Pub Date : 2023-03-17DOI: 10.1080/09581596.2023.2188140
O. Zvonareva
{"title":"Patient engagement in drug development: configuring a new resource for generating innovation","authors":"O. Zvonareva","doi":"10.1080/09581596.2023.2188140","DOIUrl":"https://doi.org/10.1080/09581596.2023.2188140","url":null,"abstract":"","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2023-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47660003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-13DOI: 10.1080/09581596.2023.2188139
S. Ejegi-Memeh, S. Salway, V. McGowan, N. Villarroel-Williams, S. Ronzi, M. Egan, K. Gravenhorst, D. Holman, C. Rinaldi
ABSTRACT Ethnic diversity and racism have not featured strongly in English research, policy or practice centred on understanding and addressing health inequalities. However, the COVID-19 pandemic and the Black Lives Matter movement have shone fresh light on deep-rooted ethnic inequalities and mobilised large segments of the population into anti-racist demonstration. These recent developments suggest that, despite strong counterforces within national government and the mainstream media, there could be a shift towards greater public awareness of racism and potentially a willingness to take individual and collective action. This paper addresses these developments, and specifically engages with the contested notion of ‘allyship’. We bring together the experiences of 25 young adults living across England and prior literature to raise questions about whether and how racialized White individuals can play a role in dismantling systemic racism and reducing ethnic inequalities in health. Our analysis reveals a variety of complexities and obstacles to effective and widespread allyship. Findings suggest the need to nurture contingent, responsive and reflexive forms of allyship that can attend to the harms inflicted upon racially minoritized people as well as push for systemic transformation. White allyship will need to take a variety of forms, but it must be underpinned by an understanding of racism as institutional and systemic and a commitment to tackling interlocking systems of oppression through solidarity. The issues addressed are relevant to those occupying public health research, policy and practice roles, as well as members of the public, in England and other multi-racial settings.
{"title":"Can White allyship contribute to tackling ethnic inequalities in health? Reflections on the experiences of diverse young adults in England","authors":"S. Ejegi-Memeh, S. Salway, V. McGowan, N. Villarroel-Williams, S. Ronzi, M. Egan, K. Gravenhorst, D. Holman, C. Rinaldi","doi":"10.1080/09581596.2023.2188139","DOIUrl":"https://doi.org/10.1080/09581596.2023.2188139","url":null,"abstract":"ABSTRACT Ethnic diversity and racism have not featured strongly in English research, policy or practice centred on understanding and addressing health inequalities. However, the COVID-19 pandemic and the Black Lives Matter movement have shone fresh light on deep-rooted ethnic inequalities and mobilised large segments of the population into anti-racist demonstration. These recent developments suggest that, despite strong counterforces within national government and the mainstream media, there could be a shift towards greater public awareness of racism and potentially a willingness to take individual and collective action. This paper addresses these developments, and specifically engages with the contested notion of ‘allyship’. We bring together the experiences of 25 young adults living across England and prior literature to raise questions about whether and how racialized White individuals can play a role in dismantling systemic racism and reducing ethnic inequalities in health. Our analysis reveals a variety of complexities and obstacles to effective and widespread allyship. Findings suggest the need to nurture contingent, responsive and reflexive forms of allyship that can attend to the harms inflicted upon racially minoritized people as well as push for systemic transformation. White allyship will need to take a variety of forms, but it must be underpinned by an understanding of racism as institutional and systemic and a commitment to tackling interlocking systems of oppression through solidarity. The issues addressed are relevant to those occupying public health research, policy and practice roles, as well as members of the public, in England and other multi-racial settings.","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"33 1","pages":"421 - 433"},"PeriodicalIF":2.8,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46336455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-20DOI: 10.1080/09581596.2023.2180608
E. Borozdina
ABSTRACT In 1990s’ Russia, a wave of internationalization brought an evidence-based medical paradigm to Russian healthcare. Whilst there has been considerable critical commentary on the consequences of adopting this paradigm for medical decision-making, much of this relates to specific contexts in Europe, north America and Australasia, with little research addressing post-Soviet clinical practice. Drawing on semi-structured qualitative interviews with Russian physicians, this article explores the entanglements between the introduction of evidence-based medicine (EBM) in the country and the transformation of post-socialist medical professionalism. I single out physicians’ efforts to reconcile the EBM paradigm with organizational constraints as indicative of professionals’ ground-level agency. I define the following components of such agency: (1) selective application of guidelines and use of foreign clinical recommendations; (2) establishing local professional solidarity; (3) developing relationships based on personalized trust with the patients. The study employs two sets of data (gathered in 2018 and in 2020) to trace the EBM-related agency of medical professionals both before and during COVID-19 pandemic. By offering analytical insights from post-socialist healthcare, where doctors’ discretion has historically been limited by excessive state control, the article contributes to academic debate on medical professionals’ autonomy and agency in the era of EBM-related standardization.
