1
|
Serrano-Fuentes N, Rogers A, Portillo MC. Beyond individual responsibility: Exploring lay understandings of the contribution of environments on personal trajectories of obesity. PLoS One 2024; 19:e0302927. [PMID: 38718062 PMCID: PMC11078422 DOI: 10.1371/journal.pone.0302927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Accepted: 04/13/2024] [Indexed: 05/12/2024] Open
Abstract
INTRODUCTION Reversing the upward trajectory of obesity requires responding by including the multiple influences on weight control. Research has focused on individual behaviours, overlooking the environments where individuals spend their lives and shape lifestyles. Thus, there is a need for lay understandings of the impact of environments as a cause and solution to obesity. This research aimed to understand the influence of environments on the adoption of health practices in adults with obesity and to identify lay strategies with which to address environmental barriers to behaviour change. METHODS Nineteen adults with a history of obesity living in the United Kingdom were interviewed through video conferencing between May 2020 and March 2021. Semi-structured interviews and socio-demographic questionnaires were used, and data analysed through hermeneutic phenomenology informed reflexive thematic analysis. RESULTS Three main themes were created: living with convenience and normalcy: the increased accessibility of unhealthy food, people interacting with digital media for positive practice change, and the need to prioritise prevention in schools, the National Health Service and the food industry. CONCLUSIONS The food environment was the major barrier, while interactions with social media was the most important opportunity to adopt healthy practices. The National Health Service was considered an obesogenic environment, something relevant since it has been traditionally recognised as an obesity management system. The perceptions from individuals with a history of obesity provide new suggestions on the influence of previously overlooked environments to design more adequate and effective interventions and policies that consider, more than in the past, the environments where people spend their lives.
Collapse
Affiliation(s)
- Nestor Serrano-Fuentes
- NIHR ARC Wessex, School of Health Sciences, University of Southampton, Southampton, United Kingdom
| | - Anne Rogers
- School of Health Sciences, University of Southampton, Southampton, United Kingdom
| | - Mari Carmen Portillo
- NIHR ARC Wessex, School of Health Sciences, University of Southampton, Southampton, United Kingdom
| |
Collapse
|
2
|
Paul J, Merz S, Bergholz A, König F, Weigt J, Eich-Krohm A, Apfelbacher C, Holmberg C. Social health: rethinking the concept through social practice theory and feminist care ethics. MEDICAL HUMANITIES 2023; 49:752-759. [PMID: 37657910 DOI: 10.1136/medhum-2022-012535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 07/21/2023] [Indexed: 09/03/2023]
Abstract
The social sciences have long shown that health is not born of pure biology, empirically (re)centred the social and material causes of disease, and affirmed the subjective experiences of disease. Disputed both in popular and academic discourses, social health has variously attempted to stress the social aspects of health. Existing conceptions remain analytically limited as they are predominantly used as descriptors for populational health. This article theorises social health as an analytical lens for making sense of the relations, affects and events where health unfolds and comes into expression. Drawing on social practice theory, feminist care ethics and posthumanism this conceptual paper re-imagines how social health might be conceived as lived social practices anchored in care. Care within our framework acknowledges the unavoidable interdependency foundational to the existence of beings and stresses the 'know how' and embodied practices of care in the mundane in order to emphasise that care itself is absolutely integral to the maintenance of social health. The article argues that health needs to be understood as a verb intrinsically (re)made in and through social contexts and structures and comprised of meaningful, human-human and human-non-human interactions. Ultimately, in theorising social health through mundane care practices, we hope to open up research to making sense of how the doing of health unfolds inside often banal, patterned forms of social activity. Such taken-for-granted social practices exemplify the often overlooked lived realities that comprise our health. To understand health in its own right, we argue, these everyday practices need to be interrogated.
