Shaping a Healthier Generation: Successful State Strategies to Prevent Childhood Obesity

Provides an overview of the socioeconomic and environmental risk factors and costs of childhood obesity. Presents examples of state policies to prevent the epidemic by promoting healthy behaviors in child care, school, community, and healthcare settings

Delivering effective NHS services to our multiethnic population: collection and application of ethnic monitoring within primary care

Government health policy has emphasised the importance of understanding and tackling ethnic disparities in health and healthcare for at least four decades. Yorkshire & the Humber includes areas with large, well-established minority ethnic populations. In addition, most cities in the region, including those that have in the past been dominated by the White British majority, are now experiencing rapid migration. Persistent patterns of health disadvantage among established minority ethnic communities are now compounded by the differing health needs of new migrant populations. NHS organisations in Yorkshire & the Humber have begun to respond more systematically to the needs of minority ethnic groups. However, there is still progress to be made on establishing basic requirements for effective commissioning, including effective ethnic monitoring systems that provide high quality intelligence to commissioners, service managers and health professionals. While there are examples of innovation and good practice, there is significant variation across the region and a lack of sharing and learning between organisations. Here we report on a workshop that was convened by the Strategic Health Authority in June 2009 as a first step towards addressing this recognised area of need. The Workshop Chair was John Chuter, Chair of NHS Bradford & Airedale. The aims of the workshop were to: • Highlight the policy context and imperatives for ethnic monitoring. • Raise awareness of the current position with regard to ethnic monitoring and use of data in Yorkshire & the Humber. • Share emerging good practice. • Identify ways to move forward to improved ethnic monitoring across the region

Shaping a Healthier Generation: Healthy Kids, Healthy America State Profiles of Progress

Profiles states' efforts to advance childhood obesity prevention at the state level through childcare settings, policy prioritization, and school-based activities. Presents case studies of strategies, partnerships, and tools for coordinating policies

The Rise, Fall and Rise of the British Public Library Building

Focuses on recent developments and controversies surrounding public library buildings noting that despite predications of the death of the library due to the information revolution and the availability of digital resources, library buildings are attracting renewed attention and, generally, increased use. Suggests that the public library building may have an important role in the new local government philosophy of “place shaping”, and particularly in the “community engagement” agenda which is part of this approach. Explores the debate about the nature of the public library space and whether policies which emphasize the role of the public library as a welcoming community space run counter to many people's idea of the library building as a quiet place for silent contemplation and study. Suggests how public libraries may take forward the community engagement and user consultation agendas through use of the public library space, focusing particularly on the potential of reader and reading development activities for bringing people together and encouraging their contributions and ideas about public library services. Concludes with a discussion of how an emphasis on the role of the public library building in community engagement activities may impact on the ideals of community librarianship

E-government in the making: socio-economic development in the Akshaya project

This paper discusses the Akshaya E-Government project. The paper uses general concepts borrowed from actor network theory to discuss the ongoing negotiation that shapes E-Government projects. We aim at shedding light on the importance of the dynamic interactions that shape the impact of ICT on government polices. In particular, we show that the nature of the service delivered and the socioeconomical development supported by the project are constantly shaped by the negotiation that occurs among the different actors involved and the consequent changes the project itself experiences. We therefore suggest to study e-Government in its making and not as results of planned action and sequential evolutionary phases

Light me up: power and expertise in risk communication and policy-making in the e-cigarette health debates

This paper presents a detailed account of policy-making in a contemporary risk communication arena, where strong power dynamics are at play that have hitherto lacked theoretical analysis and empirical validation. Specifically, it expands on the understanding of how public health policy decisions are made when there is a weak evidential base and where multiple interpretations, power dynamics and values are brought to bear on issues of risk and uncertainty. The aim of the paper is to understand the role that power and expertise play in shaping public health risk communication within policy-related debates. By drawing on insight from a range of literatures, the paper argues that there several interacting factors that shape how a particular narrative gains prominence within a wider set of perspectives and how the arguments and findings associated with that perspective become amplified within the context of policy choices. These findings are conceptualised into a new model – a policy evaluation risk communication (PERC) framework – and are then tested using the Electronic cigarette debate as a case study

A multidisciplinary understanding of news: Comparing elite press framing of 9/11 in the US, Italy, France and Pakistan

Political Communications, International Communications, News Sociology, all claim to offer an explanation for what shapes the news, but provide extremely different, if not contradictory suggestions. Political communications almost takes for granted the fact that official actors have a major role in shaping news stories at the national level. International Communications points at several possibilities: structural economic imbalances lead to unidirectional news flows from rich countries towards poor countries; globalization causes news to become homogenised on a worldwide scale; news is geared to the tastes of local audiences by national news producers. News sociology, instead, argues that the news product of each media organization is the unique output of patterns of social interactions among media professionals. An international comparative study of the elite press framing of 9/11 in the US, Italy, France, and Pakistan reveals the limits of these approaches: none of them alone is able to explain the patterns of news contents that were detected in the empirical investigation.The analysis suggests that the content of press coverage in the newspapers under analysis is more effectively explained in terms of selection of newsworthy sources, guided by national interest, journalistic culture, and editorial policy. The study points to the benefit of adopting international comparative research designs and fundamentally argues that, if we want to explain news in the information age, we need to approach its study in a multidisciplinary perspective

'Conduct of Conduct' or the Shaping of 'Adequate Dispositions'?:Labour Market and Career Guidance in Four European Countries

International audienceIn this paper, we provide an analysis of the deployment of labour market and career guidance as an instrument of liberal governmental rationality, and hence as a key tool for shaping attitudes suitable for the labour market. We characterize such processes and their effects on both those in receipt of guidance and those delivering it, on the basis of a three-year study in France, Slovenia, Spain and the UK. This leads us to put forward the problematic character of the notion of 'conduct of conduct', especially owing to the conflation implied between adaptation to governmental ends and freedom. We suggest that Max Weber's categories for depicting active adaptation in bureaucratic capitalism provide a more grounded grasp of the processes involved, and that the radical distinction he establishes between adaptation and the possibility of conduct may provide a new basis for conceptualizing resistance to liberal governmental rationality

Road Pricing and Older People: Identifying Age-Specific Differences Between Older and Younger People's Attitudes, Social Norms and Pro-Social Value Orientations to Road Pricing.

The implementation of road pricing schemes is likely to be an inescapable measure in the future of managing road transport demand in highly congested environments. Since public acceptability is the ‘Holy Grail’ of charging policy-making, revealing the special attitudinal issues of older people may help the identification of some of the potential social dilemmas of road pricing. In an ageing society, where older people have a growing influence in politics in general, and potentially in the acceptability of road pricing in particular, their attitudes to road pricing are of particular interest because they face specific types of risk of transport-related social exclusion. Moreover, older people favour, more than any other age groups, what is positively valued for society – a process termed as ‘pro-social value orientation’. Hence in a transport context, older people may be more likely to express positive or negative attitudes to the acceptability of road pricing depending on whether they believe it would be good or bad for others, or society in general. Family and friends may also have a particular influence on older people’s evaluations about their intentions and choices - thus the importance of studying the influence of ‘social norms’ on older people’s attitudes to road pricing. The paper will develop a thorough theoretical and empirical understanding of these issues, based on the findings of a primarily quantitatively-assessed survey of 491 post-back responses combined with secondary data analysis. This will lead to the identification of age-specific differences of public attitudes to road pricing. All in all, some support is provided for the view that attitudes to road pricing do vary with age as pro-social value orientations, social norms and their influence on attitudes also do