2019
DOI: 10.1177/1049732318825153
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Public Expressions of Trust and Distrust in Governmental Dietary Advice in Sweden

Abstract: We examine public trust and distrust in governmental food and nutrition authorities, through analyzing 727 letters sent electronically to the Swedish National Food Agency by lay people. Using thematic analysis, four themes were developed, defining public expressions of trust and distrust in official dietary advice. Trust was expressed as (a) seeking to confirm and clarify dietary advice or (b) seeking official arbitration between competing dietary advice. Distrust was expressed as (c) questioning and scrutiniz… Show more

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Cited by 13 publications
(11 citation statements)
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“…The tension between individualism versus collective governance has been observed in other recent debates over therapies with dubious clinical safety and efficacy, including the use of stem cell therapies, “expanded access” or “compassionate use” of non–FDA-approved therapies, and “right-to-try” legislation more broadly (Charo, 2016; Scharf & Dzeng, 2017; Walker, Rogers, & Entwistle, 2014). This tension is not limited to an American context, as citizens of European countries also express dubious trust in government authority and cite concerns over improper industry influence on matters related to health (Bergman, Eli, Osowski, Lövestam, & Nowicka, 2019; Fournier & Poulain, 2018). Given that these issues are prominently debated in the public square, it is essential to understand how this dualistic approach to governance may inform debates about the implementation of future therapies that may be desired by patients, but will be subject to a lengthy trial process before they are offered in the clinic, including gene editing technologies.…”
Section: Discussionmentioning
confidence: 99%
“…The tension between individualism versus collective governance has been observed in other recent debates over therapies with dubious clinical safety and efficacy, including the use of stem cell therapies, “expanded access” or “compassionate use” of non–FDA-approved therapies, and “right-to-try” legislation more broadly (Charo, 2016; Scharf & Dzeng, 2017; Walker, Rogers, & Entwistle, 2014). This tension is not limited to an American context, as citizens of European countries also express dubious trust in government authority and cite concerns over improper industry influence on matters related to health (Bergman, Eli, Osowski, Lövestam, & Nowicka, 2019; Fournier & Poulain, 2018). Given that these issues are prominently debated in the public square, it is essential to understand how this dualistic approach to governance may inform debates about the implementation of future therapies that may be desired by patients, but will be subject to a lengthy trial process before they are offered in the clinic, including gene editing technologies.…”
Section: Discussionmentioning
confidence: 99%
“…Recently, evidence has emerged on the impact that various diets have on the environment, with the EAT-Lancet Commission providing guidelines for what can be considered a healthy diet for the health and the environment (EAT-Lancet Commission 2019). Despite these efforts, however, healthy eating is still interpreted differently by lay people, food experts, and food authorities (Bergman et al 2019). Moreover, healthy eating policies have adopted a rhetoric of empowerment, which puts a lot of emphasis on individual responsibility for health (Bergman et al 2019;Haman et al 2015).…”
Section: Introductionmentioning
confidence: 99%
“…Despite these efforts, however, healthy eating is still interpreted differently by lay people, food experts, and food authorities (Bergman et al 2019). Moreover, healthy eating policies have adopted a rhetoric of empowerment, which puts a lot of emphasis on individual responsibility for health (Bergman et al 2019;Haman et al 2015). This individual responsibility is often interpreted as a moral duty, implying that those who do not engage in healthy dietary practices are considered 'immoral' (Madden and Chamberlain 2010).…”
Section: Introductionmentioning
confidence: 99%
“…In our analysis of written communication between lay people and the Swedish Food Agency, we found that lay people also understand official dietary advice through nutrient centred discourses, framing food in a functional way related to risks and benefits, and focusing on individual responsibility for health (Bergman et al . 2019). Looking back at Sweden’s nutritional health strategies in the 1990s, a combination of structural and educative approaches was advocated.…”
Section: Introductionmentioning
confidence: 99%