growing international field of study, public theology has its focus on how Christian faith and practice impact on ordinary life. Its principle concern is thewell-being of society. In Africa, and in Kenya in particular, where poverty levels are still high, there is a need to enquire into the value and efficacy of the poverty discourses in publictheology, for the calling of the church to respond to poverty. One of the main and fast growingchurches in Kenya, the Africa Inland Church (AIC, has vast resources used for, amongst otherthings, various on-going work amidst the poor and the vulnerable in remote and poor areas. Due to the unrelenting nature of poverty in Kenya, the AIC needs a theological perspective, which is sufficiently sensitive to poverty and can enable it to respond to poverty moreeffectively. Public theology’s emphasis on gaining an entrée into the public square andadopting the agenda of communities, including public theology’s calling on churches toactively participate in rational and plausible public discourses, can assist the AIC to respondeffectively to the challenge of poverty in Kenya.

Men's discourses of help-seeking in the context of depression.

Science.gov (United States)

Johnson, Joy L; Oliffe, John L; Kelly, Mary T; Galdas, Paul; Ogrodniczuk, John S

2012-03-01

Depression is an illness increasingly constructed as a gendered mood disorder and consequently diagnosed in women more than men. The diagnostic criteria used for its assessment often perpetrate and reproduce gender stereotypes. The stigma associated with mental illness and the gendered elements of depression suggest there are likely numerous discourses that position, explain, and justify help-seeking practices. This qualitative study explored men's discourses of seeking help for depression. The methodological approach was informed by a social constructionist perspective of language, discourse and gender that drew on methods from discourse analysis. We conducted individual in-depth, semi-structured interviews with 38 men with depression, either formally diagnosed or self reported. The analysis revealed five discursive frames that influenced the men's talk about help-seeking and depression: manly self-reliance; treatment-seeking as responsible independent action; guarded vulnerability; desperation; and genuine connection. The findings are discussed within a broader context of social discourses of gender, the limitations of current help-seeking literature and the evidence for how men seek help in ways that extend traditional notions of medical treatment. © 2011 The Authors. Sociology of Health & Illness © 2011 Foundation for the Sociology of Health & Illness/Blackwell Publishing Ltd.

Developing an academia-based public health observatory: the new global public health observatory with emphasis on urban health at Johns Hopkins Bloomberg School of Public Health

Directory of Open Access Journals (Sweden)

Carlos Castillo-Salgado

2015-11-01

Full Text Available Abstract Health observatories may differ according to their mission, institutional setting, topical emphasis or geographic coverage. This paper discusses the development of a new urban-focused health observatory, and its operational research and training infrastructure under the academic umbrella of the Department of Epidemiology and the Institute of Urban Health at the Johns Hopkins Bloomberg School of Public Health (BSPH in Baltimore, USA. Recognizing the higher education mission of the BSPH, the development of a new professional training in public health was an important first step for the development of this observatory. This new academia-based observatory is an innovative public health research and training platform offering faculty, investigators, professional epidemiology students and research partners a physical and methodological infrastructure for their operational research and training activities with both a local urban focus and a global reach. The concept of a public health observatory and its role in addressing social health inequalities in local urban settings is discussed.

Developing an academia-based public health observatory: the new global public health observatory with emphasis on urban health at Johns Hopkins Bloomberg School of Public Health.

Science.gov (United States)

Castillo-Salgado, Carlos

2015-11-01

Health observatories may differ according to their mission, institutional setting, topical emphasis or geographic coverage. This paper discusses the development of a new urban-focused health observatory, and its operational research and training infrastructure under the academic umbrella of the Department of Epidemiology and the Institute of Urban Health at the Johns Hopkins Bloomberg School of Public Health (BSPH) in Baltimore, USA. Recognizing the higher education mission of the BSPH, the development of a new professional training in public health was an important first step for the development of this observatory. This new academia-based observatory is an innovative public health research and training platform offering faculty, investigators, professional epidemiology students and research partners a physical and methodological infrastructure for their operational research and training activities with both a local urban focus and a global reach. The concept of a public health observatory and its role in addressing social health inequalities in local urban settings is discussed.

Advances in dental public health.

Science.gov (United States)

Holt, R D

2001-07-01

Dental public health has been defined as 'the science and art of preventing oral diseases, promoting oral health and improving the quality of life through the organised efforts of society'. Dental practitioners most often have the oral health of individual patients as their primary focus but the aim of public health is to benefit populations. Early developments in dental public health were concerned largely with demonstrating levels of disease and with treatment services. With greater appreciation of the nature of oral health and disease, and of their determinants has come recognition of the need for wider public health action if the effects of prevention and oral health promotion are to be maximized.

Discourse in Systemic Operational Design

Science.gov (United States)

2007-05-22

narrative theory and theories of agency in the education of officers about design use and practice. This comes from the idea that if 1 the discourse of... educational philosophy reference points, the same knowledge may be processed in significantly different ways. Similarly, these differences inform the...feminine reproductive health often places normal occurrences such as menstruation in a negative, pathological frame of reference relative to male health

EXPLORING IMPLICIT META-DISCOURSE IN LEGAL DISCOURSE: AN ANALYSIS OF THE CHINESE AND AMERICAN CONSTITUTIONS

Directory of Open Access Journals (Sweden)

Mengyu He

2017-09-01

Full Text Available Research in meta-discourse, particularly explicit meta-discourse or meta-discourse markers has contributed much knowledge on the discourse features of specialised genres. However, there are very few studies on implicit meta-discourse. The current study explores implicit meta-discourse in legal discourse by comparing the implicit interpersonal meta-discourse in the Constitution of the People’s Republic of China with the Constitution of the United States. The focus of the study is the use of implicit meta-discourse, particularly the grammatical meta-discourse in the legal discourse of two different languages and cultural groups. The findings demonstrate that there are similarities and differences in the use of implicit meta-discourse in the two constitutions. Within the context of language discourse, the findings of the current study suggest that legal discourse is distinctive in the use of implicit interpersonal meta-discourse, particularly in the way writers intrude into the discourse implicitly by certain key grammatical forms of meta-discourse. Despite the objectivity and rigour of legal discourse, the current study found that there is some level of subjectivity in such discourse, evident from the use of implicit meta-discourse.

Health needs and public health functions addressed in scientific publications in Francophone sub-Saharan Africa.

Science.gov (United States)

Benie-Bi, J; Cambon, L; Grimaud, O; Kivits, J; Alla, F

2013-09-01

To describe the reporting of public health research in Francophone sub-Saharan Africa (FSA). A bibliometric research study of scientific public health publications in FSA, which includes 24 countries and approximately 260 million people. Two researchers analysed original articles published in 2007 in the medical or social sciences fields and indexed in Scopus. At least one co-author of articles had to be based in FSA. The analysis focused on research field, public health function (WHO classification), FSA country author's affiliation, language, journal type and global burden of disease (WHO classification). Of 1047 articles retrieved by the search, 212 were from the public health field. The number of articles per country varied from 0 to 36. Public health functions examined were health service research (24.5%), health monitoring (27.4%), prevention (15%) and legislation (0.5%). The distribution of health needs described in the articles was close to that of the WHO data for Africa for 2004: infectious and parasitic diseases (70% vs 54%), maternal and perinatal conditions (15% vs 17%), non-communicable diseases (15.6% vs 21%), and injuries (0.5% vs 8%). The areas reported in published articles from sub-Saharan Africa reflect the health needs distribution in Africa; however, the number of publications is low, particularly for prevention. In light of the current focus on evidence-based public health, this study questions whether the international scientific community adequately considers the expertise and perspectives of African researchers and professionals. Copyright © 2013 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

Gender, Discourse, and "Gender and Discourse."

Science.gov (United States)

Davis, Hayley

1997-01-01

A critic of Deborah Tannen's book "Gender and Discourse" responds to comments made about her critique, arguing that the book's analysis of the relationship of gender and discourse tends to seek, and perhaps force, explanations only in those terms. Another linguist's analysis of similar phenomena is found to be more rigorous. (MSE)

The Discursive Dynamics in Teacher Education: Authoritative Discourse or Internally Persuasive Discourse?

Directory of Open Access Journals (Sweden)

Maria Otilia Guimarães Ninin

2014-06-01

Full Text Available This article, based on the socio-cultural-historical theoretical perspective, discusses the activity in which individuals engage as constitutive of the social roles they occupy. It aims to trigger discussion of discursive dynamics in the context of critical-collaborative teacher education, focusing on internally persuasive and authoritative discourse (BAKHTIN, 1981 and their co-occurrence in situations of negotiation of meanings. This distinction is relevant because it is possible to understand different argumentative enunciations or not, conducted by educators in training, which approach or distance themselves from those cast by their trainers or isolated voices of theoretical practice, indicating possibilities of creation or reduction of dialogic expansion. From the emphasis on internally persuasive discourse, this article highlights the critical - collaborative argumentation role in training educators. Examples selected from a corpus of research collected in public school in São Paulo subsidize the discussion supported by Bakhtin (1981 and Vygotsky (1998; 2001.

Assessing entrepreneurship in governmental public health.

Science.gov (United States)

Jacobson, Peter D; Wasserman, Jeffrey; Wu, Helen W; Lauer, Johanna R

2015-04-01

We assessed the feasibility and desirability of public health entrepreneurship (PHE) in governmental public health. Using a qualitative case study approach with semistructured interview protocols, we conducted interviews between April 2010 and January 2011 at 32 local health departments (LHDs) in 18 states. Respondents included chief health officers and senior LHD staff, representatives from national public health organizations, health authorities, and public health institutes. Respondents identified PHE through 3 overlapping practices: strategic planning, operational efficiency, and revenue generation. Clinical services offer the strongest revenue-generating potential, and traditional public health services offer only limited entrepreneurial opportunities. Barriers include civil service rules, a risk-averse culture, and concerns that PHE would compromise core public health values. Ongoing PHE activity has the potential to reduce LHDs' reliance on unstable general public revenues. Yet under the best of circumstances, it is difficult to generate revenue from public health services. Although governmental public health contains pockets of entrepreneurial activity, its culture does not sustain significant entrepreneurial activity. The question remains as to whether LHDs' current public revenue sources are sustainable and, if not, whether PHE is a feasible or desirable alternative.

Empowering Kinship to Counter Control on Family Discourse in Indonesia

OpenAIRE

Ivanovich Agusta

2009-01-01

Indonesian government constructs a discourse on family duringmodernizing Indonesia. A conceptual “father” used to legitimate control of the regime, as well as “state ibuism” (“state mothering”) to control especially women. A controlled family discourse is used around political sphere on national election, public administration, family planning, school, etc. State bureaucrats placed at national, provincial, regency, and village levels to control a nuclear family (Westernized type of family pus...

