scholarly journals ‘Health in All Policies’ and the Urge for Coordination: The Work of Public Health Coordinators and Their Impact and Influence in Local Public Health Policies: A Cross-Sectional Study

Societies ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. 11
Author(s):  
Tor-Ivar Karlsen ◽  
Charlotte Kiland ◽  
Gro Kvåle ◽  
Dag Olaf Torjesen
Keyword(s):  
Public Health ◽  
Structural Equation ◽  
Social Inequalities ◽  
Individual Characteristics ◽  
Health Policies ◽  
Policy Outcomes ◽  
Health In All Policies ◽  
Local Public Health ◽  
Public Health Policies ◽  
Organisational Factors

Building heavily on the Health in All Policies (HiAP) approach, Norway implemented the Public Health Act in 2012 to reduce social inequalities in health. Local public health coordinators (PHCs) at municipal levels were seen as tools to provide local intersectoral public health work. In this study, we examine factors related to intersectoral agency and if intersectoral work is understood as relevant to securing social justice in local policy outcomes. A national web-based survey in 2019 of all Norwegian PHCs (n = 428) was conducted with a response rate of 60%. Data were analysed through multiple linear regression, hierarchical regression modelling and structural equation modelling. Neither factors relating to community contexts nor individual characteristics were associated with intersectoral agency. Organisational factors, especially position size, being organised at the top level and having a job description, were significantly associated with perceptions of intersectoral agency. PHCs seeing themselves as intersectoral agents also found themselves able to affect annual budgets and policy outcomes. We conclude that municipal PHC positions can be important HiAP tools in local public health policies. However, organisational factors affect how PHCs perceive their influence and role in the municipal organisation and thereby their possibilities to influence local policymaking through intersectoral agency.

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

2017 ◽  
Vol 46 (1) ◽  
pp. 68-73 ◽  
Author(s):  
Ellen S. Synnevåg ◽  
Roar Amdam ◽  
Elisabeth Fosse
Keyword(s):  
Public Health ◽  
Systematic Approach ◽  
Local Level ◽  
Health Policies ◽  
Health In All Policies ◽  
Health Work ◽  
Cross Sectional ◽  
Public Health Policies ◽  
National Public Health ◽  
The One

Aim: 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. Methods: A qualitative case study based on analyses of interviews and planning documents was performed in three Norwegian municipalities. Results: 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. Conclusions: 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.

scholarly journals 2019冠狀病毒病疫情下的道德議題的初步哲學探索

2020 ◽  
Vol 18 (1) ◽  
pp. 89-112
Author(s):  
Benedict S. B. CHAN
Keyword(s):  
Public Health ◽  
Moral Reasoning ◽  
Capability Approach ◽  
Social Inequalities ◽  
Health Policies ◽  
Individual Freedom ◽  
Moral Issues ◽  
Public Health Policies ◽  
New Public Health ◽  
The Capability Approach

