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Interpreting social determinants: Emergent properties and adolescent risk behaviour


Autoři: Chris Desmond aff001;  Janet Seeley aff002;  Candice Groenewald aff004;  Nothando Ngwenya aff003;  Kate Rich aff005;  Tony Barnett aff002
Působiště autorů: Centre for Rural Health, University of KwaZulu-Natal, Durban, South Africa aff001;  Global Health and Development Department, London School of Hygiene and Tropical Medicine, London, United Kingdom aff002;  Africa Health Research Institute, KwaZulu-Natal, Durban, South Africa aff003;  Human and Social Development, Human Sciences Research Council, Durban, South Africa aff004;  Department of Economics, University of Stellenbosch, Stellenbosch, South Africa aff005;  Humanitarian and Conflict Response Institute, University of Manchester, Manchester, United Kingdom aff006
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0226241

Souhrn

A link between adversity, including low socio-economic status, and behaviours which carry health risks, such as alcohol consumption, has often been observed. The causes of this link are, however, poorly understood, making it difficult to explain why the association is often not linear and why there is so much variability between groups and individuals facing similar adversity. We investigate the use of the concept of emergent properties in explaining the link and its non-linear nature. `Emergent properties’ arise from the interaction of factors or items in a high-level system which, as a result, has qualities possessed by none of the individual factors. We apply a mixed methods approach to examine the association of an example emergent property, hope, and alcohol consumption among adolescents in a rural South African site. We found that among adolescents living in similar contexts, there was enough variance in reported levels of hope, that an association with alcohol use could be identified. This result is cause for optimism regarding the potential use of emergent properties in explaining variations in risk behaviour. Improving our measurement of emergent properties is perhaps the biggest challenge facing this approach. More work is needed to take further the task of identifying emergent properties capable of distilling the influence of lower level variables into single measures useful for analysis and policy purposes.

Klíčová slova:

Adolescents – Alcohol consumption – Behavior – Behavioral and social aspects of health – Happiness – principal component analysis – Regression analysis – Schools


Zdroje

1. Marmot MG, Rose G, Shipley M, Hamilton PJ. Employment grade and coronary heart disease in British civil servants. Journal of Epidemiology and Community Health. 1978;32(4):244–9. doi: 10.1136/jech.32.4.244 744814

2. Marmot MG, Wilkinson RG, editors. Social determinants of health. Oxford: Oxford University Press; 2006.

3. Stellmach D, Beshar I, Bedford J, du Cros P, Stringer B. Anthropology in public health emergencies: what is anthropology good for? BMJ Global Health. 2018;3(2):e000534. doi: 10.1136/bmjgh-2017-000534 29607097

4. Masanjala W. The poverty-HIV/AIDS nexus in Africa: a livelihood approach. Soc Sci Med. 2007;64(5):1032–41. doi: 10.1016/j.socscimed.2006.10.009 17126972

5. Haines A, Kovats RS, Campbell-Lendrum D, Corvalan C. Climate change and human health: Impacts, vulnerability and public health. Public Health. 2006;120(7):585–96. doi: 10.1016/j.puhe.2006.01.002 16542689

6. Hunter PR, Thompson RCA. The zoonotic transmission of Giardia and Cryptosporidium. Int J Parasitol. 2005;35(11/12):1181–90.

7. Lane SD, Rubinstein RA, Keefe RH, Webster N, Cibula DA, Rosenthal A, et al. Structural violence and racial disparity in HIV transmission. J Health Care Poor U. 2004;15(3):319–35.

8. Kessler RC, O’Brien K, Joseph JG, Ostrow DG, Phair JP, Chmiel JS, et al. Effects of HIV infection, perceived health and clinical status on a cohort at risk for AIDS. Soc Sci Med. 1988;27(6):569–78. doi: 10.1016/0277-9536(88)90004-4 3227364

9. Wight D, Wimbush E, Jepson R, Doi L. Six steps in quality intervention development (6SQuID). Journal of Epidemiology and Community Health. 2016;70(5):520–5. doi: 10.1136/jech-2015-205952 26573236

10. Lewes G. A biographical history of philosophy. London: Charles Knight & Co.; 1845

11. Goldstein J. Emergence as a Construct: History and Issues. Emergence. 1999;1(1):49–72.

12. Wilson D, Carston R. Metaphor, relevance and the ‘emergent property’issue. Mind and Language. 2006;21(3):404–33.

13. Lakoff G, Johnson M. Metaphors we live by. Chicago, Illinois, USA: University of Chicago Press; 2008.

14. Crowe J. Reform, revolution and disruption in mental health care: A consumer’s perspective2017.

15. Hargreaves J, Hatcher A, Strange V, Phetla G, Busza J, Kim J, et al. Process evaluation of the Intervention with Microfinance for AIDS and Gender Equity (IMAGE) in rural South Africa. Health Education Research. 2009;25(1):27–40. doi: 10.1093/her/cyp054 19797337

16. Kim J, Pronyk P, Barnett T, Watts C. Exploring the role of economic empowerment in HIV prevention. AIDS. 2008;22(Suppl 4):S57–S71.

