Despite the intense level of attention directed towards obesity, there has been limited success in addressing the rising rates of this public health phenomenon. This paper argues that current approaches to obesity fail to consider concepts of embodiment, and in particular, that gendered and class-based experiences of embodiment are ignored in health promotion practices and policies. Drawing on Bourdieu's concept of habitus , this ethnographic study sought to locate obesity within the biographies and everyday experiences of two groups of women from differing socio-economic settings. Rather than identify with the clinical category of obesity, these women constructed identities that were refracted through a gendered and classed habitus , and in particular, through their role as mothers. Food provision and practices were central to constructs of mothering, and these relational identities were at odds with the promotion of individual behavioural changes. Moreover, these women's daily lives were shaped by different class-based aspects of habitus , such as employment. In demonstrating the ways in which obesity is enmeshed in participants' taken-for-granted, everyday practices, we problematise the universality of health-promotion messages and highlight the integral role that the critical theory of habitus has in understanding the embodiment of obesity.
Mothers are expected to monitor their children's dietary intakes and physical activities and are blamed for over feeding their children if they are obese. Women are also urged to manage their own weight in preparation for conception and during pregnancy in order to reduce complications associated with maternal obesity at childbirth. Through a theoretical lens of maternal blame, we argue that Australian media representations of scientific studies of the fetal overnutrition hypothesis extend behavioural maternal blame to the interiority of women's bodies. Women's intrauterine environments are positioned in the media as central to the intergenerational transmission of obesity, with women portrayed as responsible for passing obesity on to their children (and grandchildren) via biology and ill-informed 'lifestyle choices'. Linking in with historical and contemporary discourses of maternal bodies and individual responsibility, the implications of the 'double damage' caused by women entails a concerning return to essentialism in which women's bodies are being largely blamed for producing and reproducing obesity across generations.
Background: It is commonly held that men delay help seeking because they are ignorant about and disinterested in their health. However, this discussion has not been informed by men's lay perspectives, which have remained almost entirely absent from scholarship relating to men's help seeking practices.
a b s t r a c tThis paper examines the spatio-temporal disjuncture between 'the future' in public health obesity initiatives and the embodied reality of eating. Drawing upon ethnographic fieldwork in a disadvantaged community in South Australia (August 2012eJuly 2014), we argue that the future oriented discourses of managing risk employed in obesity prevention programs have limited relevance to the immediacy of poverty, contingencies and survival that mark people's day to day lives. Extending Bourdieu's position that temporality is a central feature of practice, we develop the concept of short horizons to offer a theoretical framework to articulate the tensions between public health imperatives of healthy eating, and local 'tastes of necessity'. Research undertaken at the time of Australia's largest obesity prevention program (OPAL) demonstrates that pre-emptive and risk-based approaches to health can fail to resonate when the future is not within easy reach. Considering the lack of evidence for success of obesity prevention programs, over-reliance on appeals to 'the future' may be a major challenge to the design, operationalisation and success of interventions. Attention to local rather than future horizons reveals a range of innovative strategies around everyday food and eating practices, and these capabilities need to be understood and supported in the delivery of obesity interventions. We argue, therefore, that public health initiatives should be located in the dynamics of a living present, tailored to the particular, localised spatio-temporal perspectives and material circumstances in which people live.
This paper examines how contemporary understandings of 'health' and 'care' are engaged with and practiced by women with disordered eating. Based on findings from an Australian study investigating why people with disordered eating are reluctant to engage with treatment services (March 2012 to March 2015), we demonstrate how young women use elements of a 'health habitus' and 'care' to rationalise and justify their practices. Moving beyond Foucauldian theories of self-discipline and individual responsibility we argue that Bourdieu's concept of habitus and ethnographic concepts of care provide a deeper understanding of the ways in which people with disordered eating embody health practices as a form of care and distinction. We demonstrate how eating and bodily practices that entail 'natural', medical and ethical concerns (in particular, the new food regime known as orthorexia) are successfully incorporated into participants' eating disorder repertoires and embodied as a logic of care. Understanding how categories of health and care are tinkered with and practiced by people with disordered eating has important implications for health professionals, family members and peers engaging with and identifying people at all stages of help-seeking.
Objective: To determine the core qualities that men value when communicating with general practitioners in primary care settings.
Design, setting and participants: In a qualitative study using semi‐structured interviews in non‐clinical environments, 36 white Australian men drawn from the Florey Adelaide Male Ageing Study, stratified by age and marital status, discussed their help‐seeking behaviour and health service use. Participants were from the North West Adelaide region. Interviews were conducted between January and November 2005.
Results: The core qualities men value when communicating with GPs in primary care settings include the adoption of a “frank approach”, demonstrable competence, thoughtful use of humour, empathy, and prompt resolution of health issues.
Conclusions: The core qualities men value when communicating with GPs are concordant with most key dimensions of a patient‐centred approach, but not necessarily all. Adopting these qualities has the potential to enhance communication with and care of men in primary care settings.
Socio-economic divergence in public opinions about preventive obesity regulations: is the purpose to 'make some things cheaper, more affordable' or to 'help them get over their own ignorance'? Social Science and Medicine, 2016; 154:1-8
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