Collapse
Affiliation(s)
- Joshua Paul
- Institute for Social Medicine and Epidemiology, Medizinische Hochschule Brandenburg CAMPUS GmbH, Neuruppin, Germany
| | - Sibille Merz
- Institute for Social Medicine and Epidemiology, Medizinische Hochschule Brandenburg CAMPUS GmbH, Neuruppin, Germany
| | - Andreas Bergholz
- Institute for Social Medicine and Epidemiology, Medizinische Hochschule Brandenburg CAMPUS GmbH, Neuruppin, Germany
| | - Franziska König
- Institute for Social Medicine and Epidemiology, Medizinische Hochschule Brandenburg CAMPUS GmbH, Neuruppin, Germany
| | - Julia Weigt
- Faculty of Medicine, Otto-von-Guericke-University Magdeburg Institute of Social Medicine and Health Economics, Magdeburg, Germany
| | - Astrid Eich-Krohm
- Faculty of Medicine, Otto-von-Guericke-University Magdeburg Institute of Social Medicine and Health Economics, Magdeburg, Germany
| | - Christian Apfelbacher
- Faculty of Medicine, Otto-von-Guericke-University Magdeburg Institute of Social Medicine and Health Economics, Magdeburg, Germany
| | - Christine Holmberg
- Institute for Social Medicine and Epidemiology, Medizinische Hochschule Brandenburg CAMPUS GmbH, Neuruppin, Germany
| |
Collapse
|
3
|
Ramírez AS, Houston K, Bateman C, Campos-Melendez Z, Estrada E, Grassi K, Greenberg E, Johnson K, Nathan S, Perez-Zuniga R. Communicating about the social determinants of health: development of a local brand. JOURNAL OF COMMUNICATION IN HEALTHCARE 2023; 16:231-238. [PMID: 36946864 PMCID: PMC10514231 DOI: 10.1080/17538068.2023.2192579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/23/2023]
Abstract
BACKGROUND Successful comprehensive population-based approaches to chronic disease prevention leverage mass media to amplify messages and support a culture of health. We report on a community-engaged formative evaluation to segment audiences and identify major themes to guide campaign message development for a transformative health communication campaign. METHODS Four key phases of campaign development: (I) Formative evaluation to identify priorities, guiding themes, and audience segments (interviews/focus groups with residents, N = 85; representatives of community-based partner organizations, N = 10); (II) Brand development (focus groups and closed-ended surveys; N = 56); (III) Message testing approaches to verbal and visual appeals (N = 50 resident intercept interviews); (IV) Workshop (N = 26 participants representing 15 organizations). RESULTS Residents were engaged throughout campaign development and the resulting campaign materials, including the campaign name and visual aesthetic (logo, color schemes, overall look and feel) reflect the diversity of the community and were accepted and valued by diverse groups in the community. Campaign materials featuring photos of county residents were created in English, Spanish, and Hmong. Plain language messages on social determinants of health resonate with residents. The county was described as a sort of idyllic environment burdened by inequality and structural challenges. Residents demonstrated enthusiasm for the campaign and provided specific suggestions for content (education about disease risks, prevention, management; information about accessing resources; testimonials from similar people) and tone. CONCLUSIONS Communication to support a policy, systems, and environmental change approach to chronic disease prevention must carefully match messages with appropriate audiences. We discuss challenges in such messaging and effectiveness across multiple, diverse audiences.
Collapse
|
4
|
Warde A, Sasso A, Holmes J, Hernández Alava M, Stevely AK, Meier PS. Situated drinking: The association between eating and alcohol consumption in Great Britain. NORDIC STUDIES ON ALCOHOL AND DRUGS 2023; 40:301-318. [PMID: 37255611 PMCID: PMC10225964 DOI: 10.1177/14550725231157222] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Accepted: 01/27/2023] [Indexed: 09/30/2023] Open
Abstract
Aims: This paper examines the co-occurrence of drinking alcohol and eating in Great Britain. Applying a practice-theoretical framework, it attends primarily to the nature and characteristics of events - to social situations. It asks whether drinking events involving food are significantly different from those without, whether differences are the same at home as on commercial public premises, and whether differences are the same for men and women. The focus is especially on episodes of drinking with meals at home, an infrequently explored context for a substantial proportion of contemporary alcohol consumption. Data: Employing a secondary analysis of commercial data about the British population in 2016, we examine reports of 47,645 drinking events, on commercial premises and at other locations, to explore how eating food and consumption of alcoholic beverages affect one another. Three types of event are compared - drinking with meals, with snacks, and without any food. Variables describing situations include group size and composition, temporal and spatial parameters, beverages, purposes, and simultaneous activities. Basic sociodemographic characteristics of respondents are also examined, with a special focus on the effects of gender. Results: Behaviours differ between settings. The presence of food at a drinking episode is associated with different patterns of participation, orientations, and quantities and types of beverage consumed. Gender, age, and class differences are apparent. Conclusions: Patterns of alcohol consumption are significantly affected by the accompaniment of food. This is a much-neglected topic that would benefit from further comparative and time series studies to determine the consequences for behaviour and intervention.
Collapse
Affiliation(s)
- Alan Warde
- School of Social Sciences, Sustainable Consumption Institute, AMBS, University of Manchester, Manchester, UK
| | - Alessandro Sasso
- Sheffield Alcohol Research Group, School of Health and Related Research, University of Sheffield, Sheffield, UK
| | - John Holmes
- Sheffield Alcohol Research Group, School of Health and Related Research, University of Sheffield, Sheffield, UK
| | | | - Abigail K. Stevely
- Sheffield Alcohol Research Group, School of Health and Related Research, University of Sheffield, Sheffield, UK
| | - Petra S. Meier
- MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK
| |
Collapse
|
5
|
Spotswood F, Gurrieri L. Understanding health inequalities through a practice-oriented 'capabilities' perspective. Motherhood and leisure time physical activity. SOCIOLOGY OF HEALTH & ILLNESS 2023; 45:423-445. [PMID: 36377671 PMCID: PMC10099979 DOI: 10.1111/1467-9566.13585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Accepted: 11/01/2022] [Indexed: 06/16/2023]
Abstract
In this article, we explore how a capabilities perspective can advance practice theoretic conceptualisations of persistent health inequalities. Specifically, we seek to understand the capabilities necessary for recruitment to leisure time physical activity (LTPA) practices by low SES mothers, a group traditionally excluded from LTPA. Our study illuminates that mothers living a life of social disadvantage face difficulties in becoming recruited to LTPA practices despite, in many cases, the availability of elements required for performance. We identify that temporal, support and energy capabilities are necessary for low SES mothers to become recruitable to LTPA. The dispossession of these capabilities signals inequalities in the constellation of practices that configure this group's lived experiences, in turn giving rise to practice absence and further consolidating patterns of inequality. We offer a framework of practice capabilities and health inequalities to guide future practice-oriented scholarship in the sociology of illness and health, which signals how capabilities may enable or constrain recruitment to health-promoting practices, give rise to inequalities and condition the possibility of practice absence.
