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1.
Am J Public Health ; 112(12): 1692, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36383935
2.
Science ; 378(6617): 231, 2022 10 21.
Artigo em Inglês | MEDLINE | ID: mdl-36228020

RESUMO

When the advocacy group America's Frontline Doctors appeared on the steps of the United States Supreme Court in 2020, falsely stating that hydroxychloroquine was a cure for COVID-19, their pronouncement was virally shared by right-wing media and soundly debunked by medical academicians. A year later, one of these frontliners, Joseph Ladapo, became the surgeon general of Florida and a faculty member at the University of Florida College of Medicine. He has continued to spread dangerous misinformation about COVID-19 while his academic colleagues are shamefully silent.


Assuntos
Defesa do Consumidor , Docentes de Medicina , Hidroxicloroquina , Médicos , Humanos , Masculino , Florida , Hidroxicloroquina/uso terapêutico , Médicos/ética , Universidades , Defesa do Consumidor/ética , Comunicação , Docentes de Medicina/ética
3.
Washington, D.C.; OPS; 2022-07-20. (OPS/NMH/RF/22-0007).
em Espanhol | PAHO-IRIS | ID: phr-56167

RESUMO

Esta hoja informativa presenta los resultados del estudio llevado a cabo en El Salvador para identificar el mejor sistema de etiquetado en la parte frontal de los envases. Los consumidores expuestos al sistema de sellos octagonales de advertencia tomaron las mejores decisiones al elegir con mayor frecuencia comprar los productos alimentarios menos nocivos para la salud e identificar correctamente con mayor frecuencia los productos menos nocivos y la presencia de un exceso de nutrientes críticos. El estudio fue realizado por el Centro de Defensa del Consumidor de El Salvador y la Organización Panamericana de la Salud y supone una nueva contribución al conjunto de evidencias acumulado en Centroamérica y la Región de las Américas en esta materia.


Assuntos
Alimentos, Dieta e Nutrição , Fatores de Risco , Doença Crônica , Doenças não Transmissíveis , Rotulagem de Alimentos , Defesa do Consumidor , El Salvador
4.
Policy Polit Nurs Pract ; 23(3): 150-161, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35656783

RESUMO

Advocacy is an intentional act of influencing government and an important precondition for successful policy change in society. Drawing from an existing framework on policy influence, we propose an approach to quantifying the impact of policy influence efforts, specifically within the context of European Public Health (EPH) advocacy. The analysis hinges on the article "Moving from tokenism" which provides a starting point to conceptualize strategies to quantify impact. An exploratory case study approach allowed to integrate literature on advocacy evaluation in parallel with the internal documentation of a EPH advocacy organization We provide recommendations to advocacy organizations that aim to create an infrastructure towards quantifying the impact of their efforts. The framework is mostly tailored to the needs of EPH advocacy, but it can also have resonance beyond the scope of a specific sector.


Assuntos
Defesa do Consumidor , Política de Saúde , Humanos , Saúde Pública
5.
Health Policy Plan ; 37(8): 963-978, 2022 Sep 13.
Artigo em Inglês | MEDLINE | ID: mdl-35482483

RESUMO

Advocacy organizations have played a significant role in the field of nutrition in recent years. However, why are some advocates viewed as more effective than others? This paper derives metrics for assessing advocacy efficacy by first drawing on key insights from the nutrition and public policy scholarship. A set of metrics is proposed to capture the constitutive elements of three concepts that often emerge as critical from that literature: organizational capacity, strong networks and external outreach. Based on a survey of 66 nutrition stakeholders in Nigeria, including at the federal level and within the states of Kaduna and Kano, the metrics are then applied to a set of advocacy organizations within the country. We show that the metrics can provide insights into why some advocacy organizations are perceived as more effective than others by policymakers. Specifically, we find that geographical reach, the share of budget allocated to advocacy, action plans with clear objectives, large networks that include government and non-governmental policy champions, multiple media and dissemination outputs and numerous training events collectively increase nutrition advocates' visibility to, and influence on, policymakers. Although the metrics are subject to further testing in other country settings and need to be interpreted based on a country's underlying policy system, they offer a useful starting point for more systematic, comparative advocacy analysis and learning within the nutrition field and beyond.


