Examining Indigenous perspectives on the health implications of large‐scale agriculture in Jalisco,Mexico

In Mexico, as in many other parts of the world, industrial agriculture is dramatically changing rural landscapes and altering relationships with the land. This paper draws on community‐based research from a collaborative international research project that examined the perceived health implications of the agricultural industry for Indigenous peoples in the state of Jalisco, Mexico. Thirty interviews were conducted in a Nahuas community experiencing expanding agribusiness industries. The results of this study show that the implications of export‐oriented agricultural industry for this Nahuas community are complex and, at times, contradictory: employment in the agricultural industry provides community members with much‐needed sources of income, but it is precarious work. At the same time, community members are concerned about the long‐term health and environmental implications, such as increased exposure to chemicals, depletion of the soil and water, and loss of traditional food and lifeways. These results suggest that to better understand the costs and benefits of large‐scale agriculture for Indigenous health, a broad lens of health that is situated in the context of colonial legacies and the particularities of relationships with the land is required.     

Linking land displacement and environmental dispossession to Mi'kmaw health and well‐being: Culturally relevant place‐based interpretive frameworks matter

For over five decades, Pictou Landing First Nation, a small Mi'kmaw community on the northern shore of Nova Scotia, has been told that the health of its community is not impacted by a pulp and paper mill pouring 85 million litres of effluent per day into a lagoon that was once a culturally significant place known as “A'se'k,” and which borders the community. Based on lived experience, the community knows otherwise. Despite countless government‐ and industry‐sponsored studies indicating the mill's pollutants are merely “nuisance” impacts and harmless, the community's concerns have not gone away. Using a “Piktukowaq” (Mi'kmaw) environmental health research framework to guide the interpretation of oral histories coming from the Knowledge Holders in Pictou Landing First Nation, we convey the deep, health‐enhancing relationship with A'se'k that the Piktukowaq enjoyed before it was destroyed, and the health suppression that has occurred since then. Conducting the research using a culturally relevant place‐based interpretive framework has demonstrated the absolute necessity of this kind of approach where Indigenous communities are concerned, particularly those facing health impacts vis‐à‐vis land displacement and environmental dispossession.     

Private Citizens as Policy Entrepreneurs: Evidence from Autism Mandates and Parental Political Mobilization

Growing bodies of research in the social sciences point to politicians, bureaucratic officials, interest groups, and other actors who serve as policy entrepreneurs. In this paper, we argue that private citizens can also serve a primary role as policy entrepreneurs. To analyze this phenomenon, we investigate the behavior of private citizens and their role in changing state policies surrounding insurance mandates for autism coverage. Using a thematic analysis of focus groups and interviews conducted with individuals active in the push for autism policy change, we demonstrate that private citizens meet all of the requirements identified for policy entrepreneurs in the existing literature. We then investigate when, why, and how these private citizens step forward into the policy process as entrepreneurs. We show that entrepreneurship occurs when private citizens have needed resources, a sense of duty to fix a policy status quo they see as unjust, and a stake in policy change. We conclude by discussing the importance of our findings to the study of public policy and their generalizability beyond autism policy.     

Interaction during mental health floating support home visits: managing host–guest and professional–client identities in home-spaces

Mental health work has been transformed by ‘shifting geographies of care’ from institutions to care in communities, in particular by the emergence of support located within home-spaces. This article studies a floating support service targeted at people with mental health problems and contributes to research on post-institution and home care geographies. The data contain 17 audio-recorded home visits conducted by professional care workers. An ethnomethodological analysis informed by geographies of care in home-spaces shows how the home as a material space has consequences for conversations and the relations between the service users and workers. The parties orient to two relational and shifting identity pairs in their ‘home-space talk’: a host–guest pair (social call talk) and a professional–client pair (targeted intervention talk). Professional–client pair dominates, and in this sense floating support produces institutionalization of home-spaces. However, social call talk that enables service users to act as hosts governing their home-spaces has important functions. Orientations to hosts and guests create symmetry and trust among the parties that encourages recovery promoting interaction. The article also demonstrates the applicability of the methods developed in the geographies of mental health and home in the ethnomethodological interaction analysis, and the other way round.     

