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Evidence and causality in health promotion practice - the view from anthropology Morten Hulvej Jørgensen The 5th Nordic Health Promotion Research Conference.

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Presentation on theme: "Evidence and causality in health promotion practice - the view from anthropology Morten Hulvej Jørgensen The 5th Nordic Health Promotion Research Conference."— Presentation transcript:

1 Evidence and causality in health promotion practice - the view from anthropology Morten Hulvej Jørgensen The 5th Nordic Health Promotion Research Conference Esbjerg 2006

2 An anthropological analysis of health promotion practice - complementing causal evidence Morten Hulvej Jørgensen The 5th Nordic Health Promotion Research Conference Esbjerg 2006

3 An anthropological analysis of health promotion practice Esbjerg 2006 | Morten Hulvej JørgensenSlide 3 Background InterventionOutcome What works?

4 An anthropological analysis of health promotion practice Esbjerg 2006 | Morten Hulvej JørgensenSlide 4 Background Intervention ? Outcome How does it work in practice?

5 An anthropological analysis of health promotion practice Esbjerg 2006 | Morten Hulvej JørgensenSlide 5 Aim of presentation Case: Health promoting activities and alcohol use among teenagers in a Danish rural community Health promotion seen as a social practice Focus on interaction between actors Theoretical distinction between Strategic action Tactical action

6 An anthropological analysis of health promotion practice Esbjerg 2006 | Morten Hulvej JørgensenSlide 6 Methods Ethnographic fieldwork in a Danish rural community Approximately 2,000 inhabitants Participant observation among 13 to 16-year-olds (n=93) 2 two-month periods In school, at leisure activities, private parties, soda pop discos Semi-structured interviews Self-selected friendship pairs or small groups Interviews with 32 boys and girls in the 15-16 age group 4 interviews with teachers and municipal staff

7 An anthropological analysis of health promotion practice Esbjerg 2006 | Morten Hulvej JørgensenSlide 7 The soda pop disco Rules : Age limit: 12-15 years No alcohol inside Intoxicated persons are not allowed to enter Control by adults: Municipal street worker Door men Front desk Surveillance inside

8 An anthropological analysis of health promotion practice Esbjerg 2006 | Morten Hulvej JørgensenSlide 8 Warm-up sessions Get-togethers in private homes Small groups of teenagers Eating, drinking alcohol, socialising Getting in the right mood Anticipating adult control Timing of alcohol intake and intoxication

9 An anthropological analysis of health promotion practice Esbjerg 2006 | Morten Hulvej JørgensenSlide 9 What happens? Soda pop disco ~ health promotion practice Salutogenetic approach Preventive approach Interaction between adults and teenagers Different positions in intergenerational social space (power)

10 An anthropological analysis of health promotion practice Esbjerg 2006 | Morten Hulvej JørgensenSlide 10 Strategic versus tactical action Michel de Certeau, The Practice of Everyday Life. University of California Press, London, 1984 Strategic action (adults) - presupposes a position of power - defining, surveilling and ruling a social space Tactical action (teenagers) - ”must vigilantly make use of the cracks that particular conjunctions open in the surveillance of the proprietary powers” (p. 37)

11 An anthropological analysis of health promotion practice Esbjerg 2006 | Morten Hulvej JørgensenSlide 11 Conclusion Intervention ? Outcome How does it work in practice?

12 An anthropological analysis of health promotion practice Esbjerg 2006 | Morten Hulvej JørgensenSlide 12 Conclusion Soda pop disco ? Reduction of alcohol use

13 An anthropological analysis of health promotion practice Esbjerg 2006 | Morten Hulvej JørgensenSlide 13 Conclusion Soda pop disco Timing of alcohol use StrategiesTactics

14 An anthropological analysis of health promotion practice Esbjerg 2006 | Morten Hulvej JørgensenSlide 14 Collaborators Julie Bredenfeld Thomsen Mette Riegels Morten Grønbæk Nina Lyng Pia Haudrup Christensen Tine Curtis


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