Archives


Health Lifestyle Theory in an Asian Context

William C Cockerham
Department of Sociology, University of Alabama, Birmingham, United States of America

Abstract

Health in Western society has become viewed as an achievement: something people are supposed to work at to enhance their quality of life or risk chronic illness and premature death.

This is evident in the research documenting the close connection between chronic illnesses and health lifestyles. Almost all of this research is based on Western populations and much of it treats health behaviour and lifestyles as matters of individual choice or agency. While agency is important, structural conditions can 'act back' on individuals to configure their lifestyles in particular ways.

The focus of this paper is to apply a new theoretical model to an Asian context. This model features a convergence between agency and structure and is supported by studies in Western countries. If the model is to have global relevance, it needs to be representative of health lifestyles in Asia as well. Unfortunately, there very few relevant studies available in Asia.

Consequently, the intent of this paper is to not only present an initial theoretical framework for such studies, but also to call attention to the need for research in Asia on this topic. Everyone has a health lifestyle and Asians are no exception, as their lifestyles undoubtedly play a decisive role in determining health in the Pacific region.

Keywords

Asia, AIDS, Bourdieu, health lifestyles, theory, sociology


Toggle references

References

Anesaki A and Munakata T (2005) Health, illness, and health policy in Japan. In Cockerham W (ed) The Blackwell Companion To Medical Sociology. Oxford: Blackwell: UK: 441-455.

Archer M (1995) Realist Social Theory: The Morphogenetic Approach. Cambridge University Press: Cambridge, UK.

Archer M (1998) Realism and morphogenesis. In Archer M, Bhaskar R, Collier A, Lawson T and Norrie A (eds) Critical Realism. Routledge: London.

Bauman Z (1999) In Search Of Politics. Stanford University Press: Stanford, CA.

Bian Y (1996) Chinese occupational prestige: a comparative analysis. International Sociology 11:161-186.

Blaxter M (1990) Health and Lifestyles. Routledge: London.

Bohman J (1999) Practical reasons and cultural constraint: Agency in Bourdieu's theory of practice. In Schusterman R (ed) Bourdieu: A Critical Reader. Blackwell: Oxford, UK.

Bourdieu P (1977) Outline Of A Theory Of Practice. Cambridge University Press: Cambridge, UK.

Bourdieu P (1984) Distinction. Harvard University Press: Cambridge, MA.

Bourdieu P (1990) The Logic Of Practice. Stanford University Press: Stanford, CA.

Brown T, Parks G, Zimmerman R and Phillips C (2001) The role of religion in predicting adolescent alcohol use and problem drinking. Journal of Studies on Alcohol 65:696-706.

Choe M, Thapa S, Podhisita C, Raymundo C, Lin H and Achmad S (2004) The teen tobacco epidemic in Asia: Indonesia, Nepal, Philippines, Taiwan, and Thailand. Journal of Youth Studies 7:73-87.

Clarke A, Shim J, Mamo L, Fosket J and Fishman J (2003) Biomedicalization: technoscientific transformations of health, illness, and US biomedicine. American Sociological Review 68:161-194.

Cockerham W (2000) The sociology of health behavior and health lifestyles. In Bird C, Conrad P and Fremont A (eds) Handbook Of Medical Sociology (5th ed) Prentice-Hall: Upper Saddle River, NJ: 159-172.

Cockerham W (2004) Health as a social problem. In Ritzer G (ed) Handbook Of Social Problems: A Comparative International Perspective. Sage: Thousand Oaks, CA: 281-297.

Cockerham W (2005) Health lifestyle theory: the convergence of agency and Structure. Journal of Health and Social Behavior 46:51-67.

Cockerham W (2006) Society Of Risk Takers: Living Life On The Edge. Worth: New York.

Cockerham W, Abel T and Lüschen G (1993) Max Weber, formal rationality, and health lifestyles. Sociological Quarterly 34:413-435.

Cockerham W, Hattori H and Yamori Y (2000) The social gradient in life expectancy: the contrary case of Okinawa in Japan. Social Science and Medicine 51:115-122.

Cockerham W, Rütten A and Abel T (1997) Conceptualizing contemporary health lifestyles: moving beyond Weber. Sociological Quarterly 38:321-342.

Cockerham W and Yamori Y (2001) Okinawa: an exception to the social gradient of life expectancy in Japan. Asia Pacific Journal of Clinical Nutrition 10:154-158.

Dahrendorf R (1979) Life Chances. University of Chicago Press: Chicago.

Dunn A, Marcus B, Kampert J, Gracia M, Kohl III H and Blair S (1999) Comparison of lifestyles and structural interventions to increase physical activity and cardiorespiratory fitness. JAMA 281:327-34.

Emirbayer M and Mische A (1998) What is agency? American Sociological Review 103:962-1023.

Frohlich K, Corin E and Potvin L (2001) A theoretical proposal for the relationship between context and disease. Sociology of Health and Illness 23:776-797.

Giddens A (1991) Modernity And Self-Identity: Self And Society In The Late Modern Age. Stanford University Press: Stanford, CA.

Gu D, Wu X, Reynolds K, Duan X, Reynolds R, Wheaton P and He J (2004) Cigarette smoking and exposure to environmental tobacco smoke in China: the international collaborative study of cardiovascular disease in Asia. American Journal of Public Health 94:1972-1976.

Herzlich C and Pierret J (1987) Illness And Self In Society. Johns Hopkins University Press: Baltimore MD.

