This paper explores how social class and race affect the public health policy-making process in an urban area.
Ethnographic methods were used to collect and analyze information about HIV/AIDS and tuberculosis policy-making by the Washington, DC Commission of Public Health.
Kingdon's conceptual model of policy making was used to analyze and understand the process.
The problems of HIV/AIDS and tuberculosis in the district have important social class dimensions that were not always made explicit, but were instead defined in terms of'race'and'place'Social class considerations and racial politics shaped what policies were developed or not developed and implemented successfully or failed.
This study, which has national and international implications, concludes that there is a need to improve our understanding of the complex social dimensions of public health problems : there needs to be more consideration of the polities of strategy formulation and how issues of social class and race affect this process ; and public health needs to strengthen its constituency in order to build support for the successful development and implementation of policy.
Mots-clés Pascal : Politique sanitaire, Zone urbaine, Classe sociale, Ethnie, SIDA, Virose, Infection, Tuberculose, Mycobactériose, Bactériose, Epidémiologie, Prise décision, Homme, Ethnologie, Washington, Etats Unis, Amérique du Nord, Amérique, Système santé, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : Health policy, Urban area, Social class, Ethnic group, AIDS, Viral disease, Infection, Tuberculosis, Mycobacterial infection, Bacteriosis, Epidemiology, Decision making, Human, Ethnology, Washington, United States, North America, America, Health system, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0206659
Code Inist : 002B30A01C. Création : 16/11/1999.