University of Colorado-Boulder, Boulder, CO, USA.
University of Nevada-Las Vegas, Las Vegas, NV, USA.
J Health Soc Behav. 2021 Sep;62(3):388-403. doi: 10.1177/0022146521997813.
The concept of health lifestyles is moving scholarship beyond individual health behaviors to integrated bundles of behaviors undergirded by group-based identities and norms. Health lifestyles research merges structure with agency, individual-level processes with group-level processes, and multifaceted behaviors with norms and identities, shedding light on why health behaviors persist or change and on the reproduction of health disparities and other social inequalities. Recent contributions have applied new methods and life course perspectives, articulating health lifestyles's dynamic relationships to social contexts and demonstrating their implications for health and development. Culturally focused work has shown how health lifestyles function as signals for status and identity and perpetuate inequalities. We synthesize literature to articulate recent advances and challenges and demonstrate how health lifestyles research can strengthen health policies and inform scholarship on inequalities. Future work emphasizing health lifestyles's collective nature and attending to upstream social structures will further elucidate complex social processes.
健康生活方式的概念将学术研究从个体健康行为扩展到群体认同和规范支撑下的综合行为群。健康生活方式研究将结构与能动性、个体层面的过程与群体层面的过程、多方面的行为与规范和认同相结合,揭示了为什么健康行为会持续或改变,以及健康差距和其他社会不平等现象是如何产生和再现的。最近的研究成果应用了新方法和生命历程视角,阐明了健康生活方式与社会环境的动态关系,并展示了它们对健康和发展的影响。关注文化的研究表明,健康生活方式如何作为地位和身份的标志,并使不平等现象永久化。我们综合文献阐明了最近的进展和挑战,并展示了健康生活方式研究如何能够加强健康政策和为不平等现象的学术研究提供信息。未来强调健康生活方式的集体性质并关注上游社会结构的工作将进一步阐明复杂的社会过程。