University of Bristol Business School, University of Bristol, Bristol, UK.
School of Economics, Finance and Marketing, RMIT University, Melbourne, Victoria, Australia.
Sociol Health Illn. 2023 Feb;45(2):423-445. doi: 10.1111/1467-9566.13585. Epub 2022 Nov 15.
In this article, we explore how a capabilities perspective can advance practice theoretic conceptualisations of persistent health inequalities. Specifically, we seek to understand the capabilities necessary for recruitment to leisure time physical activity (LTPA) practices by low SES mothers, a group traditionally excluded from LTPA. Our study illuminates that mothers living a life of social disadvantage face difficulties in becoming recruited to LTPA practices despite, in many cases, the availability of elements required for performance. We identify that temporal, support and energy capabilities are necessary for low SES mothers to become recruitable to LTPA. The dispossession of these capabilities signals inequalities in the constellation of practices that configure this group's lived experiences, in turn giving rise to practice absence and further consolidating patterns of inequality. We offer a framework of practice capabilities and health inequalities to guide future practice-oriented scholarship in the sociology of illness and health, which signals how capabilities may enable or constrain recruitment to health-promoting practices, give rise to inequalities and condition the possibility of practice absence.
本文探讨了能力视角如何能推进对持久健康不平等的实践理论概念化。具体而言，我们试图理解那些必要的能力，以便让社会经济地位低的母亲（这群人传统上被排除在休闲时间体育活动之外）参与到休闲时间体育活动实践中。我们的研究表明，尽管许多情况下，这些母亲已经具备了进行休闲时间体育活动所需要的条件，但由于生活在社会劣势中，她们在参与休闲时间体育活动方面仍面临困难。我们发现，时间、支持和精力能力是低社会经济地位母亲能够被招募参与休闲时间体育活动的必要条件。这些能力的丧失表明，在配置这一群体生活经历的实践组合中存在不平等，这反过来又导致了实践的缺失，并进一步巩固了不平等的模式。我们提供了一个实践能力和健康不平等的框架，以指导疾病和健康社会学中的未来面向实践的学术研究，这表明能力如何能够促进或限制对促进健康的实践的招募，产生不平等，并影响实践缺失的可能性。
