Sociology of Health & Illness · 2014 · 172 citations · 8 references
Social SciencesHealth BehaviorHealth PsychologyMedical SociologySocial Determinants Of HealthHealth BeliefsHealth PracticesActivitiesOrientations
Health behaviour, a psychology‑derived concept widely used in research and policy, assumes discrete, stable, homogeneous actions, thereby overlooking power dynamics and social contexts that limit insights from medical sociology. The authors propose redefining everyday actions as health practices instead of health behaviours to capture their emergent, context‑dependent nature. Health practices are not a direct replacement but offer flexibility to articulate diverse theoretical perspectives, making them a major strength.
Abstract The concept of health behaviour has become ubiquitous in health‐related research and intervention studies, as well as among policymakers. Developed from psychology, it is based on a number of key underlying assumptions that enable it to be integrated in an existing health research paradigm. However, by conceiving individual health behaviour as discrete, stable, homogeneous and measurable, many other aspects of health‐related activities, in particular those relating to power and sociality, are excluded. As a consequence, any genuine contribution from medical sociology or related disciplines is, at best, limited. To counter this, it is proposed that reconceptualising what people do in terms of health practices , rather than health behaviour, captures the emergent and contingent properties of people's activities in particular situations. Rather than serving as a direct replacement term, and thus reproducing the same epistemological assumptions, it is argued that its very flexibility and capacity to articulate different theoretical orientations is likely to be its major strength.
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