LANGUAGE NOTE | Document text in Chinese; abstract also in English.在2019冠狀病毒疫情之下，至少有兩個公共術生政策的道德議題變得異常重要。第一，現時有不少爭議是關於這些抗疫政策與個人自由的衡突。這是很典型的公共善與個人自由衡突的道德爭論，但疫情令這樣的衡突成為直接而迫切的顧慮。第 二，這個世界在疫情之前已有很多嚴重的不平等問題，但現在有些防疫政策令社會的不平等變得更為嚴重。儘管本文不會為這兩個道德議題給予肯定的解答，但會集中探究在討論這些道德議題的跨學科辯論中，應該用到甚麽道德推論和基礎，並會 詳細解釋以下幾個重要理念。第一，作者會論證，衛生道德人權的理念並不能充分地成為解決這些問題的道德基礎。第二， 不純粹用到權利進路的話，作者會論證應該用到阿馬蒂亞.森的後果評價和能力進路作為道德推論和基礎。第三，這兩個由森提出的理念可以把不同的道德理論和傳統與公共衛生議題連繫起來。作者會以儒家為道德傳統的例子，論證如何以後果 評價、能力進路和儒家當中的一些理念與價值，以此提出一些可能方向，去處理上述兩個道德議題。At least two moral issues of some public health policies have become significant in the COVID-19 pandemic. First, it is arguable that some policies to address the present pandemic conflict with individual freedom. This is a typical moral debate between public good and individual freedom, but the COVID-19 pandemic has made this conflict a more immediate and urgent concern. Second, the world had serious inequality problems prior to the pandemic, and some of the new public health policies have caused more severe social inequalities. Instead of providing definitive answers to these two moral issues, this paper focuses on what types of moral reasoning and foundation should be used in the interdisciplinary debates around these problems. Several ideas are discussed in detail. First, the author argues that the idea of moral human rights to health is not a sufficient moral foundation to solve these problems. Second, the author argues that in addition to the right talk, we should use Amartya Sen’s consequential evaluation and the capability approach as the foundation and moral reasoning. Third, the author argues that these two ideas from Sen can connect different moral traditions with public health issues. The author uses Confucianism as an example of a moral tradition, and argues for possible directions to address the moral issues using ideas and values from consequential evaluation, the capability approach, and Confucianism.DOWNLOAD HISTORY | This article has been downloaded 60 times in Digital Commons before migrating into this platform.

Is an Ounce of Prevention Worth a Pound of Cure? Comparing Demand for Public Prevention and Treatment Policies

2010 ◽  
Vol 30 (4) ◽  
pp. E40-E56 ◽  
Author(s):  
Ryan Bosworth ◽  
Trudy Ann Cameron ◽  
J.R. DeShazo
Keyword(s):  
Public Health ◽  
Individual Characteristics ◽  
Health Policies ◽  
Significant Heterogeneity ◽  
Major Health ◽  
Public Health Policies ◽  
Prevention Policies ◽  
Treatment And Prevention ◽  
Health Threats ◽  
Treatment Policies

Background. Public policy can affect the allocation of resources between programs designed to prevent illnesses or injuries and programs designed to treat those who are already sick or injured. Information about preferences for treatment and prevention policies can help policy makers more effectively allocate public health resources among alternative uses. Our objective is to assess preferences for publicly funded health policies designed to prevent or treat major health threats. We use national surveys that employ discrete choice experiment formats. The surveys allow respondents to make trade-offs between policies designed to prevent or treat most major health threats. The surveys were administered to a nationally representative sample of over 3000 respondents. Methods. We estimate a random utility model of preferences for treatment and prevention policies and explore sources of systematic heterogeneity in preferences. Results. We estimate marginal utility associated with avoided deaths to be about twice as high for prevention policies as for treatment policies and find statistically significant heterogeneity with respect to disease type, the group targeted by the policy, and respondent characteristics. Conclusions. Preferences for public health policies vary markedly with policy attributes and with individual characteristics. Benefits measurements for welfare assessments of public health policies should be tailored to the type of health threat and the characteristics of the affected population.

scholarly journals Integrating knowledge and tools for local public health policies

2015 ◽  
Vol 25 (suppl_3) ◽  
Author(s):  
C Chamorro Moreno ◽  
V Santoro Lamelas ◽  
J Oliván Abejer ◽  
C Arias Abad ◽  
T Arechavala Roe
Keyword(s):  
Public Health ◽  
Health Policies ◽  
Local Public Health ◽  
Public Health Policies

scholarly journals The pathway from distrusting Western actors to non-compliance with public health guidance during the COVID-19 crisis in Romania

2020 ◽  
Author(s):  
Vlad Achimescu ◽  
Dan Sultanescu ◽  
Dana Sultanescu
Keyword(s):  
Public Health ◽  
Structural Equation ◽  
Health Policies ◽  
Equation Modeling ◽  
Public Health Policies ◽  
Conspiracy Beliefs ◽  
Unsafe Behaviors ◽  
Conspiracy Narratives ◽  
Web Building ◽  
Health Guidance

