Lindbladh E, Lyttkens C H, Hanson B S, Ostergren P, Isacsson S O, Lindgren B
Department of Community Medicine, Malmö University Hospital, Lund University, Sweden.
Soc Sci Med. 1996 Dec;43(12):1817-27. doi: 10.1016/s0277-9536(96)00087-1.
We argue that the group-centred analyses of social epidemiology should follow from theoretical considerations that take the situation of the individual as their natural starting point. In a tentative dialogue between economics and sociology, we develop a framework for the analysis of health-related behaviour. Such behaviour is modelled as a process of decision-making at the individual level. Within economics, we draw specifically on the demand-for-health literature and the new institutional economics. Within sociology, Bourdieu's habitus theory is presented in combination with a macro-structural approach where the focus is on the process of individualization. The relationship between these different approaches to health-related behaviour and their implications is discussed. We find that the encounter between different sciences provides valuable insights for future work in the socio-epidemiological tradition.
我们认为,社会流行病学以群体为中心的分析应基于将个体状况作为自然起点的理论考量。在经济学与社会学的初步对话中,我们构建了一个分析健康相关行为的框架。此类行为被建模为个体层面的决策过程。在经济学领域,我们特别借鉴了健康需求文献和新制度经济学。在社会学领域,布迪厄的惯习理论与一种宏观结构方法相结合,该方法侧重于个体化过程。我们讨论了这些针对健康相关行为的不同方法之间的关系及其影响。我们发现,不同学科之间的碰撞为社会流行病学传统的未来研究提供了宝贵的见解。