The emergence of the social determinants of health on the policy agenda in Britain: A case study, 1980--2003

Numerous theories have been advanced in the effort to explain how a given policy issue manages to take root in the public sphere and subsequently move forward on the public legislative agenda—or not. This study examined how the social determinants of health (SDOH) came to be part of the legislative policy agenda in Britain from 1980 to 2003. ^ The specific objectives of the research were: (1) to conduct a sociopolitical analysis grounded in alternative agenda-setting theories to identify the factors responsible for moving the social determinants health perspective onto the British policy agenda; and (2) to determine which of the theories and related dimensions best accounted for the emergence of this perspective. ^ A triangulated content and context analysis of British news articles, historical accounts, and research commentaries of the SDOH movement was conducted guided by relevant agenda-setting theories set within a social movement framework to chronicle the emergence of the SDOH as a significant policy issue in Britain. ^ The most influential social movement and agenda setting elements in the emergence of the SDOH in Britain were issue generation tactics, framing efforts, mobilizing structures, and political opportunities grounded in social movement and agenda setting theories. Policy content or the details of the policy had comparatively little impact on the successful emergence of the SDOH. Despite resistance by the government, from 1980 to 1996 interest groups created a political understanding of the SDOH utilizing a framing package encompassing notions of inequality, fairness, and justice. This frame transmitted a powerful idea connected to a core set of British values and beliefs. After 1996, a shift in political opportunities cemented the institutional arrangements needed to sustain an environment conducive to the development and implementation of SDOH policies and programs. ^ This research demonstrates that the U.S. emergence of the SDOH on the policy agenda will depend upon: (1) U.S. ideals and values regarding poverty, inequality, race, health, and health care that will determine issue framing; (2) political opportunities that will emerge—or not—to advance the SDOH policy agenda; and (3) the mobilizing structures that support or oppose the issue. ^

Culture and the social context of health inequalities

There has been a great deal of interest and debate recently concerning the linkages between inequality and health cross-nationally. Exposures to social and health inequalities likely vary as a consequence of different cultural contexts. It is important to guide research by a theoretical perspective that includes cultural and social contexts cross-nationally. If inequality affects health only under specific cultural conditions, this could explain why some of the literature that compares different societies finds no evidence of a relationship between inequality and health in certain countries. A theoretical framework is presented that combines sociological theory with constructs from cultural psychology in order to identify pathways that might lead from cultural dimensions to health inequalities. Three analyses are carried out. The first analysis explores whether there is a relationship between cultural dimensions at the societal level and self-rated health at the individual level. The findings suggest that different cultural norms at the societal level can produce both social and health inequalities, but the effects on health may differ depending on the socio-cultural context. The second analysis tests the hypothesis that health is affected by the density of social networks in a society, levels of societal trust, and inequality. The results suggest that commonly used measures of social cohesion and inequality may have both contextual and compositional effects on health in a large number of countries, and that societal measures of social cohesion and inequality interact with individual measures of social participation, trust, and income, moderating their effects on health. The third analysis explores whether value systems associated with vertical individualist societies may lead to health disparities because of their stigmatizing effects. I test the hypothesis that, within vertical individualist societies, subjective well-being will be affected by a social context where competition and the Protestant work ethic are valued, mediated by inequality. The hypothesis was not supported by the available cross-national data, most likely because of inadequate measures, missing data, and the small sample of vertical individualist countries. The overall findings demonstrate that cultural differences are important contextual factors that should not be overlooked when examining the causes of health inequalities. ^

The social construction of infant mortality: From grassroots to medicalization

Infant mortality as a problematic situation has been recognized for some 130 years in one form or another. It has undergone various changes in its empirical dimensions relative to whom we study within the population, what we study--low birth-weight vs. pre-term births--and how we study it--whether demographically or medically. An analysis of the process by which the condition was raised by claims makers as an intolerable situation among America's urban residents reveals that demographic and medical data were sparse. Nonetheless, a judgement about the meaning and significance of the condition was made, and that interpretation led to the promulgation of systems to both document and address the condition as it has come to be defined.^ This investigation depicts the historical context and natural history of infant mortality as one of a number of social problems that came to be defined through the interplay among groups and individuals making claims and how their claims came to the public policy agenda as worthy of collective resources--who won, who lost and why. The process of social definition focuses attention on the claims makers and the ways they contrast the meaning, origins and remedies for this troubling condition. The historical context becomes the frame of reference for understanding the actions of the claims makers and the meaning and significance they attached to the problem.^ We purport that "context" provides a closer reality than disjoined "value free" accounts. Context provides the evidence for the definition, who participated in the process, why and by what means.^ The role of women in the definitional process reveals the differences in approaches utilized by the women of the settlement house reform movement and African-American women working at the grass-roots. Much of the work done by these two groups provided options to the problem's remedy; however, their differences paved the way to our current (principally medically-oriented) definition and its inherent limitations. ^

