THE LIMITS OF LIFE-STYLE - REASSESSING FATALISM IN THE POPULAR CULTURE OF ILLNESS PREVENTION
THE LIMITS OF LIFE-STYLE - REASSESSING FATALISM IN THE POPULAR CULTURE OF ILLNESS PREVENTION
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DOI：
10.1016/0277-9536(92)90195-v
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发表时间：
1992-03-01
影响因子：
5.4
通讯作者：
SMITH, GD
中科院分区：
文献类型：
--
作者：
DAVISON, C;FRANKEL, S;SMITH, GD
本文就冠心病预防医学的研究进展作一综述。它是基于1988年和1989年期间在南威尔士（英国）对预防行为的流行文化进行的深入的民族志调查。这里提出的数据和分析的重点是与理解和解释因心脏病引起的疾病和死亡的原因和分布有关的文化规范和做法的运作。这篇论文阐明了“俗世流行病学”的日常文化实践是如何参与对疾病不幸的解释和评估预防性行为改变的潜在好处的。这里处理的一个中心问题是生活方式与环境在慢性病的普遍理解的关系。探索了心脏病分布中的运气、命运、宿命、随机性和混沌等概念。最后，提出了健康教育的几点启示。
This paper is concerned with the development of preventive medicine in the field of Coronary Heart Disease. It is based on an in-depth, ethnographic investigation into the popular culture of prophylactic behaviour carried out in South Wales (U.K.) during 1988 and 1989. The focus of the data and analysis presented here is the operation of cultural norms and practices related to the understanding and explanation of the cause and distribution of illness and death from heart ailments. The paper illustrates how the everyday cultural practice of 'lay epidemiology' is involved in accounting for illness misfortune and in assessing the potential benefits of prophylactic behaviour change. A central issue dealt with here is the relationship of lifestyle to environment in the popular understanding of chronic disease. Lay notions of luck, fate, destiny, randomness and chaos in the distribution of heart disease are explored. In conclusion, some implications for health education in this field are put forward.