Frohlich K L, Potvin L
Groupe de recherche interdisciplinaire en santé (GRIS), Faculté de Médicine, Université de Montréal.
Can J Public Health. 1999 Nov-Dec;90 Suppl 1(Suppl 1):S11-4. doi: 10.1007/BF03403571.
The last five years have witnessed intense debate among health researchers in Canada regarding the overlap of the health promotion and population health discourses. Meanwhile, strong currents within health promotion have attempted to move the field beyond a focus on individual behaviour towards the influence of social environments on health, although the tendency is often to fall back on individual behaviour modification as the primary lever for change. The Population Health research agenda bypasses behavioural determinants of health and explores instead social determinants. This body of knowledge provides useful insight for addressing some of the tensions in the health promotion discourse. This paper explores two of these tensions: whether individuals at risk or general populations should be targeted for change; and whether lifestyle is an individual or a collective attribute. We propose the notion of collective lifestyles as a heuristic for understanding the interaction between social conditions and behaviour in shaping health.
在过去五年里，加拿大的健康研究人员围绕健康促进与人口健康论述的重叠展开了激烈辩论。与此同时，健康促进领域的强大潮流试图推动该领域超越对个体行为的关注，转向社会环境对健康的影响，尽管往往又会回到将个体行为改变作为主要变革手段上。人口健康研究议程绕过健康的行为决定因素，转而探索社会决定因素。这一知识体系为解决健康促进论述中的一些矛盾提供了有益的见解。本文探讨其中的两个矛盾：是应针对有风险的个体还是普通人群进行变革；以及生活方式是个体属性还是集体属性。我们提出集体生活方式这一概念，作为理解社会条件与行为在塑造健康过程中相互作用的一种启发式方法。
