Lancaster University, Lancaster, United Kingdom.
Qual Health Res. 2021 Oct;31(12):2211-2229. doi: 10.1177/10497323211027536. Epub 2021 Jun 30.
In response to the heightened risk that coronavirus disease 2019 (COVID-19) poses to the health and lives of people with obesity, in 2020 the U.K. government launched a new package of policies intended to stimulate weight loss among the country's population. In this article, I present a critical discourse analysis of the policy paper which announced these new measures. I identify the discourses that are used to represent things, people, and processes in this policy text. These discourses are interpreted in terms of broadly neoliberal ideologies of public health management. Taken together, the discourses identified contribute to a broadly neoliberal ideology of public health management. It is argued that the policy paper represents an instance of "lifestyle drift," as it initially appears to engage with social and economic determinants of health but ultimately neglects these in favor of focusing on individual lifestyle factors, particularly in the shape of individuals' "choices."
针对 2019 年冠状病毒病(COVID-19)给肥胖人群的健康和生命带来的高风险,英国政府于 2020 年推出了一揽子新政策,旨在刺激该国人口减肥。在本文中,我对宣布这些新措施的政策文件进行了批判性话语分析。我确定了在该政策文本中用于表示事物、人和过程的话语。这些话语根据公共卫生管理的广泛新自由主义意识形态进行了解释。从总体上看,所确定的话语有助于形成广泛的新自由主义公共卫生管理意识形态。有人认为,该政策文件代表了“生活方式漂移”的一个例子,因为它最初似乎涉及健康的社会和经济决定因素,但最终忽视了这些因素,转而关注个人生活方式因素,特别是个人“选择”的形式。