Collapse
Affiliation(s)
- Fiona Spotswood
- University of Bristol Business School, University of BristolBristolUK
| | - Lauren Gurrieri
- School of Economics, Finance and MarketingRMIT UniversityMelbourneVictoriaAustralia
| |
Collapse
|
6
|
Gibson K, Moffatt S, Pollard TM. 'He called me out of the blue': An ethnographic exploration of contrasting temporalities in a social prescribing intervention. SOCIOLOGY OF HEALTH & ILLNESS 2022; 44:1149-1166. [PMID: 35608369 PMCID: PMC9544357 DOI: 10.1111/1467-9566.13482] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Accepted: 05/09/2022] [Indexed: 06/15/2023]
Abstract
Social prescribing, a way of connecting patients to local services, is central to the NHS Personalised Care agenda. This paper employs ethnographic data, generated with 19 participants between November 2018 and July 2020, to explore the socio-temporal relations shaping their experiences of a local social prescribing intervention. Our focus is on the ways in which the intervention synchronised with the multitude of shifting, complex and often contradictory 'timespaces' of our participants. Our focus on the temporal rhythms of everyday practice allows us to trace a tension between the linearity and long horizon of the intervention and the oft contrasting timeframes of participants, sometimes leading to a mismatch that limited the intervention's impact. Further, we observed an interventional 'drift' from continuity towards unsupported signposting and 'out-of-the-blue' contacts which favour the temporality of the intervention. We demonstrate a need for intervention planning to be flexible to multiple, often conflicting, temporalities. We argue that health interventions must account for the temporal relations lived by the people they seek to support.
Collapse
Affiliation(s)
- Kate Gibson
- Faculty of Medical SciencesPopulation Health Sciences InstituteNewcastle UniversityNewcastle upon TyneNewcastle upon TyneUK
| | - Suzanne Moffatt
- Faculty of Medical SciencesPopulation Health Sciences InstituteNewcastle UniversityNewcastle upon TyneNewcastle upon TyneUK
| | | |
Collapse
|
7
|
Sociodemographic and Clinical Factors Associated with Severe Obesity in Mexican Adults. Arch Med Res 2021; 53:196-204. [DOI: 10.1016/j.arcmed.2021.09.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2021] [Revised: 08/29/2021] [Accepted: 09/21/2021] [Indexed: 01/06/2023]
|
8
|
Levi B, Davidovitch N, Dopelt K. In Service of the Society? Medical Associations as Agents of Social Change-Implications for Health Policy and Education in Israel. Healthcare (Basel) 2021; 9:healthcare9101264. [PMID: 34682944 PMCID: PMC8535635 DOI: 10.3390/healthcare9101264] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2021] [Revised: 09/18/2021] [Accepted: 09/23/2021] [Indexed: 11/16/2022] Open
Abstract
This study aims to explore what medical associations in Israel do to promote public health, what values underpin their activities, and how their actions can be interpreted. For this purpose, an analysis of both individual and organizational levels was applied in an effort to yield a more nuanced understanding of the relationship between society and the medical profession. In-depth interviews with senior physicians were conducted, combined with a review of policy and public initiatives of medical associations between 2008 and 2018. The findings of this study reveal that medical associations engage in a range of social and policy initiatives designed to promote public health, but, at the same time, they tend to construct socially related health issues as medical problems in a manner that fits their sectorial agendas. This may reflect organized medicine’s efforts to extend its dominance over society through the application of the biomedical model to social issues. It is necessary to integrate biosocial training with medical education to ensure that future physicians are equipped with the skills needed to implement social medicine.
Collapse
Affiliation(s)
- Baruch Levi
- Department of Health Policy and Management, School of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 653, Beer-Sheva 8410501, Israel; (B.L.); (N.D.)
| | - Nadav Davidovitch
- Department of Health Policy and Management, School of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 653, Beer-Sheva 8410501, Israel; (B.L.); (N.D.)
| | - Keren Dopelt
- Department of Health Policy and Management, School of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 653, Beer-Sheva 8410501, Israel; (B.L.); (N.D.)
- Department of Public Health, Ashkelon Academic College, Ben Tzvi St. 12, Ashkelon 78211, Israel
- Correspondence: ; Tel.: +972-54-8139933
| |
Collapse
|