Assuntos
Política Nutricional , Organizações , Defesa do Consumidor , Governo , Humanos , Nigéria , Estado Nutricional
10.
Am J Public Health ; 112(2): 262-270, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-35080948

RESUMO

We explored how air quality management processes associated with Assembly Bill 617 (AB 617) in West Oakland, California, represent a shift in power relationships between government agencies and communities toward the goal of addressing legacies of environmental injustice. We drew from a statewide assessment of community engagement in AB 617's first year, and an analysis of the West Oakland AB 617 process. The first comprised 2 statewide surveys (n = 102 and n = 106), 70 key informant interviews, observation of all AB 617 first-year sites, and analysis of related planning documents. The second comprised 2 rounds of interviews (n = 22 and n = 23, with a total of 19 individuals) and extensive participant observation. Several factors are necessary for pursuing environmental justice: (1) invest in community partnerships and collaborations, (2) honor community knowledge and data, (3) ensure that community constituents share power in environmental governance, and (4) adopt explicit racial justice frameworks. Although still a work in progress, AB 617 offers important lessons for community and policy organizations nationwide engaged in environmental justice. (Am J Public Health. 2022;112(2):262-270. https://doi.org/10.2105/AJPH.2021.306592).


Assuntos
Conservação dos Recursos Naturais/legislação & jurisprudência , Exposição Ambiental/legislação & jurisprudência , Política Ambiental/legislação & jurisprudência , Política de Saúde/legislação & jurisprudência , Poluição do Ar/estatística & dados numéricos , California , Defesa do Consumidor/legislação & jurisprudência , Humanos
11.
Am J Surg ; 223(1): 194-200, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34588129

RESUMO

BACKGROUND: Despite the importance of social justice advocacy, surgeon attitudes toward individual involvement vary. We hypothesized that the majority of surgeons in this study, regardless of gender or training level, believe that surgeons should be involved in social justice movements. METHODS: A survey was distributed to surgical faculty and trainees at three academic tertiary care centers. Participation was anonymous with 123 respondents. Chi-square and Fisher's exact test were used for analysis with significance accepted when p < 0.05. Thematic analysis was performed on free responses. RESULTS: The response rate was 46%. Compared to men, women were more likely to state that surgeons should be involved (86% vs 64%, p = 0.01) and were personally involved in social justice advocacy (86% vs 51%, p = 0.0002). Social justice issues reported as most important to surgeons differed significantly by gender (p = 0.008). Generated themes for why certain types of advocacy involvement were inappropriate were personal choices, professionalism and relationships. CONCLUSIONS: Social justice advocacy is important to most surgeons in this study, especially women. This emphasizes the need to incorporate advocacy into surgical practice.


Assuntos
Defesa do Consumidor/psicologia , Justiça Social/psicologia , Cirurgiões/psicologia , Centros Médicos Acadêmicos/estatística & dados numéricos , Adulto , Idoso , Atitude do Pessoal de Saúde , Defesa do Consumidor/estatística & dados numéricos , Docentes de Medicina/psicologia , Docentes de Medicina/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Fatores Sexuais , Justiça Social/estatística & dados numéricos , Cirurgiões/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos , Centros de Atenção Terciária/estatística & dados numéricos , Adulto Jovem
13.
Int J Public Health ; 66: 1604036, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34707472

RESUMO

Objectives: Many countries recently approved a number of SARS-CoV-2 vaccines. There is therefore growing optimism around the world about their future availability and effectiveness. However, supplies are likely to be limited and restricted to certain categories of individuals, at least initially. Thus, governments have suggested prioritization schemes to allocate such limited supplies. The majority of such schemes are said to be developed to safeguard the weakest sections of society; that is, healthcare personnel and the elderly. Methods: In this work, we analyse three case studies (incarcerated people; homeless people, asylum seekers and undocumented migrants). We propose a bioethical argument that frames the discussion by describing the salient facts about each of the three populations and then argue that these characteristics entail inclusion and prioritization in the queue for vaccination in their country of residence. Results: Through an analysis informed by ethical considerations revolving around the concepts of fairness and equality, we try to raise awareness of these important issues among decision makers. Conclusion: Our goal is to advocate for the development of more inclusive policies and frameworks in SARS-CoV-2 vaccine allocation and, in general, in all scenarios in which there is a shortage of optimal care and treatments.