'Ecological embeddedness' and Its Public Health Implications: Findings From an Exploratory Study.

Science.gov (United States)

Lewis, Marina; Townsend, Mardie

2015-06-01

Western culture over the last two centuries has become significantly ecologically 'dis-embedded', with nature increasingly reduced to resources for human use. The consequence is global environmental degradation, including accelerating climate change. Much recent research supports associations between nature contact and human health and well-being, and between feelings of nature-connectedness and pro-environmental attitudes and behaviours. The oft-cited Ottawa Charter for Health Promotion (WHO, Ottawa Charter for Health Promotion, 1986) emphasises human-environment inextricability; however public health discourse and response has not fully engaged with this recognition. This qualitative study explored the attitudes, motivations, and experiences-including formative influences-of six individuals whose behaviour was congruent with recognition of human-nature interconnectedness; such individuals may be understood as ecologically embedded. Key aspects of participants' experience, identified through grounded theory thematic analysis, were (i) connecting with nature (especially in childhood); (ii) seeing the threat and taking it personally; (iii) the nature of reality; (iv) dedicated beyond the ego-oriented self; and (v) sustaining the eco-centric self. The findings highlight the necessity for cross-sectoral advocacy at all levels of government policy development focused on recognition of human-environment connectedness, especially bridging health, planning and education policies affecting children. Only thus will both population health and ecological health on which population health depends be possible.

Public health educational comprehensiveness: The strategic rationale in establishing networks among schools of public health.

Science.gov (United States)

Otok, Robert; Czabanowska, Katarzyna; Foldspang, Anders

2017-11-01

The establishment and continuing development of a sufficient and competent public health workforce is fundamental for the planning, implementation, evaluation, effect and ethical validity of public health strategies and policies and, thus, for the development of the population's health and the cost-effectiveness of health and public health systems and interventions. Professional public health strategy-making demands a background of a comprehensive multi-disciplinary curriculum including mutually, dynamically coherent competences - not least, competences in sociology and other behavioural sciences and their interaction with, for example, epidemiology, biostatistics, qualitative methods and health promotion and disease prevention. The size of schools and university departments of public health varies, and smaller entities may run into problems if seeking to meet the comprehensive curriculum challenge entirely by use of in-house resources. This commentary discusses the relevance and strength of establishing comprehensive curriculum development networks between schools and university departments of public health, as one means to meet the comprehensiveness challenge. This commentary attempts to consider a two-stage strategy to develop complete curricula at the bachelor and master's as well as PhD levels.

Who is epidemiologically fathomable in the HIV/AIDS epidemic? Gender, sexuality, and intersectionality in public health

Science.gov (United States)

Dworkin, Shari L.

2014-01-01

This paper examines the shifting nature of contemporary epidemiological classifications in the HIV/ AIDS epidemic. It first looks at assumptions that guide a discourse of vulnerability and circulate around risk categories. It then examines the underlying emphasis in public health on the popular frame of “vulnerable women” who acquire HIV through heterosexual transmission. Drawing on work on gender, sexuality, and intersectionality, the paper asks why a discourse of vulnerability is infused into discussions of heterosexually-active women's HIV risks but not those pertaining to heterosexually-active men's. The paper then moves to current surveillance categories that are hierarchically and differentially applied to women's and men's risks in the HIV epidemic. Here, the focus is on the way in which contemporary classifications allow for the emergence of the vulnerable heterosexually-active woman while simultaneously constituting lack of fathomability concerning bisexual and lesbian transmission risk. Lastly, theories of intersectionality, are used to examine current research on woman-to-woman transmission, and to suggest future more productive options. PMID:16864226

The role of genes in talking about overweight: an analysis of discourse on genetics, overweight and health risks in relation to nutrigenomics

NARCIS (Netherlands)

Komduur, R.; te Molder, Hedwig Frederica Maria

2014-01-01

This study examines whether the assumptions embedded in nutrigenomics, especially the alleged relation between information about personal health risks and healthy behaviour, match how people account for the relation between food, health and genes in everyday life. We draw on discourse analysis to

42 CFR 90.9 - Public health advisory.

Science.gov (United States)

2010-10-01

... 42 Public Health 1 2010-10-01 2010-10-01 false Public health advisory. 90.9 Section 90.9 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH ASSESSMENTS AND HEALTH... PROCEDURES § 90.9 Public health advisory. ATSDR may issue a public health advisory based on the findings of a...

Mediating suicide: print journalism and the categorization of queer youth suicide discourses.

Science.gov (United States)

Cover, Rob

2012-10-01

This article undertakes textual analysis to examine some of the ways in which knowledge around sexuality-related youth suicide and its causes are produced and made available through news media discourses and news-making processes. Four categories of sexuality-related suicide discourses were identified in news stories and features over the past 20 years: statistical research that makes non-heterosexuality implicit as a cause of suicide; stories about deviancy,guilt, and shame; suicide survivor stories; and bullying/harassment of non-heterosexual persons by individuals in schools and other institutions as suicide cause. Through processes of news production and meaning-making, use of expert opinions of primary definers, experiential accounts, reliance on citations of quantitative data, private accounts given as entertainment, and the newsworthiness of suicide as drama, public knowledge on queer youth suicide is guided by contemporary journalism. In all cases, the underlying relationship between heteronormativity, mental health, depression, and despair were frequently excluded in news journalism on queer youth suicide.

Discourses of masculinity, femininity and sexuality in Uganda's Stand Proud, Get Circumcised campaign.

Science.gov (United States)

Rudrum, Sarah; Oliffe, John L; Benoit, Cecilia

2017-02-01

This paper analyses discourses of masculinity, femininity and sexuality in Stand Proud, Get Circumcised, a public health campaign promoting circumcision as an HIV-prevention strategy in Uganda. The campaign includes posters highlighting the positive reactions of women to circumcised men, and is intended to support the national rollout of voluntary medical male circumcision. We offer a critical discourse analysis of representations of masculinity, femininity and sexuality in relation to HIV prevention. The campaign materials have a playful feel and, in contrast to ABC (Abstain, Be faithful, Use condoms) campaigns, acknowledge the potential for pre-marital and extra-marital sex. However, these posters exploit male anxieties about appearance and performance, drawing on hegemonic masculinity to promote circumcision as an idealised body aesthetic. Positioning women as the campaign's face reasserts a message that women are the custodians of family health and simultaneously perpetuates a norm of estrangement between men and their health. The wives' slogan, 'we have less chance of getting HIV', is misleading, because circumcision only directly prevents female-to-male HIV transmission. Reaffirming hegemonic notions of appearance- and performance-based heterosexual masculinity reproduces existing unsafe norms about masculinity, femininity and sexuality. In selling male circumcision, the posters fail to promote an overall HIV-prevention message.

"To me it's just another tool to help understand the evidence": public health decision-makers' perceptions of the value of geographical information systems (GIS).

Science.gov (United States)

Joyce, Kerry

2009-09-01

While geographical information systems (GIS) have applications in a range of diverse fields, they remain underused by decision-makers in health settings. Through analysis of data captured in semi-structured interviews, the paper explores four thematic areas (the ontological, power, functionality and collaboration discourses) to understand how GIS are perceived and valued by public health decision-makers. The findings suggest that although GIS are viewed as useful tools to inform decision-making, they are in no way a panacea for practice. Participants' concerns that GIS outputs can potentially be misinterpreted or used erroneously might partly explain resistance to their use. GIS are, therefore, likely to be most effective in decision-making when applied in a multi-disciplinary context to facilitate sharing of data, knowledge and expertise across the public health landscape.

GIS and Public Health

Directory of Open Access Journals (Sweden)

Stefania Bertazzon

2014-06-01

Full Text Available This Special Issue on GIS and public health is the result of a highly selective process, which saw the participation of some 20 expert peer-reviewers and led to the acceptance of one half of the high-quality submissions received over the past year. Many threads link these papers to each other and, indeed, to our original call for papers, but the element that most clearly emerges from these works is the inextricable connection between public health and the environment. Indeed, GIS analysis of public health simply cannot disregard the geospatial dimension of environmental resources and risks. What consistently emerges from these analyses is that current geospatial research can only scratch the surface of the complex interactions of spatial resources, risks, and public health. In today’s world, or at least in the developed world, researchers and practitioners can count on virtually endless data, on inexpensive computational power, and on seamless connectivity. In this research environment, these papers point to the need for improved analytical tools, covering concepts, representation, modeling and reliability. These works are important contributions that help us to identify what advances in geospatial analysis can better address the complex interactions of public health with our physical and cultural environment, and bridge research and practice, so that geospatial analyses can inform public health policy making. [...

Mental health in prisons: A public health agenda.

Science.gov (United States)

Fraser, A

2009-01-01

Mental illness affects the majority of prisoners. Mental health issues are beginning to take a central position in the development of prison health services, reflecting this burden of disease. This change in focus is not before time. But prison mental health services cannot exist in isolation. Public health systems should lead provision of care for patients with acute and severe illness. A whole prison approach to health and, specifically, mental health will offer the greatest likelihood that offenders will thrive, benefit from imprisonment, and lead law-abiding lives after release. Public awareness of the scale and commitment of prisons to mental health and illness, and understanding of prisons' role in society, are necessary developments that would protect and enhance public mental health, as well as creating a healthier and safer society. This article draws on recent reviews, information and statements to set out a public health agenda for mental health in prisons.

Academic dental public health diplomates: their distribution and recommendations concerning the predoctoral dental public health faculty.

Science.gov (United States)

Kaste, L M; Sadler, Z E; Hayes, K L; Narendran, S; Niessen, L C; Weintraub, J A

1998-01-01

The purpose of this study was to assess the representation of academically based diplomates of the American Board of Dental Public Health (ABDPH) and to identify their perceptions on the training of dental public health predoctoral faculty. Data were collected by a mailed, self-administered, 13-item questionnaire. The population was the 48 diplomates of the ABDPH as of March 1997 associated with academic institutions. Twenty of the 55 US dental schools had a diplomate of the ABDPH with a mean of 1.8 diplomates per school with a diplomate. An average of 4.5 full-time faculty members per school were associated with teaching dental public health. A master's degree in public health (MPH) was the most frequently suggested educational requirement for dental public health faculty. Continuing education courses were training needs perceived for dental public health faculty. The lack of time, money, and incentives, along with perceived rigidity of requirements for board certification, were reported as major barriers for faculty becoming dental public health board certified. Numerous challenges confront the development of a strong dental public health presence in US dental schools. These challenges include, among others, insufficient numbers of academic dental public health specialists and insufficient motivations to encourage promising candidates to pursue specialty status.

[A critical examination of public policies related to indigenous health, traditional medicine, and interculturality in Mexico (1990-2016)].

