Skip to main content
Canadian Journal of Public Health = Revue Canadienne de Santé Publique logoLink to Canadian Journal of Public Health = Revue Canadienne de Santé Publique
. 1999 Nov 1;90(Suppl 1):S11–S14. doi: 10.1007/BF03403571

Collective Lifestyles as the Target for Health Promotion

Katherine L Frohlich 1,, Louise Potvin 1
PMCID: PMC6979813  PMID: 10686752

Abstract

The last five years have witnessed intense debate among health researchers in Canada regarding the overlap of the health promotion and population health discourses. Meanwhile, strong currents within health promotion have attempted to move the field beyond a focus on individual behaviour towards the influence of social environments on health, although the tendency is often to fall back on individual behaviour modification as the primary lever for change. The Population Health research agenda bypasses behavioural determinants of health and explores instead social determinants. This body of knowledge provides useful insight for addressing some of the tensions in the health promotion discourse. This paper explores two of these tensions: whether individuals at risk or general populations should be targeted for change; and whether lifestyle is an individual or a collective attribute. We propose the notion of collective lifestyles as a heuristic for understanding the interaction between social conditions and behaviour in shaping health.

Footnotes

This research was made possible in part by Health Canada through a National Health Research and Development Program (NHRDP) Research Training Award (6605-5226-47R) to K.L. Frohlich and the Medical Research Council through a Scientist Award to L. Potvin (H3-17299-AP007270).

