Stephanie Diepeveen

Public acceptability of government intervention to change health-related behaviours: a systematic review and narrative synthesis

BackgroundGovernments can intervene to change health-related behaviours using various measures but are sensitive to public attitudes towards such interventions. This review describes public attitudes towards a range of policy interventions aimed at changing tobacco and alcohol use, diet, and physical activity, and the extent to which these attitudes vary with characteristics of (a) the targeted behaviour (b) the intervention and (c) the respondents.MethodsWe searched electronic databases and conducted a narrative synthesis of empirical studies that reported public attitudes in Europe, North America, Australia and New Zealand towards interventions relating to tobacco, alcohol, diet and physical activity. Two hundred studies met the inclusion criteria.ResultsOver half the studies (105/200, 53%) were conducted in North America, with the most common interventions relating to tobacco control (110/200, 55%), followed by alcohol (42/200, 21%), diet-related interventions (18/200, 9%), interventions targeting both diet and physical activity (18/200, 9%), and physical activity alone (3/200, 2%). Most studies used survey-based methods (160/200, 80%), and only ten used experimental designs.Acceptability varied as a function of: (a) the targeted behaviour, with more support observed for smoking-related interventions; (b) the type of intervention, with less intrusive interventions, those already implemented, and those targeting children and young people attracting most support; and (c) the characteristics of respondents, with support being highest in those not engaging in the targeted behaviour, and with women and older respondents being more likely to endorse more restrictive measures.ConclusionsPublic acceptability of government interventions to change behaviour is greatest for the least intrusive interventions, which are often the least effective, and for interventions targeting the behaviour of others, rather than the respondent him or herself. Experimental studies are needed to assess how the presentation of the problem and the benefits of intervention might increase acceptability for those interventions which are more effective but currently less acceptable.

International comparative performance of mental health research, 1980-2011.

Scientific understanding of mental illness, mental health and their neurobiological and psychosocial underpinnings has greatly increased in the last three decades. Yet, little is known about the landscape of this knowledge and how and where it is evolving. This paper provides a bibliometric assessment of mental health research (MHR) outputs from 1980 to 2011. MHR papers were retrieved using three strategies: from key mental health journals; using US National Library of Medicine Medical Subject Heading (MeSH) keywords; and from additional journals in which mental health topics accounted for over 75% of papers. The number of papers per year increased over time in absolute terms and as a proportion of total medical output. The USs proportion of world publication output dropped from 60% in 1980 to 42% in 2011, while the EU increased its share from 27% to 40%. Countries with greater research intensity in mental health generally had higher citation impact, such as the US, UK, Canada and the Netherlands. MHR also became more collaborative: 3% of all MHR papers published in 1980 were the result of international collaboration compared to 22% in 2011. We conclude by noting that the rise in MHR appears to be due to funding and that bibliometrics can help highlight the potential drivers of variation in performance of MHR systems. The paper provides an analytical basis for benchmarking MHR trends in the future.

The Power of the “Audience-Public”: Interactive Radio in Africa

Scholars of media and politics mostly recognise that audiences and publics are constructed, but fall short of explaining precisely how their indeterminate and imagined nature can be the basis of their political significance. Interactive broadcast media provides a valuable empirical lens for inquiring into why this may be case. The convergence of newer digital communication technologies with more established radio and television broadcasts is shifting opportunities for news media to affect citizen-state relations. These possibilities are pronounced on the African continent, where mobile telephony and increasingly plural media landscapes have given rise to popular and widespread interactive talk shows. The involvement of audience voices alters the nature of the media space where political communication happens. Through a comparative study of interactive shows in Zambia and Kenya, this article interrogates what audience participation means for the political nature and possibilities of the interactive radio and TV broadcast. Ict shows how the indeterminate audience is the basis for competing ideas about power, authority, and citizenship among the different participants in the show, including politicians, media professionals, and audience members. The power of the “audience-public,” brought into being through the interactive broadcast, it is argued, arises from in-between these participants in public discussion, who each invest in multiple and competing imaginaries of the elusive audience in pursuit of diverse ends.

The power of publics: competing imaginaries of the radio audience in Kenya and Zambia

With the liberalisation of the airwaves and the rising use of mobile phones since the 2000s, calland text-in shows have become popular and lively features on broadcast media in Eastern Africa. Amidst expanding possibilities for listeners to speak and contribute to live radio broadcasts, new ways of imagining the position of the audience emerge. The audience is not simply comprised of passive listeners of publicly broadcast information, but actively engaged in contributing and reacting to what is aired. Yet the nature and political potential of the ‘audience-public’ is not straightforward. Interactive radio and TV shows are not just introducing specific audience members into the discussion, but who they are, what they represent, their influence and contribution to the space are uncertain. As audience members engage, those who manage and shape the broadcast must imagine, interpret and respond. Each participant in the discussion –whether listening, or involved in the station – producing, hosting, etc. – must come to terms with the nature of the interaction, Who is engaged? How should they respond? What are their reasons for being engaged and how might the introduction of this indeterminate audience-public relate to their intentions? Given the plurality of subjectivities, information, roles and intentions of those involved, the audience and why it matters can be imagined in multiple and competing ways. This paper interrogates how different actors involved in the radio broadcast imagine and respond to audience participation, and how these imaginaries become politically significant. This paper draws predominantly on interview and observation data on the perspectives of station hosts, guests and frequent callers of selected media houses and interactive broadcast shows in Zambia and Kenya. It examines the dynamic, plural and conflicting ways in which the audience is being reconstructed as an active ‘public’. In so doing, it shows the centrality of the imagined audience in the construction of the broadcast as a ‘public’, specifically how the indeterminate audience becomes the basis for competing imaginaries about power, authority and belonging. The political significance of the ‘audience-public’, it is argued, lies in the very fact that multiple and competing imaginaries are at play, which are invested in by actors pursuing diverse ends and thereby create tangible political effects.

Politics in everyday Kenyan street-life: the people’s parliament in Mombasa, Kenya

ABSTRACTThe presence of politics in everyday experiences – popular arts, culture and dialogue – is not new to the study of politics in Africa. Yet, most often, attention to political possibilities in the everyday appears preoccupied with their relationship to rule and authority, making it difficult to imagine political significance outside of an influence on forms of dominance. Hannah Arendt’s early political thought provides an alternative way to imagine politics in everyday publics by separating politics from rule and locating it in public speech and action. Drawing on Arendt’s ideas around political significance of publics, this paper examines the nature and scope of political possibilities of a street parliament in Mombasa, Kenya. It reveals how possibilities for Arendtian political action are present in informal practices of public discussion, which are both contingent upon and compromised by competing interests, including elite and partisan competition.