Public Policy and Physical Activity : A
Public policy and physical activity: A South Australian study Colin James MacDougall BA (Hons) MA Thesis submitted in fulfilment of the requirements of the degree of Doctor of Philosophy Depaftment of Public Health Adelaide University October 2000 Table of contents Table of contents List of tables. x List of Figures...¡¡¡¡¡¡¡¡¡¡¡¡¡¡ .,....,,.,...,xii Abstract ¡¡,¡,r¡¡,,¡,¡¡¡ ........... xiii Acknowledgments,...,........,r.rr,¡¡¡r¡¡¡¡¡¡¡¡r¡,¡,¡,¡r¡r ......,..,, xv Chapter 1 Setting the scene from the author's perspective...................1 Observations about physical activity ,..,........1 The problem to be researched ¡rr¡¡¡¡,¡¡,¡¡¡ ..,.....3 Structure of the thesis 5 Chapter 2 Public health and physical activity 7 History and the Ottawa Chafter 7 Definitions of the new public health B The rise of the lifestyle approach ¡,¡r,¡¡r¡,r,¡r,................9 The New Public Health's critique of the lifestyle approach .....L2 Downplaying the importance of social factors ,.,.....,.,.,,. .13 Overemphasis on the power of providing information .77 Lack of evidence for success, .17 Lack of evidence for generalisibility..,,.,,,. .18 The rise of the new public health ...............19 The influences from the radical social climate of the 1970s. .19 Concern with inequalities in health .20 Healthy settings .2t Critical appraisal of the new public health 24 The old versus new debate 24 Health as a means or end and healthism 26 Commodification of hea lth 26 The web mode|..,,.... 27 A macro-micro dichotomy? 28 Three approaches to promoting physical activity .....29 Definitions of health and physical activity in each approach 30 Medical approach 30 Behavioural approach ..... 30 Socio-environmental approach . 33 Chapter 3 Public policy ...............37 Approaches to policy formulation and decision making 4T Rational-deductive 43 Incremental 43 Mixed scanning.,.
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