کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
7332599 | 1476035 | 2015 | 9 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Making the Blue Zones: Neoliberalism and nudges in public health promotion
ترجمه فارسی عنوان
ایجاد مناطق آبی: نئولیبرالیسم و جهش در ارتقای سلامت عمومی
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کلمات کلیدی
آیوا، نئولیبرالیسم، سلامت عمومی، ارتقاء سلامت، پدرخوانده آزادیخواه اثرات محل، حکومتداری،
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
سیاست های بهداشت و سلامت عمومی
چکیده انگلیسی
This paper evaluates the ideological and political origins of a place-based and commercial health promotion effort, the Blue Zones Project (BZP), launched in Iowa in 2011. Through critical discourse analysis, I argue that the BZP does reflect a neoliberalization of public health, but as an “actually existing neoliberalism” it emerges from a specific policy context, including dramatic health sector policy changes due to the national Affordable Care Act, also known as Obamacare; a media discourse of health crisis for an aging Midwestern population; and an effort to refashion Iowa cities as sites of healthy and active living, to retain and attract a creative class of young entrepreneurs. The BZP employs many well-known mechanisms of neoliberal governance: the public-private partnership; competition among communities for “public” funds; promotion of an apolitical discourse on individual responsibility and ownership of health; decentralizing governance to the “community” level; and marketing, branding, and corporate sponsorship of public projects. The BZP exemplifies the process of “neoliberal governmentality,” by which individuals learn to govern themselves and their “life projects” in line with a market-based rationality. However, with its emphasis on “nudging” individuals towards healthy behaviors through small changes in the local environment, the BZP reflects the rise of “libertarian paternalism,” a variant of neoliberalism, as a dominant ideology underlying contemporary health promotion efforts.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Social Science & Medicine - Volume 133, May 2015, Pages 374-382
Journal: Social Science & Medicine - Volume 133, May 2015, Pages 374-382
نویسندگان
Eric D. Carter,