From the bottom up: tracing the impact of four health-based social movements on health and social policies

Journal of Health & Social Policy
Robert H KeefeHeidi J Swarts

Abstract

Although health-based social movements organized by grassroots activists have a rich history in impacting health and social policy, few systematic studies have addressed their policy change efforts or effectiveness. In this article, the authors trace how four health-based social movements-the women's health movement, ACT UP, breast cancer, and needle exchange-influenced health and social policy legislation. The activists' efforts wrested control of "authoritative knowledge" that had once been the sole domain of "experts" with advanced medical training. They used this knowledge to empower "average" people with medical information, promote self help and engage in civil disobedience, which led to changes in healthcare delivery, drug testing and approval, and increased research funds for HIV/AIDS, breast cancer, and needle exchange. The activists' efforts led to other health-based social movements that are currently, or will become, issues for health and social policy analysts in the future.

Citations

Jul 1, 2011·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Nicholas FreudenbergEmma Tsui
Dec 23, 2015·American Journal of Public Health·Elizabeth A Bowen, Nadine Shaanta Murshid
Mar 5, 2016·Global Advances in Health and Medicine : Improving Healthcare Outcomes Worldwide·Bonnie R SakallarisWayne Jonas
Sep 3, 2016·Journal of Comparative Effectiveness Research·Stephanie R MorainEve Wittenberg
Jun 28, 2007·The Annals of Pharmacotherapy·William E Fassett
Aug 3, 2021·Journal of the International AIDS Society·Jessica E HabererJane M Simoni
Aug 15, 2021·The Lancet. Planetary Health·Verena Rossa-RoccorPaul Kershaw

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