THE LOGIC OF NOMINAL RECORD LINKAGE WITH A CASE STUDY FROM LAREDO, TEXAS

The Laredo Epidemiology Project is a study of the patterns of degenerative disease, particularly cancer, in the families of Laredo, Texas. The genealogical history of Laredo was reconstructed by the grouping of 350,000 individual church and civil vital event records into multi-generational families, with record linkage based on matching names. Mortality data from death records are mapped onto these pedigrees for analysis. This dissertation describes the construction of the data base and the logic upon which decisions were based. ^

Social views of distant university

"La sociedad tiende a fundarse cada vez más en el conocimiento", expresaba la Conferencia Mundial sobre Educación Superior (París, 1998). "Por consiguiente -concluía- la educación superior ha de emprender la renovación más radical que jamás haya tenido por delante...". Hoy sólo el 1% de la humanidad accede a la Universidad, durante un período de su vida. El desafío que enfrentamos es que pueda acceder el 99% restante, durante toda su vida. Sostenemos que la plataforma de comunicación y las tecnologías para el perfil que asumirá la universidad en el nuevo siglo ya existen y se desenvolverán aceleradamente en la próxima década...

La lógica social del boxeo en el Chicago negro. Hacia una sociología del boxeo

Este artículo es dedicado a la memoria de Aaron, jovencito español y amigo del gimnasio, a quien el ring no lo salvó de los peligros de la calle. Este trabajo se benefició de las respuestas, los comentarios críticos y el aliento de una serie de colegas, entre los cuales se encuentran Pierre Bourdieu, Rogers Brubaker, Dan Chambliss, S. Lynn Chancer, Rick Fantasia, Harvey Molotch, Bill Wilson, y los miembros del Centro de Sociología Europea en París. También agradezco a mis colegas de la "la dulce ciencia", que me enseñaron mucho más que a lanzar gancho de izquierda, y a mi familia y amigos que me apoyaron moralmente durante este extenuante proyecto (con mención especial para Elizabeth Bonamour du Tartre, una importante asistente en el lugar). Esta investigación fue posible en parte por el apoyo financiero de la Maison des sciences de l'homme, un Lavoisier Fellowship del Gobierno Francés y la Fundación Milton de la Universidad de Harvard.

La lógica social del boxeo en el Chicago negro. Hacia una sociología del boxeo

Este artículo es dedicado a la memoria de Aaron, jovencito español y amigo del gimnasio, a quien el ring no lo salvó de los peligros de la calle. Este trabajo se benefició de las respuestas, los comentarios críticos y el aliento de una serie de colegas, entre los cuales se encuentran Pierre Bourdieu, Rogers Brubaker, Dan Chambliss, S. Lynn Chancer, Rick Fantasia, Harvey Molotch, Bill Wilson, y los miembros del Centro de Sociología Europea en París. También agradezco a mis colegas de la "la dulce ciencia", que me enseñaron mucho más que a lanzar gancho de izquierda, y a mi familia y amigos que me apoyaron moralmente durante este extenuante proyecto (con mención especial para Elizabeth Bonamour du Tartre, una importante asistente en el lugar). Esta investigación fue posible en parte por el apoyo financiero de la Maison des sciences de l'homme, un Lavoisier Fellowship del Gobierno Francés y la Fundación Milton de la Universidad de Harvard.

