Abstract
Two major “hot topics” regarding chronic disease health promotion and the social sciences are developed in this chapter. These two topics, how to understand how and why people change their health behaviours and how to understand the inequitable distribution of these behaviours, are intimately related. In describing the relationship between these two issues, the discussion bring us to the input that sociology, ethics and political philosophy can have on the development of chronic disease health promotion in the years to come. Health promotion’s neglect of the “structure” of lifestyle, or the social conditions of daily life conduct, are discussed. It is then proposed that health promotion focuses on both the structure of lifestyle as well as the agency that individuals have to change this same lifestyle. From political philosophy and ethics, the discussion turns to a consideration of distributive justice theories within health promotion, particularly that of Amartya Sen’s capability theory. The chapter ends by applying these issues to the problem of vulnerable populations.
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References
Abel, T. (1991). Measuring health lifestyles in a comparative analysis: Theoretical issues and empirical findings. Social Science & Medicine, 32(8), 899–908.
Abel, T., & Frohlich, K. L. (2012). Capitals and capabilities: Linking structure and agency to reduce health inequalities. Social Science & Medicine, 74(2), 236–244.
Archer, M. (2003). Structure, agency and the internal conversation. Cambridge: Cambridge University Press.
Bourdieu, P. (1980). Le sens pratique. Paris: Les Editions de Minuit.
Bunton, R., & Macdonald, G. (2002). Health promotion: Disciplines, diversity and developments (2nd ed.). London: Routledge.
Cockerham, W. C., Ruetten, A., & Abel, T. (1997). Conceptualizing contemporary health lifestyles: Moving beyond Weber. The Sociological Quarterly, 38, 321–342.
COMMIT Research Group. (1995). Community intervention trial for smoking cessation (COMMIT), I: Cohort results from a four-year community intervention. American Journal of Public Health, 85, 183–192.
Davies, J. K., & Kelly, M. P. (1993). Healthy cities. Research and practice. London: Routledge.
Durkheim, E. (1897/1951). Suicide: A study in sociology. Glencoe, IL: Free Press.
Frohlich, K. L., Corin, E., & Potvin, L. (2001). A theoretical proposal for the relationship between context and disease. Sociology of Health & Illness, 23(6), 776–797.
Frohlich, K. L., & Potvin, L. (2008). The inequality paradox: The population approach and vulnerable populations. American Journal of Public Health, 98(2), 216–221.
Hansen, E., & Easthope, G. (2007). Lifestyle in medicine. London: Routledge.
Hogstedt, C., Lundgren, B., Moberg, H., Pettersson, B., & Ågren, G. (2004). Forward. Scandinavian Journal of Public Health, 32, 3.
Kickbusch, I. (1986). Life-styles and health. Social Science & Medicine, 22(2):117–124.
Lalonde, M. (1974). A new perspective on the health of Canadians. Retrieved October 4, 2012, from http://www.phac-aspc.gc.ca/ph-sp/pdf/perspect-eng.pdf
Lorenc, T., Petticrew, M., Welch, V., & Tugwell, P. (2013). What types of interventions generate inequalities? Evidence from systematic reviews. Journal of Epidemiology and Community Health, 67(2), 190–193.
Marmot, M. G., Rose, G., Shipley, M., & Hamilton, P. J. (1978). Employment grade and coronary heart disease in British civil servants. Journal of Epidemiology and Community Health, 32(4), 244–249.
McLaren, L., Macintyre, L., & Kirkpatrick, S. (2010). Rose’s population strategy of prevention need not increase social inequalities in health. International Journal of Epidemiology, 39(2), 372–377.
Multiple Risk Factor Intervention Trial Research Group. (1981). Multiple risk factor intervention trial. Preventive Medicine, 10, 387–553.
Multiple Risk Factor Intervention Trial Research Group. (1982). Multiple risk factor intervention trial: Risk factor changes and mortality results. Journal of the American Medical Association, 24, 1465–1476.
Nussbaum, M. (1990). Nature, function, and capability: Aristotle on political distribution. In: G. Patzig (Ed.), Aristotles’ Politik Gottingen: Vandenhoeck and Ruprecht (pp. 152–186).
Phelan, J., & Link, B. (2005). Controlling disease and creating disparities: A fundamental cause perspective. Journal of Gerontology, 60, 27–33.
Poland, B. D., Green, L. W., & Rootman, I. (2000). Settings for health promotion: Linking theory and practice. Thousand Oaks, CA: Sage Publications.
Rawls, J. (1971). A theory of justice. Cambridge, MA: Belknap Press of Harvard University Press.
Rawls, J. (1993). Political liberalism. New York, NY: Columbia University Press.
Rose, G. (1992). The strategy of preventive medicine. Oxford: Oxford University Press.
Ruetten, A. (1995). The implementation of health promotion: A new structural perspective. Social Science & Medicine, 41(12), 1627–1637.
Ruger, J. P. (2010). Health and social justice. Oxford: Oxford University Press.
Secretariat for the Healthy Living Network. (2005). The integrated pan-Canadian healthy living strategy. Retrieved October 4, 2012, from http://www.phac-aspc.gc.ca/hl-vs-strat/pdf/hls_e.pdf
Sen, A. (2002). Why health equity? Health Economics, 11, 659–666.
Sen, A. (2009). The idea of justice. Cambridge, MA: The Belknap Press.
Smith, P., Frank, J., & Mustard, C. (2009). Trends in educational inequalities in smoking and physical activity in Canada: 1974–2005. Journal of Epidemiology and Community Health, 63(4), 317–323.
Syme, S. L. (1994, Fall). The social environment and health. Daedalus, 12, 79–86.
UK Department of Health. (2003). Tackling health inequalities: A program for action. London: Author.
Victora, C. G., Barros, F. C., & Vaughan, J. P. (2001). The impact of health interventions on inequalities: Infant and child health in Brazil. In D. Leon & G. Walt (Eds.), Poverty, inequality and health (pp. 125–136). Oxford: Oxford University Press.
Viehbeck, S., Melnychuk, R., McDougall, C. W., Greenwood, H., & Edwards, N. C. (2011). Population and public health ethics in Canada: A snapshot of current national initiatives and future issues. Canadian Journal of Public Health, 102(6), 410–412.
Weber, M. (1978). Economy and society: An outline of interpretive sociology. Berkeley, CA: University of California Press.
Whitehead, M. (1992). The concepts and principles of equity and health. International Journal of Health Services, 22, 429–445.
WHO. (1986). Ottawa charter for health promotion. Ottawa, ON: World Health Organization, Health and Welfare Canada, Canadian Public Health Association.
WHO. (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. Final report of the commission on social determinants of health. Geneva: World Health Organization.
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Frohlich, K.L. (2013). Learning from the Social Sciences in Chronic Diseases Health Promotion: Structure, Agency and Distributive Justice. In: McQueen, D. (eds) Global Handbook on Noncommunicable Diseases and Health Promotion. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7594-1_5
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