US Opinions on Health Determinants and Social Policy as Health Policy

Robert, Stephanie A.; Booske, Bridget C.

doi:10.2105/ajph.2011.300217

Cited by 96 publications

(88 citation statements)

References 33 publications

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“…Although the media's focus on behavioral causes and solutions may be productive, insofar as individual-level behaviors can produce near-term changes in health outcomes, recognizing the importance of social contextual factors is central to sustained and equitable improvements in the health of individuals and communities. Taken together, these media coverage patterns correspond to the aforementioned public opinion data (1, 2), suggesting that media coverage of disparities/SDH may be contributing to low public awareness and narrow perceptions of these issues—which, ultimately, could influence policy support for structural solutions to address disparities.…”

Section: Introductionsupporting

confidence: 72%

“…However, local newspaper readership did not appear to translate into greater recognition of social contextual influences on health. Overall, SDH recognition was higher among City A residents than in national samples (2), but individual influences (e.g., personal health practices) were often rated as more important, regardless of newspaper readership (Supplementary Table S1). Thus local print news might have spurred awareness of disparities, but this coverage could have expanded that conversation to better underscore SDH.…”

Section: Discussionmentioning

confidence: 99%

“…Nationally representative data from the 2008-2009 National Opinion Survey on Health and Health Disparities showed that although most U.S. adults were aware of health disparities along socioeconomic lines, fewer were aware of inequalities along racial/ethnic lines (1). Additionally, although respondents recognized the important influence of individual health behaviors and access to health care, they were less likely to report a strong influence of other social and economic factors on health (2). For example, they reported less awareness of the connection between education and health compared to other positive life outcomes (1).…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and Framing of Health Disparities in Local Print News: Implications for Multilevel Interventions to Address Cancer Inequalities

Nagler

Bigman

Ramanadhan

et al. 2016

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background Americans remain under-informed about cancer and other health disparities and the social determinants of health (SDH). The news media may be contributing to this knowledge deficit, whether by discussing these issues narrowly or ignoring them altogether. Because local media are particularly important in influencing public opinion and support for public policies, this study examines the prevalence and framing of disparities/SDH in local mainstream and ethnic print news. Methods We conducted a multi-method content analysis of local mainstream (English-language) and ethnic (Spanish-language) print news in two lower-income cities in New England with substantial racial/ethnic minority populations. After establishing inter-coder reliability (kappa=0.63–0.88), coders reviewed the primary English- and Spanish-language newspaper in each city, identifying both disparities and non-disparities health stories published between February 2010 and January 2011. Results Local print news coverage of cancer and other health disparities was rare. Of 650 health stories published across four newspapers during the one-year study period, only 21 (3.2%) discussed disparities/SDH. Although some stories identified causes of and solutions for disparities, these were often framed in individual (e.g., poor dietary habits) rather than social contextual terms (e.g., lack of food availability/affordability). Cancer and other health stories routinely missed opportunities to discuss disparities/SDH. Conclusion Local mainstream and ethnic media may be ideal targets for multilevel interventions designed to address cancer and other health inequalities. Impact By increasing media attention to and framing of health disparities, we may observe important downstream effects on public opinion and support for structural solutions to disparities, particularly at the local level.

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Section: Introductionsupporting

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence and Framing of Health Disparities in Local Print News: Implications for Multilevel Interventions to Address Cancer Inequalities

Nagler

Bigman

Ramanadhan

et al. 2016

Cancer Epidemiology, Biomarkers &Amp; Prevention

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“…Previous work supports the notion that these indicators in Wisconsin are closely related to social determinants of health [28,[48][49][50][51]. The design of the current study did not accommodate controlling for social determinants of health.…”

Section: Implications Of Els Endpoint Response To City-bound Watershedssupporting

confidence: 53%

An Exploratory Analysis of Stream Teratogenicity and Human Health Using Zebrafish Whole-Sediment Toxicity Test

et al. 2014

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This study demonstrates a novel application of effect-based toxicity testing for streams that may provide indications of co-perturbation to ecological and human health. For this study, a sediment contact assay using zebrafish (Danio rerio) embryos was adapted to serve as an indicator of teratogenic stress within river sediments. Sediment samples were collected from Lake Michigan tributary watersheds. Sediment contact assay responses were then compared to prevalence of congenital heart disease (CHD) and vital statistic birth indicators aggregated from civil divisions associated with the watersheds. Significant risk relationships were detected between variation in early life-stage (ELS) endpoints of zebrafish embryos 72 h post-fertilization and the birth prevalence of human congenital heart disease, low birthweight and infant mortality. Examination of principal components of ELS endpoints suggests that variance related to embryo heart and circulatory malformations is most closely associated with human CHD prevalence. Though toxicity assays are sometimes used prospectively, this form of investigation can only be conducted retrospectively. These results support the hypothesis that bioassays normally used for ecological screening can be useful as indicators of environmental stress to humans and expand our understanding of environmental-human health linkages. OPEN ACCESSChallenges 2014, 5 76

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“…Despite the scientifically accepted construct of social determinants of health, a 2008–2009 national survey revealed that Americans believed health was most affected by individual behaviors and access to health care while social or economic factors were less important, and respondents who were non-White and lower income recognized a stronger role for social determinants (Robert & Booske, 2011). Respondents were also less aware of health disparities by race than by income (Booske, Robert, & Rohan, 2011).…”

Section: Rationale and Theoretical Underpinningsmentioning

confidence: 99%

Development and Early Implementation ofThe Bigger Picture, a Youth-Targeted Public Health Literacy Campaign to Prevent Type 2 Diabetes

Rogers

Fine

Handley

et al. 2014

Journal of Health Communication

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The prevalence of Type 2 diabetes (DM2) is rapidly rising, especially among minority and low-income youth. There is an unmet need to engage youth in identifying solutions to reverse this trajectory. Social marketing campaigns and entertainment education are effective forms of health communication for engaging populations in health-promoting behaviors. Critical to curbing the epidemic is moving the diabetes conversation away from individual behavior alone and toward a socio-ecologic perspective using a public health literacy framework. We developed an academic-community partnership to develop, implement, and evaluate a DM2 prevention campaign targeting minority and low-income youth. The Bigger Picture uses hard-hitting, youth-generated “spoken-word” messages around key environmental and social drivers of the DM2 epidemic. Campaign goals included promoting health capacity and civic engagement. This paper focuses on the development and implementation of the campaign, including (a) rationale and theoretical underpinnings; (b) steps in campaign creation; (c) testing the campaign messaging; and (d) campaign dissemination and evaluation planning. A youth-created health communication campaign using a public health literacy framework with targeted, relevant, and compelling messaging appears to be a promising vehicle for reaching at-risk youth to increase knowledge of and attitudes about preventing DM2, change social norms, and motivate participation in health promotion initiatives.

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US Opinions on Health Determinants and Social Policy as Health Policy

Cited by 96 publications

References 33 publications

Prevalence and Framing of Health Disparities in Local Print News: Implications for Multilevel Interventions to Address Cancer Inequalities

Prevalence and Framing of Health Disparities in Local Print News: Implications for Multilevel Interventions to Address Cancer Inequalities

An Exploratory Analysis of Stream Teratogenicity and Human Health Using Zebrafish Whole-Sediment Toxicity Test

Development and Early Implementation ofThe Bigger Picture, a Youth-Targeted Public Health Literacy Campaign to Prevent Type 2 Diabetes

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