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Conditions for addressing environmental determinants of health behavior in intersectoral policy networks: A fuzzy set Qualitative Comparative Analysis

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  • Peters, D.T.J.M.
  • Verweij, S.
  • Grêaux, K.
  • Stronks, K.
  • Harting, J.

Abstract

Improving health requires changes in the social, physical, economic and political determinants of health behavior. For the realization of policies that address these environmental determinants, intersectoral policy networks are considered necessary for the pooling of resources to implement different policy instruments. However, such network diversity may increase network complexity and therefore hamper network performance. Network complexity may be reduced by network management and the provision of financial resources. This study examined whether network diversity – amidst the other conditions – is indeed needed to address environmental determinants of health behavior. We included 25 intersectoral policy networks in Dutch municipalities aimed at reducing overweight, smoking, and alcohol/drugs abuse. For our fuzzy set Qualitative Comparative Analysis we used data from three web-based surveys among (a) project leaders regarding network diversity and size (n = 38); (b) project leaders and project partners regarding management (n = 278); and (c) implementation professionals regarding types of environmental determinants addressed (n = 137). Data on budgets were retrieved from project application forms. Contrary to their intentions, most policy networks typically addressed personal determinants. If the environment was addressed too, it was mostly the social environment. To address environmental determinants of health behavior, network diversity (>50% of the actors are non-public health) was necessary in networks that were either small (<16 actors) or had small budgets (<€183,172), when both were intensively managed. Irrespective of network diversity, environmental determinants also were addressed by small networks with large budgets, and by large networks with small budgets, when both provided network management. We conclude that network diversity is important – although not necessary – for resource pooling to address environmental determinants of health behavior, but only effective in the presence of network management. Our findings may support intersectoral policy networks in improving health behaviors by addressing a variety of environmental determinants.

Suggested Citation

  • Peters, D.T.J.M. & Verweij, S. & Grêaux, K. & Stronks, K. & Harting, J., 2017. "Conditions for addressing environmental determinants of health behavior in intersectoral policy networks: A fuzzy set Qualitative Comparative Analysis," Social Science & Medicine, Elsevier, vol. 195(C), pages 34-41.
    • Handle: RePEc:eee:socmed:v:195:y:2017:i:c:p:34-41
    DOI: 10.1016/j.socscimed.2017.08.036
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    References listed on IDEAS

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    1. Ragin, Charles C., 2000. "Fuzzy-Set Social Science," University of Chicago Press Economics Books, University of Chicago Press, edition 1, number 9780226702773, December.
    2. Ragin, Charles C., 2006. "Set Relations in Social Research: Evaluating Their Consistency and Coverage," Political Analysis, Cambridge University Press, vol. 14(3), pages 291-310, July.
    3. Steenbakkers, Mieke & Jansen, Maria & Maarse, Hans & de Vries, Nanne, 2012. "Challenging Health in All Policies, an action research study in Dutch municipalities," Health Policy, Elsevier, vol. 105(2), pages 288-295.
    4. Barbara C Crosby & John M Bryson, 2005. "A leadership framework for cross-sector collaboration," Public Management Review, Taylor & Francis Journals, vol. 7(2), pages 177-201, June.
    5. Clavier, Carole & Gendron, Sylvie & Lamontagne, Lise & Potvin, Louise, 2012. "Understanding similarities in the local implementation of a healthy environment programme: Insights from policy studies," Social Science & Medicine, Elsevier, vol. 75(1), pages 171-178.
    6. repec:ucp:bkecon:9780226702766 is not listed on IDEAS
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