{"title":"Evidence-based medicine and physicians’ institutional agency in Russian clinical settings","authors":"E. Borozdina","doi":"10.1080/09581596.2023.2180608","DOIUrl":"https://doi.org/10.1080/09581596.2023.2180608","url":null,"abstract":"ABSTRACT In 1990s’ Russia, a wave of internationalization brought an evidence-based medical paradigm to Russian healthcare. Whilst there has been considerable critical commentary on the consequences of adopting this paradigm for medical decision-making, much of this relates to specific contexts in Europe, north America and Australasia, with little research addressing post-Soviet clinical practice. Drawing on semi-structured qualitative interviews with Russian physicians, this article explores the entanglements between the introduction of evidence-based medicine (EBM) in the country and the transformation of post-socialist medical professionalism. I single out physicians’ efforts to reconcile the EBM paradigm with organizational constraints as indicative of professionals’ ground-level agency. I define the following components of such agency: (1) selective application of guidelines and use of foreign clinical recommendations; (2) establishing local professional solidarity; (3) developing relationships based on personalized trust with the patients. The study employs two sets of data (gathered in 2018 and in 2020) to trace the EBM-related agency of medical professionals both before and during COVID-19 pandemic. By offering analytical insights from post-socialist healthcare, where doctors’ discretion has historically been limited by excessive state control, the article contributes to academic debate on medical professionals’ autonomy and agency in the era of EBM-related standardization.","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"33 1","pages":"409 - 420"},"PeriodicalIF":2.8,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43239555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-15DOI: 10.1080/09581596.2023.2178387
D. Raphael, T. Bryant
ABSTRACT In 2011 Raphael identified seven discourses on the social determinants of health (SDH). These discourses ranged from ‘SDH as identifying those in need of health and social services’ to ‘SDH and their distribution result from the power and influence of those who create and benefit from health and social inequalities’. Developments since then have led us to identify an eighth: ‘SDH and their distribution result from the processes inherent to capitalism – capital accumulation, competition, and exploitation’. We identify scholarship espousing the view that quality and equitable distribution of SDH will require the creation of a post-capitalist socialist state. While the form this state will take remains uncertain, means of moving towards it are available. Specific steps the public health community can undertake are identified.
{"title":"Socialism as the way forward: updating a discourse analysis of the social determinants of health","authors":"D. Raphael, T. Bryant","doi":"10.1080/09581596.2023.2178387","DOIUrl":"https://doi.org/10.1080/09581596.2023.2178387","url":null,"abstract":"ABSTRACT In 2011 Raphael identified seven discourses on the social determinants of health (SDH). These discourses ranged from ‘SDH as identifying those in need of health and social services’ to ‘SDH and their distribution result from the power and influence of those who create and benefit from health and social inequalities’. Developments since then have led us to identify an eighth: ‘SDH and their distribution result from the processes inherent to capitalism – capital accumulation, competition, and exploitation’. We identify scholarship espousing the view that quality and equitable distribution of SDH will require the creation of a post-capitalist socialist state. While the form this state will take remains uncertain, means of moving towards it are available. Specific steps the public health community can undertake are identified.","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"33 1","pages":"387 - 394"},"PeriodicalIF":2.8,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43796018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-08DOI: 10.1080/09581596.2023.2169599
Meredith K. D. Hawking, C. Dezateux, D. Swinglehurst
ABSTRACT The English National Child Measurement Programme (NCMP) is a nationally mandated public health programme. It provides data for child excess weight indicators in the Public Health Outcomes Framework, part of the government’s approach to reducing childhood obesity. Drawing on a meta-ethnographic synthesis of household members’ experiences of the programme, we conceptualise the NCMP as a ‘technique of futuring’ to generate new insights into how it (re)shapes and (re)imagines past, present, and future responsibilities and practices for overweight children, parents, and carers, in potentially harmful ways. For children categorised by the NCMP as overweight, the NCMP is an emotionally significant event, driving new bodily practices, new food practices and changed relationships with peers. This paper outlines how parents come to resist and reframe the programme and its results, to protect their children from a weight-focused future. They consider the potential risks of bullying, dysfunctional eating, and mental health consequences more important than future risks of overweight. We show how parents of children categorised as overweight preserve their claim to ‘responsible’ and ‘good’ parenting amongst peers, whilst shifting the blame for childhood obesity to other, ‘irresponsible’ parents, thus reproducing moralising and responsibilising discourses inherent within the ‘behaviour change’ messaging of the NCMP and associated research. Finally, we consider a central paradox of this programme and the use of NCMP population level monitoring data to (re)shape lives at the individual and social level – the children it sets out to help are the most likely to experience harm as a result of it.
