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This qualitative study investigates health care practitioners’ approaches to early childhood obesity in Denmark and their view on their own ability to initiate processes of change in affected families, and it asks the overall question of whether perceived barriers become real through practitioners’ reluctance to intervene in families labelled as ´problematic’. The paper identifies three approaches in the practitioners’ narratives: the socially oriented, the individually oriented, and the mixed. The individually oriented approach was based on a logic resembling individualistic explanatory models of behaviour change, and was related to a positive perspective on their own ability to move families towards healthier habits by health care practitioners. The socially oriented approach borrowed elements from a sociological perspective, which seemed to lead to resigned pessimism in the face of the complexity of the problem of childhood overweight and a reluctance to address early childhood overweight in some families. In practitioners of all three types, widespread cultural essentialism was found. Non-western, ethnic minority background was seen as determining family habits and making preventive action especially difficult. Based on this, the current paper discusses whether individual actions and choices are being ascribed too much explanatory power, and the health system's biased perceptions too little. [ABSTRACT FROM AUTHOR]

There has been much talk in sociological circles of bodies as 'projects' or 'choices,' but surprisingly little examination of how these projects and choices are experienced. Consumer culture has been described as heralding a new era in body-self relations, but few have explored the experience of body-self relations. Body-self relations emerged as central to understanding in this study of the experience of the body at different ages (20-30, 45-55 and 70+ years), demonstrating the utility of empirical investigations in this area. This paper describes an orientation to the body that was common to the sample of 20 young people (aged 20-30 years) interviewed as part of this study. This orientation informed their health-related behaviours such as diet and exercise, but some participants found it to be problematic. Their voices demonstrate that bodily 'choices' may actually be experienced as irrational and even psychopathological compulsions. This experiential perspective suggests that normality may be continuous with pathology, and that differences are of degree rather than kind. The findings have implications for the treatment and prevention of eating disorders and obesity. [ABSTRACT FROM AUTHOR]

This paper draws on focus groups with young Australian males across a range of social demographics and ages in primary school years (5-12 years). It investigates the role of physical activity and dietary behaviours in the lives of young males. The paper will articulate the way in which young males come to perceive physical activity and dietary behaviours, including broader constructions of health, within the context of their lives. Understanding the decision making of young males' around physical activity and dietary behaviours will play a significant role in the health outcomes of adult men by through improved targeted health education and health promotion programs for this cohort. [ABSTRACT FROM AUTHOR]

This paper reports on a qualitative study of the onset of acquired hearing impairment. The focus of attention is why a person seeks treatment. The Danish welfare state serves the population 'in need' such as those with an audiological need and gives them guidance on becoming hearing aid wearers in order to rehabilitate them back to 'normalcy'. However, within audiological research, noncompliance has attracted much attention as investigations have shown that more than 20 percent of hearing aids are very seldom, if ever, in use and 19 percent are used only occasionally. As shown in the paper the form a problem takes is in large part a product of micro-political struggles. Hence, at the onset 'need' is often embedded in social pressure from significant others. The paper examines these two discursive frameworks and their constitution of (hearing) problems and concludes that norms of disease are complex and epistemologically contested and can help explain why noncompliance is dominant when it comes to hearing rehabilitation for hearing impaired adults. [ABSTRACT FROM AUTHOR]

The widespread availability of portable sensing devices has given rise to growing numbers of people voluntarily self-tracking their daily experiences through the medium of digital data. At the extreme end of this trend is the 'Quantified Self' movement. This collective uses sensor-enabled tech to extensively map aspects of their personal lives, before sharing procedural insights at community 'show and tell' events. A key aim of the group is to better understand imperceptible bodily processes, especially those influencing health states, as they are materialised through the datafied body. Despite the growth in those mobilising digital data for health management, little is known about the subjective meanings that are ascribed to self-monitoring practices. This paper explores how self-trackers conceptualise the data they generate, and how exteriorised bodily interiorities mediate impressions of embodiment. We suggest that the availability of self-tracked data has initiated interesting new relationships between data-subjects and their objectified bodies, dynamics that impact on how bodies are experienced and inhabited. We show how bodily intuition is being outsourced to, if not displaced by, the medium of 'unbodied' data. It is this objectivated facility that is increasingly used to orientate behavioural decisions as they relate to bodily maintenance. [ABSTRACT FROM AUTHOR]

