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Social Determinants of Health

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Subject:
From:
Dennis Raphael <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Fri, 22 May 2009 06:23:49 -0400
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http://heapro.oxfordjournals.org/cgi/reprint/18/2/163.pdf

SUMMARY
When people involved in children?s feeding programs were asked to describe 
them, without exception they were described using phrases that reflected 
the perception of ?wonderfulness?. This paper critically analyses the 
?wonderfulness? of children?s feeding programs by examining the language 
used to describe these programs, and the features of a ?wonderful? program 
through an analysis of a multi-site, qualitative case study of nine 
diverse programs in Atlantic
Canada. When participants justified their comments about the 
?wonderfulness? of children?s feeding programs, they did so based upon 
five perceptions of program strengths: enhanced family coping; providing 
good food and nutrition; socializing and making friends; behaving well in 
school; and volunteerism. We suggest that programs can be designed to be 
innately ?wonderful? if they are community- and charity-based, support a 
noble cause such as the elimination of child hunger, engage good people as 
donors and volunteers, and provide a direct service to children apart from 
their families. We challenge health promoters to beware of the ?wonderful? 
program; its ?wonderfulness? may actually be masking unintended negative 
impacts upon its participants.


Dennis Raphael, PhD
Professor of Health Policy and Management
York University
4700 Keele Street
Room 418, HNES Building
Toronto, Ontario M3J 1P3
416-736-2100, ext. 22134
email: [log in to unmask]
http://www.atkinson.yorku.ca/draphael

Of interest:

*NEW*  Social Determinants of Health: Canadian Perspectives, 2nd edition, 
edited by Dennis Raphael
Forewords by Carolyn Bennett and Roy Romanow
http://tinyurl.com/5l6yh9

Poverty and Policy in Canada: Implications for Health and Quality of Life 
by Dennis Raphael
Foreword by Jack Layton
http://tinyurl.com/2hg2df

Staying Alive: Critical Perspectives on Health, Illness, and Health Care, 
edited by Dennis Raphael, Toba Bryant, and Marcia Rioux
Foreword by Gary Teeple
http://tinyurl.com/2zqrox

See a lecture!  The Politics of Population Health
http://msl.stream.yorku.ca/mediasite/viewer/?peid=ac604170-9ccc-4268-a1af-9a9e04b28e1d


Also, presentation on Politics and Health at the Centre for Health 
Disparities in Cleveland Ohio
http://video.google.com/videoplay?docid=-4129139685624192201&hl=en
 

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