Policy and Environmental Change: New Directions for Public Health

Hann, Neil E.; Kean, Thomas J.; Matulionis, Rose Marie; Russell, Carol M.; Sterling, Terrie D.

doi:10.1177/1524839903259496

Cited by 10 publications

(22 citation statements)

References 5 publications

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“…, Hann et al . , Health Promotion Forum of New Zealand/Runanaga Whakapiki Ake I Te Haoura O Aotearoa , Loue , Falk‐Rafael , Lefebvre et al . , McCoy et al .…”

Section: Resultsmentioning

confidence: 99%

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

Cohen

Marshall

2016

Health Soc Care Community

105

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What is known about this topic• Advocacy is considered a key public health strategy for redressing health inequities.• There is evidence that public health's advocacy role has not been fully realised; the reasons for this are unclear. What this paper adds• A systematic collation and critical analysis of the conceptual and empirical literature on public health advocacy focused on health equity is provided.• Public health is constrained in its health equity advocacy efforts by neoliberal conceptualisations of health problems, and by multiple barriers at the level of individual public health practitioners, institutions and the social environment. AbstractThe 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.

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“…, Hann et al . , Health Promotion Forum of New Zealand/Runanaga Whakapiki Ake I Te Haoura O Aotearoa , Loue , Falk‐Rafael , Lefebvre et al . , McCoy et al .…”

Section: Resultsmentioning

confidence: 99%

“…, Jacobson & Wasserman , Johnson , Hann et al . , Chew & Palmer , Freudenberg , Gomm et al . , Cohen & Reutter , Breton et al .…”

Section: Resultsmentioning

confidence: 99%

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

Cohen

Marshall

2016

Health Soc Care Community

105

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“…In the study by Hann et al (2004), the roles of capacity building, providing training and technical assistance, and funding were most commonly used to inform environmental approaches, some of which are similar to environmental approach roles played by PRCs.…”

Section: > > Discussionmentioning

confidence: 99%

Common Pathways Toward Informing Policy and Environmental Strategies to Promote Health

Neri

Stringer

Spadaro

et al. 2014

Health Promotion Practice

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This study examined the roles academic researchers can play to inform policy and environmental strategies that promote health and prevent disease. Prevention Research Centers (PRCs) engage in academic-community partnerships to conduct applied public health research. Interviews were used to collect data on the roles played by 32 PRCs to inform policy and environmental strategies that were implemented between September 2009 and September 2010. Descriptive statistics were calculated in SAS 9.2. A difference in roles played was observed depending on whether strategies were policy or environmental. Of the policy initiatives, the most common roles were education, research, and partnership. In contrast, the most prevalent roles the PRCs played in environmental approaches were research and providing health promotion resources. Academic research centers play various roles to help inform policy and environmental strategies.

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“…Activities might include work toward changing the "built environment" (a community's physical structures and infrastructure that influence health such as housing, transportation systems, recreational resources, etc. ; Gostin, Boufford, & Martinez, 2004;Perdue, Stone, & Gostin, 2003), obtaining new or realigning existing resources, improving community systems of care, enforcing existing policies, and/or obtaining new local ordinances and/or state and national laws (Butterfoss & Cohen, 2009;Hann et al, 2004;Smedley, 2006). Community-and societal-level goals in a tobacco photovoice project might include smoke-free public buildings, smoke-free workplaces, smoke-free restaurants, smoke-free schools, an increase in the tobacco tax, and increased enforcement of laws prohibiting tobacco sales to minors.…”

Section: Community and Societal-level Activities And Outcomesmentioning

confidence: 99%

“…For this reason, public health professionals have called for expanding public health's goals beyond individual-level change to targeting community and policy change (Hann et al, 2004;Institute of Medicine, 2002;Schwartz, Goodman, & Steckler, 1995;World Health Organization, 1986). Such changes have greater reach and sustainability because they address factors that hold in place conditions that inhibit health.…”

Section: Introductionmentioning

confidence: 99%

Framing Photovoice Using a Social-Ecological Logic Model as a Guide

Strack

Lovelace

Jordan³

et al. 2010

Health Promotion Practice

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Abstract:Photovoice is a community-based participatory action research method designed to uncover the root causes of community problems and to collectively address them. Individual change and empowerment are desired outcomes of the photovoice process, but more importantly, the process seeks to engage groups and whole communities to foster positive systems change. This article presents a logic model informed by the social-ecological model of health to guide photovoice planners and participants in planning activities that produce individual-and community-level change. The model presented here should help planners and participants plan, implement, and evaluate other photovoice efforts and provide them a visual guide to ensure that all parties are on the same conceptual page and increase the intentionality of their efforts.

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Policy and Environmental Change: New Directions for Public Health

Cited by 10 publications

References 5 publications

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

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

Common Pathways Toward Informing Policy and Environmental Strategies to Promote Health

Framing Photovoice Using a Social-Ecological Logic Model as a Guide

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