Perceptions of the determinants of health and cancer: trends in discourse and level of argumentation between girls and boys aged 6 to 18.

IF 3.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Frontiers in Public Health Pub Date : 2025-02-17 eCollection Date: 2025-01-01 DOI:10.3389/fpubh.2025.1390084

Maéliane Deyra, Chloé Gay, Laurent Gerbaud, Pauline Berland, Frank Pizon

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Abstract

Aims: To characterize the discourse trends and level of argumentation of girls and boys by analysing the differences in the conceptions and systems of conceptions of children and adolescents aged between 6 and 18.

Materials and methods: This is a multi-centre qualitative study in the human and social sciences, based on data collected in two different phases using two different tools: e.Photoexpression©, which deals with health in general, and Photonarration, which deals with cancer. The aim of this open, exploratory method, which uses photographs, is to gather data on the experiences and knowledge specific to each child and adolescent. The informative value of data from qualitative collection tools, combined with a mixed analysis methodology, enabled us to characterize the differences in perceptions of health determinants and cancer between girls and boys aged between 6 and 18.

Results: 4,174 productions were collected from 1,068 children aged 6 to 18, identifying 30 determinants of health and cancer. For all of these results, there were significant gender differences from a very early age: boys focused on leisure activities and physical activity, while girls took a more global view, focusing on the environment, food, emotional aspects of social relationships, hygiene, care, prevention, etc. As they got older, the focus shifted to health determinants. As we get older, we see a change in discourse trends and in the level of argumentation, with girls becoming richer and boys poorer.

Discussion and outlook: The trends in girls' and boys' discourse on what, in their view, determines health demonstrate the interest and relevance of adapting the prevention methods used as closely as possible to the conceptions of children and adolescents. The differences observed between boys and girls are a crucial lever that takes into account the specific characteristics of a population. They offer the possibility of taking more effective action, both in the context of interventions aimed at teenagers and in support of decision-making in the context of prevention policies.

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对健康和癌症决定因素的看法：6至18岁女孩和男孩之间的话语趋势和辩论水平。

目的：通过分析6 - 18岁儿童和青少年的概念和概念系统的差异，表征女孩和男孩的话语趋势和辩论水平。材料和方法：这是一项人类和社会科学领域的多中心定性研究，基于使用两种不同工具在两个不同阶段收集的数据：e.Photoexpression©，涉及一般健康问题，以及Photonarration，涉及癌症问题。这种使用照片的开放的探索性方法的目的是收集每个儿童和青少年的具体经验和知识的数据。来自定性收集工具的数据具有信息价值，结合混合分析方法，使我们能够描述6至18岁女孩和男孩对健康决定因素和癌症的看法的差异。结果：从1 068名6至18岁儿童中收集了4 174件作品，确定了健康和癌症的30个决定因素。对于所有这些结果，从很小的时候就有显著的性别差异：男孩关注休闲活动和体育活动，而女孩则有更全面的观点，关注环境、食物、社会关系的情感方面、卫生、护理、预防等。随着年龄的增长，重点转向健康决定因素。随着年龄的增长，我们看到了话语趋势和辩论水平的变化，女孩变得更富有，男孩变得更贫穷。讨论和展望：女孩和男孩讨论在他们看来决定健康的因素的趋势表明，有必要使所使用的预防方法尽可能符合儿童和青少年的概念。在男孩和女孩之间观察到的差异是考虑到人口具体特征的关键杠杆。它们提供了在针对青少年的干预措施和在预防政策方面支持决策方面采取更有效行动的可能性。

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来源期刊

Frontiers in Public Health Medicine-Public Health, Environmental and Occupational Health

CiteScore

4.80

自引率

7.70%

发文量

4469

审稿时长

14 weeks

期刊介绍： Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice. Frontiers in Public Health is organized into Specialty Sections that cover different areas of research in the field. Please refer to the author guidelines for details on article types and the submission process.