La lógica social del boxeo en el Chicago negro. Hacia una sociología del boxeo

Este artículo es dedicado a la memoria de Aaron, jovencito español y amigo del gimnasio, a quien el ring no lo salvó de los peligros de la calle. Este trabajo se benefició de las respuestas, los comentarios críticos y el aliento de una serie de colegas, entre los cuales se encuentran Pierre Bourdieu, Rogers Brubaker, Dan Chambliss, S. Lynn Chancer, Rick Fantasia, Harvey Molotch, Bill Wilson, y los miembros del Centro de Sociología Europea en París. También agradezco a mis colegas de la "la dulce ciencia", que me enseñaron mucho más que a lanzar gancho de izquierda, y a mi familia y amigos que me apoyaron moralmente durante este extenuante proyecto (con mención especial para Elizabeth Bonamour du Tartre, una importante asistente en el lugar). Esta investigación fue posible en parte por el apoyo financiero de la Maison des sciences de l'homme, un Lavoisier Fellowship del Gobierno Francés y la Fundación Milton de la Universidad de Harvard.

Q method factor analysis of stakeholder social perspectives of the effectiveness of Environmental Impact Assessment public participation in the Western Cape, South Africa

Public participation is an integral part of Environmental Impact Assessment (EIA), and as such, has been incorporated into regulatory norms. Assessment of the effectiveness of public participation has remained elusive however. This is partly due to the difficulty in identifying appropriate effectiveness criteria. This research uses Q methodology to discover and analyze stakeholder's social perspectives of the effectiveness of EIAs in the Western Cape, South Africa. It considers two case studies (Main Road and Saldanha Bay EIAs) for contextual participant perspectives of the effectiveness based on their experience. It further considers the more general opinion of provincial consent regulator staff at the Department of Environmental Affairs and the Department of Planning (DEA&DP). Two main themes of investigation are drawn from the South African National Environmental Management Act imperative for effectiveness: firstly, the participation procedure, and secondly, the stakeholder capabilities necessary for effective participation. Four theoretical frameworks drawn from planning, politics and EIA theory are adapted to public participation and used to triangulate the analysis and discussion of the revealed social perspectives. They consider citizen power in deliberation, Habermas' preconditions for the Ideal Speech Situation (ISS), a Foucauldian perspective of knowledge, power and politics, and a Capabilities Approach to public participation effectiveness. The empirical evidence from this research shows that the capacity and contextual constraints faced by participants demand the legislative imperatives for effective participation set out in the NEMA. The implementation of effective public participation has been shown to be a complex, dynamic and sometimes nebulous practice. The functional level of participant understanding of the process was found to be significantly wide-ranging with consequences of unequal and dissatisfied stakeholder engagements. Furthermore, the considerable variance of stakeholder capabilities in the South African social context, resulted in inequalities in deliberation. The social perspectives revealed significant differences in participant experience in terms of citizen power in deliberation. The ISS preconditions are highly contested in both the Saldanha EIA case study and the DEA&DP social perspectives. Only one Main Road EIA case study social perspective considered Foucault's notion of governmentality as a reality in EIA public participation. The freedom of control of ones environment, based on a Capabilities approach, is a highly contested notion. Although agreed with in principle, all of the social perspectives indicate that contextual and capacity realities constrain its realisation. This research has shown that Q method can be applied to EIA public participation in South Africa and, with the appropriate research or monitoring applications it could serve as a useful feedback tool to inform best practice public participation.

Exploring the logic of mobile search

After more than a decade of development work and hopes, the usage of mobile Internet has finally taken off. Now, we are witnessing the first signs of evidence of what might become the explosion of mobile content and applications that will be shaping the (mobile) Internet of the future. Similar to the wired Internet, search will become very relevant for the usage of mobile Internet. Current research on mobile search has applied a limited set of methodologies and has also generated a narrow outcome of meaningful results. This article covers new ground, exploring the use and visions of mobile search with a users' interview-based qualitative study. Its main conclusion builds upon the hypothesis that mobile search is sensitive to a mobile logic different than today's one. First, (advanced) users ask for accessing with their mobile devices the entire Internet, rather than subsections of it. Second, success is based on new added-value applications that exploit unique mobile functionalities. The authors interpret that such mobile logic involves fundamentally the use of personalised and context-based services.

