Department of Anthropology, University of Chile, Santiago, Chile.
Public Health School, University of Chile, Santiago, Chile.
Med Anthropol. 2021 Nov-Dec;40(8):745-758. doi: 10.1080/01459740.2021.1935924. Epub 2021 Jul 6.
Public policies to prevent non-communicable diseases (NCDs) by promoting health lifestyles began in Chile in the 1990 s, yet NCDs are still highly prevalent. We draw on the theoretical approaches of the Latin American Collective Health (LACH) and critical medical anthropology (CAM) to elucidate why these polices have not had the desired effects. Women with low socioeconomic status and participating in the Choose Healthy Living Program identified obstacles to healthy living and the subjective tensions resulting from the healthy lifestyles ethic. Their experiences demonstrate how lifestyles emerge from the intersection of agency and structure, so it cannot result from individual action alone.
公共政策通过促进健康的生活方式来预防非传染性疾病（NCDs）始于 20 世纪 90 年代的智利，但 NCDs 仍然非常普遍。我们借鉴拉丁美洲集体卫生（LACH）和批判医学人类学（CAM）的理论方法，阐明了这些政策为何没有产生预期效果。社会经济地位较低的妇女参与了“选择健康生活方式”计划，她们确定了健康生活的障碍以及健康生活方式伦理带来的主观紧张。她们的经历表明，生活方式是如何从能动性和结构的交叉点产生的，因此，它不能仅仅来自个人的行动。