17. Watts CH, Foss AM, Hossain M, Zimmerman C, von Simson R, Klot J. Sexual violence and conflict in Africa: prevalence and potential impact on HIV incidence. Sexually Transmitted Infections. 2010;86(Suppl 3):iii93–iii9.

18. Bilinski A, Neumann P, Cohen J, Thorat T, McDaniel K, S J. When cost-effective interventions are unaffordable: Integrating vcost-effectiveness and budget impact in priority setting for global health programs. PLoS Med 2017;14(10).

19. Thaler RH. Nudge: Improving decisions about health, wealth, and happiness. New Haven and London: Yale University Press 2008.

20. Durkheim E, Buss R. On suicide. London: Penguin; 2006.

21. Durkheim E, Lukes S. The rules of sociological method. 1st American ed. ed. New York: Free Press; 1982.

22. Sennett R, Cobb J. The Hidden Injuries of Class. Cambridge: Cambridge University Press; 1977.

23. Ross WD. Aristotle’s Metaphysics. Oxford: Clarendon Press; 1924.

24. Scheffer M. Complex systems: Foreseeing tipping points. Nature. 2010;467(7314):411–2. doi: 10.1038/467411a 20864992

25. Sawyer RK. Emergence in Sociology: Contemporary Philosophy of Mind and Some Implications for Sociological Theory. American Journal of Sociology. 2001;107(3):551–85.

26. Sawyer RK. Response to “Emergence in Sociology”. Philosophy of the Social Sciences. 2012;42(2):270–5.

27. Levin S. Fragile dominion: complexity and the commons. Cambridge, MA: Perseus Publishing; 1999.

28. Barnett T, Fournié G, Gupta S, Seeley J. Some considerations concerning the challenge of incorporating social variables into epidemiological models of infectious disease transmission. Global Public Health. 2015:438–48. doi: 10.1080/17441692.2015.1007155 25648796

29. Bernays S, Rhodes T, Barnett T. Hope, prevention and treatment: a new way to look at the HIV epidemic. AIDS. 2007;21(5):S5–S11.

30. Barnett T, Seeley J, Levin J, Katongole J. Hope: A new approach to understanding structural factors in HIV acquisition. Global Public Health. 2015:1–21.

31. Barnett T, Weston M. Health, wealth, HIV and the economics of hope. AIDS. 2008;22:S27–S34.

32. Welton D. The Essential Husserl. Bloomington, Indiana, USA: Indiana University Press; 1999.

33. Habermas J. The Theory of Communicative Action: Volume Two Lifeworld and System: A Critique of Functionalist Reason (Trans. McCarthy, T). Boston, Massachusetts, USA: Beacon Press; 1987.

34. Boyce G, Harris G. Hope the Beloved Country: Hope Levels in the New South Africa. Social Indicators Research. 2012;113(1):583–97.

35. Abler L, Hill L, Maman S, DeVellis R, Twine R, Kahn K, et al. Hope Matters: developing and validating a measure of future expectations among young women in a high HIV prevalence setting in rural South Africa (HPTN 068). AIDS and Behavior. 2017;21(7):2156–66. doi: 10.1007/s10461-016-1523-6 27544516

36. Foxcroft C, Roodt G. An overview of assessment: Definition and scope. An introduction to psychological assessment in the South African context. Southern Africa: Oxford University Press; 2013.

37. Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006;3(2):77–101.

38. Diener E, Emmons RA, Larsen RJ, Griffin S. The Satisfaction with Life Scale. Journal of Personality Assessment. 1985;4:71–5.

39. Florence M. Adolescent substance use: the development and validation of a measure of perceived individual and contextual factors: University of the Western Cape; 2014.

40. Filmer D. The effect of household wealth on educational attainment: evidence from 35 countries. Population and development review,. 1999;25(1):85–120.

41. Seligman M. Learned Optimism: How to Change Your Mind and Your Life.: Free Press; 1990.

42. Marmot MG, Friel S, Bell R, Houweling TA, Taylor S. Commission on Social Determinants of Health: Closing the gap in a generation: health equity through action on the social determinants of health. The Lancet. 2008;372(9650):1661–9.

43. Grenfell M, Lebaron F. Bourdieu and data analysis: Methodological principles and practice. Bern, Switzerland: Peter Lang AG; 2014.

44. Bourdieu P. Outline of a Theory of Practice. Cambridge: Cambridge University Press 1977.

45. Jenkins R. Pierre Bourdieu. Abingdon, UK: Routledge; 2014.


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