Role modalities in urban health education

1. Role modalities in urban health education Impact on children’s and adolescent’s risk and health Karen Wistoft Phd associated professor Department of education (DPU) Aarhus university

2. Introduction An important feature of contemporary welfare state management is urban health education Includes alliances and partnerships for developing public health policies andeducational practices that positively impact on the health of people – here children and adolescents Health promotion (in the traditional sense) has been replaced by new managerial institutions and new cross-professional partnerships For children and young people, this managerial revolution has meant new roles The premises for their inclusion into health promotion have changed

3. Rolemodalities This paper investigates role expectations in relation to urban strategies of health education and promotion in Denmark

4. Research project ’Children at risk’ (1.9.2007-31.7.2010) • Cooperative research funded by the Danish National Research Council (FSE) • Researchers from two Danish research environments: • Department of Management, Politics and Philosophy at Copenhagen Business School (CBS) • Department of Education (DPU), Aarhus University • General objective: • To assess and compare tendencies in public health management and health education aimed at children and young people • Settings: the 98 Danish municipalities

5. Data collection - 4 separate studies Pilot study – in four selected municipalities: analyses of their health policies, organizational diagrams and interviews with their public health managers and coordinators (N=47) Survey - telephone interviews with the health managers, directors and leading health coordinators in the Danish municipalities (N=72/98) Focus group interviews with pupils aged 13-14, from 18 different school classes geographically spread across the country (N=108) Comparative case study in five selected municipalities. The comparisons are based on local health promotion programs and focus group interviews with health professionals (N=36)

6. Combined empirical perspectives • Health management perspective and a health-pedagogical perspective: the interplay between the political-administrative level and the professional level. • Semanticperspective: concepts and meanings embodied in the discourses that have an impact on how children and adolescents’ health is put into words • Values perspective: the type of knowledge, values and norms that are put into play through health efforts for children and adolescents This approach links a value-reflected interaction between health professionals and children/adolescents (Wistoft 2009, 2010)

7. System theoretical framework In a system theoretical perspective the matter of inclusion becomes a question of both the communication about people as certain role bearers and a question of the ways people as persons react towards generalised role communications (Luhmann 1995; Stichweh 2005; Stäheli 2007). Combined elements from system theory and health education theory in order to grasp different semantic modalities of inclusion of children and young people.

8. Empirical investigations In terms of making certain roles become popular in urban health education - in order for children and young people to become interested in wearing the roles - and by wearing the roles they are becoming recognisable and communicative In terms of preparation for participation in behavioural activities such as co-decision making, different preventive initiatives and personal reactions are becoming recognisable.

9. Conclusion of the project A new kind of identity – ‘the risky child’ is attributed to the children as they are involved Being confronted with different risks of childhood coming for example from eating fatty food, drinking alcohol, smoking cigarettes or having sexual relationships, the children are brought into a moral, political and lifestyle oriented discourse on risks

10. Information consumers In this discourse their identity (as children or adolescents) is at stake as they are expected to participate as ‘well-experienced information consumers’ They are expected to be rational, qualified, and future oriented participants Often the health promotion information concerns a distant future in which the children risk invisible threats

11. Health  two discourses on risk • A ‘free-choose’ discourse/the ability to choose freely. The individual children and adolescents chooses what is best for him or her, and takes a, hopefully, well-informed risk (basically a risk taking attitude) • A preventive discourse in which a opposite attitude is suggested, namely, to avoid future risks • The two discourses are only seemingly in opposition • They both participate in identity constructions that turn children into ‘risky people’, potentially risk bearers, risk information consumers, risk prioritisers and choosers

12. Riskreflexivity The paper concerns a thesis for further development, that present urban health is accompanied by certain requests concerning the use of health information: To the individual, this means that the role as healthy involves information processing and reflexive activities modulating between being a risk-taker and risk avoider Already in childhood, the risk-mode of relating to one self is promoted. The role as healthy is also a role of risk reflection – and the purpose of urban health education

13. Thank you for your attention! Karen Wistoft Departement of Education (DPU) Faculty of Arts Aarhus Universitet Campus Emdrup +45 2613 2653 kawi@dpu.dk www.dpu.dk/om/kawi