Science.gov (United States)

Navarro, Roberto Campos; Sánchez, Edith Yesenia Peña; Maya, Alfredo Paulo

2017-01-01

Over the last 26 years, the Mexican government has developed a number of activities and discourses around what has been called "intercultural health," directed especially at indigenous peoples in Mexico (some 62, according to linguistic criteria). In this way, the government has built health care institutions (rural centers, clinics, and hospitals) in states like Puebla, Nayarit, Oaxaca, Chiapas, Queretaro, and Jalisco, proposing the implementation of cultural pertinence indicators (which are minimal and inadequate). Nevertheless, the health conditions among indigenous populations and the quality of health care provided by public institutions continue to be precarious in terms of human and material resources (health personnel, drugs, etc.) and discriminatory with respect to the form and content of the provided services. This paper describes some of the governmental interventions that purport to be institutional improvements in the field of interculturality, but that actually represent the continuity of arbitrary and exclusive policies.

Ma Ying-jeou’s Presidential Discourse

Directory of Open Access Journals (Sweden)

Jonathan Sullivan

2012-01-01

Full Text Available Despite the substantial advances made in cross-Strait relations during Ma Ying-jeou’s (Ma Yingjiu first term, the ROC president’s rhetoric varied considerably as he grappled with the difficult reality of implementing campaign and inauguration pledges to establish better relations with China while striving to maintain national respect and sovereignty. In this article, we put forward a framework for measuring, analysing and explaining this variation in President Ma’s first-term discourse. Analysing a very large number of Ma’s speeches, addresses, etc., we provide empirical assessments of how the content of Ma’s public pronouncements has developed over time, how his rhetoric varies according to the strategic context and timing of a speech, and how his discourse compares to that of his predecessor, Chen Shui-bian (Chen Shuibian. In addressing these questions, the article contributes a quantitative perspective to existing work on political discourse in Taiwan and to the growing methodological and applied literature on how to systematically analyse Chinese political text.

[Study on discourse right construction of China's medical aid to Africa].

Science.gov (United States)

Li-Ying, Zhou; Yao, Deng; Kun, Yang

2016-11-24

To analyze the discourse right construction of China's medical aid to Africa, so as to provide evidences for improving the effect and sustainable development of China's medical aid to Africa. The documents of the discourse right that China constructed in the medical aid to Africa were selected at different periods as discourse samples. The achievement and deficiency were analyzed from four aspects, namely confident, charismatic, influential, and dominant. China's medical team made much in the discourse right construction in their aid to Africa, but some China's medical team members were still too cautious and too low-key. China's medical team gained the trust of the people of Africa, but the language communication difficulties still hampered in China's medical aid to Africa. Chinese medical team were widely praised by the African society, but in the west, some African media, even China's media still neglected to report China's doctors. China's international discourse right were greatly improved, but western countries still dominated the public opinion. China should refer to the actual situation of medical aid to Africa to strengthen the construction of discourse right.

Utility and justice in public health.

Science.gov (United States)

MacKay, Kathryn

2017-12-11

Many public health practitioners and organizations view themselves as engaged in the promotion or achievement of equity. However, discussions around public health frequently assume that practitioners and policy-makers take a utilitarian approach to this work. I argue that public health is better understood as a social justice endeavor. I begin by presenting the utility view of public health and then discuss the equity view. This is a theoretical argument, which should help public health to justify interventions for communicable and non-communicable diseases equally, and which contributes to breaking down the 'old/new' public health divide. This argument captures practitioners' views of the work they are engaged in and allows for the moral and policy justification of important interventions in communicable and non-communicable diseases. Systemic interventions are necessary to remedy high rates of disease among certain groups and, generally, to improve the health of entire populations. By viewing diseases as partly the result of failures of health protective systems in society, public health may justify interventions in communicable and non-communicable diseases equally. Public health holds a duty to improve the health of the worst-off in society; by prioritizing this group, the health of the whole community may improve. © The Author(s) 2017. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

Public health

NARCIS (Netherlands)

Berg, van den A.E.

2007-01-01

Agnes van den Berg wrote an essay about human health and nature, establishing that subject as an important policy argument in developing (urban) nature in the Netherlands. She studied the public balance of fear and fascination for nature, summarising benefits on human health. In this chapter, she

The Psi colonization of educational discourse

Directory of Open Access Journals (Sweden)

Jordi Solé Blanch

2017-06-01

Full Text Available This article reviews the role of psychological discourse in education. On the one hand, the authors criticize the abuse of the mental health diagnosis in the field of education. On the other hand, analyze the effects of the expansion of the neurosciences in the conditions of production of pedagogical knowledge. Finally, examine the role of the neuroeducation and the development of emotional psychology in the construction of enterprising subjectivities. Against these colonizing tendencies of educational discourse, the authors advocate the establishment of a new pedagogical contract that allows rethink the exercise of the educational function of teachers and educators.

Features structuring image of Ukraine in socio-political and socio-cultural discourse

Directory of Open Access Journals (Sweden)

A. O. Pocelujko

2015-08-01

Layers of socio-political discourse under defined-State officially and historically historiographical discourses. These discourses present the image of the state in the context of national history as the source, where by means of targeted public policy is formed and implemented state identity as the language of institutional communication. Images states that officially created in-state and historically historiographic discourses as a set of ethnic myths, frames, stereotypes intended to create mechanisms of perception and interpretation of the past of the country, used in educational policy as a tool for national identity with the corresponding identity discourse. Socio-cultural discourse and the corresponding image of the state is characterized by a strong plurality, conceptuality, multyparadyhmality. In the socio-cultural discourse is conceptualization image of the state as part of the living world as opposed to social and political discourse, in which the image of the state appears more like dogmatic ideological construct, which tends to uniqueness. In the scientific discourse in constructing the image of the state is dominated intellectual and conceptual component, while in the state mediadyskurs-image formed on the basis of emotional and social representations stained. Latest distributed in makroteksts designed to create appropriate social attitudes, sensatsion, mobilizing different social groups on a variety of events and more

Discourse Futures and Discourse-to-Come

DEFF Research Database (Denmark)

McIlvenny, Paul

assemblages, and ‘the future’, in order to develop a prefigurative discourse studies for social change that is relevant to the turbulent twenty first century. This exploration of key issues is illustrated with three case studies: (a) reality TV parenting programmes, (b) the “Earth Hour” global media campaign......, implementing and managing democratic social change and transformation, with an explicit focus on shaping a just future. Work in discourse studies will be compared and contrasted with contemporary ideas about governmentality, mobility, infrastructure, social movements, consumption practices, sociotechnical...... to profile in future research. This includes mapping the mediated discourses and social interactional encounters interleaved with the ever changing practices and powers of, for example, control, freedom, access, mobility, cleanliness, comfort, convenience, consumption, waste, recycling and reuse...

Critical perspectives in public health

National Research Council Canada - National Science Library

Green, Judith; Labonte, Ronald N

2008-01-01

... the contemporary roles of 'critical voices' in public health research and practice from a range of disciplines and contexts. The book covers many of the pressing concerns for public health practitioners and researchers, including: * * * * * the implications of new genetic technologies for public health; the impact of globalisation on local practice...

Political Discourse on Higher Education in Denmark: From Enlightened Citizen to Homo Economicus

Science.gov (United States)

Vingaard Johansen, Ulrik; Knudsen, Frederik B.; Engelbrecht Kristoffersen, Christian; Stellfeld Rasmussen, Joakim; Saaby Steffen, Emil; Sund, Kristian J.

2017-01-01

The literature on higher education policy points to changes in the dominant discourse over the years. In particular, the ascendance of a discourse marked by concepts of new public management, using language inspired by neoclassical economic theory which characterizes education as a marketplace where students are customers, has led scholars to…

Development of Systematic Knowledge Management for Public Health: A Public Health Law Ontology

Science.gov (United States)

Keeling, Jonathan

2012-01-01

The Institute of Medicine has stated that legal structures and the authority vested in health agencies and other partners within the public health system are essential to improving the public's health. Variation between the laws of different jurisdictions within the United States allows for natural experimentation and research into their…

Into the Dark Domain: The UK Web Archive as a Source for the Contemporary History of Public Health

Science.gov (United States)

Gorsky, Martin

2015-01-01

With the migration of the written record from paper to digital format, archivists and historians must urgently consider how web content should be conserved, retrieved and analysed. The British Library has recently acquired a large number of UK domain websites, captured 1996–2010, which is colloquially termed the Dark Domain Archive while technical issues surrounding user access are resolved. This article reports the results of an invited pilot project that explores methodological issues surrounding use of this archive. It asks how the relationship between UK public health and local government was represented on the web, drawing on the ‘declinist’ historiography to frame its questions. It points up some difficulties in developing an aggregate picture of web content due to duplication of sites. It also highlights their potential for thematic and discourse analysis, using both text and image, illustrated through an argument about the contradictory rationale for public health policy under New Labour. PMID:26217072

Top-selling childbirth advice books: a discourse analysis.

Science.gov (United States)

Kennedy, Holly Powell; Nardini, Katrina; McLeod-Waldo, Rebecca; Ennis, Linda

2009-12-01

Recent evidence suggests that one-third of women receive information about pregnancy and childbirth through books. Messages about what characteristics are normal (or expected) in childbirth are disseminated in a variety of ways, including popular childbirth education books, but little study of them has been conducted. The purpose of this investigation is to address that gap by examining the discussions about childbirth in the 10 top-selling books in the United States. Discourse analysis (relating to the public, personal, and political discussions about a specific phenomenon) was used to study 10 best-selling United States childbirth advice books marketed to childbearing women during the first week of November 2007. Book styles ranged from clinical descriptions of pregnancy and birth primarily offering reassurance, self-help information, and danger signs to more folksy and humorous commentaries. Presentation of scientific evidence to support recommendations was uneven and at times inaccurate. Five focal areas of discourse included body image, labor and birth, pain, power and control, and life preparation for motherhood. Top-selling books shine an interesting light on the current state of United States maternity practices. Women and health professionals should assess them carefully and engage with each other about their recommendations and implications for childbirth.

Public health leadership education in North America

OpenAIRE

Uno, Hideo; Zakariasen,Kenneth

2010-01-01

Hideo Uno, Kenneth ZakariasenDepartment of Public Health Sciences, School of Public Health, University of Alberta, Edmonton, AB, CanadaAbstract: Public health leadership is one of the priority disciplines public health professionals need to learn well if they are to deal with demanding public health issues effectively and efficiently. This article looks at the trends in public health leadership education by reviewing the literature and using the Internet to explore the public health leadershi...

Conceptualizing ORGANIZATIONAL HEALTH - Public health management and leadership perspectives

OpenAIRE

Orvik, Arne

2016-01-01

The thesis introduces a new conceptual model of organizational health and discusses its implications for public health management and leadership. It is developed with reference to organizational theories and ideologies, including New Public Management, the use of which has coincided with increasing workplace health problems in health care organizations. The model is based on empirical research and theories in the fields of public health, health care organization and management, and institutio...

