Injury prevention as social change

McClure, Roderick John; Mack, Karin A.; Wilkins, Natalie; Davey, Tamzyn M.

doi:10.1136/injuryprev-2015-041838

Cited by 19 publications

(16 citation statements)

References 18 publications

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“…The CNC moved from a general discussion of principles—based on a collective vision of developing fundamental systemic changes14 to exploring the geospatial distribution of burden ‘centers’ and county-level burden drivers, based on the efforts of CDPHE epidemiology staff using 2010–2015 data collected for the National Violent Death Reporting System (NVDRS). These allow an in-depth appraisal of local variations of suicide and differential geospatial expression of contributing factors to diverse-distinctive subgroups, as well as assessing changing patterns over time.…”

Section: First Stepsmentioning

confidence: 99%

Comprehensive, integrated approaches to suicide prevention: practical guidance

et al. 2017

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Preventing suicide and related self-injury morbidity and mortality, and their antecedents, will require a systemic approach that builds on a societal commitment to save lives and collective actions that bring together diverse communities, service organisations, healthcare providers and governmental agencies and political leaders. This will require frank, data-based appraisals of burden that drive planning, programme development and implementation, rigorous evaluation and a willingness to try-fail-and-try-again until the tide has been turned.

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Section: First Stepsmentioning

confidence: 99%

Comprehensive, integrated approaches to suicide prevention: practical guidance

et al. 2017

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“…The tobacco control example suggests that approaches to injury and violence prevention that focus on changing systems-and building the capacity of communities to develop, implement, evaluate, and sustain these changes-offer tremendous promise for achieving population-level impact (Schorr & Farrow, n.d.;Wilkins et al, 2019). A systemic framework supplements the public health model by framing the problem of injury "within," not outside of, the community or societal context in which it occurs (McClure, Mack, Wilkins, & Davey, 2015). Communities are complex, self-organizing, adaptive, and evolving.…”

Section: Violence Preventionmentioning

confidence: 99%

A systemic approach to achieving population‐level impact in injury and violence prevention

2020

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The contemporary public health model for injury and violence prevention is a four-step process, which has been difficult to fully actualize in real-world contexts. This difficulty results from challenges in bridging science to practice and developing and applying population-level approaches. Prevention programmes and policies are embedded within and impacted by a range of system-level factors, which must be considered and actively managed when addressing complex public health challenges involving multiple sectors and stakeholders. To address these concerns, a systemic approach to population-level injury and violence prevention is being developed and explored by the Division of Analysis, Research, and Practice Integration in the National Center for Injury Prevention and Control at the Centers for Disease Control and Prevention. This article makes the case for and provides a high-level overview of this systemic approach, its various components, and how it is being applied in one governmental unit.

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“…These structural, macro-level questions capture considerations that render an event beyond an individual's control. Features such as the layout or quality of the road upon which the driver speeds, the conditions for obtaining a driver's license, the availability of public transport, road lighting, and safety features in cars can all affect whether a crash occurs and whether an injury results (Hosking et al, 2011;McClure et al, 2016;McMichael, 1999;Runyan, 2015). These contextual contributors are typically outside an individual's control.…”

Section: Responsibility and Unintentional Injurymentioning

confidence: 99%

“…Reflecting on the multiple competing standpoints involved, it is heartening to note the increasing acknowledgement that realizing noticeable reductions in the injury burden requires social change, and that this involves systemic interventions deeply rooted in empowered communities working through institutions that define the forms and functions of society (McClure et al, 2016;Mohan and Tiwari, 2000). Such comprehensive action considers individual and communal responsibilities in injury causation as a whole, taking into account the often thin boundary between violence and unintended harm.…”

Section: How Can the Benefits And Burdens Of A Program Be Fairly Balamentioning

confidence: 99%

Preventing Unintentional Injuries: Ethical Considerations in Public Health

Ameratunga¹,

Jonas²,

Blank³

2019

The Oxford Handbook of Public Health Ethics

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Injury, which originates from the Latin word for injustice, is a global health problem that imposes a disproportionately high burden on people in fragile economies. This chapter examines the ethical implications of public health actions to prevent unintentional injuries. The concepts of social justice and autonomy are at the core of common debates about the roles of the state, communities, and individuals in controlling injury. Distinguishing unintentional injuries from violence can undermine an integrated preventive approach. Viewing unintended injuries as resulting from accidents fosters a reluctance to apply principles of justice to them and supports risk acceptance and nonintervention. This chapter first critiques arguments relating to concepts such as responsibility, risk compensation, equity in access to the social determinants of health and the so-called normal opportunity range, personal freedom, health-promoting choices, collective health interests, and the avoidance of third-party harm. This is followed by an exploration of how an ethics framework for public health could assist injury prevention.

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Injury prevention as social change

Cited by 19 publications

References 18 publications

Comprehensive, integrated approaches to suicide prevention: practical guidance

Comprehensive, integrated approaches to suicide prevention: practical guidance

A systemic approach to achieving population‐level impact in injury and violence prevention

Preventing Unintentional Injuries: Ethical Considerations in Public Health

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