Husserl E ([1952] 1989) Ideas Pertaining To A Pure Phenomenology And Phenomemological Philosophy. Kluwer Academic: London.

Jarvis M and Wardle J (1999) Social patterning of individual health behaviors: the case of cigarette smoking. In Marmot M and Wilkinson R (eds) Social Determinants Of Health. Oxford University Press: Oxford UK: 240-256.

Kalberg S (1994) Max Weber's Comparative Historical Sociology. University of Chicago: Chicago.

Lam W, White N and Chan-Yeung M (2004) Lung cancer epidemiology and risk factors in Asia and Africa. International Journal of Tuberculosis 8:1045-1057.

Laumann E, Gagnon J, Michael R and Michaels S (1994) The Social Organization Of Sexuality. University of Chicago Press: Chicago.

Laumann E and Youm (2001) Racial/ethnic group differences in the prevalence of sexually transmitted diseases in the United States. In Laumann E and Michael R (eds) Sex, Love, And Health In America: Private Choices And Public Policies. University of Chicago Press: Chicago: 327-351.

Lomas J (1998) Social capital and health: Implications for public health and epidemiology. Social Science and Medicine 47:1181-1188.

Mommsen W (1989) The Political And Social Theory Of Max Weber. Polity Press: Cambridge UK.

Morrow M, Ngoc D, Hoang T and Trinh T (2002) Smoking and young women in Vietnam: The influence of normative gender roles. Social Science and Medicine 55:681-690.

Powell M and Anesaki M (1990) Health Care In Japan. Routledge: London.

Sermsri S (1999) Socio-Cultural Perspectives In Health. Parrich: Bangkok.

Shin E (1999) Social change, political elections, and the middle class in Korea. East Asia 17:28-60.

Sibeon R (2004) Rethinking Social Theory. Sage: London.

Singapore Ministry of Health (1999) National Health Survey 1998. Epidemiology and Disease Control Department: Singapore.

So A (2003) The changing pattern of classes and class conflict in China. Journal of Contemporary Asia 33:363-376.

Sugimoto Y (1997) An Introduction To Japanese Society. Cambridge University Press: Cambridge UK.

Swartz D (1997) Culture And Power: The Sociology Of Pierre Bourdieu. University of Chicago Press: Chicago.

Tamura K (2003) The emergence and political consciousness of the middle class in Singapore. Developing Economies 41:184-200.

Treiman D (1977) Occupational Prestige In Comparative Perspective. Academic Press: New York.

UNAIDS (2002) Epidemiological Fact Sheets On HIV/AIDS And Sexually Transmitted Infections: 2002 Update. WHO: Geneva.

Veblen T (1899) Theory Of The Leisure Class. Dover: New York.

Watts J (2003) Tobacco grips the smokers' republic. Guardian (December 4):1.

Weber M (1949) The Methodology Of The Social Sciences. Free Press: New York.

Weber M (1958) The Protestant Ethic And The Spirit Of Capitalism. Scribners: New York.

Weber M ([1922] 1978) Economy and Society. University of California Press: Berkeley.



Web Feed

Latest Articles

Call for Papers

Expert Patient Policy
Volume 18/2
Deadline: Closed


Ageing, Anti-Ageing and Globalization: Transitions and limits in the governance of ageing
Volume 18/4
Deadline: 20th Feb 2009


Special Issues

Ageing, Anti-Ageing and Globalization: Transitions and limits in the governance of ageing
Vol 18/4, 1st Dec 2009


Expert Patient Policy
Vol 18/2, 1st Jun 2009


Social Determinants of Child Health and Wellbeing
Vol 18/1, 1st Mar 2009


Integrative, Complementary and Alternative Medicine: Challenges for Biomedicine?
Vol 17/4, 1st Dec 2008


Community, Family, Citizenship and the Health of LGBTIQ People
Vol 17/3, 1st Oct 2008


Re-imagining Preventive Health: Theoretical Perspectives
Vol 17/2, 1st Aug 2008


Death, Dying and Loss in the 21st Century
Vol 16/5, 1st Dec 2007


Social Equity and Health
Vol 16/2, 1st Jun 2007


Medical Dominance Revisited
Vol 15/5, 1st Dec 2006


Childbirth, Politics & the Culture of Risk
Vol 15/4, 1st Oct 2006


Revisiting Sexualities and Health
Vol 15/3, 1st Aug 2006


Closing Asylums for the Mentally Ill: Social Consequences
Vol 14/3, 1st Dec 2005


Workplace Health: The Injuries of Neoliberalism
Vol 14/1, 1st Aug 2005


Symposium on Rural Health: Patients and Practitioners
Vol 13/2, 1st Dec 2004


Symposium on Women's Health
Vol 13/1, 1st Sep 2004


Symposium on Indigenous Health and the Contribution of Sociology
Vol 10/2, 1st Nov 2001


Sponsored Links

Selected Articles

‘Shiny Happy Same-Sex Attracted Woman Seeking Same’
Mary Heath, Ea Mulligan


Analysing social reconstructions of health knowledge
Fran Collyer


Michael Crotty's phenomenology and nursing research
Catherine Garrett


Integration and Diversification in Healthcare
Jane Jones


The child health service: Governing families of pre-school children in Western Australia
Ann-Claire Larsen


Transgender People and the Amendment of Formal Documentation
Murray Couch, Marian Pitts, Samantha Croy, Hunter Mulcare, Anne Mitchell


Website by Arrowsmith Websites. Business, Government & Corporate Websites, Web Hosting, Domain Names & SEO. Maleny, Sunshine Coast, Australia.