1 The University of Adelaide, Adelaide, South Australia, Australia.
Qual Health Res. 2018 Aug;28(10):1539-1551. doi: 10.1177/1049732317732962. Epub 2017 Oct 3.
The Internet has been argued to provide diverse sites for health communication and promotion, including issues that constitute major public health priorities such as the prevention of dementia. In this study, discursive psychology is used to examine how information about dementia risk prevention was presented on the websites of the most prominent English-language, nonprofit dementia organizations. We demonstrate how information about dementia risk and its prevention positions audiences as at-risk of developing dementia and constructs preventive behavior as a matter of individual responsibility. Websites represented participation in certain lifestyle practices as normative and emphasized audience members' personal responsibility for managing dementia risk. It is argued that such representations promote a moral identity in regard to brain health in which an ethic of self-responsibility is central. The implications of such identity construction in a context of increasing prevalence of dementia diagnosis are discussed.
互联网被认为提供了多样化的健康传播和促进场所，包括构成主要公共卫生重点的问题，如预防痴呆症。在这项研究中，话语心理学被用来研究关于痴呆症风险预防的信息是如何在最著名的英语非营利性痴呆症组织的网站上呈现的。我们展示了关于痴呆症风险及其预防的信息如何将受众定位为有患痴呆症的风险，并将预防行为构建为个人责任的问题。网站将某些生活方式实践表示为规范，并强调了受众成员管理痴呆症风险的个人责任。有人认为，这种表述在痴呆症诊断率不断上升的背景下促进了一种与大脑健康有关的道德身份认同，其中自我责任伦理是核心。本文讨论了在这种身份认同构建的背景下，痴呆症诊断率不断上升所带来的影响。