{"title":"Weighing up the future: a meta-ethnography of household perceptions of the National Child Measurement Programme in England","authors":"Meredith K. D. Hawking, C. Dezateux, D. Swinglehurst","doi":"10.1080/09581596.2023.2169599","DOIUrl":"https://doi.org/10.1080/09581596.2023.2169599","url":null,"abstract":"ABSTRACT The English National Child Measurement Programme (NCMP) is a nationally mandated public health programme. It provides data for child excess weight indicators in the Public Health Outcomes Framework, part of the government’s approach to reducing childhood obesity. Drawing on a meta-ethnographic synthesis of household members’ experiences of the programme, we conceptualise the NCMP as a ‘technique of futuring’ to generate new insights into how it (re)shapes and (re)imagines past, present, and future responsibilities and practices for overweight children, parents, and carers, in potentially harmful ways. For children categorised by the NCMP as overweight, the NCMP is an emotionally significant event, driving new bodily practices, new food practices and changed relationships with peers. This paper outlines how parents come to resist and reframe the programme and its results, to protect their children from a weight-focused future. They consider the potential risks of bullying, dysfunctional eating, and mental health consequences more important than future risks of overweight. We show how parents of children categorised as overweight preserve their claim to ‘responsible’ and ‘good’ parenting amongst peers, whilst shifting the blame for childhood obesity to other, ‘irresponsible’ parents, thus reproducing moralising and responsibilising discourses inherent within the ‘behaviour change’ messaging of the NCMP and associated research. Finally, we consider a central paradox of this programme and the use of NCMP population level monitoring data to (re)shape lives at the individual and social level – the children it sets out to help are the most likely to experience harm as a result of it.","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"33 1","pages":"395 - 408"},"PeriodicalIF":2.8,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45661868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01Epub Date: 2022-02-03DOI: 10.1080/09581596.2021.1981540
Arne Ruckert, Ronald Labonté, Raphael Lencucha, Fastone Goma, Jeffrey Drope
{"title":"Exploring the Political Economy Nexus of Tobacco Production and Control: A Case Study from Zambia.","authors":"Arne Ruckert, Ronald Labonté, Raphael Lencucha, Fastone Goma, Jeffrey Drope","doi":"10.1080/09581596.2021.1981540","DOIUrl":"10.1080/09581596.2021.1981540","url":null,"abstract":"","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"33 1","pages":"25-36"},"PeriodicalIF":2.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9913890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10704054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-26DOI: 10.1080/09581596.2022.2159789
George Parker, Cat Pausé, Ashlea Gillon, L. Gray
ABSTRACT This short report presents the findings of an online survey of self-identified fat people in eight countries identified as having guidelines for the use of long needles in SARS-CoV-2 novel coronavirus (COVID-19) vaccination programmes. The survey captures fat people’s understanding of the need for, and knowledge about the use of, a long needle when being vaccinated against COVID-19. Our findings identified a knowledge gap amongst fat people about the need for long needles and whether they are being used in practice. Respondents reported a lack of information and discussion about the need for long needles and most did not know if they had been used. We cannot determine whether long needle guidelines are being followed in practice in the absence of information and discussion with fat people about their use. We make recommendations for updating training and practice to ensure the vaccinator workforce is implementing long needle guidelines and has the skills and resources to initiate conversations with fat people about their use. This will help ensure vaccine confidence and vaccine equity.