Achievements and barriers in the organ donation process: a critical analysis of donation coordinators' discourse.

Science.gov (United States)

Mercado-Martínez, Francisco J; Díaz-Medina, Blanca A; Hernández-Ibarra, Eduardo

2013-09-01

Donation coordinators play an important role in the success or failure of organ donation and transplant programs. Nevertheless, these professionals' perspectives and practices have hardly been explored, particularly in low- and middle-income countries. To examine donation coordinators' discourse on the organ donation process and the barriers they perceive. A critical qualitative study was carried out in Guadalajara, Mexico. Twelve donation coordinators from public and private hospitals participated. DATA GATHERING AND ANALYSIS: Data were gathered by using semistructured interviews and critical discourse analysis. Participants indicated that partial results have been achieved in deceased organ donation. Concomitantly, multiple obstacles have adversely affected the process and outcomes: at the structural level, the fragmentation of the health system and the scarcity of financial and material resources; at the relational level, nonegalitarian relationships between coordinators and hospital personnel; at the ideational level, the transplant domain and its specialists overshadow the donation domain and its coordinators. Negative images are associated with donation coordinators. Organ donation faces structural, relational, and ideational barriers; hence, complex interventions should be undertaken. Donation coordinators also should be recognized by the health system.

Spiritual and ethical transformational leadership: Critical discourse analysis within a practical theology praxis

Directory of Open Access Journals (Sweden)

Gordon E. Dames

2014-06-01

Full Text Available The objective of this article is to focus renewed attention on ethics in contemporary dialogue through value-based leadership. This is done with reference to the value of meaning in social research and critical discourse analysis within a framework of leadership discourse praxis. Discourse constructs, such as dominance and power, are analysed in the (reproduction of oppression, injustice and inequality. The objective is to analyse the way in which human ideas and the actions of powerful and dominant leadership elites are influencing and dominating ethical and/or unethical public enactments. The hypothesis is that ethical discourse enactments (practices could foster authentic ethical and transformational leadership.

In defense of unified health system: discourses of health professionals, municipal counselors and aldermen

Directory of Open Access Journals (Sweden)

Karly Garcia Delamuta

2015-03-01

Full Text Available The objective of this study was to evaluate the perceptions of municipal health counselors, primary care professionals and aldermen about the Unified Health System and the Brazilian Primary Care Policy. From these, we intend to analyze their involvement to improve the system and verify participation in projects that foster discussions about the challenges of this issue. The investigation took a qualitative approach, the data being collected through 28 semi-structured interviews conducted between November and December 2010 in Londrina-PR. Between the interviewed groups, it becomes apparent that health professionals have better conceptual approach of public health policies. However, all groups demonstrate misconceptions and distance for the principles and guidelines of the Unified Health System, as well as provisions of the Brazilian Primary Care Policy. The findings pointed indicate focus on disease, prioritization of medical consultations and greater value of hospital structures. Although conceptualized with misconceptions, limitations are noted at the public health services. However, the proposals to change the frame remain with distorted connotations. In these groups no practical actions or projects were found to improve the public health scenario. It is concluded the need for ownership of theoretical knowledge about policies involving health organization, by stakeholders, to change the paradigms of the traditional model to the Primary Health care become valued and understood as form of organization of the system.

Critical Discourse Analysis. The Elaboration of a Problem Oriented Discourse Analytic Approach After Foucault

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Rainer Diaz-Bone

2006-05-01

Full Text Available Abstract: The German discourse researcher Siegfried JÄGER from Duisburg is the first to have published a German-language book about the methodology of discourse analysis after FOUCAULT. JÄGER integrates in his work the discourse analytic work of Jürgen LINK as well as the interdisciplinary discussion carried on in the discourse analytic journal "kultuRRevolution" (Journal for Applied Discourse Analysis. JÄGER and his co-workers were associated with the Duisburger Institute for Language Research and Social Research (DISS, see http://www.diss-duisburg.de/ for 20 years, developing discourse theory and the methodology of discourse analysis. The interview was done via e-mail. It depicts the discourse analytic approach of JÄGER and his co-workers following the works of FOUCAULT and LINK. The interview reconstructs JÄGERs vita and his academic career. Further topics of the interview are the agenda of JÄGERs discourse studies, methodological considerations, the (problematic relationship between FOUCAULDian discourse analysis and (discourses, linguistics, styles and organization of research and questions concerning applied discourse analytic research as a form of critical intervention. URN: urn:nbn:de:0114-fqs0603219

The Grenelle de l'Environnement - actors, discourses, effects

International Nuclear Information System (INIS)

Boy, Daniel; Brugidou, Mathieu; Halpern, Charlotte; Lascoumes, Pierre

2012-01-01

This document proposes an abstract of a collective publication which aimed at assessing the effects of the French environmental policy 'Grenelle de l'Environnement', its methodological originality and its consequences in terms of environmental public policies. The authors propose a sociological analysis of the about thousand five hundred involved actors, a thorough analysis of discourses, and an inventory of effects in three specific fields

PPACA and public health: creating a framework to focus on prevention and wellness and improve the public's health.

Science.gov (United States)

Majette, Gwendolyn Roberts

2011-01-01

PPACA epitomizes comprehensive health care reform legislation. Public health, disease prevention, and wellness were integral considerations in its development. This article reveals the author's personal experiences while working on the framework for health care reform in the United States Senate and reviews activity in the United States House of Representatives. This insider's perspective delineates PPACA's positive effect on public health by examining the infrastructure Congress designed to focus on prevention, wellness, and public health, with a particular focus on the National Prevention, Health Promotion and Public Health Council; the National Prevention, Health Promotion, Public Health, and Integrative Health Care Strategy; and the Prevention and Public Health Fund. The Council, strategy, and fund are especially important because they reflect compliance with some of the Institute of Medicine's recommendations to improve public health in the United States, as well as international health and human rights norms that protect the right to health. © 2011 American Society of Law, Medicine & Ethics, Inc.

The Policy Discourse of Networking and Its Effect on School Autonomy: A Foucauldian Interpretation

Science.gov (United States)

Mifsud, Denise

2016-01-01

Policy discourse officially operates to distinctly influence public perception in an irrevocable and normalising manner. In a Maltese educational scenario of gradual decentralisation and increased accountability, I explore the "effects" of both the global and the local policy discourse of networks and networking on the practising…

THE WRITTEN DISCOURSE OF INTERVIEWING STYLE FOR A MAGAZINE INTERVIEW

Directory of Open Access Journals (Sweden)

Jessie Barrot

2012-07-01

Full Text Available Abstract: This paper examines the written discourse of interviewing style for the purpose of print publication. Specifically, this paper sought to describe and explain the phases of interviewing procedures, the typology of the questions, and the transitional strategies executed by Oprah Winfrey during her interviews for O Magazine. One hundred and ten (110 response-soliciting statements were subjected to discourse analytic procedure to determine the features of such utterances. The results showed that her interview procedure follows a certain pattern that contributes to her ability to maintain the intimacy, familiarity, and dynamics of conversation. Further, results revealed that the interviewer employs a variety of response-soliciting strategies and transitional strategies that unconsciously put the control and authority in the conversation to the interviewees. Finally, some pedagogical implications were also presented for classroom use. Keywords: discourse analysis, interviewing style, interview questions, written discourse

One Health Perspectives on Emerging Public Health Threats

Directory of Open Access Journals (Sweden)

Sukhyun Ryu

2017-11-01

Full Text Available Antimicrobial resistance and emerging infectious diseases, including avian influenza, Ebola virus disease, and Zika virus disease have significantly affected humankind in recent years. In the premodern era, no distinction was made between animal and human medicine. However, as medical science developed, the gap between human and animal science grew deeper. Cooperation among human, animal, and environmental sciences to combat emerging public health threats has become an important issue under the One Health Initiative. Herein, we presented the history of One Health, reviewed current public health threats, and suggested opportunities for the field of public health through better understanding of the One Health paradigm.

Climate Change and Public Health.

Science.gov (United States)

Ciesielski, Timothy

2017-05-01

It is clear that the public health community is concerned about the human health impacts of climate change, but are we inadvertently underestimating the scope of the problem and obfuscating potentially useful interventions by using a narrow intellectual frame in our discussions with policy makers? If we take a more holistic approach, we see that the public health impacts of climate change are only one subset of the enormous public health impacts of fossil fuel burning. This broader perspective can provide a more accurate and comprehensive assessment that is more useful for decision making in public policy settings.

On discourse space modeling

OpenAIRE

Казыдуб, Надежда

2013-01-01

Discourse space is a complex structure that incorporates different levels and dimensions. The paper focuses on developing a multidisciplinary approach that is congruent to the complex character of the modern discourse. Two models of discourse space are proposed here. The Integrated Model reveals the interaction of different categorical mechanisms in the construction of the discourse space. The Evolutionary Model describes the historical roots of the modern discourse. It also reveals historica...

Liberalism and Public Health Ethics.

Science.gov (United States)

Rajczi, Alex

2016-02-01

Many public health dilemmas involve a tension between the promotion of health and the rights of individuals. This article suggests that we should resolve the tension using our familiar liberal principles of government. The article considers the common objections that (i) liberalism is incompatible with standard public health interventions such as anti-smoking measures or intervention in food markets; (2) there are special reasons for hard paternalism in public health; and (3) liberalism is incompatible with proper protection of the community good. The article argues that we should examine these critiques in a larger methodological framework by first acknowledging that the right theory of public health ethics is the one we arrive at in reflective equilibrium. Once we examine the arguments for and against liberalism in that light, we can see the weaknesses in the objections and the strength of the case for liberalism in public health. © 2015 John Wiley & Sons Ltd.

Enhancing crisis leadership in public health emergencies.

Science.gov (United States)

Deitchman, Scott

2013-10-01

Reviews of public health emergency responses have identified a need for crisis leadership skills in health leaders, but these skills are not routinely taught in public health curricula. To develop criteria for crisis leadership in public health, published sources were reviewed to identify attributes of successful crisis leadership in aviation, public safety, military operations, and mining. These sources were abstracted to identify crisis leadership attributes associated with those disciplines and compare those attributes with crisis leadership challenges in public health. Based on this review, the following attributes are proposed for crisis leadership in public health: competence in public health science; decisiveness with flexibility; ability to maintain situational awareness and provide situational assessment; ability to coordinate diverse participants across very different disciplines; communication skills; and the ability to inspire trust. Of these attributes, only competence in public health science is currently a goal of public health education. Strategies to teach the other proposed attributes of crisis leadership will better prepare public health leaders to meet the challenges of public health crises.

Integrating health and environmental impact analysis

DEFF Research Database (Denmark)

Reis, S; Morris, G.; Fleming, L. E.

