Evidence map›Paper›PMID 42231275›Full record

ArticleBMC public health2026

Mapping inclusion and equity in global physical activity and sport policy: a critical discourse analysis of social determinants and target groups (2004-2025).

Mustafa Enes Işıkgöz

Abstract read
In one paragraph

Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

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5 · Who and what money

Authors and funding

1 author.

Mustafa Enes IşıkgözDepartment of Rectorate, Sakarya University, Sakarya, Türkiye. mustafaenesisikgoz@sakarya.edu.tr.ORCID http://orcid.org/0000-0001-7804-1011

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobal policy agendas increasingly position physical education (PE), physical activity, and sport as drivers of social equity and public health. However, the discursive construction of 'inclusion' and the prioritization of target groups within these frameworks remain under-examined. This study analyzes how major international organizations construct discourses of inclusion and equity, identifying the ideological underpinnings that shape global policy norms.

methodsA qualitative study was conducted using a methodological bricolage of qualitative content analysis and Critical Discourse Analysis (CDA), complemented by poststructural policy analysis. The corpus comprised eleven key policy documents (2004-2025) from the United Nations (UN), United Nations Educational, Scientific and Cultural Organization (UNESCO), World Health Organization (WHO), and Organisation for Economic Co-operation and Development (OECD). Analysis focused on lexical choices, modality, legitimation strategies, actor representation, and interactions among rights-based, instrumentalist, and health-focused frameworks.

resultsFindings indicate notable institutional divergence. UNESCO frames PE and sport as a fundamental human right, prioritizing inclusive pedagogy and equity. In contrast, UN and WHO documents adopt instrumentalist logic, positioning physical activity as a tool for achieving Sustainable Development Goals and preventing non-communicable diseases. While children, youth, and women receive prominent recognition, a hierarchical visibility emerges: migrants, refugees, ethnic minorities, and older adults are marginalized under generic 'vulnerability' categories. The absence of explicit references to LGBTQ + populations across the corpus suggests a notable discursive silence. Furthermore, a persistent gap exists between rights-based rhetoric and concrete implementation instruments, including financial mechanisms, accountability structures, and participatory governance- reflecting the 'soft law' nature of global policy.

conclusionsTensions among rights-based, development-oriented, and public health framings limit the transformative potential of global policies. Instrumentalist logic may risk depoliticizing structural inequalities, while public health framing often individualizes responsibility. To achieve substantive equity, policy discourse must move toward intersectional frameworks that recognize target groups as rights-bearing agents rather than passive beneficiaries. Integrating human rights with systemic public health tools- grounded in participatory practice- offers a pathway toward more equitable global policy.

Indexed as

ExerciseGlobal HealthHealth PolicyPublic PolicySocial Determinants of HealthSocial InclusionSportsDiversity, Equity, InclusionHuman RightsHumansPhysical Education and TrainingQualitative ResearchCritical discourse analysisEquityGovernanceHuman rightsIntersectionalityPhysical educationPublic healthSocial inclusionSport policy

Identifiers

PMID42231275
PMCPMC13491612

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.