{"title":"Self-identified fat people’s understanding of the need for, and use of, long needles when being vaccinated against COVID-19: findings from a international online exploratory survey","authors":"George Parker, Cat Pausé, Ashlea Gillon, L. Gray","doi":"10.1080/09581596.2022.2159789","DOIUrl":"https://doi.org/10.1080/09581596.2022.2159789","url":null,"abstract":"ABSTRACT This short report presents the findings of an online survey of self-identified fat people in eight countries identified as having guidelines for the use of long needles in SARS-CoV-2 novel coronavirus (COVID-19) vaccination programmes. The survey captures fat people’s understanding of the need for, and knowledge about the use of, a long needle when being vaccinated against COVID-19. Our findings identified a knowledge gap amongst fat people about the need for long needles and whether they are being used in practice. Respondents reported a lack of information and discussion about the need for long needles and most did not know if they had been used. We cannot determine whether long needle guidelines are being followed in practice in the absence of information and discussion with fat people about their use. We make recommendations for updating training and practice to ensure the vaccinator workforce is implementing long needle guidelines and has the skills and resources to initiate conversations with fat people about their use. This will help ensure vaccine confidence and vaccine equity.","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"33 1","pages":"375 - 382"},"PeriodicalIF":2.8,"publicationDate":"2022-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41784899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-22DOI: 10.1080/09581596.2022.2147417
K. McBride, C. Franks, V. Wade, Veronica King, J. Rigney, Nyunmiti Burton, Anna Dowling, J. Mitchell, G. van Kessel, Natasha J. Howard, C. Paquet, S. Hillier, Stephen J. Nicholls, A. Brown
ABSTRACT Within the vast majority of qualitative health research involving Indigenous populations, Indigenous people have been marginalised from research conceptualisation and conduct. This reflects a lack of regard for Indigenous ways of knowing, being, and doing, has served to perpetuate deficit narratives of Indigenous peoples’ health and wellbeing, and contributes to failure in addressing inequities as a result of ongoing colonisation and institutionalised oppression and racism. There is a need to place Indigenous voices and ways of doing at the centre of research by working in intercultural partnership, bringing together Indigenous and Western knowledges. This paper explores how such an approach can be applied, demonstrating a reflective process of conceptualisation and conduct that brings together Indigenous ways of working with grounded theory with Aboriginal communities in Australia. Furthermore, it supported a non-Indigenous researcher to learn ways of working respectfully, guided by community protocols. A six-stage research process was developed, overseen by an Aboriginal Women’s Advisory Group. Research conceptualisation and conduct centred on three principles: bringing together Aboriginal ways of working with Western research methodology; using women’s own voices to develop a narrative of cardiovascular health and wellbeing; and ensuring that tangible outcomes were delivered to women and communities in the spirit of partnership and reciprocity. This approach, guided at all steps by Indigenous women, demonstrates a way of adapting qualitative Western methodology to ensure values and principles of ethical guidelines of conduct are upheld to unravel constructs of colonisation, redress past wrongdoing, and reverse deficit narratives.
{"title":"Getting to the heart of the matter: a research partnership with Aboriginal women in South and Central Australia","authors":"K. McBride, C. Franks, V. Wade, Veronica King, J. Rigney, Nyunmiti Burton, Anna Dowling, J. Mitchell, G. van Kessel, Natasha J. Howard, C. Paquet, S. Hillier, Stephen J. Nicholls, A. Brown","doi":"10.1080/09581596.2022.2147417","DOIUrl":"https://doi.org/10.1080/09581596.2022.2147417","url":null,"abstract":"ABSTRACT Within the vast majority of qualitative health research involving Indigenous populations, Indigenous people have been marginalised from research conceptualisation and conduct. This reflects a lack of regard for Indigenous ways of knowing, being, and doing, has served to perpetuate deficit narratives of Indigenous peoples’ health and wellbeing, and contributes to failure in addressing inequities as a result of ongoing colonisation and institutionalised oppression and racism. There is a need to place Indigenous voices and ways of doing at the centre of research by working in intercultural partnership, bringing together Indigenous and Western knowledges. This paper explores how such an approach can be applied, demonstrating a reflective process of conceptualisation and conduct that brings together Indigenous ways of working with grounded theory with Aboriginal communities in Australia. Furthermore, it supported a non-Indigenous researcher to learn ways of working respectfully, guided by community protocols. A six-stage research process was developed, overseen by an Aboriginal Women’s Advisory Group. Research conceptualisation and conduct centred on three principles: bringing together Aboriginal ways of working with Western research methodology; using women’s own voices to develop a narrative of cardiovascular health and wellbeing; and ensuring that tangible outcomes were delivered to women and communities in the spirit of partnership and reciprocity. This approach, guided at all steps by Indigenous women, demonstrates a way of adapting qualitative Western methodology to ensure values and principles of ethical guidelines of conduct are upheld to unravel constructs of colonisation, redress past wrongdoing, and reverse deficit narratives.","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"33 1","pages":"363 - 374"},"PeriodicalIF":2.8,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42630841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-20DOI: 10.1080/09581596.2022.2119053
