Looking forward to speaking at the University of Aberdeen this week, unfortunately not in person. This one-hour session coming Wednesday lunchtime will focus on the ‘medical/social model of childbirth‘. Please contact Kelly Gray at the University of Aberdeen (kelly.gray@abdn.ac.uk) for the Teams link to join!
Opportunity to apply to be a Specialist Adviser to the Scottish Affairs Committee for its inquiry into renewable energy in Scotland.
Application deadline – midday, Monday 10th May
The House of Commons Scottish Affairs Committee is inviting applications from individuals for the role of Specialist Adviser to the Scottish Affairs Committee for its inquiry into renewable energy in Scotland. The role is likely to run from May 2021 until September 2021.
“Our vision is to host a successful, safe and secure Games that deliver a lasting legacy for the whole of Scotland, and to maximise the opportunities in the run up to, during, and after the Games.”
This was the promise made by the Scottish government to the Commonwealth in 2014. In the 12 days of competition that followed, the city of Glasgow achieved a “hero-like status”, Team Scotland achieved its biggest-ever medal haul of 53 medals, and the games recorded the highest number of tickets sold for a sporting event in Scottish history.
Minister for sport Aileen Campbell hailed the event as a huge success by announcing that Glasgow’s Commonwealth Games was the largest sporting and cultural event ever held in Scotland and had changed the lives of thousands of people.
The message from the host nation was clear: the games were not just about showcasing elite athletes, but about delivering a legacy that would provide a flourishing economy, celebrate cultural diversity, embrace sustainable living, and create a more physically active nation. But four years on, not all those ambitions have been achieved.
Getting a nation off the couch
The games were considered a golden opportunity for Scotland to harness the power of sport to motivate a sedentary nation. A ten-year implementation plan was launched in 2014 to tackle physical inactivity across Scotland as well as myriad other initiatives to support communities in improving the local sporting infrastructure.
Two and a half years after the games, an interim report by the Scottish parliament’s Health and Sport Committee was undertaken to assess the progress made in increasing physical activity levels across Scotland.
The report concluded that there was no evidence of an active legacy being achievable. More alarmingly, any evidence of a relationship between the hosting of a major sporting event and raising the host nation’s physical activity levels was inconclusive.
This raises serious questions as to why such an ambitious legacy aim was included in the first place given the likelihood of failure. It could be that the Scottish government included the aim of increasing participation within its legacy pledge as a desperate attempt to address Scotland’s poor health profile, one of the worst in Europe.
A final evaluation report on the impact of the Glasgow 2014 Commonwealth Games published by the Scottish government days before the opening ceremony of the Gold Coast 2018 Commonwealth Games highlighted the harsh reality that the active legacy programme had not “resulted in a step change in population levels of physical activity in Scotland”.
In fact, the GoWell East study that tracked participant levels within the surrounding area of Glasgow found that overall rates had actually declined, with just over 53% achieving the recommended physical activity levels in 2016, compared to 62% in 2012.
However, the east end community surrounding the main games site is one of the most deprived areas in Scotland, with some of the worst statistics in Europe for child poverty, health, crime, and alcohol and drug abuse. This could account for the declines in physical activity levels in the east end of Glasgow as the underlying reasons behind social inequalities in sports participation is poverty – not having the income to spend on sport.
Policy fail
But Glasgow is not alone. Other nations hosting major sporting events have failed to capitalise on the perception that a sprinkling of magic over a big sports event will motivate a population to become active. Data that tracked participation levels of Australians before, during and after the Sydney 2000 Olympic Games found they had declined, due – ironically – to Australians spending more time watching sport on TV than taking part themselves.
Undoubtedly, many nations believe that elite sporting success and the hosting of major sporting events on home turf can encourage mass involvement, and in turn create an active nation. An example of this is London’s 2012 Olympic Games, which promised to “do something no other Olympic Games host nation had done before”: inspire a new generation of young people to get involved, get active and take part in sport. This bold statement from the UK government has since been questioned, because in fact, no previous games had even attempted to leverage improved physical activity as a legacy outcome.
It became abundantly clear post-London 2012 that the Olympic Legacy promise had failed to come to fruition with figures showing no more young people taking part in sport than before the games. As has been argued elsewhere, there is still a lack of robust evidence to suggest that the presumed trickle-down effect of hosting a major sporting event can trigger an increase in physical activity.
Big spend but no return
The failure of London 2012 and Glasgow 2014 to create and inspire a nation to get active is not really surprising. For more than 40 years, community sports policy in Britain has been plagued by failings to meet physical activity performance indicators set by governments.
This could be down to a variety of factors including: poor policy analysis to inform future policy-making decisions; overambitious or naïve participation targets; inadequate resources to deliver long-term programmes; and changes in direction leading to ambiguity regarding who is responsible for delivery.
Given these issues, it is understandable that grass-roots sport policies and major sporting events have failed to encourage more people to get active. Future government policy on community sport needs to have an all-party group commitment, that is evidence-based to ensure objectives are realistic. It needs to have a long-term plan and be adequately funded to ensure that there are real and lasting results.
In the end, we have to face a difficult truth: governments continue to invest in costly elite sport and big extravagant sporting events that come at the expense of community sport.
