Engaging with the discourse on lifestyle modifications: Evidence from India

Authors

  • Arima Mishra Institute of Public Health, Bangalore, India

DOI:

https://doi.org/10.5195/hcs.2011.28

Keywords:

risk, lifestyle, discourse, heart patients, India

Abstract

Lifestyle modifications through a range of health care practices are considered central to the management, control and prevention of chronic non-communicable diseases. While there is a critical perspective on the epistemologies of such global health discourses in existing literature, empirical evidence on how people engage with such prescriptive lifestyle modifications in different cultural contexts is very limited. The paper in this context draws on illness narratives of heart patients to discuss about the anxiety and uncertainty expressed by patients and others about notions of what constitutes ‘healthy’ and ‘risky’. It specifically unpacks the global-local dynamics in the construction of risk and healthy lifestyle and examines the contexts in which such global discourses are embodied, resisted or negotiated in different cultural contexts. The paper also examines how global health discourses travel to local sites through popular press. The paper draws on evidence collected through analyzing two Indian national English dailies and in-depth interviews with heart patients and their family members in Delhi, India in 2007-2008.

 

Author Biography

Arima Mishra, Institute of Public Health, Bangalore, India

Senior Faculty, Institute of Public Health, Bangalore

Also affilited as Senior Researcher, Centre for Development and Environment, University of Oslo, Norway 

References

Annandale, Ellen. 1998. The sociology of health and medicine: A critical introduction. Cambridge, United Kingdom: Polity press

Beck, Ulrich. 1992. Risk society: Towards a new modernity. London: Sage

Blaxter, Mildred. 1990. Health and lifestyle. London: Routledge

Bhardwaj, Ruby. 2010. Medical pluralism in India: The interface of Complementary and Alternative therapies with Allopathy, pp: 30-60 In Arima Mishra ed. Health, Illness and Medicine: Ethnographic Readings. Delhi: Orient Blackswan

Bulato, R.A. and P.W. Stephens. 1992. Estimates and projections of mortality by cause. Washington DC, Population, health and nutrition department, working paper World Bank no. 1007

Castel, R. (1991) From dangerousness to risk. In G. Burchell, C. Gordon, and P. Miller (eds.) The Foucault Effect: Studies in Governmentality. Chicago: University of

Chicago Press, 281-298

Cockerham, William (2005) Health lifestyle theory and the convergence of agency and structure, Journal of Health and Social Behaviour, 46:51-67

Chadha, S.L. et al 1993. A 3 year Follow up study of coronary heart disease in Delhi. Bulletin of the World Health Organisation 71(1): 67-72

Clarke, J.N and Everest M.M. (2006) Cancer in the mass print media: Fear, uncertainty and the medical model, Social Science and Medicine, 62 910) 2591-2600

Crawford, Robert. 1984. A cultural account of health: Control, release and the social body pp: 60-103 In John McKinley ed. Issues in the political economy of health care. New York: Tavistock

Crawford, R. 2000. The ritual of health promotion. In S. J. Williams, J. Gabe, & M. Calnan (eds.) Health, medicine and society: Key theories, future agendas (pp. 219–235). London: Routledge

Davison, Charlie, Smith G. Davey and Frankel Stephen. 1991. Lay Epidemiology and the prevention paradox: The implications of coronary candidacy for health education, Sociology of Health and Illness, 13(1): 1-19

Davison, Charlie, Frankel Stephen and Smith, George Davey. 1992. The Limits of Life style: Re-assessing ‘Fatalism’ in the popular culture of illness prevention, Social Science and Medicine, 34(6): 675-685

Dean, K. 1989. Self-care components of lifestyle: The importance of gender, attitudes and social situation, Social Science and Medicine, 29 (2): 137-152

Frankel, S, Davison C and Smith G.D. 1991. Lay epidemiology and the rationality of responses to health education, British Journal of Medical Practice, 4: 428-430

Galvin, Rose. 2002. ‘Disturbing notions of chronic illness and individual responsibility: Towards a genealogy of morals’, Health 6(2): 107–137

Gidden, Anthony. 1991. Modernity and self-identity: Self and society in late modern age. Stanford: Stanford University Press

Gupta, R and Gupta VP. 1996. Meta analysis of coronary heart disease prevalence in India. Indian Heart Journal, Vol 48:241-245

