Canada needs a “Health in All Policies” action plan now

Tang, Kwok Cho; Forest, Pierre-Gerlier

doi:10.1503/cmaj.190517

Cited by 29 publications

(23 citation statements)

References 24 publications

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“…There also does not appear to be a focused review of the evidence from other jurisdictions on the link between access, consumption and harm/costs. Furthermore, there does not appear to be a balanced consultation-giving equal time to advocates for public health and safety and to those promoting fewer controls and greater access to alcohol (this is illustrated in the analysis by Tonelli et al [51], who discussed the challenges of balancing health and economics). Without access to more information on how decisions are made, it is challenging to provide a full picture of the factors and pressures that contribute to alcohol-policy decision making.…”

Section: Discussionmentioning

confidence: 99%

Alcohol retail privatisation in Canadian provinces between 2012 and 2017. Is decision making oriented to harm reduction?

Giesbrecht

Wettlaufer

Stockwell

et al. 2020

Drug and Alcohol Review

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Introduction Policy changes may contribute to increased alcohol‐related risks to populations. These include privatisation of alcohol retailing, which influences density of alcohol outlets, location of outlets, hours of sale and prevention of alcohol sales to minors or intoxicated customers. Meta‐analyses, reviews and original research indicate enhanced access to alcohol is associated with elevated risk of and actual harm. We assess the 10 Canadian provinces on two alcohol policy domains—type of alcohol control system and physical availability of alcohol—in order to track changes over time, and document shifting changes in alcohol policy. Methods Our information was based on government documents and websites, archival statistics and key informant interviews. Policy domains were selected and weighted for their degree of effectiveness and population reach based on systematic reviews and epidemiological evidence. Government representatives were asked to validate all the information for their jurisdiction. Results The province‐specific reports based on the 2012 results showed that 9 of 10 provinces had mixed retail systems—a combination of government‐run and privately owned alcohol outlets. Recommendations in each provincial report were to not increase privatisation. However, by 2017 the percentage of off‐premise private outlets had increased in four of these nine provinces, with new private outlet systems introduced in several. Discussion and Conclusions Decision‐making protocols are oriented to commercial interests and perceived consumer convenience. If public health and safety considerations are not meaningfully included in decision‐making protocols on alcohol policy, then it will be challenging to curtail or reduce harms.

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Section: Discussionmentioning

confidence: 99%

Alcohol retail privatisation in Canadian provinces between 2012 and 2017. Is decision making oriented to harm reduction?

Giesbrecht

Wettlaufer

Stockwell

et al. 2020

Drug and Alcohol Review

View full text Add to dashboard Cite

show abstract

“…The arbitrary silos between health and social services must be reconsidered, with an emphasis on health and wellbeing in addition to conventional metrics such as gross domestic product growth. 3 Our policymakers might look to New Zealand, where earlier this year its government released a "wellbeing budget" with substantial investments in mental health, Indigenous Peoples and poverty reduction. 4 Ice land and Scotland have articulated an interest in similar poli cies.…”

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confidence: 99%

The mirage of universality: Canada’s failure to act on social policy and health care

Boozary

Laupacis

2020

CMAJ

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“…Recommendation 3: Advance a health-in-all-policy approach Tonelli, Tang, and Forest (2020) define Health in All Policies (HiAP) as "an approach that systematically considers the health and social implications of policies contemplated by all sectors of governmentaiming for synergistic benefits and to minimize social and health-related harms. "…”

Section: Implications For Future Researchmentioning

confidence: 99%

Depoliticizing And Humanizing Climate Change Through A Public Health Frame: A Case Study Of Ontario’s Climate Change Policy Discourse

Awuor¹

2021

Preprint

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The relevance of a public health frame in supporting the climate change impact awareness and consensus on actions is well recognized but largely underutilized. Overall, supporting public health’s capacity in climate change has focused on projecting and highlighting public health impacts due to climate change, identifying public health policy responses, and emphasizing public health role. The integration of the public health perspective in the discussion and communication of climate change ideas has remained elusive.<div>Climate change is also a complex social problem whose construction of meaning and actions is rooted in institutionalized language, discourse, and human interactions. Thus, understanding of the construction of the relevance of public health in climate change discourse is central to understanding the impediments of the public health frame application. Unfortunately, this has been a neglected area of research, and the dissertation responded to that gap. </div><div>To delineate the impediments of the public health frame, the study used the case study of the context of climate change policy discourse in the Province of Ontario (Canada) to examine the construction of public health relevance, the extent of public health frame application, and the systematic influences in the discourse.</div><div>The analysis of policy documents and key informant interviews revealed that the public health frame remained isolated from the primary focus of Ontario’s climate change policy discourse. Instead, Ontario’s historically and socially constructed climate change as an economic and political issue solved through market strategies and technological innovations forwarded by political, bureaucratic, and technological elites. The focus substantiated the types of structures and processes of policies and decisions, the relevant actors and knowledge, and the values supporting the discursive, normative, and strategic practices. Ontario’s focus also limited the utilization of the public health frame and the supporting capacities through the misalignment between public health and the provincial strategic actions, the lack of recognition and integration of public health roles, mandate and structures, and limited public health capacity building initiatives.</div><div>Therefore, public health framing as an endpoint of climate change discourse requires legitimation of public health in the underlying institutional structures for, and governance of, climate change. </div>

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Canada needs a “Health in All Policies” action plan now

Cited by 29 publications

References 24 publications

Alcohol retail privatisation in Canadian provinces between 2012 and 2017. Is decision making oriented to harm reduction?

Alcohol retail privatisation in Canadian provinces between 2012 and 2017. Is decision making oriented to harm reduction?

The mirage of universality: Canada’s failure to act on social policy and health care

Depoliticizing And Humanizing Climate Change Through A Public Health Frame: A Case Study Of Ontario’s Climate Change Policy Discourse

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