2015-01-01

which addresses human activity in all its social, economic and cultural complexity. The new approach must be integral to, and interactive, with the natural environment. We see the continuing failure to truly integrate human health and environmental impact analysis as deeply damaging, and we propose...... while equally emphasizing the health of the environment, and the growing calls for 'ecological public health' as a response to global environmental concerns now suffusing the discourse in public health. More revolution than evolution, ecological public health will demand new perspectives regarding...... the interconnections among society, the economy, the environment and our health and well-being. Success must be built on collaborations between the disparate scientific communities of the environmental sciences and public health as well as interactions with social scientists, economists and the legal profession...

Conceptualizing ORGANIZATIONAL HEALTH - Public health management and leadership perspectives

DEFF Research Database (Denmark)

Orvik, Arne

The thesis introduces a new conceptual model of organizational health and discusses its implications for public health management and leadership. It is developed with reference to organizational theories and ideologies, including New Public Management, the use of which has coincided with increasing...... as the disintegration of such values. Possible implications for public health management and leadership include four different forms. The application of the conceptual model can potentially draw attention to value conflicts and help to clarify contradictory, institutional logics. It can also potentially support health...... workplace health problems in health care organizations. The model is based on empirical research and theories in the fields of public health, health care organization and management, and institutional theory. It includes five dimensions and defines organizational health in terms of how an organization...

Paradox place: discourse line of nuclear sector; Lugar de paradoxos: pelos caminhos discursivos do setor nuclear

Energy Technology Data Exchange (ETDEWEB)

Ponce, Iona

2002-05-15

This thesis examines the relationship between the public acceptance and image of nuclear energy and the discourse and arguments commonly employed by the nuclear institutions. In doing so, the Critical Discourse Analysis, the French Discourse Analysis and Pragmatics theories were used to evaluate important variables involved in the construction of the nuclear discourse such as social memory, intertextualilty and image construction. The analysis performed shows that the discourse in favor of the nuclear energy is in fact imbedded by the anti-nuclear discourse. As a consequence, the negative image of the nuclear sector is being reinforced at the same time that its public acceptance becomes more difficult. The core of this analysis consists of two sets of information. The first one is the Internet site of the Brazilian National Nuclear Energy Commission (CNEN). CNEN is the federal nuclear regulatory and research and development agency of Brazil. In this analysis it represents the discourse in favor of nuclear energy. The second set of information used in this thesis is composed by a number of texts displayed in the open literature such as newspapers, magazines and Internet sites, all of them expressing anti-nuclear positions. A careful comparison of both sets shows that the discourse of CNEN, instead of showing new ideas and issues related to nuclear energy, in fact, stays mainly in a reactive position as if it were trying to defend itself from the arguments posed by the anti-nuclear discourse. It was concluded that the discourse of CNEN is constrained within a complex field of non positive expressions, arguments and ideas mostly encountered in the anti-nuclear discourse which brings obvious difficulties to explain the benefits of nuclear energy as a whole. To overcome such situation a more detailed study of the CNEN discourse is suggested. (author)

Gender as Pathology: Disease, Degeneration, and Medical Discourse in Late Nineteenth-century Colombia

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Hanni Jalil Paier

2012-12-01

Full Text Available This article examines how Colombian doctors and public health officials during the lastdecades of the nineteenth century produced a body of knowledge about the health of thenation’s citizens, using the language and authority of science to speak about a society inneed of redemption and medical intervention. In these cases, gender became an essentialcomponent of elite and medical discourses. Medical doctors and hygienists described femaleidentities either as potentially threatening and therefore degenerative to the nation’s moraland economic fabric or as a “civilizing force” through the mobilization of motherhood andthe reification of the Colombian family as a regenerative site. The doctors and governmentofficials here examined expected women to preserve the family as a unit and inculcate thevalues of order, hygiene and efficiency in the private sphere. If elite constructions of “ideal”female identities mobilized women in their primary function as mothers, preoccupations withthe control of “public women” that upset public order or threatened the family unit rhetoricallyemphasized their deviance. In direct contrast to the feminine ideal, the constructionof the feminine other emphasized moral transgression and sexual promiscuity.

Surfing the net for public health resources.

Science.gov (United States)

Angell, C; Hemingway, A; Hartwell, H

2011-08-01

To identify public health open educational resources (OER) available online, map the identified OER to The Public Health Skills and Career Framework (PHSCF), and triangulate these findings with public health practitioners. Systematic online search for public health OER. An online search was undertaken using a pre-defined set of search terms and inclusion/exclusion criteria. Public health OER were then mapped against the UK PHSCF. The findings of the search were discussed with public health specialists to determine whether or not they used these resources. A number of public health OER were identified, located on 42 websites from around the world. Mapping against the UK PHSCF demonstrated a lack of coverage in some areas of public health education. It was noted that many of the OER websites identified were not those generally used in practice, and those sites preferred by public health specialists were not identified by the online search. Public health OER are available from a number of providers, frequently universities and government organizations. However, these reflect a relatively small pool of original OER providers. Tagging of websites does not always identify their public health content. In addition, users of public health OER may not use search engines to identify resources but locate them using other means. Copyright © 2011 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

Intercultural competency in public health: a call for action to incorporate training into public health education

Directory of Open Access Journals (Sweden)

Julia eFleckman

2015-09-01

Full Text Available Due to increasing national diversity, programs addressing cultural competence have multiplied in U.S. medical training institutions. Little progress has been made to translate cultural competency training from the clinical setting into the public health setting where the focus is on population-based health, preventative programming, and epidemiological and behavioral research. The need for culturally relevant public health programming and culturally sensitive public health research is more critical than ever. Awareness of differing cultural roles needs to be included in all processes of planning, implementation and evaluation. In focusing on community-based health program planning and research, cultural competence implies that it is possible for public health professionals to completely know another culture, whereas intercultural competence implies it is a dual-sided process. Public health professionals need a commitment toward intercultural competence and skills that demonstrate flexibility, openness and self-reflection so that cultural learning is possible. In this article, the authors recommend a number of elements to develop, adapt and strengthen intercultural competence education in public health educational institutions.

The State Public Health Laboratory System.

Science.gov (United States)

Inhorn, Stanley L; Astles, J Rex; Gradus, Stephen; Malmberg, Veronica; Snippes, Paula M; Wilcke, Burton W; White, Vanessa A

2010-01-01

This article describes the development since 2000 of the State Public Health Laboratory System in the United States. These state systems collectively are related to several other recent public health laboratory (PHL) initiatives. The first is the Core Functions and Capabilities of State Public Health Laboratories, a white paper that defined the basic responsibilities of the state PHL. Another is the Centers for Disease Control and Prevention National Laboratory System (NLS) initiative, the goal of which is to promote public-private collaboration to assure quality laboratory services and public health surveillance. To enhance the realization of the NLS, the Association of Public Health Laboratories (APHL) launched in 2004 a State Public Health Laboratory System Improvement Program. In the same year, APHL developed a Comprehensive Laboratory Services Survey, a tool to measure improvement through the decade to assure that essential PHL services are provided.

CONCEPTUAL METAPHORS IN BASKETBALL DISCOURSE

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Reda Toleikienė

2013-04-01

Full Text Available This article presents part of the research performed within the scope of the national project “Conceptual Metaphors in Public Discourse,”1 financed by the Research Council of Lithuania. The aim of the present paper is to analyze conceptual metaphors in the discourse of the European Basketball Championship which took place in Kaunas, Lithuania in 2011, as well as to determine the source concepts. The analysis allows certain features of the images which are used while conceptualizing the entities related to basketball to be described. The metaphorical collocations drawn from the Lithuanian language corpora and web portals (www.delfi.lt and www.lrytas.lt were selected and analyzed from 31 August 2011 to 18 September 2011. A conceptual metaphor is defined as an interaction of two conceptual fields (source and target concepts. On the basis of the analyzed conceptual sayings, the reconstructed conceptual metaphors proved that the most prolific metaphors are of war, ontology, and scale. In basketball discourse, the war metaphor is characterized by the fact that the image of sport is war is supplemented by other source concepts (e.g.,a person, a building, a thing, a material, a scale. The features of two or sometimes even three source concepts are ascribed to the target concept.

The Pragmatics of Domestic Violence Discourse in Uruguay

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Teresa Herrera

2017-01-01

Full Text Available Domestic violence (DV is a form of gender-based violence and a violation of human rights. As such, it was analyzed from the perspective of feminist theory in the dissertation this article is based on, by analyzing discourse pragmatics. Which are the socially accepted DV discourses in Uruguay? Which coincidences, contradictions, and paradoxes appear when we compare these discourses and those of everyday life? Which codes and subcodes should be modified by the sectors interested in the prevention and eradication of DV? The main hypothesis is that there are different types of opposition between the public discourse of different institutional sectors and that of everyday life. Describing these oppositions and, especially, unveiling the pragmatic paradoxes will enable us to develop a different type of discourse for the prevention and eradication of DV. As I am both a researcher and an activist on the topic, my epistemological choice was the autoethnography. This article provides some final reflections, included in the dissertation, on how the feminist movement needs to succeed in persuading decision makers and the mass media, and in building solid alliances to establish an information and monitoring system; the integration of the subject into the educational system; comprehensive legislation on gender-based violence; and new ways of communicating with all sectors, so as to create a new ideology on gender relations for the suitable prevention of DV.

Ethics in public health: call for shared moral public health literacy.

Science.gov (United States)

Maeckelberghe, Els L M; Schröder-Bäck, Peter

2017-10-01

Public Health (PH) in Europe has become much more vocal about its moral understandings since 1992. The rising awareness that PH issues were inseparable from issues of human rights and social justice almost self-evidently directed the agenda of EUPHA and the European Public Health (EPH)-conferences. Problems of cultural and behavioural change, and environmental issues on a global scale were also added. The Section Ethics in PH invited the EPH community to join in 'arm chair thinking': coming together at conferences not only to share the 'how' and 'what' of PH research, practices and policies but also the 'why'. Time has been reserved to genuinely discuss what moral values are at stake in the work of PH and to actively develop a moral language and framework for PH Ethics. The challenge for the next decades is to find ways to involve the general public in the cultivation of a shared moral PH literacy. © The Author 2017. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Intercultural Competency in Public Health: A Call for Action to Incorporate Training into Public Health Education.

