We invited the disease to come to us”
Neoliberal public health discourse and local understanding of non-communicable disease causation in Fiji
Datos Bibliográficos
| ID | 15294841 |
|---|---|
| Autores | Tarryn Phillips (0000-0003-4027-8667, La Trobe University, autor de correspondencia), Celia Mcmichael (0000-0002-4572-602X, The University of Melbourne), Michael O’keefe (0000-0001-8437-826X, La Trobe University) |
| Año | 2017 |
| Volumen | 28 |
| Número | 5 |
| Páginas | 560-572 |
| Fecha de publicación | 2017-05-26 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | Critical Public Health (JOURNAL) |
| Identificadores de la revista | ISSN: 0958-1596 • E-ISSN: 1469-3682 |
| Editorial | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/09581596.2017.1329521 |
| OpenAlex | W2617095671 |
| Idioma | EN |
| Citas recibidas | 10 |
| Referencias citadas | 34 |
Rates of non-communicable diseases (NCDs) are increasing globally, particularly amongst low- and middle-income countries. Critical public health scholars have argued that while political and socio-economic factors shape health outcomes within particular environments, neoliberal public health efforts tend to emphasise individual responsibility to avoid behavioural risks and ‘choose’ health. Yet there is little analysis of how these discourses about personal responsibility for NCDs are internalised, resisted or adapted by target populations in the Global South. This paper does so by examining local understandings of causal attribution for NCDs in Fiji. Data are drawn from qualitative research with outpatients, villagers and health care staff on the island of Ovalau (n = 68). Residents deem individual choices to be the principal cause of poor health outcomes. While they mention some social, historical and spiritual determinants of NCDs, community members have internalised a neoliberal governmentality, in which individuals are held morally accountable for preventing disease. Moreover, these messages about NCDs intersect with other discourses that promote personal responsibility in Fijian society – such as colonial legacies, traditional gender roles and Christianity. This local adaptation of neoliberalism reproduces historically entrenched stereotypes about Indigenous Fijians as irresponsible citizens, and obscures community recognition and response regarding the structural determinants of the NCD problem
Causation · Development economics · Economic growth · Economics · Governmentality · Indigenous · Moral responsibility · Neoliberalism (international relations · Non-communicable disease · Political economy · Political science · Politics · Public health · Sociology · Structural violence · Global Public Health Policies and Epidemiology · Law · Medicine · Obesity and Health Practices · Public Health Policies and Education
Exploring the Impact of Students Hostel Life on Academic Performance
Frayed Rope and Resilient Threads
Control, power, and responsibility
Under Pressure
Politiques du corps « sain » en contexte postcolonial
Identity, Connectedness, and Sexual Health in the Gay Sauna
Nutrition policy-making in Fiji
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The role of causal ideas in the governance of commercial determinants of health. A qualitative study of tobacco control in the pacific
The Everyday Politics of Risk
The Noodle Narratives
Use of mass media campaigns to change health behaviour
Patchy progress on obesity prevention
Strengthening of accountability systems to create healthy food environments and reduce global obesity
Guilt, Fear, Stigma and Knowledge Gaps
The double burden of neoliberalism? Noncommunicable disease policies and the global political economy of risk
Neoliberalization
Television, Disordered Eating, and Young Women in Fiji
International trade law, plain packaging and tobacco industry political activity
On the perils of invoking neoliberalism in public health critique
Neoliberalism, public health, and the moral perils of fatness
Neoliberal epidemics’ and public health
It’s not the government’s responsibility to get me out running 10 km four times a week’ - Norwegian men’s understandings of responsibility for health
Understanding health promotion in a neoliberal climate and the making of health conscious citizens
Obesity emergence in the Pacific islands
Governing through choice
Christian Politics in Oceania
The politics of non-communicable diseases in the global South
Governing at a distance
"Don't eat that, you'll get fat!" Exploring how parents and children conceptualise and frame messages about the causes and consequences of obesity
How do obese individuals perceive and respond to the different types of obesity stigma that they encounter in their daily lives? A qualitative study
Tuberculosis and syndemics
The Government of Self and Others
Christianity, Relationality and the Material Limits of Individualism
Chronicity and control
| Obras citantes distintas | 10 |
|---|---|
| Citas por año | 1,43 |
| Intervalo de citas | 2019 - 2026 (8) |
| Velocidad de citación | current |
| Altamente citado | No |
| Tipos de cita | Neutras: 10 |