E. Speed, L. McLaren
The Editorial Board recently made revisions to Critical Public Health’s (CPH) Aims and Scopes. One change was to explicitly invite submissions focusing on the political economy of (public) health and to add political science and policy studies to the (non-exhaustive) indicative list of disciplinary perspectives that shed important light on issues of equity and power in public health. With those changes in mind, a recent paper by Walby, published in the European Journal of Social Theory (Walby, 2021) caught our eye. The paper considers the question of social theory as it relates to public health, specifically in the context of the COVID-19 pandemic. Briefly (the reader is encouraged to read the excellent full paper), Walby draws on Delanty’s (2020) review of the response of social theory to the impact of COVID-19, which identified six political philosophical positions on the relationship between the individual and society: utilitarian, Kantian, libertarian, biopolitical securitisation, postcapitalism, and behaviouralism. Walby points out that the concept of ‘social democracy’ is “curiously absent” amongst these positions. She defines social democracy in relation to public health as “a project, form of governance and societal formation, in which if one is sick, we are all potentially sick”. Its omission, Walby argues, is significant because “social democratic visions and practices underpin the theory and practice of ‘public health’” (2021, p. 24). In Walby’s view, a social democratic public health is one which offers “solidaristic provision of welfare to support [everyone]”, thus making it “both efficient and just simultaneously” (2021, p. 38). Here we see a combination of nuanced concerns around the intersection of effective governance and social justice. Critical theory in this journal has been, perhaps, skewed towards Foucauldian perspectives that position public health regimes as biopower, contributing to surveillance. There is a need for public health and other critical theorists to focus on the potential for a more positive, social democratic model of public health. In this editorial, we seek to address the question of what public health communities might have to do, to ensure that we foreground and prioritise social democratic visions and practices. Walby’s analysis raises three crucial issues for public health scholars to consider. Firstly, through the ways in which it mobilises different modes of social theory to characterise the public health response, it provides a modus for thinking about the form and function of social theory in the processes and practices of public health. In turn, this allows us to put into perspective some dominant trends – including blind spots – in critical public health. For example, through mobilizing the biopolitical perspective, Foucault is frequently invoked in critical contexts to analyze ‘state-authorized’ public health measures to contain communicable disease spread (including but not limited to COVID-19)
{"title":"Towards a theoretically grounded, social democratic public health","authors":"E. Speed, L. McLaren","doi":"10.1080/09581596.2022.2119053","DOIUrl":"https://doi.org/10.1080/09581596.2022.2119053","url":null,"abstract":"The Editorial Board recently made revisions to Critical Public Health’s (CPH) Aims and Scopes. One change was to explicitly invite submissions focusing on the political economy of (public) health and to add political science and policy studies to the (non-exhaustive) indicative list of disciplinary perspectives that shed important light on issues of equity and power in public health. With those changes in mind, a recent paper by Walby, published in the European Journal of Social Theory (Walby, 2021) caught our eye. The paper considers the question of social theory as it relates to public health, specifically in the context of the COVID-19 pandemic. Briefly (the reader is encouraged to read the excellent full paper), Walby draws on Delanty’s (2020) review of the response of social theory to the impact of COVID-19, which identified six political philosophical positions on the relationship between the individual and society: utilitarian, Kantian, libertarian, biopolitical securitisation, postcapitalism, and behaviouralism. Walby points out that the concept of ‘social democracy’ is “curiously absent” amongst these positions. She defines social democracy in relation to public health as “a project, form of governance and societal formation, in which if one is sick, we are all potentially sick”. Its omission, Walby argues, is significant because “social democratic visions and practices underpin the theory and practice of ‘public health’” (2021, p. 24). In Walby’s view, a social democratic public health is one which offers “solidaristic provision of welfare to support [everyone]”, thus making it “both efficient and just simultaneously” (2021, p. 38). Here we see a combination of nuanced concerns around the intersection of effective governance and social justice. Critical theory in this journal has been, perhaps, skewed