LAY EPIDEMIOLOGY AND THE PREVENTION PARADOX - THE IMPLICATIONS OF CORONARY CANDIDACY FOR HEALTH-EDUCATION
LAY EPIDEMIOLOGY AND THE PREVENTION PARADOX - THE IMPLICATIONS OF CORONARY CANDIDACY FOR HEALTH-EDUCATION
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DOI：
10.1111/1467-9566.ep11340301
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发表时间：
1991-03-01
影响因子：
2.9
通讯作者：
FRANKEL, S
中科院分区：
文献类型：
--
作者：
DAVISON, C;SMITH, GD;FRANKEL, S
本文关注的是目前试图通过改变行为来预防慢性病的适当性。基于广泛的民族志研究在南威尔士州，本文认为，在当代英国的健康文化，存在着一个发达的奠定流行病学，现代健康促进信息的公众责任感有显着的影响。本文介绍了冠状动脉候选人的概念（“心脏病患者”），并讨论了在日常生活中的想法的操作。其中奠定流行病学和人口的健康促进方法的方式构建的“预防悖论”在社会世界的概述。最后，它建议，奠定流行病学容易容纳官方的信息有关的行为风险内的重要文化领域的运气，命运和命运。这同时构成了一个合理的方式纳入潜在的麻烦的信息，和一个潜在的障碍，健康教育的目标。
This paper is concerned with the appropriateness of current attempts to prevent chronic disease through behavioural change. Based on extensive ethnographic research in South Wales, the paper suggests that, within contemporary British health culture, there exists a well developed lay epidemiology which has a significant bearing on the public plausibility of modern health promotion messages. The paper describes the notion of the coronary candidate (the ‘kind of person who gets heart trouble’) and discusses the operation of the idea in everyday life. The manner by which lay epidemiology and the population approach to health promotion construct the ‘prevention paradox’ within the social world is outlined. In conclusion it is suggested that lay epidemiology readily accommodates official messages concerning behavioural risks within the important cultural fields of luck, fate and destiny. This simultaneously constitutes a rational way of incorporating potentially troublesome information, and a potential barrier to the aims of health education.