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Framing a Public Discussion on the Social Determinants of Health
* * * * * * * * * Doug McAdam identifies six strategic hurdles that movements must be able to surmount if they are to achieve change: (1) attract new recruits, (2) sustain the morale and commitment of current adherents, (3) generate media coverage, (4) mobilize the support of bystander publics, (5) constrain the social control options of its opponents, and (6) ultimately shape public policy and state action. (3) In our opinion, issues advocates are often focused primarily upon goals 2 and 3, ignoring the importance of 1, 4 and 5 to the achievement of the primary goal of 6 * * * * * * * * * * * * * Results: Framing Grand debate and discussion on social class inequalities Poverty vs. The gradient Distinctive cultural toolkit Inequalities frame package Media corresponds to official concerns A linking mechanism SPIGS policymakers Did not alter lay perceptions Elite–level debates The Media and Framing By excluding or marginalizing other perspectives- notably a more political analysis of the origins of illness-as opposed to just the biomedical perspective- the media play a significant part in narrowing the public debate about health, illness, and society. Results: Framing Inequality, Health Government British Social Attitudes Survey since 1983 40% of coded solutions call on Govt. 48 frames identified- 20 on inequality Most frequently identified inequality frame: Government allocation of resources to address poverty and social inequality. Most frequently used catch phrases related to inequality were: “Division between rich and poor”; “gap between the rich and poor and/or reduce the income gap between the rich and poor; “health inequalities and/or health and inequalities”. Most frequently evoked image associated with inequality was: “Rich and poor divide”. National Familiarity with Poverty Inequality Extensive lay and scientific publications 95% of the news articles in the sample discussed, analyzed the results of, or invoked popular writings or schola
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