Menopause is an important health transition for women, but health-related research has largely failed to account for menopause in a meaningful way, especially when making group comparisons. Age often stands in for menopausal status; at times, it is treated as a dichotomy; however, these are clearly oversimplifications. Menopause is a process that takes place over several years, and varies in onset, length, and expression through symptoms. Defining menopause dichotomously or linking it with age obscures variability in women's experiences and overlooks patterns in physical health, mental health, and quality of life. This paper reviews research to highlight menopausal differences by age, race, and lifestyle factors in the United States. It suggests ways to incorporate a life course-based view of menopause in health research, improving our understanding of women's health outcomes on multiple dimensions. [ABSTRACT FROM AUTHOR]

This paper considers how 'health behaviours' are imagined and practised in contemporary society, considering the combination of commercial products such as over the counter (OTC) statins and functional foods with more established 'healthy behaviours' in everyday life. Using data from users of low dose statins licensed for OTC sale in the UK and functional foods, we consider policy fears that such products would dilute efforts at healthy living. In line with sociological literature, we encountered resistance to pill-taking and accounts of health behaviour that show this to be a complex category that may involve functional or mundane foods, and supplements, may be highly targeted at heart health, or more defuse goals, or involve a degree of vagueness as to what is being used and why. Thinking about these practices as a form of 'DIY' provides a useful supplement to sociological interest in lay rationality, drawing attention to the objects rather than knowledges enrolled, and the provisional nature of health practices. [ABSTRACT FROM AUTHOR]

Contemporary health policy increasingly positions responsibility for the management of health with the individual which reflects newer neo-liberal discourses of health. Such an approach can be seen as problematic in the context of men's health, with men tending to be seen as largely 'irresponsible' towards their own health. This paper addresses this question by drawing on qualitative data on how men conceptualise responsibility for health. Whilst the desire to be responsible for health was borne by most of the men in the study, this was not always reflected in practice. There was also evidence of strategies that men adopted for either divesting themselves of responsibility for health or for legitimising lack of responsibility. In some instances, acting 'irresponsibly' was what defined participants as 'real men'. The implications of these findings for men's health policy are discussed with specific reference to the recent publication of Ireland's National Men's Health Policy. [ABSTRACT FROM AUTHOR]

Rates of lung cancer in China are rising rapidly, creating an urgent need for prevention. Effective prevention measures require understanding local beliefs and perceptions about the risk for developing lung cancer. This article explores the explanations that Chinese lung cancer patients and their families give about the aetiology of their disease. Fifty-three interviews were conducted among lung cancer patients and their family members at a large tumour hospital in southern China. Participants presented a complex multifactorial explanation of lung cancer associating their disease with risks like tobacco use, occupational exposures, environmental pollution, lifestyle changes, and personal characters. While these are all standard risk factors commonly associated with lung cancer, participants presented them within a larger contextual frame of structural issues that impede their ability to change their behaviours. Using a social ecological model, we demonstrate how China's socio-cultural environment shapes assumptions about the risk of lung cancer with particular reference to work, home, social situations, and the natural environment. [ABSTRACT FROM AUTHOR]

Over the last two decades, childhood obesity has emerged as a major public health issue in Switzerland. Health professionals and public health organisations now frame this condition as a disease that requires medical intervention. In this article, I report the findings of an ethnographic study conducted in a Swiss hospital program for the management of childhood obesity. The study explored the impact of the medical treatment of childhood obesity on children's lives. Using a Bourdieusian approach to guide my analysis, I found that the experience of the therapy varies substantially according to children's socioeconomic position. Children with a high SES seem to encounter less difficulties in adapting their lifestyle to professionals' recommendations than low SES children, because their habitus facilitates the internalisation of health norms and they have greater access to economic, social and cultural capitals. Therefore, childhood obesity management tends to reproduce health inequalities between children. [ABSTRACT FROM AUTHOR]

It is widely acknowledged that people with higher socioeconomic positions and women smoke less, avoid alcohol abuse, and eat more healthily. Yet far less is known about the interaction of socioeconomic status with gender, especially in the Italian context. Here we address this issue by employing Abel’s adaptation of Bourdieu’s cultural capital theory and Courtenay’s theory of gender construction and health. Using 2012 data from the Multipurpose survey on Daily Life, we first show that cultural capital is better than social class in predicting an adult’s compliance with health recommendations, although this does not hold true for alcohol intake. We then look at the interaction of gender with cultural capital measures in order to determine how gendered forms of consumption change with increasing levels of cultural capital. The results show that the gender gap diminishes at higher levels of cultural capital following a twofold pattern: most often men’s marginal benefit increases at a higher rate than that of women; however, we also find evidence that the gap diminishes because women start adopting unhealthy behaviours as their level of cultural resources increases. Overall, these findings indicate that cultural capital plays an important role in reconstructing gender role models. [ABSTRACT FROM AUTHOR]

