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- Lindbladh, Eva, et al.
(författare)
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An economic and sociological interpretation of social differnces in health-related behaviour: An encounter as a guide to social epidemoiology
- 1996
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Ingår i: Social Science and Medicine. - 1873-5347. ; 43:12, s. 1817-1827
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Tidskriftsartikel (refereegranskat)abstract
- We argue that the group-centred analyses of social epidemiology should follow from theoretical considerations that take the situation of the individual as their natural starting point. In a tentative dialogue between economics and sociology, we develop a framework for the analysis of health-related behaviour. Such behaviour is modelled as a process of decision-making at the individual level. Within economics, we draw specifically on the demand-for-health literature and the new institutional economics. Within sociology, Bourdieu's habitus theory is presented in combination with a macro-structural approach where the focus is on the process of individualization. The relationship between these different approaches to health-related behaviour and their implications is discussed. We find that the encounter between different sciences provides valuable insights for future work in the socio-epidemiological tradition.
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| 2. |
- Lindbladh, Eva, et al.
(författare)
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Equity is out of fashion? An essay on autonomy and health policy in the individualized society
- 1998
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Ingår i: Social Science and Medicine. - 1873-5347. ; 46:8, s. 1017-1025
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Tidskriftsartikel (refereegranskat)abstract
- It is widely recognized that there is a discrepancy between principle and practice with respect to the health equity aim of public policy. This discrepancy is analyzed from two theoretical perspectives: the individualization of society and the fact that individual beliefs and values are connected to one’s position in the social structure. These mechanisms influence both the choice of health policy measures and the normative judgements of preventive efforts, both of which tend to be consonant with the views of dominant social groups. In particular, we focus on the treatment of the ethical principle of autonomy and how this is reflected in health policy aimed at influencing health-related behaviour. We examine the current trend towards targeting health information campaigns on certain socio-economic groups and argue that it entails an ethical dilemma. The dominant discourse of the welfare state is contemplated as a means to understand why there tend to be a lack of emphasis on measures that are targeted at socio-economic inequalities. It is argued that there is no substantive basis in the individualized society for perceiving health equity as an independent moral principle and that the driving force behind the professed health equity goal may be in essence utilitarian.
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| 3. |
- Lindbladh, Eva, et al.
(författare)
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The diffusion model and the social-hierarchical process of change
- 1997
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Ingår i: Health Promotion International. - 1460-2245. ; 12:4, s. 323-330
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Tidskriftsartikel (refereegranskat)abstract
- This article presents some critical comments on the use of Rogers' innovation-diffusion model, which is often referred to in health promotion research as an explanation of how behavioural changes occur over time. The analytical focus is on the belief that there is a social pattern in the process of diffusion, so that higher socioeconomic groups lead the way in adopting ‘preventive innovations’, and lower socio-economic groups subsequently follow as ‘late adopters’. This view of the diffusion process—closely akin to the notion of ‘imitation/social role modelling’—will be reviewed here within a sociological framework.
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