External Factors vs. Right Choices (PDF 200KB)
A STUDY: HOW DOES LOUISVILLE THINK ABOUT HEALTH EQUITY?
What is the Purpose of the Cultural Logic Study?
The study conducted by Cultural Logic was meant to provide guidance on how to promote a community-wide conversation on health equity.
Why is it important to have a community conversation on health equity?
Greater awareness and interest in health inequities is one factor that will help to make the problem a public issue, move it onto the public agenda, and create a social movement for related public policies needed to address the social determinants of health that contribute to health inequities.
Why is it hard to have a community conversation on health equity?
Unfortunately, current evidence indicates that when you talk to people about health they usually can only consider two issues: (1) an individual perspective where health is based upon the choices that people make and the degree to which individuals take responsibly for themselves; and (2) health care where the central focus is on either access to or the quality of health care.
The strong tendency for people to discuss health only in terms of individual health and health care makes it difficult to advance a broad health equity policy agenda
How does the Cultural Logic Study Help Us?
A central question then is how to shift values, alter the conversation and expand discussions about health.
Cultural Logic helped us to find out the barriers to having a discussion about health and the broad factors that create health inequities.
In order to explore the public’s understandings around these issues, Cultural Logic conducted in-depth interviews with a cross-section of average people living in the city of Louisville.
Cultural Logic also undertook an analysis of news media reports in Louisville, in order to see what patterns of thinking are being reinforced or contradicted by the stories in the news.
The report discusses the differences between what public health experts want people to understand, and what the public currently believes about health and health inequities.