Science.gov (United States)

Fleckman, Julia M; Dal Corso, Mark; Ramirez, Shokufeh; Begalieva, Maya; Johnson, Carolyn C

2015-01-01

Due to increasing national diversity, programs addressing cultural competence have multiplied in U.S. medical training institutions. Although these programs share common goals for improving clinical care for patients and reducing health disparities, there is little standardization across programs. Furthermore, little progress has been made to translate cultural competency training from the clinical setting into the public health setting where the focus is on population-based health, preventative programming, and epidemiological and behavioral research. The need for culturally relevant public health programming and culturally sensitive public health research is more critical than ever. Awareness of differing cultures needs to be included in all processes of planning, implementation and evaluation. By focusing on community-based health program planning and research, cultural competence implies that it is possible for public health professionals to completely know another culture, whereas intercultural competence implies it is a dual-sided process. Public health professionals need a commitment toward intercultural competence and skills that demonstrate flexibility, openness, and self-reflection so that cultural learning is possible. In this article, the authors recommend a number of elements to develop, adapt, and strengthen intercultural competence education in public health educational institutions.

Conventional and ecological public health.

Science.gov (United States)

Rayner, G

2009-09-01

This paper suggests that current models of public health are no longer sufficient as a means for understanding the health challenges of the anthropogenic age, and argues for an alternative based upon an ecological model. The roots of this perspective originated within the Victorian era, although it found only limited expression at that time. Ecological thinking in public health has only been revived relatively recently. Derived from an analysis of obesity, this paper proposes the development of an approach to ecological public health based on four dimensions of existence: the material, the physiological, the social and the cultural-cognitive. The implications for public policy are considered.

Why feminism in public health?

Science.gov (United States)

Hammarström, A

1999-12-01

The issues raised in this editorial and exemplified within a number of the studies reported in this issue indicate new directions for public health, directions which take feminist scholarship, both outside and within the medical framework, into account. The changing potential of feminist public health, as derived from the articles in this issue, can be summarised within the following issues: new research areas, positioning women as actors, development of theoretical frameworks, reflexive theory of science, interplay between sex and gender, gender-sensitive methods, diversities among women/men, pro-feminist research on men's health and using the results for change. Thus, feminist public health represents a shift towards the new public health, with holistic and multidisciplinary activities, based on theoretical pluralism, multiple perspectives and collective actions with the aim of improving the health of gender-subordinated groups.

Education Improves Public Health and Promotes Health Equity.

Science.gov (United States)

Hahn, Robert A; Truman, Benedict I

2015-01-01

This article describes a framework and empirical evidence to support the argument that educational programs and policies are crucial public health interventions. Concepts of education and health are developed and linked, and we review a wide range of empirical studies to clarify pathways of linkage and explore implications. Basic educational expertise and skills, including fundamental knowledge, reasoning ability, emotional self-regulation, and interactional abilities, are critical components of health. Moreover, education is a fundamental social determinant of health - an upstream cause of health. Programs that close gaps in educational outcomes between low-income or racial and ethnic minority populations and higher-income or majority populations are needed to promote health equity. Public health policy makers, health practitioners and educators, and departments of health and education can collaborate to implement educational programs and policies for which systematic evidence indicates clear public health benefits. © The Author(s) 2015.

Applications of health information exchange information to public health practice.

Science.gov (United States)

Kierkegaard, Patrick; Kaushal, Rainu; Vest, Joshua R

2014-01-01

Increased information availability, timeliness, and comprehensiveness through health information exchange (HIE) can support public health practice. The potential benefits to disease monitoring, disaster response, and other public health activities served as an important justification for the US' investments in HIE. After several years of HIE implementation and funding, we sought to determine if any of the anticipated benefits of exchange participation were accruing to state and local public health practitioners participating in five different exchanges. Using qualitative interviews and template analyses, we identified public health efforts and activities that were improved by participation in HIE. HIE supported public health activities consistent with expectations in the literature. However, no single department realized all the potential benefits of HIE identified. These findings suggest ways to improve HIE usage in public health.

Tweeting about Mental Health: Big Data Text Analysis of Twitter for Public Policy

Science.gov (United States)

Zaydman, Mikhail

2017-01-01

This dissertation examines conversations and attitudes about mental health in Twitter discourse. The research uses big data collection, machine learning classification, and social network analysis to answer the following questions (1) what mental health topics do people discuss on Twitter? (2) Have patterns of conversation changed over time? Have…

[Violence against women in transnational communities in San Luis Potosí, Mexico: a public health problem].

Science.gov (United States)

Flores, Yesica Yolanda Rangel

2016-08-01

Violence against women is a worldwide problem due to its impact on quality of life for those living under the complicity of a patriarchal culture and a state that makes such violence invisible. This article aims to give visibility to the contexts of violence affecting female "partners of migrants" in their places of origin, problematizing how such violence assaults their physical and mental health. This was a qualitative study with an interpretative anthropological focus, drawing on a sample of 21 women from rural and urban areas in San Luis Potosí, Mexico. Interviews were based on daily life history and discourse analysis. According to the results, women experience more violence when their spouses migrate, new forms of violence are committed against them, and the violence occurs in both the household and the community. Violence against women is a public health problem that should be treated through a framework that is sensitive to the social and cultural dynamics characterizing the contexts in which health programs are implemented.

‘Am I anorexic?’ Weight, eating and discourses of the body in online adolescent

Science.gov (United States)

Mullany, Louise; Smith, Catherine; Harvey, Kevin; Adolphs, Svenja

2015-01-01

This article explores the communicative choices of adolescents seeking advice from an internet-based health forum run by medical professionals. Techniques from the disciplines of sociolinguistics and corpus linguistics are integrated to examine the strategies used in adolescents’ health questions. We focus on the emergent theme of Weight and Eating, a concern which features prominently in adolescents’ requests to medical practitioners. The majority of advice requests are authored by adolescent girls, with queries peaking at age 12. A combined quantitative and qualitative analysis provides detailed insights into adolescents’ communicative strategies. Examinations of question types, register and a discourse-based analysis draw attention to dominant discourses of the body, including a ‘discourse of slenderness’ and a ‘discourse of normality’, which exercise negative influences on adolescents’ dietary behaviours. The findings are of applied linguistic relevance to health practitioners and educators, as they provide them with access to adolescents’ health queries in their own language.

Paradox place by nuclear sector discourse line; Lugar de paradoxos pelos caminhos discursivos do setor nuclear

Energy Technology Data Exchange (ETDEWEB)

Pereira, Iona Ponce [Centro Regional de Ciencias Nucleares (CRCN), Recife, PE (Brazil)]. E-mail: iona@cnen.gov.br

2002-07-01

This article, taking into consideration the Critical Discourse Analysis and the French Discourse Analysis, examines the relationship between the public image and the acceptance of nuclear energy and the discourse and arguments commonly employed by the nuclear institutions, in Brazil, in favor of a widespread use of nuclear energy by the society. In doing so, the article discusses aspects such as the social memory, intertextuality and image construction and shows that the pro-nuclear arguments and the discourse produced by the institutions of the nuclear sector, in its essence, carries much of the ideas and concepts frequently utilized by the anti-nuclear entities. This fact, instead of providing a positive view, or even a correct understanding of the nuclear area, reinforces the negative image of nuclear energy witch is reflected in its public acceptance by the society. (author)

Public health emergencies in urban India

Directory of Open Access Journals (Sweden)

Bhabani Prasad Acharya

2018-03-01

Full Text Available Public health emergencies in urban India can be caused by natural or man-made disasters. Occurrence of a public health emergency adds to the already stretched health system. This paper looks into the public health emergency conditions in urban India, and our preparedness to tackle them. To address this composite threat to nation’s health and development, a concerted public health response is needed, that can ensure efficient delivery in emergency situations Public health emergency is an occurrence or eminent threat of an illness or health condition caused by bio-terrorism, epidemic or pandemic disease, or novel and highly fatal infectious agent or biological toxin, that possess a substantial risk of a significant number of human facilities or incidents or permanent or long–term disability (1. It is a condition that requires the government to declare a state of public health emergency. The declaration of a state of public health emergency permits the government to suspend state regulations,and change the functions of state agencies (2. Term “Urban” refers to perplexing variety of environments.  Health circumstances of small cities and town differ in many ways from larger cities and metros. Within cities, change in lifestyle of residents is observed. The urban system is often present with full array of health providers ranging from traditional healer, street drug seller to highly –trained surgeons (3.

Discursive constructions of falls prevention : Discourses of active aging versus old age as disease

DEFF Research Database (Denmark)

Evron, Lotte; Ulrich, Anita; Tanggaard, Lene

2012-01-01

information and investment in falls prevention programs, many still drop out or decline to participate in such programs. The study explores how discourses cross swords in the domain of falls prevention. We identify two main discourses in the field: Discourses of active aging opposed to discourses of old age...... as disease. In discourses of active aging falls are constructed as preventable and not necessarily related to old age; in discourses of old age as disease falls are constructed as a disease of old age. Specific agent positions are created within discourses. Discourses of active aging construct self......-responsible citizens who are physically active and motivated to participate in falls prevention programmes; discourses of old age as disease on the other hand construct “fall patients” who accept being passive in the health care system. Older citizens who are not in need of treatment or less physically active...

Influencing public health without authority.

Science.gov (United States)

Suresh, K

2012-01-01

This paper analyzes the present processes, products and needs of post-graduate public health education for the health programming, implementation and oversight responsibilities at field level and suggests some solutions for the institutes to adopt or adapt for improving the quality of their scholars. Large number of institutions has cropped up in India in the recent years to meet the growing demand of public health specialists/practitioners in various national health projects, international development partners, national and international NGOs. Throwing open MPH courses to multi-disciplinary graduate's is a new phenomenon in India and may be a two edged sword. On one hand it is advantageous to produce multi-faceted Public health postgraduates to meet the multi tasking required, on the other hand getting all of them to a common basic understanding, demystifying technical teaching and churning out products that are acceptable to the traditional health system. These Institutions can and must influence public health in the country through producing professionals of MPH/ MD degree with right attitude and skill-mix. Engaging learners in experimentation, experience sharing projects, stepping into health professionals' roles and similar activities lead to development of relatively clear and permanent neural traces in the brain. The MPH institutes may not have all efficient faculties, for which they should try to achieve this by inviting veterans in public health and professionals from corporate health industry for interface with students on a regular basis. The corporate and public health stalwarts have the capacities to transmit the winning skills and knowledge and also inspire them to adopt or adapt in order to achieve the desired goals.

Production of space and discourse in a multicultural society

Directory of Open Access Journals (Sweden)

Miodragović Bojana R.

2015-01-01

Full Text Available The main idea in this paper is based on two theories: first, it follows Lefebvre's idea of social space production, and accordingly, his concept of social praxis, which connects physical and material flows with existing social reproduction model; second, there is a Foucault's theory of feedback effects of language and social discourse. The hypothesis of this paper is based on these and similar theories, such as Touraine's theory of new cultural paradigm for understanding today's world: concept of multiculturalism and discourse of multicultural society is reflected in production of social institutions (material and linguistic. If intercultural or assimilating discourse is present, institutional and capacitive resources will reflect that. Discourse potential enriches the linguistic creations, which are a clear reflection of the concept that prevails. By state control, an economic and cultural space coexists with political space. In this paper, the deconstruction of the enumerated theory and separation of regularity proves the hypothesis that, as final goal, shows reflection of real concept and policy of multiculturalism in the public social space, no matter what commonsensical manifestation of this policy indicate.