Assuntos
Vacinas contra COVID-19 , COVID-19 , Defesa do Consumidor , Alocação de Recursos para a Atenção à Saúde , Populações Vulneráveis , Idoso , COVID-19/epidemiologia , COVID-19/prevenção & controle , Vacinas contra COVID-19/administração & dosagem , Vacinas contra COVID-19/provisão & distribuição , Alocação de Recursos para a Atenção à Saúde/organização & administração , Humanos , Refugiados , Marginalização Social , Vacinação
14.
Health Res Policy Syst ; 19(1): 100, 2021 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-34266477

RESUMO

BACKGROUND: Public health advocacy strategies facilitate policy change by bringing key health issues to the forefront of public and political discourse, influencing decision-makers and public opinion, and increasing policy demand. The Victorian Salt Reduction Partnership (VSRP) was established in 2014 in response to inadequate government action to improve population diets in Australia. This study aimed to evaluate the success of the VSRP's advocacy strategy in achieving policy change. METHODS: Documentation of VSRP activities and outputs were collected, and semi-structured interviews conducted as part of a comprehensive process evaluation. For this study, the Kotter Plus 10-step public health advocacy evaluation framework was used to guide data extraction, analysis, and synthesis. RESULTS: A sense of urgency for salt reduction was generated by producing evidence and outlining the potential impact of a state-based salt reduction programme. This enabled the creation of a coalition with diverse skills and expertise, which facilitated the development of an innovative and collaborative advocacy action plan. A clear change vision was established, but communication of the vision to decision-makers was lacking, which reduced the impact of the programme as decision-makers were not provided with a clear incentive for policy change. As a result, while programme outputs were achieved, these did not translate to achieving broader strategic goals during a limited-term intervention in a political climate unconcerned with salt. CONCLUSIONS: The Kotter Plus 10-step framework was a useful tool for evaluating the success of the VSRP advocacy strategy. The framework enabled the identification of key strengths, including the creation of the guiding coalition, and areas where efforts could be improved in future similar strategies, such as effective communication within partnerships and to decision-makers, to better influence policy and improve public health impact.


Assuntos
Defesa do Consumidor , Política de Saúde , Austrália , Humanos , Formulação de Políticas , Saúde Pública
15.
J Aging Stud ; 57: 100938, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34083005

RESUMO

While the government responses to the COVID-19 pandemic have varied across the globe, there has been a unifying cry from academia and public health professionals warning of the detrimental effects of attaching our understanding of this new threat to our already ageist attitudes. What is inescapable is that COVID-19 has an age-related risk component and the latest data shows that risks start to rise for people from midlife onwards. As governance agencies, professional practice, and academia work towards assessing, communicating, and addressing this risk, we ask: are existing gerontological conceptualisations of ageism appropriate for this exceptional situation and what is being (re)produced in terms of an aged subjectivity? Following van Dyk's (2016) critique of gerontology's 'othering' through both 'glorification' (third age) and 'abjection' (fourth age), a content analysis of statements and policy documents issued in response to COVID-19 provides evidence of well-meaning and inadvertent ageism through homogenizing language, the abjection/glorification binary within 'old age', and the power binary constructed between age and an age-neutral midlife. The paper concludes with reflections on future directions for ageism research beyond COVID-19.


Assuntos
Etarismo/psicologia , Etarismo/estatística & dados numéricos , COVID-19/psicologia , Defesa do Consumidor/psicologia , Defesa do Consumidor/estatística & dados numéricos , Geriatria , Idoso , Humanos , Pandemias , SARS-CoV-2
18.
J Health Commun ; 26(4): 281-288, 2021 04 03.
Artigo em Inglês | MEDLINE | ID: mdl-34010112

RESUMO

U.S. Latinos are 1.5 times more likely to develop Alzheimer's disease (AD) than non-Latino Whites. To raise awareness of and action around this rising public health issue, Salud America!, a national Latino health advocacy network, organized three #SaludTues tweetchats on Twitter between 2018 and 2020. For the three Alzheimer's tweetchats ─Aug. 14, 2018, June 6, 2019, and Oct. 6, 2020─Salud America! partnered with global groups that advocate for AD solutions in Latino and other communities. We analyzed the three tweetchats' #Saludtues hashtag usage, participant demographics, and other metrics using Symplur analytics software. For the first tweetchat in 2018, there were 579 tweets with a total of 3.89 million impressions; the second tweetchat in 2019 had a bigger impact with 704 tweets with 5.72 million impressions; the third tweetchat had the biggest impact with 932 tweets and 6.62 million impressions. Most tweetchat participants were from states with large Latino populations, and most tweets indicated positive sentiment related to increasing awareness of solutions to AD issues among Latinos. The three Alzheimer's-focused #SaludTues tweetchats particularly served as unique testing grounds for the fast dissemination and increasingly exposed many people to the issue of AD and the need to advocate for the Latino community.


Assuntos
Doença de Alzheimer/etnologia , Promoção da Saúde/métodos , Hispânico ou Latino/psicologia , Mídias Sociais , Defesa do Consumidor , Conhecimentos, Atitudes e Prática em Saúde/etnologia , Humanos , Estudos Retrospectivos , Estados Unidos
20.
Health Promot Pract ; 22(3): 293-294, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33899525
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