We know that public health works and thinks long-term. We’ll typically see the population benefits of reducing health risks such as tobacco use, obesity and high alcohol intake in ten or twenty years’ time. But we often forget that preceding public health research into the determinants of ill health and the possible public health solutions is also slow working. Evidence-based public health solutions can be unpopular with voters, politicians or commercial companies (or all). Hence these take time to get accepted by the various stakeholders and make their way into policies.
I was, therefore, glad to see that Scotland won the Supreme Court case today in favour of a minimum price for a unit of alcohol. As we know from the media, the court case took five years. Before that the preparation and drafting of the legislation took years, and some of the original research took place long before that. Together with colleagues at the Health Economic Research Unit at the University of Aberdeen, the University of York and Health Education Board for Scotland, we conducted a literature review on Effective & Cost-Effective Measures to Reduce Alcohol Misuse in Scotland as early as 2001 [1]. Some of the initial research was so long ago it was conducted for the Scottish Executive, before it was even renamed the Scottish Government.
Prof. Edwin van Teijlingen
CMMPH
Reference:
Research started years ago! Ludbrook et al.(2002) Effective & Cost-Effective Measures to Reduce Alcohol Misuse in Scotland: Lit Review, HERU, Univ. of Aberdeen. [ISBN: 0755932803] http://www.gov.scot/Resource/Doc/1124/0052548.pdf
Yesterday the Scottish Government has published its national maternity review ‘The Best Start – A Five Year Forward Plan for Maternity and Neonatal Care in Scotland’. The report has been widely welcomed and gained, among others, the full support from the Royal College of Midwives (RCM). Mary Ross-Davie, RCM Director for Scotland noted: “This is a defining moment for maternity services in Scotland and will be a seismic shift for our maternity services. The plan has the potential to revolutionise maternity care, to deliver safer and better services for women, babies and their families, and to improve the health of our population.”
The Best Start recognises that maternity and neonatal services matter to the health and wellbeing of Scotland’s people. The report’s underpinning is more of a social model of childbirth as it observes that “The health, development, social, and economic consequences of childbirth and the early weeks of life are profound, and the impact, both positive and negative, is felt by individual families and communities as well as across the whole of society.”
Having lived for 25 years in Scotland I am happy to have made a small contribution to this import report.
Late August Sociological Research Online published my historical analysis of the reviews of the book Experience with Abortion: A case study of North-East Scotland edited by Aberdeen-based academic Gordon Horobin. Experience with Abortion, published in 1973 by Cambridge University Press, was the first study of abortion of its kind to be published in the UK since the introduction of the 1967 Abortion Act. The book’s contributors had been involved in a multi-disciplinary longitudinal study of women’s experience of abortion in Aberdeen in the period 1963-1969.
The paper is content analysis of the book reviews which I found in the late 1980s when I helped clear out Gordon Horobin’s former office in the Department of Sociology (University of Aberdeen). Amongst the papers to be thrown out were photocopies and cuttings of reviews of Horobin’s book of the first social medicine study on abortion published since the introduction of the 1967 Abortion Act. I saved the paperwork from recycling. Since then I have searched electronically for further reviews at the time and this resulted in the recently published article.
The paper in Sociological Research Online sets the scene at the time of publication in the early 1970s, and includes abortion as a societal issue, the 1967 Abortion Act and the role of the MRC Medical Sociology Unit in Aberdeen. The reviews were analysed using content analysis. Considering the controversy of abortion at the time, it is interesting that the book reviews were overwhelmingly positive towards both Experience with Abortion and the need for high quality social science research in this field. Several reviews highlighted the importance of having someone like Sir Dugald Baird in Aberdeen and of the Aberdeen-based Medical Research Council’s (MRC) Medical Sociology Unit. Other reviews highlighted Aberdeen’s reputation as a city with a fairly liberal policy towards abortion before the Abortion. One of the chapters in Experience with Abortion reported that between 1938–1947, some 233 women in North-East Scotland had their pregnancies terminated in Aberdeen, less than 25 per year! Dugald Baird started offering abortions on the NHS in the 1950s. He would offer to terminate the unwanted pregnancies of women with too many children and offer subsequent sterilisation. Today nearly 40 years later, abortion has largely disappeared from the social policy agenda in the UK, although not in many other countries.
Edwin van Teijlingen
References:
Horobin, G. (ed.) (1973) Experience with Abortion; A case study of North-East Scotland, Cambridge: Cambridge University Press.
van Teijlingen E.R. (2012) A Review of Book Reviews: A Sociological Analysis of Reviews of the Edited Book Experience with Abortion, Sociological Research Online 17 (3) available online: http://www.socresonline.org.uk/17/3/14.html
St Andrews University is seeking permission to build a windfarm to generate all its power. The institution’s energy bills have tripled since 2005 to £5.4 million a year, and doing nothing is “not an option”, it said in a statement on 2 June. The University has submitted a proposal to Fife Council to develop a six-turbine, 12-megawatt windfarm at the university-owned Kenly Farm, Boarhills.
The Scottish National Party has previously pledged to generate 100 per cent of the country’s electricity needs from renewables by 2020.
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