Should the moral core of climate issues be emphasized or downplayed in public discourse? Three ways to successfully manage the double-edged sword of moral communication

NARCIS (Netherlands)

Täuber, Susanne; van Zomeren, Martijn; Kutlaca, Maja

The main objective of this paper is to identify a serious problem for communicators regarding the framing of climate issues in public discourse, namely that moralizing such an issue can motivate individuals while at the same time defensively lead them to avoid solving the problem. We review recent

Twitter and Public Health (Part 1): How Individual Public Health Professionals Use Twitter for Professional Development.

Science.gov (United States)

Hart, Mark; Stetten, Nichole E; Islam, Sabrina; Pizarro, Katherine

2017-09-20

The use of social networking sites is increasingly being adopted in public health, in part, because of the barriers to funding and reduced resources. Public health professionals are using social media platforms, specifically Twitter, as a way to facilitate professional development. The objective of this study was to identify public health professionals using Twitter and to analyze how they use this platform to enhance their formal and informal professional development within the context of public health. Keyword searches were conducted to identify and invite potential participants to complete a survey related to their use of Twitter for public health and professional experiences. Data regarding demographic attributes, Twitter usage, and qualitative information were obtained through an anonymous Web-based survey. Open-response survey questions were analyzed using the constant comparison method. "Using Twitter makes it easier to expand my networking opportunities" and "I find Twitter useful for professional development" scored highest, with a mean score of 4.57 (standard deviation [SD] 0.74) and 4.43 (SD 0.76) on a 5-point Likert scale. Analysis of the qualitative data shows the emergence of the following themes for why public health professionals mostly use Twitter: (1) geography, (2) continuing education, (3) professional gain, and (4) communication. For public health professionals in this study, Twitter is a platform best used for their networking and professional development. Furthermore, the use of Twitter allows public health professionals to overcome a series of barriers and enhances opportunities for growth. ©Mark Hart, Nichole E Stetten, Sabrina Islam, Katherine Pizarro. Originally published in JMIR Public Health and Surveillance (http://publichealth.jmir.org), 20.09.2017.

Public health terminology: Hindrance to a Health in All Policies approach?

Science.gov (United States)

Synnevåg, Ellen S; Amdam, Roar; Fosse, Elisabeth

2018-02-01

National public health policies in Norway are based on a Health in All Policies (HiAP) approach. At the local level, this means that public health, as a cross-sectional responsibility, should be implemented in all municipal sectors by integrating public health policies in municipal planning and management systems. The paper investigates these local processes, focusing on the use of public health terminology and how this terminology is translated from national to local contexts. We ask whether the terms 'public health' and 'public health work' are suitable when implementing an HiAP approach. A qualitative case study based on analyses of interviews and planning documents was performed in three Norwegian municipalities. The results present dilemmas associated with using public health terminology when implementing an HiAP approach. On the one hand, the terms are experienced as wide, complex, advanced and unnecessary. On the other hand, the terms are experienced as important for a systematic approach towards understanding public health ideology and cross-sectional responsibility. One municipality used alternative terminology. This paper promotes debate about the appropriateness of using the terms 'public health' and 'public health work' at the local level. It suggests that adaptation is suitable and necessary, unless it compromises knowledge, responsibility and a systematic approach. This study concludes that the use of terminology is a central factor when implementing the Norwegian Public Health Act at the local level.

Public health challenges in sun protection.

Science.gov (United States)

Eide, Melody J; Weinstock, Martin A

2006-01-01

Sunscreens are a popular choice for protection from ultraviolet radiation, and hence, important components in the public health campaign to reduce the burden of skin cancer. Public health messages in skin cancer prevention have been used effectively in educational campaigns. The benefits of sunscreen extend beyond skin cancer prevention into other aspects of health and disease prevention: sunscreen decreases the risk for sunburn during physical activity outdoors and seems not to increase the risk for osteoporosis. Public health efforts have laid a solid foundation on which to face the continuing challenge of promoting and developing effective public health campaigns and health policies that encourage sunscreen use, sun protection, and the primary prevention of skin cancer. In this article, the controversies, concerns, and challenges of sunscreen use as it relates to public health are discussed.

Periodontal health and global public health

DEFF Research Database (Denmark)

Petersen, Poul E; Baehni, Pierre C

2012-01-01

Chronic diseases are a growing burden to people, to health-care systems and to societies across the world. The rapid increase in the burden of chronic diseases is particularly prevalent in the developing countries. Periodontal disease is one of the two most important oral diseases contributing...... to the global burden of chronic disease. In addition to social determinants, periodontal health status is related to several proximal factors. Modifiable risk factors, such as tobacco use, excessive alcohol consumption, poor diet and nutrition, obesity, psychological stress and insufficient personal....../oral hygiene, are important and these principal risk factors for periodontal disease are shared by other chronic diseases. The present monograph is devoted to the existing evidence on the practice of public health related to periodontal health. Public health is defined as the process of mobilizing and engaging...

Decolonializing Discourse

DEFF Research Database (Denmark)

Alvesson, Mats; Kärreman, Dan

2011-01-01

identifies three particular problems prevalent in the current organizational discourse literature: reductionism, overpacking, and colonization and suggests three analytical strategies to overcome these problems: counter-balancing concepts — aiming to avoid seeing ‘everything’ as discourse — relativizing...

Public Health Autonomy: A Critical Reappraisal.

Science.gov (United States)

Zimmerman, Frederick J

2017-11-01

The ethical principle of autonomy is among the most fundamental in ethics, and it is particularly salient for those in public health, who must constantly balance the desire to improve health outcomes by changing behavior with respect for individual freedom. Although there are some areas in which there is a genuine tension between public health and autonomy-childhood vaccine mandates, for example-there are many more areas where not only is there no tension, but public health and autonomy come down to the same thing. These areas of overlap are often rendered invisible by a thin understanding of autonomy. Better integrating newer theoretical insights about autonomy into applied ethics can make discussions of public health ethics more rigorous, incisive, and effective. Even more importantly, bringing modern concepts of autonomy into public health ethics can showcase the many areas in which public health and autonomy have the same goals, face the same threats, and can be mutually advanced by the same kinds of solutions. This article provides a schema for relational autonomy in a public health context and gives concrete examples of how autonomy can be served through public-health interventions. It marshals insights from sociology, psychology, and philosophy to advance a theory of autonomy and coercion that recognizes three potential threats to autonomy: threats to choice sets, threats to knowledge, and threats to preferences. © 2017 The Hastings Center.

(Public) Health and Human Rights in Practice.

Science.gov (United States)

Annas, George J; Mariner, Wendy K

2016-02-01

Public health's reliance on law to define and carry out public activities makes it impossible to define a set of ethical principles unique to public health. Public health ethics must be encompassed within--and consistent with--a broader set of principles that define the power and limits of governmental institutions. These include human rights, health law, and even medical ethics. The human right to health requires governments not only to respect individual human rights and personal freedoms, but also, importantly, to protect people from harm from external sources and third parties, and to fulfill the health needs of the population. Even if human rights are the natural language for public health, not all public health professionals are comfortable with the language of human rights. Some argue that individual human rights--such as autonomy and privacy--unfairly limit the permissible means to achieve the goal of health protection. We argue that public health should welcome and promote the human rights framework. In almost every instance, this will make public health more effective in the long run, because the goals of public health and human rights are the same: to promote human flourishing. Copyright © 2016 by Duke University Press.

Lifelong learning in active ageing discourse: its conserving effect on wellbeing, health and vulnerability.

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Narushima, Miya; Liu, Jian; Diestelkamp, Naomi

2018-04-01

The Active Ageing Framework has been adapted as a global strategy in ageing policies, practices and research over the last decade. Lifelong learning, however, has not been fully integrated into this discourse. Using survey data provided by 416 adults (aged 60 years and above) enrolled in non-formal general-interest courses in a public continuing education programme in Canada, this study examined the association between older adults' duration of participation in the courses and their level of psychological wellbeing, while taking their age, gender, self-rated health and vulnerability level into consideration. An analytical framework was developed based on the literature of old-age vulnerabilities and the benefits of lifelong learning. Two logistic regression and trend analyses were conducted. The results indicate that older adults' participation is independently and positively associated with their psychological wellbeing, even among those typically classified as 'vulnerable'. This result provides additional evidence that suggests the continuous participation in non-formal lifelong learning may help sustain older adults' psychological wellbeing. It provides older learners, even those who are most vulnerable, with a compensatory strategy to strengthen their reserve capacities, allowing them to be autonomous and fulfilled in their everyday life. The result of this study highlights the value of the strategic and unequivocal promotion of community-based non-formal lifelong learning opportunities for developing inclusive, equitable and caring active ageing societies.

Primary health care and public health: foundations of universal health systems.

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White, Franklin

2015-01-01

The aim of this review is to advocate for more integrated and universally accessible health systems, built on a foundation of primary health care and public health. The perspective outlined identified health systems as the frame of reference, clarified terminology and examined complementary perspectives on health. It explored the prospects for universal and integrated health systems from a global perspective, the role of healthy public policy in achieving population health and the value of the social-ecological model in guiding how best to align the components of an integrated health service. The importance of an ethical private sector in partnership with the public sector is recognized. Most health systems around the world, still heavily focused on illness, are doing relatively little to optimize health and minimize illness burdens, especially for vulnerable groups. This failure to improve the underlying conditions for health is compounded by insufficient allocation of resources to address priority needs with equity (universality, accessibility and affordability). Finally, public health and primary health care are the cornerstones of sustainable health systems, and this should be reflected in the health policies and professional education systems of all nations wishing to achieve a health system that is effective, equitable, efficient and affordable. © 2015 S. Karger AG, Basel.

Chiropractic care and public health

DEFF Research Database (Denmark)

Johnson, Claire; Rubinstein, Sidney M; Côté, Pierre

2012-01-01

The purpose of this collaborative summary is to document current chiropractic involvement in the public health movement, reflect on social ecological levels of influence as a profession, and summarize the relationship of chiropractic to the current public health topics of: safety, health issues...... disorders? How can chiropractic use cognitive behavioral therapy to address chronic low back pain as a public health problem? What opportunities exist for doctors of chiropractic to more effectively serve the aging population? What is the role of ethics and the contribution of the chiropractic profession...

Public health medicine: the constant dilemma.