Global crises provide a fertile environment for the proliferation of disinformation, rumors, and conspiracy narratives. We investigate people's perceptions and beliefs related to COVID-19 in Romania, during the lockdown period (April 2020) and during the state of alert period (July 2020), by fielding two surveys with different modes of collection (CATI and web). Building on measures tested in other countries, we identify the public’s vulnerability to conspiracy narratives and its willingness to comply with public health guidance. Using Structural Equation Modeling, we check if individuals exhibiting pro-Russian or anti-Western attitudes believe more strongly in COVID-19 conspiracy narratives compared to the rest of the population. Then, we check if those believing conspiracy narratives are less susceptible to comply with public health recommendations.We find in both surveys that holding conspiracy beliefs is a mediator between distrusting Western actors and noncompliance with COVID-19 guidelines. Thus, pro-Russian and anti-EU, U.S. and NATO attitudes are linked to stronger conspiracy beliefs, which relate to lower levels of concern and knowledge regarding the virus, which in turn can reduce compliance with guidelines. This suggests that openness to anti-Western narratives may have behavioral consequences. These findings highlight the potential sources of unsafe behaviors during the pandemic and can inform official communication strategies meant to counter both disinformation and non-compliance with public health policies.

scholarly journals It runs in the family: parental influence on adolescents’ compliance with social distancing measures during Covid-19 lockdowns

2022 ◽  
Author(s):  
Ozan Aksoy
Keyword(s):  
Public Health ◽  
Structural Equation ◽  
Parental Influence ◽  
Health Policies ◽  
Public Health Policies ◽  
Social Distancing ◽  
Health Measures ◽  
The Family ◽  
Nationally Representative ◽  
The Uk

Compliance with public health measures of adolescents who are often unfairly portrayed as spreaders of the Coronavirus is essential for controlling the pandemic. But does adolescents’ compliance develop independently from their parents? Using nationally representative longitudinal data and cross-lagged Structural Equation Panel Models I study compliance with social distancing measures of 6,754 triplets that comprise the adolescent child (age 19), their mother, and father during two national lockdowns in the UK. Results show that adolescents have the lowest and their mothers have the highest levels of compliance, and compliance generally drops over time. Moreover, parents, particularly mothers have significant influence on their adolescent child’s compliance. The child also has, albeit smaller effects on their parents’ compliance. Parental influence on adolescents’ compliance documented here thus redistributes some of the responsibility off adolescents towards all generations and calls for public health policies and campaigns that consider these family dynamics.

scholarly journals Prevalence of Hyperuricemia and Gout in Mainland China from 2000 to 2014: A Systematic Review and Meta-Analysis

2015 ◽  
Vol 2015 ◽  
pp. 1-12 ◽  
Author(s):  
Rui Liu ◽  
Cheng Han ◽  
Di Wu ◽  
Xinghai Xia ◽  
Jianqiu Gu ◽  
...  
Keyword(s):  
Public Health ◽  
Systematic Review ◽  
Meta Analysis ◽  
Mainland China ◽  
Health Policies ◽  
Local Public Health ◽  
Public Health Policies ◽  
Economic Level ◽  
Pooled Prevalence ◽  
Trim And Fill

We systematically identified the prevalence of hyperuricemia and gout in mainland China and provided informative data that can be used to create appropriate local public health policies. Relevant articles from 2000 to 2014 were identified by searching 5 electronic databases: PubMed, Google Scholar, Chinese Wanfang, CNKI, and Chongqing VIP. All of the calculations were performed using the Stata 11.0 and SPSS 20.0 software. The eligible articles (n=36; 3 in English and 33 in Chinese) included 44 studies (38 regarding hyperuricemia and 6 regarding gout). The pooled prevalence of hyperuricemia and gout was 13.3% (95% CI: 11.9%, 14.6%) and 1.1% (95% CI: 0.7%, 1.5%), respectively. Although publication bias was observed, the results did not change after a trim and fill test, indicating that that impact of this bias was likely insignificant. The prevalence of hyperuricemia and gout was high in mainland China. The subgroup analysis suggested that the geographical region, whether the residents dwell in urban or rural and coastal or inland areas, the economic level, and sex may be associated with prevalence.

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