Three decades of Space Activities at the Instituto Universitario de Microgravedad "Ignacio Da Riva" / Universidad Politécnica de Madrid (IDR/UPM) en History of Rocketry and Astronautics

Strictly speaking, space related activities at the Escuela Técnica Superior de Ingenieros Aeronáuticos (ETSIA) begun in 1973, when Prof. Ignacio Da Riva got a contract from the European Space Agency (ESA) to compile a handbook on spacecraft thermal control. By the same time, ESA issued an announcement of opportunities offering to the European scientific community the possibility of perform microgravity relevant experiments on board space platform like the European orbital laboratory Spacelab. Prof. Da Riva proposed one of the few selected experiments dealing with fluid physics under microgravity conditions, later flown on Spacelab-1 mission in 1983. These two events were the starting point where Prof. Da Riva, full professor of Aerodynamics at ETSIA, nucleated a small group of young professors and students located at the Laboratorio de Aerodinámica y Mecánica de Fluidos (LAMF) of ETSIA. Such group was leaded by Prof. Da Riva since its creation till 1991, when Prof. Da Riva died, and it was the seed of the more recently created research institute for aerospace science and technology named "Ignacio Da Riva" (IDR) in his honour. In this communication space related activities performed either at LAMF or IDR during the last three decades are briefly described.

Propellantless de orbiting of space debris by bare electrodynamic tethers

A 3-year Project started on November 1 2010, financed by the European Commision within the FP-7 Space Program, and aimed at developing an efficient de-orbit system that could be carried on board by future spacecraft launched into LEO, will be presented. The operational system will deploy a thin uninsulated tape-tether to collect electrons as a giant Langmuir probe, using no propellant/no power supply, and generating power on board. This project will involve free-fall tests, and laboratory hypervelocity-impact and tether-current tests, and design/Manufacturing of subsystems: interface elements, electric control and driving module, electron-ejecting plasma contactor, tether-deployment mechanism/end-mass, and tape samples. Preliminary results to be presented involve: i) devising criteria for sizing the three disparate tape dimensions, affecting mass, resistance, current-collection, magnetic self-field, and survivability against debris itself; ii) assessing the dynamical relevance of tether parameters in implementing control laws to limit oscillations in /off the orbital plane, where passive stability may be marginal; iii) deriving a law for bare-tape current from numerical simulations and chamber tests, taking into account ambient magnetic field, ion ram motion, and adiabatic electron trapping; iv) determining requirements on a year-dormant hollow cathode under long times/broad emission-range operation, and trading-off against use of electron thermal emission; v) determining requirements on magnetic components and power semiconductors for a control module that faces high voltage/power operation under mass/volume limitations; vi) assessing strategies to passively deploy a wide conductive tape that needs no retrieval, while avoiding jamming and ending at minimum libration; vii) evaluating the tape structure as regards conductive and dielectric materials, both lengthwise and in its cross-section, in particular to prevent arcing in triple-point junctions.

BETs: Propellant less de orbiting of space debris by bare electrodynamic tethers

As a fundamental contribution to limiting the increase of debris in the Space environment, a three-year project started on 1 November 2010 financed by the European Commission under the FP-7 Space Programme. It aims at developing a universal system to be carried on board future satellites launched into low Earth orbit (LEO), to allow de-orbiting at end of life. The operational system involves a conductive tape-tether left bare of insulation to establish anodic contact with the ambient plasma as a giant Langmuir probe. The project will size the three disparate dimensions of a tape for a selected de-orbit mission and determine scaling laws to allow system design for a general mission. It will implement control laws to restrain tether dynamics in/off the orbital plane; and will carry out plasma chamber measurements and numerical simulations of tether-plasma interaction. The project also involves the design and manufacturing of subsystems: electron-ejecting plasma contactors, an electric control and power module, interface elements, tether and deployment mechanisms, tether tape/end-mass as well as current collection plus free-fall, and hypervelocity impact tests.

AFRICA BUILD Portal: developing a social network of African health researchers and educators

One of the main outputs of the project is a collaborative platform which integrates a myriad of research and learning resources. This article presents the first prototype of this platform: the AFRICA BUILD Portal (ABP 1.0). The ABP is a Web 2.0 platform which facilitates the access, in a collaborative manner, to these resources. Through a usable web interface, the ABP has been designed to avoid, as much as possible, the connectivity problems of African institutions. In this paper, we suggest that the access to complex systems does not imply slow response rates, and that their development model guides the project to a natural technological transfer, adaptation and user acceptance. Finally, this platform aims to motivate research attitudes during the learning process and stimulate user?s collaborations.