Halpin, Michael, Philips Melanie and Oliffe John L. (2009) Prostate Cancer Stories in the Canadian Print Media: Representations of illness, disease and masculinities, Sociology of Health and Illness, 31 (2):155-169

Kagawa-Singer, Marjorie. 1993, ‘Redefining health: Living with cancer, Social Science and Medicine 37(3): 295-304

Lawton, Julia. 2002. Colonising the future: Temporal perceptions and health relevant behaviours across adult life course, Sociology of Health and Illness, 24 (6): 714-733

Lupton, Deborah 1994. Analysing news coverage In Simone Chapman and Deborah

Lupton Ed. The Fight for Public Health: Principles and Practice of Media Advocacy. London: BMJ Publishing Group.

Lupton, Deborah. 1995. The imperative of health: Public health and the regulated body. London: Sage

Martin, Emily. 1990. Towards and anthropology of immunology: The body as nation state, Medical Anthropology Quarterly, 4(4): 410- 426

Mendenhall, Emily, Sligman Rebecca A, Fernandez and Jacobs Elizabeth. 2010. Speaking through diabetes: Rethinking the significance of lay discourse on diabetes, Medical Anthropology Quarterly, 24(2): 220-239

Misha, Arima. 2010. Deconstructing self-care in biomedical and public health discourses, Arima Mishra ed. In Health, Illness and Medicine: Ethnographic Readings. Delhi: Orient Black Swan

Mohan, V. et al 2007. Epidemiology of type 2 diabetes: Indian scenario, Indian Journal of Medical Research, Vol. 125 217-230

Pajari, Pia M, Jallinoja, Piia and Absetz, Pilviki 2006. Negotiation over self-control and activity: An analysis of balancing in the repertoires of Finnish healthy lifestyles, Social Science and Medicine 62: 2601-2611

Petersen, A. and Bunton Robin 1997. (eds) Foucault, Health and Medicine. London: Routledge

Petersen, A. 1997. ‘Risk governance and the new public health’. In Alan Petersen and Robin Bunton (eds.) Foucault, Health and Medicine (189–206). London: Routledge

Ramacharndran A et al 2001 High prevalence of diabetes and impaired glucose tolerance in India: National Diabetics Survey, Diabetologia 44(9): 1094-1101

Reddy, K.S. and Yusuf. 1998. Emerging epidemic of cardiovascular diseases in developing Countries, Circulation Vol. 97: 597-601

Reddy, K.S. et al. 2005. Responding to the threat of chronic diseases in India, Lancet Vol 12: 1744-9

Rose, Nikolas 2006. The politics of life itself: Biomedicine, Power and Subjectivity in Twenty First Century. Princeton: Princeton University Press

Saguy Abigail C and Almeling Rene. 2008. Fat in the Fire? Science, the News Media and the ‘Obesity Epidemic’, Sociological Forum, 23 (1): 53-83

Sethi, P.K. et al 2007. Stroke: The neglected epidemic, an Indian Perspective, The Internet Journal of Neurology Vol. 8 (1).

Seale, Clive. 2003. ‘Health and Media: An overview’, Sociology of Health and Illness 25(6): 513–531

Shapin, Steven and Schaffer, Simon. 1985. Leviathan and the Air Pump: Hobbes, Boyle and the Experimental Life. Princeton, NJ: Princeton University Press

Townsend, Wyke and Hunt 2006, Self-managing and managing self: Practical and moral dilemmas in accounts of living with chronic illness, Chronic illness 2(3): 185-194

Turner, Bryan. 1992. Regulating bodies: Essays in medical sociology. London: Routledge

Williams, Simon J (1995) Theorising class, health and lifestyle: Can Bourdieu help us? Sociology of Health and Illness 17: 577-604

Wilson, Caroline. 2010. Eating and eating is always there: Food, consumerism and cardiovascular diseases: Some evidence from Kerala, South India, Anthropology and Medicine, 17(3): 261-275

Wright, Jan and Harwood Valerie eds. 2009. Biopolitics and the ‘obesity epidemic: Governing Bodies. London: Routledge

Xavier, denis, Devereeaux P.J. and Chanchung Xie. 2008. Coronary artery disease in India. The Lancet 371(9622): 1435-42

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Published

2011-10-12

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Vol 1, No 1 (2011): PERSPECTIVES

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