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The Behavior Factory : Analysis of the Normative Process and taking into account ethics in public health

Abstract : Context - There is growing interest in ethics in the health world. If the questions of medical ethics (end of life, doctor / patient relationship ...) and research ethics (Helsinki declaration ...) focus our attention, is it about ethics in health? public health and more specifically the ethics of prevention policies? While the rationale for prevention seems obvious: to promote healthy behaviors, this evidence is only apparent. The prevention at stake of many personal, cultural, societal and collective values: the definition of "good health", the freedom, the justification of the intervention of the authorities in the private life, the equity, the social justice ... As many questions as the essential ethical reflection. Thus, prevention policies and tools can not overcome ethical questioning when we are interested in the subject of health behaviors, we seek to change the "habitus" of individuals, seats of their values and their cultures. These questions are necessary and can orient strategies more precisely and contribute to their acceptability and effectiveness among the populations. Or, this ethical reflection in the field is undeveloped in France, even though it has helped research and public action. Objective - The objective of this study was to characterize the consideration of an ethical reflection during the creation of the norm in public health through a study on preventive nutritional policies. Methods - To meet this objective, in three steps: 1) Analysis of the literature on normativity, 2) analysis of the literature on tools of ethical analysis in public health Nutrition policies: the texts relative to the PNNS 3 were analyzed and Stakeholders were interviewed to reconstruct the process of developing a public health policy and price analysis of ethics and human rights. Results-This multidisciplinary research has made it possible to highlight the different definitions and types of norms as well as the interest and opportunities of ethical questioning both in the normative process in prevention and in the process of health policy development public. Perspectives- The perspectives of this study are conceptual and practical: to illustrate the relationship between norms and values, and to develop a tool for analyzing ethical issues in public health plans.
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Submitted on : Tuesday, November 10, 2020 - 2:50:11 PM
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  • HAL Id : tel-02998368, version 1


Victoria Pagani. The Behavior Factory : Analysis of the Normative Process and taking into account ethics in public health. Santé publique et épidémiologie. Université de Lorraine, 2019. English. ⟨NNT : 2019LORR0275⟩. ⟨tel-02998368⟩



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