A shift in the public health policy has to focus less on changes in individual behavior and focus more on social habits and practices that are leading us to bad health: A new paper by Dr Stanley Blue, lecturer in Social Sciences, The University of Manchester.
Theories of practice and public health: understanding (un)healthy practices is published in the journal, Critical Public Health, and written by Dr Stanley Blue, lecturer at the School of Social Sciences, Prof Elizabeth Shove, of Lancaster University, Prof Mike Kelly, Director of the Centre of Public Health at NICE, and Chris Carmona, public health analyst at NICE.
The authors say new ideas are needed to tackle non-communicable - or 'lifestyle' diseases - such as heart disease, cancer, asthma and diabetes. They explain how some social practices reinforce each other, such as getting a takeaway and watching TV on a Friday night, whereas others, such as drinking a bottle of wine at home or going to the gym, compete for time in our busy days.
Dr Stanley Blue said: "Smoking, exercise and eating are fundamentally social practices, therefore we need to re-shape what is deemed socially acceptable and normal in order to change them."
"Current public health policy is dominated by the presumption that individuals are capable of making 'better' choices for themselves on the basis of information given to them by the government or other agencies. This does not account for the fact that practices like those of smoking and eating have histories of their own."
"Trying to get individuals to stop smoking or eat healthily overlooks the fact that these are fundamentally social practices. Public health policy will have to find the courage to break away from its traditional mould if it is to stand a chance of confronting the grim reaper of lifestyle diseases."