Feeling,caring, measuring,knowing: the relational co-construction of parenting knowledges

Parenting practices, including the maintenance of a child with a healthy body weight are subject to normative and institutional regulation. This paper explores the specific practices of parenting in line with this regulation in relation to the creation and maintenance of knowledge, focussing on how parents come to know their child as healthy. Drawing on examples in which parents discussed their experiences of parenting in light of their understandings of ‘obesity’, these illustrate differentially constituted parenting ontologies which challenge the idea of a singular correct way to parent. This paper foregrounds the ways in which embodied knowledge may be constituted and enacted not only in and of a parent's own body but also through, alongside, and together with, the bodies of their child(ren). This is not to move away from embodied knowledge that centres on the self, but to highlight the relational and co-constitutive characteristics of embodied knowledges that arise through parenting.     

An examination of the impact of neighbourhood walking environments on the likelihood of residents of dense urban areas becoming overweight or obese

With the development of urbanization in China, obesity is becoming a serious problem, and the relationship between walking environments and obesity has attracted considerable interest. Using data from questionnaires (n = 418) gathered in 2017 from eight neighbourhoods in Guangzhou, China, a typical high-density city, this study developed an Ordered Logit Model (OLM) to explore the effects of walking environments on the likelihood of residents becoming overweight or obese. The results demonstrate that body mass index (BMI) of individuals living in central urban areas is higher than those of suburban residents. After controlling for the effects of socio-economic factors, it was found that the impact of walking environments at the scale of 1-km buffer on individual BMI is the most significant. Variables of walkability, road network density, bus stop density, metro stop density, green coverage rate, and distance to the park have negative effects on BMI. Based on these findings, it is suggested that planning interventions should focus more on the areas through which residents walk in their daily travel routines. The selection of neighbourhoods surveyed and the sample size limit this study, but the conclusions do provide a scientific basis for the construction of neighbourhoods that encourage walking and decrease the probability of becoming overweight or obese.     

Standing in Line When Queues Are on the Decline: Services Satisfaction Following the Swedish Health Care Waiting Time Guarantee

Understanding mass public support for health systems and welfare polices is required in order to safeguard the legitimacy of democratic governance of the welfare state. If policies to meet dissatisfaction go unnoticed, the whole idea of responsive democracy is in vain. This paper focuses on the 2005 Swedish health care waiting-time guarantee, which resulted in drastically lower hospital waiting times in Västra Götaland County. Exploring questions of significant theoretical relevance in the literature about policy feedback effects, the paper investigates if the decrease in waiting times affected hospital service satisfaction and if this effect was moderated by policy proximity and visibility. Data from the West Sweden SOM survey are utilized, measuring hospital service satisfaction from 2004 to 2009. To disentangle the role of policy proximity, two indicators are used—user status and subjective health status. Furthermore, policy visibility is measured by an individual’s level of political interest. The results show that the decrease in waiting times resulted in a substantial increase in hospital service satisfaction. However, the increase was not more pronounced among groups with higher proximity and visibility. On the contrary, results indicate that the increase in hospital service satisfaction was stronger among those already in good health.     

Epilogue: Homegrown in PNG — Rural Responses to HIV and AIDS

ABSTRACT A three‐years‐long, multi‐sited, multi‐method study conducted throughout Papua New Guinea by the Institute of Medical Research revealed a staggering prevalence of sexually transmitted disease (STD) that threatens an already fragile political‐economy and health services delivery system. Logistics, methodological complexities, and political and especially religious sensitivities hampered conduct of such research. Extremely little HIV social research has been allowed to inform interventions or serosurveillance protocols. Well‐ intended but ill‐conceived international initiatives have promoted a normative AIDS paradigm that misconstrues HIV transmission risk, incites greater fear, increases stigma, and promotes anti‐condom rhetoric. This collection ‘HIV/AIDS in Rural Papua New Guinea’ presents a sustained series of ethnographically based accounts of rural responses. In this epilogue I situate the importance of those responses in a discussion of the great divide between the lived realities of HIV infection and AIDS related suffering on the one hand, and the discursive practices and policies of media, public health, international donors and NGOs on the other.     

Bioarchaeology: The Lives and Lifestyles of Past People

Skeletons represent the most direct evidence of the biology of past populations, and their study provides insight into health and well-being, dietary history, lifestyle (activity), violence and trauma, ancestry, and demography. These areas help inform our understanding of a range of issues, such as the causes and consequences of adaptive shifts in the past (e.g., foraging to farming, sedentarism), the biological impact of invasion and colonization, differential access to food and other resources (e.g., by gender or status), and conflict and warfare. Central to bioarchaeological inquiry are the interaction between biology and behavior and the role of environment on health and lifestyle. Bioarchaeological analysis has traditionally focused on local settings. However, important perspective on general questions of human adaptation is possible both regionally and globally.