References

  • 1.Frank JW. Why “population health”? Can J Public Health. 1995;86:162–64. [PubMed] [Google Scholar]
  • 2.Labonte R. Population health and health promotion: What do they have to say to each other? Can J Public Health. 1995;86:165–68. [PubMed] [Google Scholar]
  • 3.Poland B, Coburn D, Robertson A, Eakin J. Wealth, equity and health care: A critique of a “population health” perspective on the determinants of health. Soc Sci Med. 1998;46:785–98. doi: 10.1016/S0277-9536(97)00197-4. [DOI] [PubMed] [Google Scholar]
  • 4.Hamilton N, Bhatti T. Population health promotion: An integrated model of population health and health promotion (A working draft) 1995. [Google Scholar]
  • 5.Evans RG, Barer ML, Marmor TR. Why Are Some People Healthy and Others Not? The Determinants of Health of Populations. New York, NY: Aldine de Gruyter; 1994. [Google Scholar]
  • 6.McQueen D. The search for theory in health behaviour and health promotion. Health Prom Int. 1996;11:27–32. doi: 10.1093/heapro/11.1.27. [DOI] [Google Scholar]
  • 7.Stokols D, Allen J, Bellingham RL. Special issue: Social ecology. Am J Health Prom. 1996;10:241–328. doi: 10.4278/0890-1171-10.4.247. [DOI] [PubMed] [Google Scholar]
  • 8.Richard L. Pour une approche écologique en promotion de la santé: le cas des programs de lutte contre le tabagisme. Rupture, revue transdisciplinaire en santé. 1996;3:52–67. [Google Scholar]
  • 9.Breslow L. Social ecological strategies for promoting healthy lifestyles. Am J Health Prom. 1996;10:253–55. doi: 10.4278/0890-1171-10.4.253. [DOI] [PubMed] [Google Scholar]
  • 10.Dean K. Population Health Research. Linking Theory and Methods. Thousand Oaks, CA: Sage Publications; 1993. [Google Scholar]
  • 11.Krieger N, Rowley DL, Herman AA, et al. Racism, sexism, and social class: Implications for study of health, disease, and well being. Am J Prev Med. 1993;9:82–122. doi: 10.1016/S0749-3797(18)30666-4. [DOI] [PubMed] [Google Scholar]
  • 12.Syme SL. To prevent disease: The need for a new approach. In: Blane D, Brunner E, Wilkinson R, editors. Health and Social Organization. Towards a Health Policy for the 21st Century. London: Routledge; 1996. [Google Scholar]
  • 13.Rose G. The Strategy of Preventive Medicine. Oxford, England: Oxford University Press; 1992. [Google Scholar]
  • 14.Blane D, Brunner E, Wilkinson R. Health and Social Organization. Towards a Health Policy for the 21st Century. London: Routledge; 1996. [Google Scholar]
  • 15.Rootman I, Goodstadt M, Potvin L, Springett J. A framework for health promotion evaluation. In: Rootman I, Goodstadt M, Hyndman B, et al. (Eds.), Evaluation in Health Promotion: Principles and Perspectives. Copenhagen: WHO, in press.
  • 16.World Health Organization. Ottawa Charter for Health Promotion. Health Promotion. 1987;1:iii–v. [PubMed] [Google Scholar]
  • 17.Lalonde M. A New Perspective on the Health of Canada. Ottawa: Ministry of Supply and Services; 1974. [Google Scholar]
  • 18.Stachenko S, Jenicek M. Conceptual differences between prevention and health promotion: Research implications for community health programs. Can J Public Health. 1990;81:53–59. [PubMed] [Google Scholar]
  • 19.Winkleby MA. The future of community-based cardiovascular disease intervention studies. Am J Public Health. 1994;84:1369–72. doi: 10.2105/AJPH.84.9.1369. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 20.Susser M. The tribulations of trials - Interventions in communities. Am J Public Health. 1995;85:156–58. doi: 10.2105/AJPH.85.2.156. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 21.COMMIT Research Group. Community intervention trial for smoking cessation (COMMIT): II. Changes in adult cigarette smoking prevalence. Am J Public Health. 1995;85:193–200. doi: 10.2105/AJPH.85.2.193. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 22.Lupton D. The Imperative of Health. Public Health and the Regulated Body. London: Sage Publications; 1995. [Google Scholar]
  • 23.Paradis G, O’Loughlin J, Elliott M, et al. Coeur en santé St-Henri - A heart health promotion program in a low income, low education neighbourhood in Montreal, Canada: Theoretical model and early field experience. J Epidemiol Community Health. 1995;49:503–12. doi: 10.1136/jech.49.5.503. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 24.Duncan C, Jones K, Moon G. Health-related behaviour in context: A multilevel modelling approach. Soc Sci Med. 1996;42:817–30. doi: 10.1016/0277-9536(95)00181-6. [DOI] [PubMed] [Google Scholar]
  • 25.Syme L. Dædalus. 1994. The social environment and health; pp. 79–86. [Google Scholar]
  • 26.Corin E. The social and cultural matrix of health and disease. In: Evans RG, Barer ML, Marmor TR, editors. Why Are Some People Healthy and Others Not? The Determinants of Health of Populations. New York: Aldine de Gruyter; 1994. pp. 93–132. [Google Scholar]
  • 27.U.S. Department of HealthHuman Services. Healthy People 2000: National Health Promotion and Disease Prevention Objectives. Boston: Jones and Bartlett; 1992. [Google Scholar]
  • 28.Frohlich KL, Potvin L. Health promotion through the lens of population health: Toward a salutogenic setting. Critical Public Health. 1999;9:211–22. doi: 10.1080/09581599908402933. [DOI] [Google Scholar]
  • 29.Blaxter M. Health and Lifestyles. London: Routledge; 1990. [Google Scholar]
  • 30.Stout C, Morrow J, Brandt EN, Wolf S. Unusually low incidence of death from myocardial infarction. JAMA. 1964;188:845–49. doi: 10.1001/jama.1964.03060360005001. [DOI] [PubMed] [Google Scholar]
  • 31.Wolf S, Grace KL, Bruhn J, Stout C. Roseto revisited: Further data on the incidence of myocardial infarction in Roseto and neighbouring Pennsylvania communities. Transactions of the American Clinical and Climatological Association. 1973;85:100–8. [PMC free article] [PubMed] [Google Scholar]
  • 32.Egolf B, Lasker J, Wolf S, Potvin L. The Roseto effect: A 50 year comparison of mortality rates. Am J Public Health. 1992;82:1089–92. doi: 10.2105/AJPH.82.8.1089. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 33.Lasker JN, Egolf BP, Wolf S. Community social change and mortality. Soc Sci Med. 1994;39:53–62. doi: 10.1016/0277-9536(94)90165-1. [DOI] [PubMed] [Google Scholar]
  • 34.Weber M. Wirtschaft und Gesellschaft. Grundiss der Verstehenden Soziologie. 4th. Tübringen, Germany: Mohr; 1956. [Google Scholar]
  • 35.Cockerhman WC, Rutten A, Abel T. Conceptualizing contemporary health lifestyles: Moving beyond Weber. The Sociological Quarterly. 1997;38:321–42. doi: 10.1111/j.1533-8525.1997.tb00480.x. [DOI] [Google Scholar]
  • 36.Coreil J, Levin JS, Jaco EG. Life style - An emergent concept in the sociomedical sciences. Culture, Medicine and Psychiatry. 1985;9:423–37. doi: 10.1007/BF00049232. [DOI] [PubMed] [Google Scholar]
  • 37.Dean K. Methodological issues in the study of health-related behaviour. In: Anderson R, editor. Health Behaviour Research and Health Promotion. Oxford: Oxford University Press; 1988. pp. 83–89. [Google Scholar]
  • 38.Link BG, Phelan J. J Health Soc Behav. 1995. Social conditions as fundamental causes of disease; pp. 80–94. [PubMed] [Google Scholar]

Articles from Canadian Journal of Public Health = Revue Canadienne de Santé Publique are provided here courtesy of Springer

RESOURCES