towards Foucauldian perspectives that position public health regimes as biopower, contributing to surveillance. There is a need for public health and other critical theorists to focus on the potential for a more positive, social democratic model of public health. In this editorial, we seek to address the question of what public health communities might have to do, to ensure that we foreground and prioritise social democratic visions and practices. Walby’s analysis raises three crucial issues for public health scholars to consider. Firstly, through the ways in which it mobilises different modes of social theory to characterise the public health response, it provides a modus for thinking about the form and function of social theory in the processes and practices of public health. In turn, this allows us to put into perspective some dominant trends – including blind spots – in critical public health. For example, through mobilizing the biopolitical perspective, Foucault is frequently invoked in critical contexts to analyze ‘state-authorized’ public health measures to contain communicable disease spread (including but not limited to COVID-19) ","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"32 1","pages":"589 - 591"},"PeriodicalIF":2.8,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43515532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-18DOI: 10.1080/09581596.2022.2096428
P. Grenfell, Rachel Stuart, J. Eastham, Aisling Gallagher, J. Elmes, L. Platt, M. O’Neill
ABSTRACT While extensive literature documents how criminalisation harms sex workers’ health and rights, limited research has critically examined how interactions between criminal-justice, health, and other systems shape support and justice for and by people who sell sex. We attend to this question by drawing on participatory, qualitative research with a diverse group of sex workers and other stakeholders in East London, UK. In addition to directly and structurally-violent enforcement practices, we identified wider, necropolitical assemblages and practices – across police, local and immigration authorities, health and social services – that disciplined sex workers’ lives, responsibilised them for their health, and defunded specialist services grounded in lived realities, amid tensions over sex-work governance. These effects – grounded in notions of community and vulnerability that often privileged residents’ concerns over threats to sex workers’ safety and health – impacted marginalised and minoritised cis and trans women the most. Those who worked on the street and used drugs, were migrants, and/or women of colour were particularly targeted for enforcement, discounted when reporting violence and impacted by service cuts. Yet participants’ appeals for redirection of funds from enforcement towards respectful, peer-led services reflected claims to social justice on their own terms. We recommend (re)commissioning health and support services that respond to sex workers’ diverse realities, with and by them, alongside concerted efforts to end policies and practices that criminalise, punish, and blame. This would help to alleviate the health and social harms that we document, in support of inclusive participation in health and broader social justice goals.
{"title":"Policing and public health interventions into sex workers’ lives: necropolitical assemblages and alternative visions of social justice","authors":"P. Grenfell, Rachel Stuart, J. Eastham, Aisling Gallagher, J. Elmes, L. Platt, M. O’Neill","doi":"10.1080/09581596.2022.2096428","DOIUrl":"https://doi.org/10.1080/09581596.2022.2096428","url":null,"abstract":"ABSTRACT While extensive literature documents how criminalisation harms sex workers’ health and rights, limited research has critically examined how interactions between criminal-justice, health, and other systems shape support and justice for and by people who sell sex. We attend to this question by drawing on participatory, qualitative research with a diverse group of sex workers and other stakeholders in East London, UK. In addition to directly and structurally-violent enforcement practices, we identified wider, necropolitical assemblages and practices – across police, local and immigration authorities, health and social services – that disciplined sex workers’ lives, responsibilised them for their health, and defunded specialist services grounded in lived realities, amid tensions over sex-work governance. These effects – grounded in notions of community and vulnerability that often privileged residents’ concerns over threats to sex workers’ safety and health – impacted marginalised and minoritised cis and trans women the most. Those who worked on the street and used drugs, were migrants, and/or women of colour were particularly targeted for enforcement, discounted when reporting violence and impacted by service cuts. Yet participants’ appeals for redirection of funds from enforcement towards respectful, peer-led services reflected claims to social justice on their own terms. We recommend (re)commissioning health and support services that respond to sex workers’ diverse realities, with and by them, alongside concerted efforts to end policies and practices that criminalise, punish, and blame. This would help to alleviate the health and social harms that we document, in support of inclusive participation in health and broader social justice goals.","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"33 1","pages":"282 - 296"},"PeriodicalIF":2.8,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49178616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：