Working-class discourses of politics, policy and health: ‘I don’t smoke; I don’t drink. The only thing wrong with me is my health’
本研究通过苏格兰两个去工业化地区的半结构化访谈，发现参与者对健康原因有高度整合的解释，清晰阐述了政治、政策、去工业化、社区破坏与健康影响之间的联系，与以往研究形成对比。
It is known that population health is socially and politically determined. A gap, however, between the evidence and policy (where behavioural approaches dominate) is evident. This study used semi-structured interviews in two deindustrialised areas in Scotland to explore understandings of the causes of (ill)health in local communities. Using Raphael’s Discourses of Social Health Determinants (2011), we found that participants typically had highly integrated explanations of health, including vivid articulation of links between politics, policies, deindustrialisation, damage to community fabric and impacts on health. This understanding contrasts with that identified by research elsewhere. We posit explanations for our findings and discuss their implications.