Democratising participatory health promotion: power and knowledge involved in engaging European adolescents in childhood obesity prevention

Public policy aimed at preventing undesired phenomena has increasingly sought to engage representatives of the target population. Little is known, however, about how power dynamics function to shape the processes and outcomes of risk governance engagement interventions. In order to study the ways in...

Full description

Saved in:
Bibliographic Details
Published in:Health, risk & society risk & society, 2024-08, Vol.26 (5-6), p.201-221
Main Authors: Baillergeau, Evelyne, Veltkamp, Gerlieke, Bröer, Christian, Helleve, Arnfinn, Kulis, Ewa, Lien, Nanna, Luszczynska, Aleksandra, Mendes, Sofia, Rito, Ana, Moerman, Gerben, de Sauvage Nolting, Rein, Klepp, Knut-Inge
Format: Article
Language:English
Subjects:
Adolescents
Childhood
Childhood obesity
Children
co-creation
democratisation of prevention
Democratization
experiential knowledge
Frame analysis
Governance
Governmentality
Health education
Health initiatives
Health promotion
Health risk
Intervention
Knowledge
Negotiation
Negotiations
Obesity
Phenomenology
Power
Power structure
Prevention programs
Public participation
Public policy
R&D
Research & development
Risk management
Teenagers
Youth participation
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Public policy aimed at preventing undesired phenomena has increasingly sought to engage representatives of the target population. Little is known, however, about how power dynamics function to shape the processes and outcomes of risk governance engagement interventions. In order to study the ways in which, and the extent to which, power differentials can be reduced in participatory health promotion initiatives, we develop a conceptual framework synthetising theories of participatory action, phenomenology and governmentality. Based on the empirical research into youth participation in the EU project CO-CREATE, involving 15-19-year-old adolescents in five European countries (2019-2021), we show that diverse forms of knowledge may become available in engagement interventions. We analyse the use and relative inclusion and exclusion of these different forms of knowledge in terms of a three-level framework of different depths of democratisation in participatory health promotion: risk management, risk definition and risk negotiation. Advanced democratisation can only be achieved if risk negotiation is carried out in ways which embrace and encourage a range of different, and potentially conflicting forms of knowing.
ISSN:1369-8575
1469-8331
DOI:10.1080/13698575.2024.2338120