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Eskin, Frada

2002-03-01

There is a well-known quotation by the nineteenth-century sociologist Virchow (quoted in Ref. 1) that aptly captures the dilemma that has confronted public health medicine since the specialty was created as a discrete entity in 1848. Virchow said: 'Medicine is politics and social medicine is politics writ large!' What does this mean in relation to effective public health medicine practice and how is it likely to affect its future? There is increasingly limited freedom of expression within the current context of political correctness, central control and a rapidly burgeoning litigious climate. The purpose of this paper is to explore these issues and to propose a means of maintaining public health medicine integrity within a working environment where action is becoming rapidly constrained by political rigidity. An additional factor to be included in the dialogue is the current context within which public health physicians work. Because the majority of public health doctors are employed within the National Health Service (NHS), they are finding themselves being expected to take on tasks and responsibilities marginal to their essential purpose and function. For example, public health physicians spend a great deal of time involved in detailed deliberations about health service provision. Although there is a great deal of evidence to show that good quality health care provision positively affects the health of the individual, there is no evidence to show that this activity has any effect on the population's health status. The essence of public health medicine practice is the prevention of ill-health and the promotion of the health of the population and, consequently, attention needs to be focused on the root causes of disease. However, as these are outside the aegis of the NHS, public health medicine involvement in such issues as education, nutrition, housing, transport and poverty is regarded as marginal to the NHS corporate agenda.

Discourse of women on Unesa’s magazine

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Jatiningsih, O.; Habibah, S. M.

2018-01-01

This research aims to reveal the discourse of women in Unesa as mentioned in Unesa’s magazine that is Media of Information and Communication. The data are collected by using documentation technique. The objects of the study are archives, some articles of women published in the Unesa’s magazine. Since 2009, there are three editions of the magazines talked about women. The research used discourse analyses of Foucault. The results reveal that women have been holding large chance to work and having their success, but they must commit themselves to do their role as a wife and a mother. The dominant savoir is domestication of career women. Moreover, the savoir are (1) Women as the first and principal educators of their children; (2) the sacrifice of a wife is an expression of her devotion to her husband. The women’s main sphere is domestics and public is only as an additional sphere. This reflects that patriarchy gender ideology as dominant discourse placing women on their traditional role has been strongly running.

Child public health

National Research Council Canada - National Science Library

Blair, Mitch

2010-01-01

"Despite children making up around a quarter of the population, the first edition of this book was the first to focus on a public health approach to the health and sickness of children and young people...

Victimization and vilification of Romani children in media and human rights organizations discourses

OpenAIRE

Christianakis, Mary

2015-01-01

Through an analysis of European newspapers, human rights organization reportage, and United Nations documents and websites, this article examines how public discourse regarding education, human rights, poverty, child rearing, and child labour manufactures a dangerous, implausible childhood for Romani children. These discourses, perpetrated by human rights organizations and news media, leverage the languages of intervention, cultural difference, nationalism, and social justice to simultaneousl...

[Survey on public health nursing education-in the comparison of nursing education courses, universities, advanced courses for public health nurse with junior nursing colleges, and public health nursing school].

Science.gov (United States)

Hirano, Kayoko; Ikeda, Nobuko; Kanagawa, Katuko; Shiomi, Sigeki; Suzuki, Akira; Hirayama, Tomoko; Furuya, Akie; Ymazaki, Kyoko; Yasumura, Seiji

2005-08-01

Changes in public health nursing education have been consideration. Theses changes include a dramatic increase in the number of public health nurses (PHNs) who have enrolled for nursing courses at university. This study was conducted to assess the current status and future of public health nursing education as perceived by teachers and students at three types of schools: universities offering nursing courses, advanced courses for PHNs with junior nursing colleges, and public health nursing schools. Questionnaires were distributed to teachers and students by mail. The questions that were sent to teachers asked which subjects were required to become a certified PHN, which lecture methods were employed to teach public health-particularly community health assessment methods, and what was the level of awareness of the activities of PHNs. Students were asked about their motivation to be a PHN, their understanding of public health, their views of public health activities and their images of PHNs. Responses were analyzed and differences between questionnaires from different schools were noted. These included the number of subjects and the total number of hours spent doing practical training and field experience in universities and the other types of schools, and the number of teachers. Differences also were noted among students at three types of schools about their age, methods of public health activities, knowledge about activities undertaken by PHNs, and their images of PHNs. No differences were observed among the schools with respect to the students' conceptual understanding of public health. Student age, practical training and field experience were found to contribute to their level of understanding of public health and public health nursing. It is thus necessary to consider the teaching methods employed by universities that administer nursing courses and the effectiveness of courses offered by graduate schools.

Protecting Health and Saving Lives: The Part-Time/Internet-Based Master of Public Health Program at the Johns Hopkins Bloomberg School of Public Health

Science.gov (United States)

Bruce, Linda; Gresh, Kathy; Vanchiswaran, Rohini; Werapitiya, Deepthi

2007-01-01

This article discusses the part-time/Internet-based Master of Public Health (MPH) program at the Johns Hopkins Bloomberg School of Public Health (JHSPH). The Johns Hopkins Bloomberg School of Public Health was the first school of public health in the United States to offer a Master of Public Health program via the Internet. The JHSPH MPH Program…

The prospect of humanising development discourse in Africa through Christian anthropology

Directory of Open Access Journals (Sweden)

Joseph Ogbonnaya

2016-11-01

Full Text Available The invention of development as public discourse began with US President Truman’s 1949 speech that trumped up an illusion of global material prosperity based on a total restructuring of the ‘developing’ world on the model of development and material achievement of the West. Truman argued that this painful process was the only recipe for world prosperity. After decades of serious engagement on development discourse and multiple implementations of successive theories, the situation of the developing countries has not improved as rapidly as expected. At the same time, the developed countries are experiencing various forms of financial crises. This article acknowledges the professionalisation of development discourse, and proposes humanising development discourse in Africa in the light of Christian anthropology. This vision of integral development promotes the common good on the basis of God’s love and respect for the uniqueness of the human person.

Citizen Science for public health.

Science.gov (United States)

Den Broeder, Lea; Devilee, Jeroen; Van Oers, Hans; Schuit, A Jantine; Wagemakers, Annemarie

2016-12-23

Community engagement in public health policy is easier said than done. One reason is that public health policy is produced in a complex process resulting in policies that may appear not to link up to citizen perspectives. We therefore address the central question as to whether citizen engagement in knowledge production could enable inclusive health policy making. Building on non-health work fields, we describe different types of citizen engagement in scientific research, or 'Citizen Science'. We describe the challenges that Citizen Science poses for public health, and how these could be addressed. Despite these challenges, we expect that Citizen Science or similar approaches such as participatory action research and 'popular epidemiology' may yield better knowledge, empowered communities, and improved community health. We provide a draft framework to enable evaluation of Citizen Science in practice, consisting of a descriptive typology of different kinds of Citizen Science and a causal framework that shows how Citizen Science in public health might benefit both the knowledge produced as well as the 'Citizen Scientists' as active participants. © The Author 2016. Published by Oxford University Press.

77 FR 38296 - Draft Public Health Action Plan-A National Public Health Action Plan for the Detection...

Science.gov (United States)

2012-06-27

... Prevention and Health Promotion, Division of Reproductive Health, Attn: National Public Health Action Plan... Disease Prevention and Health Promotion, Division of Reproductive Health, 4770 Buford Highway NE... topic's public health importance, existing challenges, and opportunities for action to decrease the...

Population mental health: evidence, policy, and public health practice

National Research Council Canada - National Science Library

Cohen, Neal L; Galea, Sandro

2011-01-01

... on population mental health with public mental health policy and practice. Issues covered in the book include the influence of mental health policies on the care and well-­ being of individuals with mental illness, the interconnectedness of physical and mental disorders, the obstacles to adopting a public health orientation to mental health/mental ill...

Outrage without Consequences? Post-Snowden Discourses and Governmental Practice in Germany

Directory of Open Access Journals (Sweden)

Stefan Steiger

2017-03-01

Full Text Available In 2013 Edward Snowden’s disclosures of mass surveillance performed by US intelligence agencies seriously irritated politicians and citizens around the globe. This holds particularly true for privacy-sensitive communities in Germany. However, while the public was outraged, intelligence and security cooperation between the United States and Germany has been marked by continuity instead of disruption. The rather insubstantial debate over a so-called “No-Spy-Agreement” between the United States and Germany is just one telling example of the disconnect between public discourse and governmental action, as is the recent intelligence service regulation. This article considers why and where the “Snowden effect” has been lost on different discursive levels. We analyze and compare parliamentary and governmental discourses in the two years after the Snowden revelations by using the Sociology of Knowledge Approach to Discourse (SKAD to dissect the group-specific statements and interpretive schemes in 287 official documents by the German Bundestag, selected ministries and agencies within the policy subsystem. These will be analyzed in reference to actual governmental practice.

Victimization and Vilification of Romani Children in Media and Human Rights Organizations Discourses

Directory of Open Access Journals (Sweden)

Mary Christianakis

2015-09-01

Full Text Available Through an analysis of European newspapers, human rights organization reportage, and United Nations documents and websites, this article examines how public discourse regarding education, human rights, poverty, child rearing, and child labour manufactures a dangerous, implausible childhood for Romani children. These discourses, perpetrated by human rights organizations and news media, leverage the languages of intervention, cultural difference, nationalism, and social justice to simultaneously victimize and vilify Romani children, rendering them incapable of experiencing humane childhoods. Employing critical discourse analysis and systemic functional grammar analysis, the proposed article seeks to disentangle the discourses of human rights for Roman children from the assimilationist arguments aimed at compulsory schooling and Eurocentric family and labour practices rooted in access to middle class dominant labor markets.

'Let's get wasted': A discourse analysis of teenagers' talk about binge drinking.

Science.gov (United States)

Chainey, Timothy A; Stephens, Christine

2016-05-01

Teenage binge drinking is a significant health issue. To explore teenagers talk about binge drinking, four peer-group interviews were conducted with 20 teenagers, aged 16-18 years, with experience of excessive alcohol use. A discourse analysis showed that a 'drinking is cool' discourse constructed 'getting wasted' as an integral part of social life, while a 'drinking as a social lubricant' discourse described the behavioural functions of alcohol use. Participants also actively resisted an 'alcohol is bad' discourse, which acknowledges the risks of alcohol use. The findings illustrate how teenagers use these resources in sophisticated ways to position the teen drinker positively and negatively. © The Author(s) 2014.

Rethinking Discourses of Diversity: A Critical Discourse Study of Language Ideologies and Identity Negotiation in a University ESL Classroom

Science.gov (United States)

Kim, Jung Sook

2017-01-01

Diversity is valued and promoted in contemporary public discourse, but on the other hand, there is a strong tendency to homogenize differences in society. The tension between diversity and homogeneity is palpable on U.S. college campuses as the number of international students has been ever-increasing. A more nuanced approach is needed to grapple…