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Social practice, plural lifestyles and health inequalities in the United Kingdom

机译:英国的社会实践,复数生活方式和健康不等式

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Abstract Persistent health inequalities pose a continued research and policy challenge in the United Kingdom and elsewhere. Current approaches to health research and promotion are predicated on a distinction between wider, social structural causes and individual, health‐related behaviours often conceived of as lifestyle choices. Drawing on Bourdieu's theory of social practice, this paper develops an integrated perspective by observing associations between health and structured lifestyle practices. Using the UK Understanding Society household survey, a taxonomy of eight lifestyle clusters is identified, which exhibit significant health inequalities on a number of indicators. But the plurality of practices and subjective orientations inherent in the taxonomy reveals a finer, more complex differentiation of the social gradient in health. In addition, lifestyle appears to at least in parts mediate the relationship between social, material conditions and health. A feature of the taxonomy is that it admits a relational and contextual apprehension of health‐relevant, behavioural aspects within a more holistic notion of lifestyles. Based on this view, strategic approaches can be developed that respond to group‐specific situations and pathways and their varying roots in upstream or downstream domains of policy.
机译:摘要持续健康不平等在于在英国和其他地方提出了持续的研究和政策挑战。目前的健康研究方法和促销方法取决于更广泛,社会结构原因和个人之间的区别,健康相关的行为通常被视为生活方式选择。借鉴Bourdieu的社会实践理论,通过观察健康与结构性生活方式实践的协会,开发了一个综合的视角。使用英国了解社会户籍调查,确定了八种生活簇的分类,这在许多指标上表现出显着的健康不平等。但分类学中固有的多种实践和主观取向揭示了健康社会梯度的更精细,更复杂地分化。此外,生活方式至少介绍了社会,物质状况和健康之间的关系。分类学的一个特征是,它承认,在更全面的生活概念中,它承认对健康相关的行为方面的关系和背景担忧。基于这种观点,可以制定战略方法,以响应小组特定情况和途径以及政策的上游或下游域名的不同根源。

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