A health equity critique of social marketing: Where interventions have impact but insufficient reach

Langford, Rebecca; Panter‐Brick, Catherine

doi:10.1016/j.socscimed.2013.01.036

Cited by 59 publications

(102 citation statements)

References 32 publications

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“…A historical and still prominent critique of social marketing is that it represents a neoliberal approach that puts the focus on individuals to change (so-called victim-blaming), ignores the broader systems-level influences on behaviour and social change (Crawshaw, 2012;Langford & Panter-Brick, 2013;Wallack, 1989) and is a self-serving adaptation of the dominant neo-liberal capitalist marketing system (Bettany & Woodruffe-Burton, 2009;Hackley, 2009;Tadajewski, 2010). Brace-Govan (2015) and Tadajewski et al (2014) point out that issues of power are largely ignored in the social marketing literature and Gurrieri et al (2013) identify that gender perspectives are also absent from social marketing discourse.…”

Section: Acknowledging and Critiquing Critiques Of Social Marketingmentioning

confidence: 99%

Social marketing: the state of play and brokering the way forward

Gordon

Russell‐Bennett

Lefebvre

2016

Journal of Marketing Management

119

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Section: Acknowledging and Critiquing Critiques Of Social Marketingmentioning

confidence: 99%

Social marketing: the state of play and brokering the way forward

Gordon

Russell‐Bennett

Lefebvre

2016

Journal of Marketing Management

119

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“…Considerable attention 1–4 has focused on the need to increase underserved racial and ethnic populations in clinical research, especially in light of the cancer health disparities that disproportionately plague these groups. Clinical trials are considered the gold standard of evidence about efficacy of cancer prevention, early detection, and treatment interventions.…”

Section: Introductionmentioning

confidence: 99%

Enrolling Minority and Underserved Populations in Cancer Clinical Research

Wallington¹,

Dash²,

Sheppard³

et al. 2016

American Journal of Preventive Medicine

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Research suggests that community involvement is integral to solving public health problems, including involvement in clinical trials—a “gold standard.” Significant racial/ethnic disparities exist in the accrual of participants for clinical trials. Location and cultural aspects of clinical trials influence recruitment and accrual to clinical trials. It is increasingly necessary to be aware of defining characteristics such as location and culture of the populations from which research participants are enrolled. Little research has examined the effect of location and cultural competency in adapting clinical trial research for minority and underserved communities on accrual for clinical trials. Utilizing embedded community academic sites, the authors applied cultural competency frameworks to adapt clinical trial research in order to increase minority participation in nontherapeutic cancer clinical trials. This strategy resulted in successful accrual of participants to new clinical research trials, specifically targeting participation from minority and underserved communities in metropolitan Washington, DC. From 2012 to 2014, a total of 559 participants enrolled across six non-therapeutic clinical trials, representing a 62% increase in the enrollment of blacks in clinical research. Embedding cancer prevention programs and research in the community was shown to be yet another important strategy in the arsenal of approaches that can potentially enhance clinical research enrollment and capacity. The analyses showed that the capacity to acquire cultural knowledge about patients—their physical locales, cultural values, and environments in which they live—is essential to recruiting culturally and ethnically diverse population samples.

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“…This serves to conceal practical constraints and power imbalances that define the range of choice that individuals, local communities and health professionals have, in terms of health behaviors, as seen for instance in the cases of alcohol consumption, daily exercise, treatment-seeking strategies, or (non)holistic approaches to disease prevention (Feierman et al 2010;Singer et al 1992). Although individualizing health responsibilities has been seen to exacerbate health inequities (Langford and Panter-Brick 2013), such discourse is a tactic to justify the de-prioritization of social welfare policy.…”

Section: Individualizing Stigmatizing and Moralizing Diseasementioning

confidence: 99%

Health dispossessions and the moralization of disease: the case of diarrhea in the Mekong Delta, Vietnam

Kotsila

2017

Journal of Political Ecology

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Despite the swift development of Vietnam's water supply and sanitation (wat/san) sector, over the last ten years there have been 1.5 million annual documented cases of diarrhea. Western perspectives blame insufficient medical or economic advancement for failing to prevent diarrhea and its treatment, failing to grasp how disease is shaped in the cultural, moral and political domain. This article examines the nature and function of public health policy and discourse against the spread of the disease in Can Tho City, Mekong Delta. Some 94 qualitative interviews were conducted with government representatives, medical staff and water experts, and a survey of 131 households in urban and rural areas. Focusing only on improving the construction of wat/san 'hardware' does not improve 'cultural software', and ignores the needs of vulnerable minorities, compromising the control of diarrhea. I also show how state discourse follows neoliberal approaches in individualizing health responsibilities, and moralizing disease. Local (mis)perceptions and risky behaviors emerge as the result of structural constraints that include poverty, a lack of access to useful health information, and the cultivation of stigma around diarrhea. These types of health dispossessions serve a political purpose, where the state escapes responsibility for public health failures, and thus enhancing its efforts to maintain legitimacy as a good implementer and a 'caring head.' Keywords: Vietnam, public health, health individualization, moralization of disease, blame discourse, diarrhea. RésuméMalgré le développement rapide du secteur de l'approvisionnement en eau et de l'assainissement (wat / san) au Vietnam, il y a eu au cours des dix dernières années 1,5 million de cas annuels de diarrhée. Les perspectives occidentales accusent l'insuffisance de progrès médicaux ou économiques pour ne pas prévenir la diarrhée et son traitement, ne comprenant pas comment la maladie est façonnée dans le domaine culturel, moral et politique. Cet article examine la nature et la fonction de la politique de santé publique et le discours contre la propagation de la maladie dans la ville de Can Tho, dans le delta du Mékong. Quelque 94 entrevues qualitatives ont été menées auprès de représentants du gouvernement, du personnel médical et des experts en eau, et une enquête auprès de 131 ménages vivant en milieu urbain et rural. Se concentrer uniquement sur l'amélioration de la construction du «matériel» wat / san n'améliore pas les «logiciels culturels» et ignore les besoins des minorités vulnérables, compromettant ainsi le contrôle de la diarrhée. Je montre aussi comment le discours d'Etat suit les approches néolibérales en individualisant les responsabilités en matière de santé et en moralisant les maladies. Les perceptions locales et les comportements à risque sont le résultat de contraintes structurelles qui incluent la pauvreté, le manque d'accès à des informations utiles sur la santé et la propagation de la stigmatisation autour de la diarrhée. Ces types de dépossessi...

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A health equity critique of social marketing: Where interventions have impact but insufficient reach

Cited by 59 publications

References 32 publications

Social marketing: the state of play and brokering the way forward

Social marketing: the state of play and brokering the way forward

Enrolling Minority and Underserved Populations in Cancer Clinical Research

Health dispossessions and the moralization of disease: the case of diarrhea in the Mekong Delta, Vietnam

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