Causal narratives in public health: the difference between mechanisms of aetiology and mechanisms of prevention in non-communicable diseases
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Publication Date
2018-05-01Journal Title
Sociology of Health and Illness
ISSN
0141-9889
Publisher
Wiley
Language
English
Type
Article
This Version
AM
Metadata
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Kelly, M., & Russo, F. (2018). Causal narratives in public health: the difference between mechanisms of aetiology and mechanisms of prevention in non-communicable diseases. Sociology of Health and Illness https://doi.org/10.17863/CAM.10908
Abstract
Research in the health sciences has been highly successful in revealing the aetiologies of many morbidities, particularly those involving the microbiology of communicable disease. This success has helped form a narrative to be found in numerous public health documents, about interventions to reduce the burden of non-communicable diseases (e.g., obesity or alcohol related pathologies). These focus on tackling the purported pathogenic factors causing the diseases as a means of prevention. In this paper, we argue that this approach has been sub-optimal. The mechanisms of aetiology and of prevention are sometimes significantly different and failure to make this distinction has hindered efforts at preventing non-communicable diseases linked to diet, exercise and alcohol consumption. We propose a sociological approach as an alternative based on social practice theory.
Sponsorship
Arts and Humanities Research Council (AHRC) (UK), grant number AH/M005917/1 (“Evaluating Evidence in Medicine”). Grant held by the University of Kent and UCL
Identifiers
This record's DOI: https://doi.org/10.17863/CAM.10908
This record's URL: https://www.repository.cam.ac.uk/handle/1810/265143
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