Skip to main content
Log in

Health promotion and lay epidemiology: A sociological view

  • Original Paper
  • Published:
Health Care Analysis Aims and scope Submit manuscript

Abstract

In this paper two fears about health promotion are identified. The first concerns the ability to choose between proliferating expert advice, and the second concerns the fear of government interference in personal life. The paper goes on to outline the current place of health promotion in British health policy, and to discuss the relevance of recent research on health beliefs. The paper argues that work on ‘lay epidemiology’ has been overlooked by both critics and supporters of health promotion. From this vantage point the fears about health promotion can be seen to be exaggerated.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. For a review of preventive strategies see, for example, Doll, R. (1983). Prospects for prevention.British Medical Journal 286, 445–453.

    Google Scholar 

  2. Nordenfelt, L. (1991).Towards a Theory of Health Promotion: A Logical Analysis, Linköping Collaborating Centre, Department of Health and Society, University of Linköping, Linköping, Sweden.

    Google Scholar 

  3. Ashton, J. and Seymour, H. (1988).The New Public Health: The Liverpool Experience, Open University Press, Milton Keynes.

    Google Scholar 

  4. McQueen, D. V., quoted in Bunton, R. and Macdonald, G. (eds) (1992).Health Promotion: Disciplines and Diversity, Routledge, London.

    Google Scholar 

  5. For a view of ‘panic cultures’ see Kroker, A. and Cook, D. (1986).The Postmodern Scene, Macmillan, London.

    Google Scholar 

  6. Berger, P. et al (1992).Health, Lifestyle Environment: Countering the Panic, Social Affairs Unit, London.

    Google Scholar 

  7. Williams, S., Calnan, M., Cant, S. L. and Coyle, J. (1993). All change in the NHS? Implications of the NHS reforms for primary care prevention.Sociology of Health and Illness 15(1), 43–67.

    Google Scholar 

  8. Beattie, A. (1991). Knowledge and control in health promotion: a test case for social policy and social theory. In,The Sociology of the Health Service, ed. by J. Gabe, M. Calnan and M. Bury. Routledge, London.

    Google Scholar 

  9. Beattie, A. (1991). As reference 8. For a recent discussion of a more contextual approach to health promotion and lifestyle, with special reference to smoking, see Oakley, A., Brannen, J. and Dodd, K. (1992). Young people, gender and smoking in the United Kingdom.Health Promotion International 7(2), 75–88.

    Google Scholar 

  10. Williams, S. J., Calnan, M. and Cant, S. (1991). Health promotion and disease prevention in the 1990s.Medical Sociology News 16(3), 20–29.

    Google Scholar 

  11. Harrison, S., Hunter, D. J. and Pollitt, C. (1990).The Dynamics of British Health Policy, Unwin Hyman, London.

    Google Scholar 

  12. Killoran, A. (1993). Pacemaker.Health Service Journal 18th February, 26–27.

  13. Herzlich, C. (1973).Health and Illness, Academic Press, London.

    Google Scholar 

  14. Blaxter, M. (1983). The causes of disease: women talking.Social Science and Medicine 17(2), 59–69.

    Google Scholar 

  15. Blaxter, M. (1990).Health and Lifestyles, Routledge, London.

    Google Scholar 

  16. Pill, R. and Stott, N. (1982). Concepts of illness, causation and responsibility.Social Science and Medicine 16(1), 43–52.

    Google Scholar 

  17. Pill, R. and Stott, N. (1985). Choice or chance: further evidence on ideas on illness and responsibility for health.Social Science and Medicine 20(10), 981–991.

    Google Scholar 

  18. Davison, C., Davey Smith, G. and Frankel, S. (1991). Lay epidemiology and the prevention paradox.Sociology of Health and Illness 3(1), 1–19.

    Google Scholar 

  19. Davison, C., Frankel, S. and Davey Smith, G. (1992). The limits of lifestyles: reassessing ‘fatalism’ in the popular culture of illness prevention.Social Science and Medicine 34(6), 675–685.

    Google Scholar 

  20. Heartbeat Wales (1989). See Heartbeat Wales: new horizons for health promotion in the community—the philosophy and practice of Heartbeat Wales. In,Changing Ideas in Health Care, ed. by D. F. Seedhouse and A. Cribb, John Wiley & Sons, Chichester.

    Google Scholar 

  21. Giddens, A. (1991).Modernity and Self-Identity: Self and Society in the Late Modern Age, Polity Press, London.

    Google Scholar 

  22. Bury, M. R. (1982). Chronic illness as biographical disruption.Sociology of Health and Illness 4, 167–182.

    Google Scholar 

  23. Bury, M. R. (1991). The sociology of chronic illness: a review of research and prospects.Sociology of Health and Illness 13(4), 451–468.

    Google Scholar 

  24. Rose, G. (1985). Sick individuals and sick populations.International Journal of Epidemiology 14, 32–38.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

This paper is based on a talk given at a Symposium on Health Promotion at the University of Linköping, Sweden, April 1993.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bury, M. Health promotion and lay epidemiology: A sociological view. Health Care Anal 2, 23–30 (1994). https://doi.org/10.1007/BF02251332

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02251332

Keywords

Navigation