Few studies have examined the relationship between religiosity and health-seeking belief outcomes in Ghana. Drawing on in-depth interviews and group discussions with informal prayer group members and leaders in Accra, Ghana, the study explores participants' conceptions of illnesses and the significance of the forest as a place of gathering and healing. There are several reasons why prayer group members in this study make their way to the forest, including finding a serene sacred space in a crowded city to confront the vicissitudes of life. Disease, for the prayer group members, is seen to hold both spiritual and physical origins, inspiring them to seek both biomedical and spiritual forms of care. Interviewees believed hospitals could help with physical diseases, but saw spiritual diseases as requiring spiritual solutions. There was a salient differentiation expressed between treatment and healing, however: doctors can treat certain conditions, but only God heals. While there is a need for public health practitioners to better engage spiritual/religious leaders and their followers with mainstream biomedicine, and to challenge some of their misconceptions and mistrust, attending to and understanding the role of religious beliefs, and religious spaces, in everyday conceptions of health, would strengthen the promotion of both men's and women's health in this context. [ABSTRACT FROM AUTHOR]

In this article, we review critical research on mobile and wearable health technologies focused on the promotion of 'healthy lifestyles'. We begin by discussing key governmental and policy interests which indicate a shift towards greater digital integration in health care. Subsequently, we review relevant research literature, which highlights concerns about inclusion, social justice, and ownership of mobile health data, which we argue, provoke a series of key sociological questions that are in need of additional investigation. We examine the expansion of what counts as health data, as a basis for advocating the need for greater research into this area. Finally, we consider how digital devices raise questions about the reconfiguration of relationships, behaviours, and concepts of individuality. [ABSTRACT FROM AUTHOR]

In this article, we provide an account of Fitbit, a wearable sensor device, using two complementary analytical approaches: auto-ethnography and media analysis. Drawing on the concept of biopedagogy, which describes the processes of learning and training bodies how to live, we focus on how users learn to self-care with wearable technologies through a series of micropractices that involve processes of mediation and the sharing of their own data via social networking. Our discussion is oriented towards four areas of analysis: data subjectivity and sociality; making meaning; time and productivity and brand identity. We articulate how these micropractices of knowing one's body regulate the contemporary 'fit' and healthy subject, and mediate expertise about health, behaviour and data subjectivity. [ABSTRACT FROM AUTHOR]

Whilst 'biographical disruption' remains important for explaining how people rebuild biography following the onset of chronic illness, it does not self-evidently explain the problem of managing a fluctuating chronic condition such as non-specific low back pain. Chronic illness rarely leads to long-term improvement; the trajectory is not always linear, and sudden or gradual improvements alongside deterioration are commonly experienced. In the case of low back pain, self-management often involves utilisation of non-pharmaceutical approaches, personal resources for accommodating pain and disability, as well as managing symptoms with clinical treatments to relieve pain. Such a multifaceted approach -- not only concerned with the reduction of symptoms -- shifts focus beyond the 'disease' state and a single point of disruption, drawing attention to the use of 'health maintenance actions' to facilitate a proactive response to illness management. We propose this new approach as an alternative way of understanding the experience of patients with fluctuating health conditions such as low back pain. [ABSTRACT FROM AUTHOR]

This article addresses the issue of the autonomy of patients who are not treated in standard situations of hospitalisation in institutions, but who receive ambulatory care. Academic and institutional discourses both suggest that the development of out-of-hospital care delivery models promotes patient autonomy. Through a qualitative study based on semi-structured interviews of cancer patients treated using ambulatory chemotherapy in a French hospital we show that some of the constraints usually encountered by patients receiving care in institutions are also observed in patients receiving ambulatory care. They experience a form of cognitive isolation regarding access to information about their health, and their social life appears to be institutionalised. [ABSTRACT FROM AUTHOR]

Signifi cant transformations of the health care services sector over the past three decades have seen an increasing reliance on the private provision of health care services mediated through private health insurance. In countries such as Australia and the UK, private health insurance is promoted as providing a greater choice for individuals and easing the burden on the public system. While these claims, the policy contexts and the decision-making processes of individual consumers have attracted some sociological attention, little has been said about the role of private insurers. In this article we present a comparative analysis of the websites of private health insurers in Australia and the UK. Our analysis highlights adoption by private health insurers of neoliberal discourses of choice and individual responsibility, partnership and healthy lifestyles. In these respects, similarities between the discourses over-ride national differences which might otherwise be expected given their contrasting health care traditions and contexts. [ABSTRACT FROM AUTHOR]