Backett K
Research Unit in Health and Behavioural Change, Edinburgh University, UK.
Health Educ Res. 1992 Dec;7(4):497-507. doi: 10.1093/her/7.4.497.
This paper examines some of the complexities involved in the relationship between knowledge, both 'lay' and 'scientific', and everyday health relevant behaviour. It is based on a multi-interview qualitative study of middle class family groups. The study explored the ways in which images of health, the socio-cultural context of behaviour and the constraints of daily life provided the background to health-relevant behaviour. The sample comprised a randomly selected group of home-owning, middle class couples, each with two children. Three rounds of semi-structured interviews were carried out with spouses during an 18 month fieldwork period. Their children, age range 4-12, were also interviewed. The main focus of the study was on the development of health-relevant beliefs and behaviours in the context of everyday life, particularly domestic life. In this paper some characteristics of how respondents perceived, interpreted and evaluated health knowledge are described. Illustrations are given of the differences between respondents' initial accounts of their 'usual' behaviours and the detailed descriptions of their daily lives obtained in later interviews. It is concluded that knowledge about health was not necessarily translated into behavioural practices, even in a supposedly health promoting environment. Qualitative examination of the socio-cultural context of daily behaviour may add to our understanding of the gaps between knowledge, attitudes and practices.
本文探讨了“外行”知识与“科学”知识以及日常健康相关行为之间关系中涉及的一些复杂性。它基于对中产阶级家庭群体的多次访谈质性研究。该研究探讨了健康形象、行为的社会文化背景和日常生活的限制如何为健康相关行为提供背景。样本包括一组随机挑选的拥有自有住房的中产阶级夫妇，每对夫妇有两个孩子。在为期18个月的实地调查期间，对配偶进行了三轮半结构化访谈。他们年龄在4至12岁的孩子也接受了访谈。该研究的主要重点是在日常生活背景下，特别是家庭生活中与健康相关的信念和行为的发展。本文描述了受访者如何感知、解释和评估健康知识的一些特征。文中给出了受访者对其“通常”行为的初步描述与后期访谈中获得的他们日常生活详细描述之间差异的例证。得出的结论是，即使在一个据称有利于促进健康的环境中，关于健康的知识也不一定会转化为行为实践。对日常行为的社会文化背景进行质性研究可能会增进我们对知识、态度和实践之间差距的理解。
